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Nonprofiteer
← KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC

Form 990 for tax year 2022

Filed by KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC.

Totals

Total revenue
$2,189,779,219
Total expenses
$2,320,277,806
Contributions and grants received
$771,136
Grants paid
$6,365,769
Program service revenue
$2,178,127,973
Investment income
$10,629,086
Other revenue
$251,024
Total assets, end of year
$930,812,227
Total liabilities, end of year
$2,318,825,726
Net assets or fund balances, end of year
-$1,388,013,499
Program services expenses (Part IX)
$2,177,814,884
Management and general expenses
$142,462,922
Fundraising expenses
$0
Program service expenses (Part III)
$2,177,814,884

Program services were 93.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $167,151

  • 1f · All other contributions, gifts and grants

    $603,985

  • 2a · Program service revenue: MEMBERS' DUES

    total $1,527,989,786 · related or exempt $1,527,989,786

  • 2b · Program service revenue: MEDICARE REVENUE

    total $472,003,153 · related or exempt $472,003,153

  • 2c · Program service revenue: SUPPLEMENTAL REVENUE

    total $83,840,221 · related or exempt $83,840,221

  • 2d · Program service revenue: NON-PLAN & INDUSTRY

    total $5,468,767 · related or exempt $5,033,138 · unrelated business $435,629

  • 2e · Program service revenue: OTHER PROGRAM SERVICES

    total $88,826,046 · related or exempt $88,826,046

  • 3 · Investment income

    total $14,446,252 · excluded $14,446,252

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6a · Gross rents

    real property $251,024

  • 6c · Rental income or loss

    real property $251,024 · personal property $0

  • 6d · Net rental income or loss

    total $251,024 · excluded $251,024

  • 7a · Gross sales of assets other than inventory

    securities $243,918,763 · other assets $354,547

  • 7b · Less cost or other basis and sales expenses

    securities $247,930,102 · other assets $160,374

  • 7c · Gain or loss

    securities -$4,011,339 · other assets $194,173

  • 7d · Net gain or loss

    total -$3,817,166 · excluded -$3,817,166

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $6,365,769 · program services $6,365,769

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $24,978 · management and general $24,978

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $219,007,343 · program services $205,923,143 · management and general $13,084,200 · fundraising $0

  • 8 · Pension plan contributions

    total $34,168,992 · program services $34,168,992

  • 9 · Other employee benefits

    total $32,435,220 · program services $26,633,004 · management and general $5,802,216

  • 10 · Payroll taxes

    total $17,988,061 · program services $17,988,061

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $457,272 · management and general $457,272

  • 11c · Fees: accounting

    total $1,039,756 · management and general $1,039,756

  • 11d · Fees: lobbying

    total $112,500 · management and general $112,500

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $481,991 · management and general $481,991

  • 11g · Fees: other

    total $0

  • 12 · Advertising and promotion

    total $17,421,180 · program services $8,537,743 · management and general $8,883,437

  • 13 · Office expenses

    total $6,641,257 · program services $5,938,850 · management and general $702,407

  • 14 · Information technology

    total $103,016,405 · program services $68,993,834 · management and general $34,022,571

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $14,640,837 · program services $14,640,837

  • 17 · Travel

    total $589,092 · program services $527,776 · management and general $61,316

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $297,656 · management and general $297,656

  • 20 · Interest

    total $50,380,945 · program services $50,380,945

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $34,198,849 · program services $34,198,849

  • 23 · Insurance

    total $6,562,903 · program services $6,562,903

  • 24a · Other expenses: BASIC CONTRACTUAL PAYMENTS

    total $905,675,353 · program services $905,675,353

  • 24b · Other expenses: PURCHASED MEDICAL SERVICES

    total $367,687,584 · program services $367,687,584

  • 24c · Other expenses: MEDICAL & OTHER SUPPLIES

    total $343,967,056 · program services $309,940,454 · management and general $34,026,602

  • 24d · Other expenses: INTER-REGIONAL CHARGES

    total $140,062,813 · program services $133,955,022 · management and general $6,107,791

  • 24e · All other expenses

    total $17,053,994 · program services -$20,304,235 · management and general $37,358,229

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $722,386 · end of year $1,582,920

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $81,092,929 · end of year $81,650,966

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $17,269,416 · end of year $20,023,528

  • 9 · Prepaid expenses and deferred charges

    beginning of year $5,014,514 · end of year $60,884,527

  • 10a · Land, buildings and equipment: cost or other basis

    $583,613,524

  • 10b · Land, buildings and equipment: accumulated depreciation

    $323,238,709

  • 10c · Land, buildings and equipment, net

    beginning of year $267,386,573 · end of year $260,374,815

  • 11 · Investments: publicly traded securities

    beginning of year $453,002,139 · end of year $405,118,802

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $33,227,345 · end of year $29,120,468

  • 15 · Other assets

    beginning of year $71,728,218 · end of year $72,056,201

  • 17 · Accounts payable and accrued expenses

    beginning of year $156,364,749 · end of year $177,810,195

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $15,965,194 · end of year $16,234,019

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $2,057,301,568 · end of year $2,124,781,512

  • 29 · Capital stock, trust principal or current funds

    beginning of year $58,135,623 · end of year $58,135,623

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year -$1,358,323,614 · end of year -$1,446,149,122

Mission and programs · 2022

Mission

TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE.

  • MEMBER HEALTH CARE SERVICES AND MEDICAL TRAINING FOR CARE IMPROVEMENT KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC. (KFHP-GA) 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-GA EDUCATES AND TRAINS MEDICAL STUDENTS AND OTHER HEALTH CARE PROFESSIONALS AND PROMOTES SCIENTIFIC AND NURSING EDUCATION IN ORDER TO IMPROVE CARE FOR OUR MEMBERS AND OUR COMMUNITY. KFHP-GA DIRECTLY INVESTS IN IMPROVEMENTS IN COMMUNITY HEALTH BY WORKING TO INCREASE ACCESS TO HEALTH CARE, IMPROVING THE CONDITIONS FOR HEALTH AND EQUITY AND PROVIDING HEALTH EDUCATION.

    Expenses $2,122,002,356 · Grants $813,026 · Revenue $2,173,516,946

  • CHARITY CARE (MEDICAL FINANCIAL ASSISTANCE AND CHARITABLE HEALTH COVERAGE) KAISER FOUNDATION HEALTH PLAN OF GEORGIA (KFHP-GA) PROVIDES CHARITY CARE TO LOW INCOME VULNERABLE PATIENTS THROUGH THE MEDICAL FINANCIAL ASSISTANCE (MFA) AND CHARITABLE HEALTH COVERAGE (CHC) PROGRAMS. KFHP-GA OFFERS FINANCIAL ASSISTANCE THROUGH THE MFA PROGRAM TO HELP FAMILIES AND INDIVIDUALS WITH A DEMONSTRATED FINANCIAL NEED PAY FOR ALL OR PART OF THE COST OF EMERGENCY OR MEDICALLY NECESSARY CARE PROVIDED IN KAISER PERMANENTE FACILITIES AND/OR BY KAISER PERMANENTE PROVIDERS. IN 2022, THIS PROGRAM ASSISTED A TOTAL OF 34,000 PATIENTS THROUGH FINANCIAL ASSISTANCE. THE CHC PROGRAM OFFERS REGULAR KAISER FOUNDATION HEALTH PLAN MEMBERSHIP AT MINIMAL COST TO LOW INCOME FAMILIES WHO ARE NOT ELIGIBLE FOR OTHER PUBLIC OR PRIVATELY SPONSORED COVERAGE. APPROXIMATELY 900 INDIVIDUALS WERE RECEIVING COMPREHENSIVE HEALTH CARE THROUGH THIS PROGRAM AT THE END OF 2022.

    Expenses $34,909,692

  • MEDICAID AND OTHER GOVERNMENT SPONSORED PROGRAMS KAISER FOUNDATION HEALTH PLAN OF GEORGIA (KFHP-GA) IS COMMITTED TO IMPROVING MEDICAL CARE FOR BENEFICIARIES OF MEDICAID AND OTHER GOVERNMENT SPONSORED PROGRAMS, NOT ONLY FOR KFHP-GA MEMBERS, BUT ALSO, WITHIN THE COMMUNITIES WE SERVE. KFHP-GA PARTICIPATES IN THE FEDERAL MEDICAID PROGRAM AS A PROVIDER OF PEDIATRIC PRIMARY AND SPECIALTY CARE THROUGH CONTRACTS WITH AMERIGROUP, PEACH STATE HEALTH PLAN, AND WELLCARE HEALTH PLANS. AT THE END OF 2022, A TOTAL OF 30,200 INDIVIDUALS WERE RECEIVING BENEFITS THROUGH KFHP-GA'S MANAGED CARE CONTRACTS.

    Expenses $12,255,872 · Revenue $4,611,027

  • SCH. O, COMMUNITY BENEFIT REPORT

    Expenses $8,646,964 · Grants $5,552,743

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Gregory Adams

    Chairman & CEO

    Total calculated
    $13,697,450
    From this org
    $0
    From related orgs
    $13,841,691
    Other
    -$144,241
    Hours/week
    4 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $2,047,443 related
    Bonus
    $0 + $10,474,474 related
    Other
    $0 + $1,319,774 related
    Deferred
    $0 + -$174,968 related
    Nontaxable benefits
    $0 + $30,727 related
    Filer's total
    $0 + $13,697,450 related

  • Kimberly Horn

    EVP, Group President, MOC

    Total calculated
    $7,910,976
    From this org
    $0
    From related orgs
    $7,934,857
    Other
    -$23,881
    Hours/week
    3.5 + 46.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,082,278 related
    Bonus
    $0 + $1,485,441 related
    Other
    $0 + $5,367,138 related
    Deferred
    $0 + -$55,947 related
    Nontaxable benefits
    $0 + $32,066 related
    Filer's total
    $0 + $7,910,976 related

  • Arthur Southam

    EVP, Health Plan Ops & CGO

    Total calculated
    $5,606,654
    From this org
    $0
    From related orgs
    $5,764,865
    Other
    -$158,211
    Hours/week
    4 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,230,780 related
    Bonus
    $0 + $3,936,502 related
    Other
    $0 + $597,583 related
    Deferred
    $0 + -$191,552 related
    Nontaxable benefits
    $0 + $33,341 related
    Filer's total
    $0 + $5,606,654 related

  • Kathryn Lancaster

    EVP & Chief Financial Officer

    Total calculated
    $5,509,673
    From this org
    $0
    From related orgs
    $5,726,249
    Other
    -$216,576
    Hours/week
    3.5 + 46.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,228,774 related
    Bonus
    $0 + $3,936,502 related
    Other
    $0 + $560,973 related
    Deferred
    $0 + -$235,465 related
    Nontaxable benefits
    $0 + $18,889 related
    Filer's total
    $0 + $5,509,673 related

  • Mark Zemelman

    SVP, General Counsel & Secy

    Total calculated
    $5,163,376
    From this org
    $0
    From related orgs
    $5,101,508
    Other
    $61,868
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $339,902 related
    Bonus
    $0 + $3,880,962 related
    Other
    $0 + $880,644 related
    Deferred
    $0 + $41,523 related
    Nontaxable benefits
    $0 + $20,345 related
    Filer's total
    $0 + $5,163,376 related

  • Janet Liang

    EVP, Group President & COO

    Total calculated
    $3,995,094
    From this org
    $0
    From related orgs
    $5,433,297
    Other
    -$1,438,203
    Hours/week
    3.5 + 46.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,226,839 related
    Bonus
    $0 + $2,031,076 related
    Other
    $0 + $2,175,382 related
    Deferred
    $0 + -$1,473,584 related
    Nontaxable benefits
    $0 + $35,381 related
    Filer's total
    $0 + $3,995,094 related

  • Julie Miller-Phipps

    Regional President - SCAL & HI

    Total calculated
    $2,531,985
    From this org
    $0
    From related orgs
    $2,797,405
    Other
    -$265,420
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,027,681 related
    Bonus
    $0 + $1,381,412 related
    Other
    $0 + $388,312 related
    Deferred
    $0 + -$291,765 related
    Nontaxable benefits
    $0 + $26,345 related
    Filer's total
    $0 + $2,531,985 related

  • Vanessa Benavides

    SVP,Chief Legal Officer & Secy

    Total calculated
    $1,674,679
    From this org
    $0
    From related orgs
    $1,466,903
    Other
    $207,776
    Hours/week
    1.5 + 48.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $687,727 related
    Bonus
    $0 + $726,916 related
    Other
    $0 + $52,260 related
    Deferred
    $0 + $189,045 related
    Nontaxable benefits
    $0 + $18,731 related
    Filer's total
    $0 + $1,674,679 related

  • Thomas Meier

    SVP, Corporate Treasurer

    Total calculated
    $1,524,619
    From this org
    $0
    From related orgs
    $1,614,705
    Other
    -$90,086
    Hours/week
    1.5 + 48.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $568,446 related
    Bonus
    $0 + $904,341 related
    Other
    $0 + $141,918 related
    Deferred
    $0 + -$116,603 related
    Nontaxable benefits
    $0 + $26,517 related
    Filer's total
    $0 + $1,524,619 related

  • Pamela Shipley

    Regional President - GA

    Total calculated
    $1,523,586
    From this org
    $0
    From related orgs
    $970,733
    Other
    $552,853
    Hours/week
    45 + 5 related

    Schedule J breakdown matched by us

    Base
    $0 + $697,802 related
    Bonus
    $0
    Other
    $0 + $272,931 related
    Deferred
    $0 + $514,037 related
    Nontaxable benefits
    $0 + $38,816 related
    Filer's total
    $0 + $1,523,586 related

  • James Simpson

    Region President - GA

    Total calculated
    $1,155,617
    From this org
    $0
    From related orgs
    $1,371,610
    Other
    -$215,993
    Hours/week
    45 + 5 related

    Schedule J breakdown matched by us

    Base
    $0 + $574,287 related
    Bonus
    $0 + $571,472 related
    Other
    $0 + $225,851 related
    Deferred
    $0 + -$255,970 related
    Nontaxable benefits
    $0 + $39,977 related
    Filer's total
    $0 + $1,155,617 related

  • Alfonse Upshaw

    SVP,Corporate Controller & CAO

    Total calculated
    $1,113,545
    From this org
    $0
    From related orgs
    $1,101,434
    Other
    $12,111
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $523,570 related
    Bonus
    $0 + $537,804 related
    Other
    $0 + $40,060 related
    Deferred
    $0 + -$13,649 related
    Nontaxable benefits
    $0 + $25,760 related
    Filer's total
    $0 + $1,113,545 related

  • Donald Orndoff

    SVP, NFS

    Total calculated
    $1,074,815
    From this org
    $0
    From related orgs
    $1,108,295
    Other
    -$33,480
    Hours/week
    4 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $480,731 related
    Bonus
    $0 + $482,522 related
    Other
    $0 + $145,042 related
    Deferred
    $0 + -$64,998 related
    Nontaxable benefits
    $0 + $31,518 related
    Filer's total
    $0 + $1,074,815 related

  • James Cullinan

    VP, MSBD - GA

    Total calculated
    $731,762
    From this org
    $0
    From related orgs
    $875,503
    Other
    -$143,741
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $340,651 related
    Bonus
    $0 + $214,633 related
    Other
    $0 + $320,219 related
    Deferred
    $0 + -$169,718 related
    Nontaxable benefits
    $0 + $25,977 related
    Filer's total
    $0 + $731,762 related

  • Ryan Jenson

    Interim Corp Controller & CAO

    Total calculated
    $665,062
    From this org
    $0
    From related orgs
    $659,683
    Other
    $5,379
    Hours/week
    3.5 + 46.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $305,299 related
    Bonus
    $0 + $203,216 related
    Other
    $0 + $151,168 related
    Deferred
    $0 + -$22,147 related
    Nontaxable benefits
    $0 + $27,526 related
    Filer's total
    $0 + $665,062 related

  • Eldridge Banks

    VP, Human Resources - Georgia

    Total calculated
    $568,061
    From this org
    $0
    From related orgs
    $441,366
    Other
    $126,695
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $326,138 related
    Bonus
    $0 + $98,432 related
    Other
    $0 + $16,796 related
    Deferred
    $0 + $58,403 related
    Nontaxable benefits
    $0 + $68,292 related
    Filer's total
    $0 + $568,061 related

  • Kimberee Phelps

    VP, