KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC (EIN 58-1592076)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-10
IRS object ID: 201123149349303767
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 B
Schedule C
Schedule D
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-10T19:19:42-06:00	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	581592076	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	KAISER FDN HEALTH PLAN OF GEORGIAINC	BusinessNameLine1

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 SUITE 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)
Name Of Principal Officer Person	PETER ANDRUSZKIEWICZ	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	ONE KAISER PLAZA SUITE 15L	AddressLine1
City	OAKLAND	City
State	CA	State
ZIP Code	94612	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1025427772	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1985	YearFormation
State Legal Domicile	GA	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	5	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	2	NbrIndependentVotingMembers
Total Nbr Employees	2555	TotalNbrEmployees
Total Nbr Volunteers	469	TotalNbrVolunteers
Total Gross UBI	27854	TotalGrossUBI
Net Unrelated Business Txbl Income	17390	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2057241	ContributionsGrantsPriorYear
Contributions Grants Current Year	2350668	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1060150602	ProgramServiceRevenuePriorYear
Program Service Revenue CY	945171878	ProgramServiceRevenueCY
Investment Income Prior Year	5474392	InvestmentIncomePriorYear
Investment Income Current Year	5931849	InvestmentIncomeCurrentYear
Other Revenue Prior Year	7970968	OtherRevenuePriorYear
Other Revenue Current Year	7140775	OtherRevenueCurrentYear
Total Revenue Prior Year	1075653203	TotalRevenuePriorYear
Total Revenue Current Year	960595170	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	6556865	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	9046312	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	143435370	SalariesEtcPriorYear
Salaries Etc Current Year	166674729	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	925976552	OtherExpensePriorYear
Other Expenses Current Year	938805370	OtherExpensesCurrentYear
Total Expenses Prior Year	1075968787	TotalExpensesPriorYear
Total Expenses Current Year	1114526411	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-315584	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-153931241	RevenuesLessExpensesCY
Total Assets BOY	293621296	TotalAssetsBOY
Total Assets EOY	372483994	TotalAssetsEOY
Total Liabilities BOY	181373160	TotalLiabilitiesBOY
Total Liabilities EOY	420376284	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	112248136	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	-47892290	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	993669074	Expense
Grants	0	Grants
Revenue	951213720	Revenue
Description	Member health care services and medical training for care improvement Kaiser Foundation Health Plan of Georgia, Inc. (KFHP of Georgia) provides medical and surgical care, including urgent care services, extended care and home health care, for its members without regards to age, sex, race, religion or national origin or the ability to pay. KFHP of Georgia educates and trains medical students and other health care professionals and promotes scientific and nursing education in order to improve care. Additional information about Georgia Health Plan's charitable activities can be found in Schedule O, Community Benefit Report.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	16434120	Expense
Grants	0	Grants
Revenue	1071079	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 1,122 applicants. CHC - these programs are available to low income adults and children who are not eligible for other public or privately sponsored coverage. More than 2,096 patients received comprehensive care for up to four years through this program. Health Plan also partnered with the Grady Medical Center and gave them a restricted grant to underwrite the cost of care for uninsured individuals with chronic conditions. Additional information about Georgia Health Plan's charitable activities can be found in Schedule O, Community Benefit Report.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	9046312	Expense
Grants	9046312	Grants
Revenue	0	Revenue
Description	Grants and Donations The Georgia Health Plan supported approximately 119 nonprofit organizations and enabled them to continue providing programs and services that serve vulnerable populations. One example is the "Green Market" a weekly farmers' market (May-December) offering a variety of organic fruits, vegetables, fresh cut flowers, baked goods as well as healthy cooking demonstrations and fitness classes. Additional information about Georgia Health Plan's charitable activities can be found in Schedule O, Community Benefit Report.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	2394708	Expense
Grants	0	Grants
Revenue	0	Revenue
Description	SCH. O, COMMUNITY BENEFIT REPORT	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	2394708	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	0	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	0	TotalOfOtherProgramServiceRev
Total Program Service Expense	1021544214	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	true	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	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	1313	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2555	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	5	NbrVotingGoverningBodyMembers
Number Independent Voting Members	2	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	GA	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 STE 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 (25 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Peter Andruszkiewicz
Regional President, GA	25.0	X	X	0	645209	157929
Frank Boone
VP - Finance & Regional CFO	50.0	X	X	0	527948	69943
George Halvorson
Chairman and CEO	5.0	X	X	0	7667335	76092
Kerry Kohnen
SVP, Operations	40.0	X	X	0	425334	100424
Bernard Tyson
President & COO	5.0	X	X	0	1942514	359961
J NEAL PURCELL
DIRECTOR	1.0	X		14894	204844	0
JEFFREY KOPLAN
DIRECTOR	0.5	X		12000	0	0
Julie Fortin
VP - REGIONAL COUNSEL - SE	50.0		X	0	120549	41492
Kathryn Lancaster
EVP & CFO	4.0		X	0	1558076	296474
Kirkland McGhee
VP, Regional Counsel - GA	50.0		X	0	201681	33488
Thomas Meier
SVP, Corporate Treasurer	3.0		X	0	647785	107439
Donald Orndoff
SVP, NFS	5.0		X	0	508058	70932
Arthur Southam
EVP, Health Plan Operations	5.0		X	0	2020299	353928
Deborah Stokes
SVP, CC & CAO	10.0		X	0	622642	123860
Steven Zatkin
SVP, Gen Counsel & Secretary	5.0		X	0	1247253	97716
Victoria Zatkin
VP, Off of Brd & Corp Gov Svcs	4.0		X	0	311369	83647
Mark Zemelman
SVP, Gen Counsel & Secretary	4.0		X	0	806199	150636
James Cullinan
VP, Mktg Sales & Bus Dev	30.0			0	291849	63412	X
Sarah Sidwell
VP, Chief Operating Officer	30.0			0	456441	53650	X
Dawn Bading
VP, Human Resources - GA	30.0			0	261298	68652		X
Jonna Kirkwood
VP, HP Svcs & Admin - GA	30.0			0	242341	72356		X
Daniel Styf
VP, Strategy & Business Exec	30.0			0	226530	52726		X
Beverly Thomas
VP, Community & Public Affairs	30.0			0	261407	79785		X
Timothy Trussell
SR. SALES EXECUTIVE	30.0			209806	0	45759		X
Christine Malcolm
Former SVP	0.0			0	568721	12021			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	236700	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	21765682	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2572322	TotalOtherCompensation
Number Individuals GT100 K	137	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
PIEDMONT HOSPITAL
PO BOX 102526	ATLANTA	GA	30368	MEDICAL SERVICES	62321622
NORTHSIDE HOSPITAL
PO BOX 101818	ATLANTA	GA	30392	MEDICAL SERVICES	78269323
SOUTHEASTERN PERMANENTE MEDICAL GRO
3495 PIEDMONT ROAD NE	ATLANTA	GA	30305	MEDICAL SERVICES	348192082
CHILDREN'S HEALTHCARE OF ATLANTA
PO BOX 116101	ATLANTA	GA	30368	MEDICAL SERVICES	16170240
ST JOSEPH'S HOSPITAL
PO BOX 102046	ATLANTA	GA	30368	MEDICAL SERVICES	13184448

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	352	NumberOfContractorsGT100K
Related Organizations	1577335	RelatedOrganizations
Government Grants	48091	GovernmentGrants
All Other Contributions	725242	AllOtherContributions
Total Contributions	2350668	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
MEMBERS HEALTH CARE	621400	729936635	729936635
SUPPLEMENTAL CHARGE	621400	52003681	52003681
NON-PLAN & INDUSTRIAL	621400	1992636	1964782	27854
OTHER PROGRAM SERVICES	621400	13899871	13899871
MEDICARE/MEDICAID PAYMENTS	621400	147339055	147339055

Field	Value	IRS element (for citing)
Total Program Service Revenue	945171878	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4327774	TotalRevenueColumn
Exclusion	$4,327,774	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	66405054	Securities
Other	31623	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	64819041	Securities
Other	13561	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1586013	Securities
Other	18062	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1604075	TotalRevenueColumn
Exclusion	$1,604,075	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	PP&L INSURANCE PREMIUM REIMBURSEMENT	Description
Business Code	900099	BusinessCode
Total Revenue Column	7140775	TotalRevenueColumn
Related Or Exempt Function Income	7140775	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	7140775	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	960595170	TotalRevenueColumn
Related Or Exempt Function Income	952284799	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	27854	UnrelatedBusinessRevenue
Exclusion	$5,931,849	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	9046312	Total
Program Services	9046312	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	26894	Total
Management And General	26894	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	122888965	Total
Program Services	102334320	ProgramServices
Management And General	20554645	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	7474113	Total
Program Services	7474113	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	29323240	Total
Program Services	21875210	ProgramServices
Management And General	7448030	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	6961517	Total
Program Services	6961517	ProgramServices

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	3062	Total
Management And General	3062	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	999783	Total
Management And General	999783	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	272556	Total
Management And General	272556	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	202380	Total
Program Services	202380	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	79791350	Total
Program Services	75697537	ProgramServices
Management And General	4093813	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	21432742	Total
Program Services	779755	ProgramServices
Management And General	20652987	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1898306	Total
Program Services	1702407	ProgramServices
Management And General	195899	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	67955679	Total
Program Services	67955679	ProgramServices

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	10987106	Total
Program Services	10987106	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	1397330	Total
Program Services	1027391	ProgramServices
Management And General	369939	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	500206	Total
Management And General	500206	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	4460986	Total
Program Services	4460986	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	13806265	Total
Program Services	13806265	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	549330	Total
Program Services	549330	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PURCHASED MEDICAL SVC - BCP	540189660	540189660
SUPPLIES	101971218	101799203	172015
INTER-REGIONAL CHARGES	27995220	23658524	4336696
REPAIRS & MAINTENANCE	7617492	7538896	78596
STATE & LOCAL TAXES	2113089	2113089

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	54661610	Total
Program Services	21384534	ProgramServices
Management And General	33277076	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1114526411	Total
Program Services	1021544214	ProgramServices
Management And General	92982197	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	9645763	BOY
EOY	406177	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	20081553	BOY
EOY	26718979	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	8402872	BOY
EOY	9806294	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	346689	BOY
EOY	867207	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	277746053	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	136936328	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	124609667	BOY
EOY	140809725	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	130295288	BOY
EOY	193511986	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	239464	BOY
EOY	363626	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	293621296	BOY
EOY	372483994	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	81446199	BOY
EOY	84150555	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	9182619	BOY
EOY	9470758	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	90744342	BOY
EOY	326754971	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	181373160	BOY
EOY	420376284	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	5665218	BOY
EOY	5665218	EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

Field	Value	IRS element (for citing)
BOY	106582918	BOY
EOY	-53557508	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	112248136	BOY
EOY	-47892290	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	293621296	BOY
EOY	372483994	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-153931241	ReconcilationRevenueExpenses
Reconcilation Other Changes	-6209185	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1428452	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1562162	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1882337	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2057241	CurrentTaxYearMinus1Year
Current Tax Year	2350668	CurrentTaxYear
Total	9280860	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	971753714	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1041404677	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1083297320	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1060150602	CurrentTaxYearMinus1Year
Current Tax Year	945171878	CurrentTaxYear
Total	5101778191	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	973182166	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1042966839	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1085179657	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1062207843	CurrentTaxYearMinus1Year
Current Tax Year	947522546	CurrentTaxYear
Total	5111059051	Total

Field	Value	IRS element (for citing)
Public Support Total509	5111059051	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	7204678	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7749684	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6513719	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	5254905	CurrentTaxYearMinus1Year
Current Tax Year	4327774	CurrentTaxYear
Total	31050760	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	7204678	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7749684	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6513719	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	5254905	CurrentTaxYearMinus1Year
Current Tax Year	4327774	CurrentTaxYear
Total	31050760	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	980386844	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1050716523	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1091693376	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1067462748	CurrentTaxYearMinus1Year
Current Tax Year	951850320	CurrentTaxYear
Total	5142109811	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99396	PublicSupportPercentage509
Prior Year Support Percentage	0.99362	PriorYearSupportPercentage
Investment Income Percentage	0.00604	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00638	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Political Expenditures	6000	PoliticalExpenditures
Amt Of4955 Tax	600	AmtOf4955Tax
Amt Of4955 Tax On Managers	0	AmtOf4955TaxOnManagers
Form4720 Filed4955 Tax	true	Form4720Filed4955Tax
Correction Made	true	CorrectionMade
Org Belongs To Affiliated Group	X	OrgBelongsToAffiliatedGroup
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
Form4720 Filed	false	Form4720Filed
Volunteers	false	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	true	MailingsMembers
Publications Or Broadcast	true	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$272,556	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Total Lobbying Expenditures IIB	272556	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SCHEDULE C, PART I-A, LINE 1	DESCRIPTION OF DIRECT & INDIRECT POLITICAL CAMPAIGN ACTIVITIES	The disclosed political activity resulted from contribution being approved/paid
SCHEDULE C, PART I-B, LINE 4B	CORRECTIVE ACTION	As a result of our internal investigation conducted in July of 2010, Kaiser Foundation Health Plan of Georgia, Inc discovered that an improper political expenditure occured in 2010. Payment of this expense is contrary to our long-standing written policy on political campaign involvement. We have requested and received a full refund of the payment or contribution from the recipient. In addition, we have sent out a memorandum to all employees with responsibility for processing payments.
SCHEDULE C, PART II-B, LINE 1A THROUGH 1I	LOBBYING ACTIVITY BY NONELECTING PUBLIC CHARITIES	The Organization is a member of the Kaiser Permanente Medical Care Program and participated and benefited from lobbying activities conducted at the regional and national level for the benefit of its enrolled members and for the health care industry as a whole. As an organization generally exempt from income tax under Internal Revenue Code Section 501(c)(3), Health Plan has a policy prohibiting internal involvement in any political campaigns. This policy is closely monitored for compliance. During the year this Organization may have made comments or statements concerning legislation which may affect the health care industry. Health Plan may have engaged in telephone conversations and/or written letters to various federal, state, and local officials regarding matters which affected the healthcare industry as a whole. The amount of time and money involved in the activities is detailed on lines a through i. Health Plan has several employees and/or may retain a professional consultant to represent Health Plan's interests in various legislative and regulatory bodies and from time-to-time to keep informed of Federal and State legislation having an impact on Health Plan's charitable activities as an exempt Health Maintenance Organization. These individuals attempt to ensure that proposed legislation and enacted laws are compatible with the Interest of Health Plan and its members by performing the following activities: - 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.

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	24371491	OtherCostOrOtherBasis
Book Value	24371491	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	120843716	OtherCostOrOtherBasis
Depreciation	54439795	Depreciation
Book Value	66403921	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	27620104	OtherCostOrOtherBasis
Depreciation	14499667	Depreciation
Book Value	13120437	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	86378956	OtherCostOrOtherBasis
Depreciation	57488615	Depreciation
Book Value	28890341	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	18531786	OtherCostOrOtherBasis
Depreciation	10508251	Depreciation
Book Value	8023535	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	140809725	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
PENSION PLAN PAYABLE	$47,051,923
SELF INS RISK-PROF PUBLIC LIAB	$7,828,422
OTHER CURRENT LIABILITIES	$3,121,025
OTHER LONG-TERM LIABILITIES	$8,060,048
DUE TO AFFILIATED ORGANIZATION	$66,737,576
PREMIUM DEFICIENCY RESERVE	$40,916,477
NOTE PAYABLE TO AFFILIATES	$153,039,500

Field	Value	IRS element (for citing)
Total Of Amounts	326754971	TotalOfAmounts
Total Revenue	960595170	TotalRevenue
Total Expenses	1114526411	TotalExpenses
Excess Or Deficit For Year	-153931241	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-1228071	NetUnrealizedGLOnInvestments
Other	-$4,981,114	OtherAmount
Total Adjustments	-6209185	TotalAdjustments
Excess Or Deficit Per FS	-160140426	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	952041540	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-1228071	NetUnrealizedGainsInvestments
Other Revenues	1400189	OtherRevenues
Revenue Not Rptd F990	172118	RevenueNotRptdF990
Revenue Subtotal	951869422	RevenueSubtotal
Other Revenues Not Included	8725748	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	8725748	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	960595170	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1112181966	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	9234609	OtherExpensesIncluded
Expenses Not Rptd F990	9234609	ExpensesNotRptdF990
Expenses Subtotal	1102947357	ExpensesSubtotal
Other Expenses Not Included	11579054	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	11579054	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	1114526411	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SCHEDULE D, PART X, LINE 2	FIN 48 FOOTNOTE	NOT REQUIRED
SCHEDULE D, PART XI, LINE 8	RECONCILIATION OF CHANGE IN NET ASSETS	DECREASE IN PENSION & OTHER COMPREHENSIVE INCOME <$4,866,499> GAIN/LOSS ON INVESTMENTS - TAX < 1,586,013> GAIN/LOSS ON INVESTMENTS - BOOK 1,835,250 SEE "NOTE 1" < 363,852> ____________ TOTAL <$4,981,114> NOTE 1: OTHER THAN TEMPORARY IMPAIRMENT (OTTI) OF INVESTMENT RECOGNIZED FOR FINANCIAL STATEMENT PURPOSES, WHICH WILL BE TAX REPORTED WHEN REALIZED
SCHEDULE D, PART XII	RECONCILIATION OF REVENUE	LINE 2D: BAD DEBT EXPENSE - RECLASS <$4,438,279> INTER-ENTITY REVENUE - RECLASS 4,569,450 GAIN (LOSS) ON INVESTMENTS - BOOK 1,835,250 OTTI < 363,852> Investment Management Fees < 202,380> _____________ TOTAL $1,400,189 LINE 4B: FIXED ASSET LOSS - RECLASS <$ 1,040> GAIN (LOSS) ON INVESTMENTS - TAX 1,586,013 INSURANCE PREMIUM REIMBURSEMENT - RECLASS 7,140,775 ___________ TOTAL $8,725,748
SCHEDULE D, PART XIII	RECONCILIATION OF EXPENSES	LINE 2D: FIXED ASSET LOSS - RECLASS $ 1,040 INTER-ENTITY REVENUE - RECLASS 4,569,450 DECREASE IN PENSION & OTHER COMPREHENSIVE INCOME 4,866,499 Investment Management Fees < 202,380> _____________ TOTAL $9,234,609 LINE 4B: INSURANCE PREMIUM REIMBURSEMENT - RECLASS $ 7,140,775 BAD DEBT EXPENSE - RECLASS 4,438,279 ___________ TOTAL $11,579,054

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (78 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
A Gift of Love Svc of West Georgia Inc
3870 Longview Dr	Douglasville	GA	30135	582373174	501(c)(3)	10000	Back Pack Weekend Food Program
American Cancer Society Inc
250 Williams Street	Atlanta	GA	30303	580659875	501(c)(3)	50000	Patient Resource Navigator at Grady Memorial Hospi
American Diabetes Asssociation
17 Executive Pk Dr NE115	Atlanta	GA	30329	131623888	501(c)(3)	50000	Diabetes Expo Atlanta
American Heart Association Inc
1101 Northchase Pkwy 1	Marietta	GA	30067	135613797	501(c)(3)	95500	2010 Atlanta Heart Ball Event; Metro Atlanta Annua
Atlanta Community Food Bank Inc
732 Joseph E Lowery Blvd NW	Atlanta	GA	30318	581376648	501(c)(3)	50000	Benefits Outreach Program
Atlanta Leadership Development Fdn Inc
Ten Peachtree Place 620	Atlanta	GA	30309	237015688	501(c)(3)	6000	Leadership Atlanta Healthy Day
Atlanta Regional Commission
40 Courtland Street NE	Atlanta	GA	30303	586002324	501(c)(3)	65000	Senior Community Garden Initiative
Atlanta Women's Foundation Inc
50 Hurt Plaza Suite 401	Atlanta	GA	30303	582389721	501(c)(3)	125000	Atlanta Women's Foundation Grantmaking Support
BeltLine Partnership Inc
50 Hurt Plaza Suite 910	Atlanta	GA	30303	562464486	501(c)(3)	1250000	NE Corridor Project Support
Boys and Girls Clubs Metro Atlanta Inc
100 Edgewood Ave NE 700	Atlanta	GA	30303	580566123	501(c)(3)	65000	Triple Play Program Project
Captain Planet Foundation Inc
133 Luckie Street	Atlanta	GA	30308	581959421	501(c)(3)	25000	Captain Planet's Learning Gardens Project
Center for Pan Asian Community Svc Inc
3510 Shallowford Road NE	Atlanta	GA	30341	581437980	501(c)(3)	74060	Dowa Clinic Project Support
Chattahoochee Nature Center Inc
9135 Willeo Road	Roswell	GA	30075	581275604	501(c)(3)	42809	Community Garden Project
Cherokee FOCUS Inc
100 Hickory Circle	Holly Springs	GA	30115	450466319	501(c)(3)	10000	Live Healthy Cherokee Project
Children's Healthcare Atlanta Fdtn Inc
1584 Tullie Circle NE	Atlanta	GA	30329	581710601	501(c)(3)	1000000	Children's Healthcare of Atlanta Hughes Spalding C
CHRIS Kids Inc
3109 Clairmont Rd Suite B	Atlanta	GA	30329	581430183	501(c)(3)	75000	CHRIS Counseling Center Project
Clayton State Univ Foundation Inc
2000 Clayton State Blvd	Morrow	GA	30260	237419285	501(c)(3)	80000	Nursing Department Student and Faculty Recruitment
Clean Air Campaign Inc
55 Park Place NE 250	Atlanta	GA	30303	582600070	501(c)(3)	22400	No-Idling Program Project
Decatur Education Foundation Inc
315 W Ponce De Leon Ave	Decatur	GA	30030	582601384	501(c)(3)	10500	Decatur Farm to School Initiative Proj; Int'l Walk
Diabetes Association of Atlanta Inc
100 Edgewood Ave NE 1004	Atlanta	GA	30303	580973055	501(c)(3)	65000	Diabetes Prevention and Control Program
Dream House Medically Fragile Children
2092 Scenic Highway B	Snellville	GA	30078	582654766	501(c)(3)	10000	Dream House Family for Keeps? Transition Care Prog
East Lake Foundation Inc
2606 Alston Drive SE	Atlanta	GA	30317	582204306	501(c)(3)	15000	Community Garden Collaborative Project Support
Families First Inc
1105 W Peachtree St NE	Atlanta	GA	30357	581054331	501(c)(3)	38740	2010 Dining for a Difference Fundraiser; Doula Pro
Fernbank Inc
767 Clifton Road	Atlanta	GA	30307	586028607	501(c)(3)	25000	Community Access Program
First Step Staffing Inc
236 Auburn Ave NE 203	Atlanta	GA	30303	208038859	501(c)(3)	75000	First Step Benefits Program
Georgia Campaign Adolesc Pregn Prevention
1450 W Peachtree St NW	Atlanta	GA	30309	311520709	501(c)(3)	59304	World Fitness Day Fundraiser; Parent Outreach Prog	Suite 200
Georgia Conservancy Inc
817 W Peachtree St 200	Atlanta	GA	30308	581027246	501(c)(3)	42000	Mothers & Other for Clean Air
Georgia Family Connection Partnership
235 Peachtree St 1600	Atlanta	GA	30303	581888262	501(c)(3)	65000	Reducing Low Birthweight Pilot
Georgia Free Clinic Network Inc
1015 Donald Lee Hollowell Pkwy Suit	Atlanta	GA	30318	800100336	501(c)(3)	156000	Specialty Care Initiative Project; C.A.R.E. Clinic
Georgia Hospital Association Inc
1675 Terrell Mill Road	Marietta	GA	30067	580612274	501(c)(6)	50000	Yes 2 Save Lives
Georgia Organics Inc
200 A Ottley Drive	Atlanta	GA	30324	582345310	501(c)(3)	70000	Georgia Farm To School
Georgia Perimeter College Foundation Inc
3251 Panthersville Road	Decatur	GA	30034	581492364	501(c)(3)	70000	Nursing Department Student and Faculty Recruitment
Georgia State Univ Foundation Inc
140 Decatur St UL 918A	Atlanta	GA	30302	586033185	501(c)(3)	85000	Nursing Dept.Student/Faculty Recruitmen Retention
Georgia State Univ Research Foundation Inc
PO Box 3999	Atlanta	GA	30302	581845423	501(c)(3)	10000	Southern Obesity Summit
Good Samaritan Health Center of Cobb
1605 Roberta Drive SW	Marietta	GA	30008	320045238	501(c)(3)	10000	Physician's Dispensary General Operating Support
Hands of Hope Clinic Inc
1010 Hospital Dr B	Stockbridge	GA	30281	421591970	501(c)(3)	95000	Maintenance and/or Expansion of Clinic Capacity
Hands on Atlanta Inc
600 Means St Suite 100	Atlanta	GA	30318	581861026	501(c)(3)	10000	Hands on Atlanta Day Project
Health Ed Assessment and Leadership
1300 Joseph E Boone Blvd	Atlanta	GA	30314	263990559	501(c)(3)	42241	HEALing Community Center General Operating Support
Henry W Grady Health System Fdtn Inc
50 Hurt Plaza Suite 803	Atlanta	GA	30303	582130437	501(c)(3)	2024200	Community Health Partnership for Chronically Ill;
Heritage Fund of Atlanta Med Assoc Inc
100 Edgewood Ave NE 540	Atlanta	GA	30303	582372394	501(c)(3)	9100	Scholarship Fund - Heritage Fund of Atlanta Medica
Hispanic Health Coalition of Georgia Inc
424 Decatur Street	Atlanta	GA	30312	752995466	501(c)(3)	55000	Inclusive and Culturally Appropriate Prenatal Care
Jerusalem House Inc
17 Executive Park Dr NE	Atlanta	GA	30329	581829807	501(c)(3)	50000	The Housing Programs of Jerusalem House Project	Suite 290
Junior Achievement of Georgia Inc
460 Abernathy Road	Atlanta	GA	30328	580598050	501(c)(3)	25000	JA of Georgia Growth Campaign - Program Support fo
Kennesaw State University Fdtn Inc
1000 Chastain Road	Kennesaw	GA	30066	237034345	501(c)(3)	80000	Nursing Department Student and Faculty Recruitment
Lawrenceville Cooperative Ministry Inc
176 Church Street	Lawrenceville	GA	30046	582193039	501(c)(3)	10000	Emergency Food and Prescription Medication Program
Literacy Action Inc
100 Edgewood Ave Ste 650	Atlanta	GA	30303	581053728	501(c)(3)	50000	Improving Health through Literacy Training
March of Dimes Foundation
1776 Peachtree St Ste 100	Atlanta	GA	30309	131846366	501(c)(3)	80000	2010 March for Babies Event Support\Annual Fundrai
Martin Luther King Jr Ctr for Nonviolent
449 Auburn Avenue NE	Atlanta	GA	30312	581030989	501(c)(3)	13500	Salute to Greatness Awards Dinner Event
Ministries United for Service Training Inc
1407 Cobb Parkway North	Marietta	GA	30061	582034725	501(c)(3)	50000	Build We MUST Clinic and Capital Campaign Project
Morehouse School Of Medicine Inc
720 Westview Drive SW	Atlanta	GA	30310	581438873	501(c)(3)	55000	Kaiser Permanente Medical Student Scholarships
National Mental Health Assoc of GA Inc
100 Edgewood Ave Ste 502	Atlanta	GA	30303	580611310	501(c)(3)	43000	Project Healthcare Access II Project Support
North Fulton Community Charities Inc
11270 Elkins Road	Roswell	GA	30076	581521088	501(c)(3)	26000	Emergency Assist. Prog. for Med Prescription Cover
Oakhurst Medical Centers Inc
770 Village Square Dr	Stone Mtn	GA	30083	581413957	501(c)(3)	80000	FQHC (Safety Net) Collaboration Project Support
Park Pride Atlanta Inc
233 Peachtree St NE 1600	Atlanta	GA	30303	581883895	501(c)(3)	17000	Community Gardens Project
Partnership Against Domestic Violence
114 New Street Suite L	Decatur	GA	30030	581314556	501(c)(3)	78000	PADV's Hearts with Hope Gala Fundraiser; Safety &
Piedmont Park Conservancy Inc
400 Park Drive NE	Atlanta	GA	30306	581551369	501(c)(3)	85000	Healthy Livinig Initiative Project
Project Open Hand-Atlanta Inc
176 Ottley Drive	Atlanta	GA	30324	581816778	501(c)(3)	70000	Comprehensive Nutrition Care Services Implementati
Robert W Woodruff Arts Center Inc
1280 Peachtree Street NE	Atlanta	GA	30309	580633971	501(c)(3)	99000	2009-2010 Annual Corporate Campaign and Young Audi
Saint Joseph's Mercy Care Services Inc
424 Decatur Street	Atlanta	GA	30312	581752700	501(c)(3)	80000	FQHC (Safety Net) Collaboration Project Support
Senior Citizen Services MetroAtlanta Inc
1705 Commerce Drive NW	Atlanta	GA	30318	580960309	501(c)(3)	70000	Extra Helping Initiative Project
Senior Connections Inc
5328 Peachtree Road	Chamblee	GA	30341	581187876	501(c)(3)	150000	Eliminating Hunger Waitlists- Feeding low-Income S
Servants Relief for Incurable Cancer Inc
760 Pollard Boulevard SW	Atlanta	GA	30315	580566234	501(c)(3)	9500	Palliative Care Program Project
South Fulton Senior Services Inc
3680 College Street	College Park	GA	30337	581948408	501(c)(3)	20000	Meals on Wheels Transportation (Van) Program
Southside Medical Center Inc
1046 Ridge Avenue SW	Atlanta	GA	30315	581131002	501(c)(3)	80000	FQHC (Safety Net) Collaboration Project Support
Susan G Komen Breast Cancer Fdtn
4840 Roswell Rd Bldg D	Atlanta	GA	30342	581959763	501(c)(3)	25000	Komen Atlanta Race for the Cure 2010 Event	Suite 100
The Center for Family Resources Inc
995 Roswell St Suite 100	Marietta	GA	30060	580876634	501(c)(3)	45000	Building Strong Communities General Operating Supp
The Children's Museum of Atlanta Inc
275 Centennial Olympic Dr	Atlanta	GA	30313	581785484	501(c)(3)	75000	Growing Healthy Kids: Health and Nutrition Communi	NW
The Community Fdtn Greater Atlanta
50 Hurt Plaza Suite 449	Atlatnta	GA	30303	581344646	501(c)(3)	350000	Agenda for a Healthy Region Project
The Corporation of Mercer University
3001 Mercer University Dr	Atlanta	GA	30341	580566167	501(c)(3)	25000	Kaiser Permanente Pharmacy Student Scholarship End
The Environmental Fund for Georgia
1447 Peachtree St Ste 214	Atlanta	GA	30309	582022001	501(c)(3)	80125	2010 Earth Day Events; 2010 Corporate Contribution
The Leukemia and Lymphoma Society
3715 Northside Pkwy 400	Atlanta	GA	30327	135644916	501(c)(3)	26000	Patient Financial Aid Program Project Support	Suite 300
The Sheltering Arms
385 Centennial Olympic Park Dr	Atlanta	GA	30313	580566236	501(c)(3)	10000	Operation StoryBook Project
United Way of Metropolitan Atlanta Inc
100 Edgewood Ave NE	Atlanta	GA	30303	580566194	501(c)(3)	300000	Primary Health Care Access Grants Program
United Way of Metropolitan Atlanta Inc
100 Edgewood Ave NE	Atlanta	GA	30303	580566194	501(c)(3)	102400	United Way African American Partnership; Primary H
Voices for Georgia's Children
100 Edgewood Ave NE 1580	Atlanta	GA	30303	020678823	501(c)(3)	64633	Expanding Children's Health Enrollment through Edu
West End Medical Centers Inc
868 York Avenue SW	Atlanta	GA	30310	581233448	501(c)(3)	80000	FQHC (Safety Net) Collaboration Project Support
YMCA of Metropolitan Atlanta Inc
100 Edgewood Ave Ste 1100	Atlanta	GA	30303	580566253	501(c)(3)	300000	Longitudinal Assessment of Obesity Intervention Tr
YWCA of Greater Atlanta
957 North Highland Ave NE	Atlanta	GA	30306	580593442	501(c)(3)	24550	Salute to Women of Achievement Luncheon Event

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	77	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	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	At the end of their funding cycle, grantees are required to submit a final report which delineates accomplishments related to stated objectives. Large grants (typically over $100K) may require quarterly progress reports.	Explanation

Schedule J IRS990ScheduleJ

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 (24 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
Peter Andruszkiewicz
0	396169	0	227750	0	21290	0	141947	0	15982	0	803138	0	0
Dawn Bading
0	197269	0	48453	0	15576	0	53586	0	15066	0	329950	0	0
Frank Boone
0	176057	0	78751	0	273140	0	44380	0	25563	0	597891	0	74091
James Cullinan
0	193858	0	82439	0	15552	0	48814	0	14598	0	355261	0	0
Julie Fortin
0	108743	0	0	0	11806	0	32205	0	9287	0	162041	0	0
George Halvorson
0	1177487	0	5155125	0	1334723	0	62481	0	13611	0	7743427	0	0
Jonna Kirkwood
0	201919	0	23450	0	16972	0	56374	0	15982	0	314697	0	0
Kerry Kohnen
0	262317	0	146484	0	16533	0	86913	0	13511	0	525758	0	0
Kathryn Lancaster
0	615090	0	919900	0	23086	0	283406	0	13068	0	1854550	0	0
Christine Malcolm
0	0	0	0	0	568721	0	0	0	12021	0	580742	0	0
Kirkland McGhee
0	189088	0	9447	0	3146	0	17925	0	15563	0	235169	0	0
Thomas Meier
0	316076	0	297094	0	34615	0	94371	0	13068	0	755224	0	0
Donald Orndoff
0	333479	0	0	0	174579	0	57212	0	13720	0	578990	0	0
Sarah Sidwell
0	200720	0	99130	0	156591	0	27668	0	25982	0	510091	0	0
Arthur Southam
0	735252	0	1241861	0	43186	0	342622	0	11306	0	2374227	0	0
Deborah Stokes
0	313713	0	249552	0	59377	0	110792	0	13068	0	746502	0	40338
Daniel Styf
0	175184	0	36512	0	14834	0	37551	0	15175	0	279256	0	0
Beverly Thomas
0	178229	0	66934	0	16244	0	64222	0	15563	0	341192	0	0
Timothy Trussell
75059	0	129245	0	5502	0	30561	0	15198	0	255565	0	0	0
Bernard Tyson
0	737887	0	1180500	0	24127	0	346893	0	13068	0	2302475	0	0
Steven Zatkin
0	283028	0	932500	0	31725	0	86239	0	11477	0	1344969	0	0
Victoria 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
J NEAL PURCELL
14894	204844	0	0	0	0	0	0	0	0	14894	204844	0	0

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 Georgia relied on Kaiser Foundation Health Plan, Inc that used one or more of the methods described below to establish the top management officials' compensation: - Compensation committee - Independent compensation consultant - Form 990 of other organizations - Written employment contract - Compensation survey or study, and - Approval by the board or compensation committee
SCHEDULE J, PART I, LINE 4A	SEVERANCE PAYMENT	FRANK BOONE $ 44,192 CHRISTINE MALCOLM 568,515 SARAH SIDWELL 141,434 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 PAYMENT	GEORGE HALVORSON 1,237,500 FRANK BOONE 196,955 KATHRYN LANCASTER 368 THOMAS MEIER 609 DEBORAH STOKES 40,338 STEVEN ZATKIN 5,463 MARK ZEMELMAN 218,741 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	NON-FIXED PAYMENTS	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 (45 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FORM 990, PART VI, LINE 2	Family Affiliations	steven r zatkin - spouse: officer of Kaiser Foundation Health Plan Inc. (KFHP Inc), Kaiser Foundation Hospitals (KFH) and subsidiaries victoria zatkin - spouse: senior vp, general counsel and officer of kfh, kfhp inc. and regional health plans
FORM 990, PART VI, LINE 4	CHANGES TO GOVERNING DOCUMENTS	On June 24, 2010, Article E., Officers, of the Bylaws of the Corporation was amended by the member to provide for a Chief Executive Officer as an officer of the Corporation to be elected by the member to conform the bylaws of the Corporation to the Bylaws of the other Health Plan subsidiaries of the member, which amendments were approved by the Board of Directors of the Corporation on November 17, 2010 (Sections E-1, Officers, E-2, Election and Term of Office, and E-4 Removal and Resignation); and On March 3, 2011, Article E., Officers, of the Bylaws of the Corporation was amended by the member 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"; which amendments were approved by the Board of Directors of the Corporation on April 6, 2011.
FORM 990, PART VI, LINE 6	MEMBERS OR STOCKHOLDERS	KAISER FOUNDATION HEALTH PLAN, INC IS SOLE MEMBER Upon dissolution, remaining assets shall be distributed to a 501(c)(3) organization
FORM 990, PART VI, LINE 7A	ELECT MEMBERS OF THE GOVERNING BODY	Kaiser Foundation Health Plan, Inc appoints the Board of Directors (and fills vacancies and has authority to remove Directors)
FORM 990, PART VI, LINE 7B	MEMBERS' APPROVAL	The following actions of the corporation require the approval of the member. Typically the member (KFHP) would approve actions requiring member approval and the Board of Directors of KFHP-GA also would approve or ratify the action: 1. Removal of the Chairman of the Board, CEO, or Regional President. The compensation of the Regional President and other executive officers of the corporation shall be approved by the member's Compensation Committee; 2. The sale, lease, exchange, or other disposition of, the mortgage, pledge or dedication to the repayment of indebtedness (whether with or without recourse), or any other encumbrance of property of the corporation, or the acquisition of assets, whether or not in the usual or regular course of the corporation's activities, where the fair market value of such corporate property or assets being disposed of, acquired or encumbered exceeds 10% of the value of the assets of the corporation as reflected in the most recent annual or quarterly financial statements that are available on the date immediately preceding the date of the relevant transaction shall require the approval of the member 3. Capital expenditures that exceed $25 million shall require the approval of the member 4. The issuance of tax-exempt bonds 5. Amendments to Article C (Members), D (Directors) and H (Amendment and Effect of Bylaws) of the Bylaws and amendments to the Articles of Incorporation. Article A (Purposes), B (Offices), E (Officers), F (Committees) and G (Miscellaneous) of the Bylaws may be amended by the Board of KFHP-GA acting alone and do not require ratification by the member.
FORM 990, PART VI, LINE 11B	FORM 990 REVIEW PROCESS	1. Community benefit details are presented to the community benefit committee of the board for review. 2. The tax return is reviewed and signed by a KPMG tax advisor. 3. The complete tax return is reviewed and signed by an officer or a member of management designated by an officer. 4. A compact disk containing the signed return is provided to each board member prior to filing.
FORM 990, PART VI, LINE 12C	COMPLIANCE ENFORCEMENT	Regularly and Consistently Monitors Compliance with the Conflicts of Interest Policy Kaiser Permanente regularly monitors compliance with the Conflicts of Interest Policy in 3 key ways: 1. The Kaiser Permanente Compliance Hotline is available to all employees and vendors to report actual or potential conflicts of interest. All calls are answered by a third party and provided to Kaiser Permanente's National Compliance Office for review and appropriate action. Employees can report anonymously. Retaliation is prohibited. Reports of actual or potential Conflicts of Interest are generated and investigations are conducted as required and information is tracked and trended to determine if additional guidance is required to avoid or manage conflicts of interest. Compliance Hotline Reports are provided for review and action to the Kaiser Foundation Health Plan/ Hospitals Boards of Directors annually. 2. Chief Compliance Officer and the SVP of Internal Audit Services annually review the directors', officers', key employees', and executives' Annual Conflicts of Interest Questionnaire disclosures and provide direction on any investigations required. Investigations are documented, tracked and trended to determine if additional controls or education is required; In addition, Conflicts of Interest Questionnaire reports are provided for review and action to the Kaiser Foundation Health Plan/ Hospitals Boards of Directors annually; and 3. Annually, as a component of the external audit, KPMG reviews the Annual Conflicts of Interest Questionnaires process completed by Directors, Officers, Key Employees, and Executives, and actions taken as a result of the disclosures. The results of the annual audit, including any findings in this area are presented to the Kaiser Foundation Health Plan/ Hospitals Audit and Compliance Committee. Regularly and Consistently Enforces Compliance with the Conflicts of Interest Policy To ensure consistency in the enforcement of the policy Kaiser Permanente uses the following steps as a general guideline: A. Represented employees are subject to any corrective/disciplinary action provisions described in specific regional/national collective bargaining agreements and/or organizational policies and practices. B. Kaiser Permanente informs employees of the National Human Resources Policy No. 14. Corrective/Disciplinary Action Policy during new employee orientation and in annual compliance training. C. In the event that it is necessary to discipline any employee because of, but not limited to, failure to comply with applicable legal/regulatory requirements, Kaiser Permanente policies and procedures, or the Principles of Responsibility, or for unsatisfactory performance or misconduct, coaching/counseling and/or corrective/disciplinary action may include, but is not limited to: - Oral discussion and/or warning by the employee's immediate supervisor or higher level manager to correct the problem - Written notice, with or without final warning - Paid or unpaid suspension, with or without final warning - Termination of employment
FORM 990, PART VI, LINE 15A/B	COMPENSATION DETERMINATION	The executive compensation program is designed to recruit, retain and motivate qualified senior management personnel. Senior management personnel have a significant impact on the strategic and policy direction and results of the organization. Therefore, the executive compensation program is, to a significant degree, performance-based. The compensation program is reviewed annually by the Compensation Committee of the Board of Directors which evaluates and approves, prior to payment, all programs and payments to CEO, Executive Director and top management officials (executives). Base pay for executive positions is established at a level comparable to the relevant market. In addition, other components of the compensation program bear 'at-risk' features designed to focus on strategically important performance goals and to assist in attracting and retaining top performers. The executive compensation program is targeted at the median of the comparable external market in which the organization competes for executive leadership. Evaluation of comparable pay data is performed by an Independent Compensation, Benefit & Human Resource Consulting firm. The compensation program focuses on objectives in the areas of quality of member care and service, financial soundness, and the community and social mission of the organization.
FORM 990, PART VI, LINE 19	PUBLIC INSPECTION	Governing documents are available as provided to state Dept. of Insurance and maintained on state agency website or upon request. Conflict of Interest is available on KP website under vendor Principles of Responsibility or upon request. Financial Statements are on file with state insurance agency on a statutory basis (stand alone entity). Combined data is published for Kaiser Foundation Health Plan Inc. and subsidiaries and Kaiser Foundation Hospitals and Subsidiaries with audit opinion by KPMG upon request. To request copies contact: VP - National Tax Compliance Kaiser Foundation Health Plan and Hospitals One Kaiser Plaza, Ste 15L Oakland, CA 94612
FORM 990, PART VII, SECTION A, COLUMN B	HOURS FOR RELATED ORGANIZATIONS	Individuals who are both officers and members of Boards of Directors work full time as employees as well as fulfill their board assignment. All officers work full time in their employee capacity. Full time work may require in excess of the traditional 40 hour week. Given the integrated nature of our organization, employees may provide support for various Kaiser Permanente companies. The average hours per week reported for the filing organization and related organizations was estimated.
FORM 990, PART XI, LINE 5	OTHER CHANGES IN NET ASSETS OR FUND BALANCES	CHANGE IN UNREALIZED GAIN/LOSS ON INVESTMENTS <$1,228,071> CHANGE IN OTHER COMPREHENSIVE INCOME < 4,866,499> GAIN/LOSS ON INVESTMENTS - TAX < 1,586,013> GAIN/LOSS ON INVESTMENTS - BOOK 1,835,250 OTTI LOSSES < 363,852> ____________ TOTAL <$6,209,185>
FORM 990, PART III, LINE 4A-D		2010 COMMUNITY BENEFIT REPORT KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC. Kaiser Foundation Health Plan of Georgia, Inc. or "Georgia Health Plan" is a tax-exempt subsidiary health plan of Kaiser Foundation Health Plan, Inc. (KFHP). Kaiser Foundation Health Plan of Georgia 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, Georgia Health Plan served 222,074 members and has 2,285 full-time administrative, clerical and technical employees. Georgia Health Plan provides and arranges comprehensive health care services for members on a predominantly prepaid basis. Health Plan fulfills its contractual obligations to group and individual members by contracting with KFH and 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 PROGRAM IN THE GEORGIA REGION In 2010, Georgia Health Plan expended $29.4 million to support community benefit activities. A breakdown of the 2010 Community Benefit dollars attributable to the Georgia 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 Georgia Health Plan. CARE AND COVERAGE FOR LOW-INCOME PEOPLE There are roughly 46 million Americans without access to health care or 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 Georgia Health Plan expended $17.9 million to address the financing and delivery of health care for populations vulnerable due to socio-economic status, illness, ethnicity, age, or other factors. Program beneficiaries (under- and uninsured) received free or discounted care in a Kaiser Permanente facility or by a Permanente provider. Charitable Care (Medical Financial Assistance and Charitable Health Coverage Programs) In the Georgia Region, Health Plan provides charity care to low-income vulnerable populations through the Medical Financial Assistance and Charitable Coverage Program. In 2010, the Georgia Health Plan spent approximately $15.3 million on under- and uninsured residents. - Medical Financial Assistance Program The Georgia Health Plan's Medical Financial Assistance Program provides temporary financial assistance and/or medically necessary services, medications or supplies to patients with a demonstrated financial need. Patients must receive health care services at a Kaiser Permanente facility and/or from a Kaiser Permanente provider. Kaiser Permanente's charity care program also includes discounted charges for uninsured patients below 400% federal poverty guidelines and aligned contracted collection agency practices with Kaiser Permanente social values. In 2010, this program assisted 1,122 patients. - Charitable Health Coverage Program Charitable Health Coverage (CHC) is our unique approach to caring for low-income uninsured persons in our communities. Participants receive a regular Kaiser Permanente membership card and access to the full range of our service and providers-a much better alternative to a brief and costly emergency room visit or hospitalization. This allows us to invest in the longer term health of patients and the community. Since inception in the early 1980s, CHC programs have made a real difference in the lives of persons who might otherwise have no other source of care. The Kaiser Permanente Bridge Program enrolls and subsidizes for up to two years, 95% of the premium for income-eligible individuals who do not have access to any other form of health insurance. This program partners with community agencies to identify eligible clients whose income falls at or below 300% of the federal poverty guidelines. By year-end 2010, the Georgia Health Plan had 2,096 individuals in the Kaiser Permanente Bridge Program.
.		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 Georgia Health Plan spent approximately $4.4 million on community health initiatives during 2010. Community Health Education and Prevention Programs The Georgia Health Plan offered a variety of health education classes, events, and programs for the general public. During 2010, the Health Education Department organized numerous health fairs and screenings at Health Plan medical offices which were open to the general public. Expenditures in this category exclude program cost for health education programs targeting or restricted to Health Plan members. The following is an example of a community partnership aimed at promoting health and well being. - The Georgia Health Plan is the sponsor of the Green Market, weekly farmers' market (May-December) offering a variety of organic fruits, vegetables, fresh cut flowers, baked goods as well as healthy cooking demonstrations and fitness classes. In 2010, 67,000 people attended the Green Market. Grants and Donations for Community Health Initiatives The Georgia Health Plan contributed $4.4 million to 63 nonprofit organizations to support a variety of community health initiatives. Following are examples of two programs funded in 2010: - The Chattahoochee Nature Center (CNC) transformed an abandoned soccer field into a community garden with funding from a $42,809 Kaiser Permanente grant. The garden yields 24,000 pounds of fresh produce annually, and benefits clients of another KPGA grantee, the nearby North Fulton Community Charities, a nonprofit that provides food, clothing and short-term emergency assistance to low-income families. CNC also provides educational workshops to the families on healthy eating and active living. The partnership increases access to seasonal fresh produce, while strengthening community networks and increasing healthy living. - KPGA is addressing the region's childhood obesity challenge (almost 38% of children younger than 17 are obese) through a project implemented by the YMCA of Metropolitan Atlanta. The initiative will test and put into practice techniques that minimize health risks related to overweight/obesity. The goal is to improve health outcomes for youth (ages 2 to 16) through programs that promote healthy eating, physical activity and behavior change that establish lifelong habits of health and wellness. The contribution supported the study's first phase, which focuses on 3 to 5 year olds, and will fund curriculum development and strategy implementation to prevent and address obesity in YMCA pre-school Head Start students.
.		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 Georgia Health Plan contributed $1.5 million to 13 organizations that deliver medical or dental care services to uninsured people in community settings, primarily safety net clinics in Georgia. Following are two community organizations supported by these grants in 2010: - Nationally, Georgia is ranked 36th in the percent of its population that has access to primary care. A Kaiser Permanente Georgia grant to the United Way of Metropolitan Atlanta created the Primary Care Access program. The initiative expands access to care in five metro Atlanta counties. The program helps people access primary care and addresses the 300% increase in patients seeking care that community clinics have recently experienced. Counties were selected based on residents' health status, income levels, and the capacity of community-based health care organizations (where they existed). Because of the project, hundreds of patients who have no other options for care will receive services through new access points for primary care. - Community clinics are a vital part of the safety net providing healthcare to thousands of under- and uninsured patients each year. Hebron Community Health Center is such a facility. With a $10,000 Kaiser Permanente Georgia grant, the organization implemented a diabetes health education and prescription program called "Being Put to the Test." Diabetes is a leading cause of death among Georgians, and is linked to health disparities in the Kaiser Permanente service area. The grant makes possible health care for 150 diabetic patients who might not otherwise receive appropriate care. By providing patient education, screening, monitoring, and medication Hebron is improving its patients' health, but is also freeing hospital emergency rooms to treat patients with urgent health crises.
.		EVELOPING AND DISSEMINATING KNOWLEDGE Kaiser Permanente aims to improve health by sharing its knowledge, educating practitioners, advancing research, empowering consumers, and informing policymakers about the evidence base for care and health. The Georgia Health Plan spent $4.2 million to support programs and services for the development and dissemination of knowledge and provided grants and donations to nonprofit organizations. Clinical and Health Services Research The Georgia Health Plan's Center for Health Research department partners with research programs at Emory University, Morehouse School of Medicine, Centers for Disease Control and Prevention (CDC) and the Georgia Department of Human Resources, Division of Public Health. During 2010, the Center for Health Research participated in 108 studies and published results in 22 peer-reviewed publications. The following are two examples of studies conducted in 2010: - Children's Healthcare of Atlanta at Hughes Spalding is the only pediatric safety net hospital in metro Atlanta. Through a contribution to the hospital - whose patients are 98% minority, 80% Medicaid enrolled, and 11% uninsured - Kaiser Permanente is ensuring that low-income, underserved children are cared for with appropriate medical care and equipment. Low-income children had previously been served in a sub-standard, outdated facility that lacked up-to-date equipment and systems. The project will increase the number of Charity Care-qualified children served and improve access to care. - Georgia is ranked 5th highest in the country for the number of uninsured residents. This lack of care - among other factors - often contributes to poor health among residents. Community clinics are a vital part of the safety net, providing healthcare to thousands of under- and uninsured patients each year. A $95,000 Kaiser Permanente grant allowed the Hands of Hope Clinic to increase its capacity and serve over 1800 medical and almost 100 dental patients. The Clinic was able to maintain its medical and dental provider staff, increase volunteer medical, dental and clerical staff; and increase the clinic's hours in order to serve more patients. Educational Theatre Programs (ETP) The Georgia Health Plan offered free, award-winning health education plays for youth and adults. Kaiser Permanente's Educational Theatre Programs offers a unique series of dynamic theatre programs with compelling health messages to reach children, teens and adults. These national award-winning plays promote individual responsibility for one's health, instill positive attitudes about healthy lifestyle choices and demonstrate the benefits of positive action. Topics addressed in the performances range from AIDS awareness and stress management to grief counseling and health and wellness messages, related to nutrition and asthma education. All programs are offered free of charge as a community benefit of Kaiser Permanente. In 2010, the program reached approximately 86,675 children and adults through 1,254 programs. Training and Education of Health Care Professionals In 2010, the Georgia Health Plan spent $214,945 to support the education and training of health care professionals.
.		Grants and Donations for Knowledge Dissemination The Georgia Health Plan donated $538,133 in charitable contributions to 6 nonprofit organizations for the dissemination of evidence-based studies which informed the community about health care public policy and educational opportunities for individuals seeking a career as a health care professional. Following is an example of one of the programs supported in 2010. - Voices for Georgia's Children provides research-based information that helps policymakers and the state's citizens make informed decisions about policies affecting children. Kaiser Permanente Georgia granted the organization $64,633 to use education and advocacy to support enrolling children in health insurance programs. The organization is partnering with Georgia's Department of Community Health and other community-based organizations to implement policy and practice changes to improve the state's enrollment systems for Medicaid and PeachCare for Kids (the state's child health insurance program). - In addition, the Georgia Health Plan partners with colleges and universities to address the shortage of healthcare workers in our state. In 2010, Clayton State University, Georgia Perimeter College, Georgia State University, Kennesaw State University, Mercer University, and the Morehouse School of Medicine received grants totaling $410,000, and awarded scholarships to 28 nursing, pharmacy and medical students.
.		OTHER COMMUNITY BENEFIT The Georgia Health Plan spent $1.4 million on other community benefit activities and programs beyond the national streams of work. Self-Sufficiency Programs The Georgia Health Plan spent $99,113 to support five INROADS interns in 2010. The INROADS program is aimed at improving education and job skills or providing employment opportunities for targeted populations. INROADS is an organization focused on developing minority college students for leadership roles in corporations and in the community. Student interns typically work two to five summers with the organization with the goal of permanent placement upon graduation from college. Community Giving Campaign The Georgia Region's Community Giving Campaign is the employee's charitable giving program. Employees contribute to United Way and Earthshare through payroll deductions, direct gifts and special event fundraising. The amount reported is to cover administrative expenses for operating the campaign. Other Community Grants and Donations The Georgia Health Plan contributed $114,000 to four nonprofit community organizations in support of a variety of other programs and services for vulnerable populations. Following are highlights of one of the programs funded: - The Martin Luther King, Jr. Center for Nonviolent Social Change provides education about Dr. King's philosophy and continues his work research, education and training. Each year, the Center hosts the Salute to Greatness Awards Dinner to honors recipients of the Salute to Greatness Award, the Center's highest recognition afforded individuals and institutions that embody the principles espoused by Dr. King. Kaiser Permanente Georgia joined with other local and national companies to support the King Center, and award recipients who help improve quality of life through their efforts. Regional Community Benefit Operations The Georgia Health Plan has a Community Benefit Department with nine employees to support regional community benefit programs and coordinate CB initiatives including the Educational Theatre Programs. In addition, there are many other Health Plan personnel who collaborate to help manage community benefit programs like Charity Care, Charitable Health Coverage.
.		ATTACHMENT A 2010 COMMUNITY BENEFIT INVESTMENT - GEORGIA REGION The following chart summarizes 2010 Community Benefit investments by the Georgia Health Plan. The investments in the community reflected in the chart are unaudited. REGIONAL HEALTH PLAN TOTAL CARE AND COVERAGE Charitable Care and Coverage Programs $15,363,042 Government-Sponsored Programs 50,032 Grants & Donations for Care & Coverage 2,500,000 Subtotal: $17,913,074 COMMUNITY HEALTH INITIATIVES Community Health Initiatives Programs and Services $14,790 Grants & Donations for Community Health Initiatives 4,433,881 Subtotal: $4,448,671 SAFETY NET PARTNERSHIPS Grants & Donations for Safety Net Partnerships $1,473,241 CB Operations for Safety Net 66,371 Subtotal: $1,539,612 KNOWLEDGE DISSEMINATION Medical Research $2,604,888 Educational Theatre Program 810,607 Health Care Training and Education Programs 214,945 Grants & Donations for Knowledge Dissemination 538,133 Subtotal: $4,168,573 OTHER COMMUNITY BENEFITS Self Sufficiency Programs $99,113 Other CB Grants & Donations 114,000 CB Operations 1,138,850 Subtotal: $1,351,963 TOTAL $29,421,893
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Peter Andruszkiewicz TITLE:Regional President, GA HOURS:25
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Frank Boone TITLE:VP - Finance & Regional CFO HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:George Halvorson TITLE:Chairman and CEO HOURS:45
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Kerry Kohnen TITLE:SVP, Operations HOURS:10
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Bernard Tyson TITLE:President & COO HOURS:45
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:J. NEAL PURCELL TITLE:DIRECTOR HOURS:8
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JEFFREY KOPLAN TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Julie Fortin TITLE:VP - REGIONAL COUNSEL - SE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Kathryn Lancaster TITLE:EVP & CFO HOURS:46
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Kirkland McGhee TITLE:VP, Regional Counsel - GA HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Thomas Meier TITLE:SVP, Corporate Treasurer HOURS:47
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Donald Orndoff TITLE:SVP, NFS HOURS:45
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Arthur Southam TITLE:EVP, Health Plan Operations HOURS:45
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Deborah Stokes TITLE:SVP, CC & CAO HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Steven Zatkin TITLE:SVP, Gen Counsel & Secretary HOURS:45
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Victoria Zatkin TITLE:VP, Off of Brd & Corp Gov Svcs HOURS:46
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Mark Zemelman TITLE:SVP, Gen Counsel & Secretary HOURS:46
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:James Cullinan TITLE:VP, Mktg Sales & Bus Dev HOURS:20
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Sarah Sidwell TITLE:VP, Chief Operating Officer HOURS:20
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Dawn Bading TITLE:VP, Human Resources - GA HOURS:20
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Jonna Kirkwood TITLE:VP, HP Svcs & Admin - GA HOURS:20
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Daniel Styf TITLE:VP, Strategy & Business Exec HOURS:20
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Beverly Thomas TITLE:VP, Community & Public Affairs HOURS:20
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Timothy Trussell TITLE:SR. SALES EXECUTIVE HOURS:20
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Christine Malcolm TITLE:Former SVP HOURS:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
KAISER FOUNDATION HEALTH PLAN INC
ONE KAISER PLAZA SUITE 15L	OAKLAND	CA	94612	941340523	HEALTH CARE	CA	501(c)(3)	9	NA
KAISER FOUNDATION HOSPITALS
ONE KAISER PLAZA SUITE 15L	OAKLAND	CA	94612	941105628	HEALTH CARE	CA	501(c)(3)	3	KFHP INC
KAISER FDN HEALTH PLAN OF COLORADO
ONE KAISER PLAZA SUITE 15L	OAKLAND	CA	94612	840591617	HEALTH CARE	CO	501(c)(3)	9	KFHP INC
KFHP OF THE MID-ATLANTIC STATES
ONE KAISER PLAZA SUITE 15L	OAKLAND	CA	94612	520954463	HEALTH CARE	MD	501(c)(3)	9	KFHP INC
KAISER FDN HEALTH PLAN OF THE NORTHWEST
ONE KAISER PLAZA SUITE 15L	OAKLAND	CA	94612	930798039	HEALTH CARE	OR	501(c)(3)	9	KFHP INC
KAISER FDN HEALTH PLAN OF OHIO
ONE KAISER PLAZA SUITE 15L	OAKLAND	CA	94612	340922268	HEALTH CARE	OH	501(c)(3)	9	KFHP INC
KAISER HEALTH PLAN ASSET MANAGEMENT INC
ONE KAISER PLAZA SUITE 15L	OAKLAND	CA	94612	943299124	ASSET MGMT	CA	501(c)(3)	11	KFHP INC
LOKAHI ASSURANCE LTD
ONE KAISER PLAZA SUITE 15L	OAKLAND	CA	94612	912171891	RISK MGMT	HI	501(c)(3)	11	KFHP INC
KAISER HOSPITAL ASSET MANAGEMENT INC
ONE KAISER PLAZA SUITE 15L	OAKLAND	CA	94612	943299125	ASSET MGMT	CA	501(c)(3)	11	KF HOSPITALS
CAMP BOWIE SERVICE CENTER
ONE KAISER PLAZA SUITE 15L	OAKLAND	CA	94612	943299123	ADMIN	CA	501(c)(3)	11	KFHP INC
OHP
ONE KAISER PLAZA SUITE 15L	OAKLAND	CA	94612	930480268	LEASING	WA	501(c)(3)	11	KFHP INC
KAISER HEALTH ALTERNATIVES
ONE KAISER PLAZA SUITE 15L	OAKLAND	CA	94612	930954562	HEALTH CARE	OR	501(c)(3)	11	KFHP INC
1800 HARRISON
ONE KAISER PLAZA SUITE 15L	OAKLAND	CA	94612	943317484	FINANCING	CA	501(c)(3)	11	KFHP INC
KAISER HOSPITAL ASSISTANCE CORPORATION
ONE KAISER PLAZA SUITE 15L	OAKLAND	CA	94612	311779500	FINANCING	CA	501(C)(3)	11	KF HOSPITALS

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 SUITE 15L	AddressLine1
City	OAKLAND	City
State	CA	State
ZIP Code	94612	ZIPCode

Field	Value	IRS element (for citing)
EIN	203924985	EIN
Primary Activity	CASE MANAGEMENT	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
Code V	$0	CodeVAmount
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 SUITE 15L	OAKLAND	CA	94612	030329760	INUSRANCE	VT	NA	C CORP	0	0	0.00000
KAISER PERMANENTE INSURANCE COMPANY
ONE KAISER PLAZA SUITE 15L	OAKLAND	CA	94612	943203402	INUSRANCE	CA	NA	C CORP	0	0	0.00000
KAISER PROPERTY SERVICES INC
ONE KAISER PLAZA SUITE 15L	OAKLAND	CA	94612	943259432	REAL ESTATE	CA	NA	C CORP	0	0	0.00000
ARCHIMEDES INC
ONE KAISER PLAZA SUITE 15L	OAKLAND	CA	94612	203774729	CONSULTING	CA	NA	C CORP	0	0	0.00000
KAISER PERMANENTE INTERNATIONAL
ONE KAISER PLAZA SUITE 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	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg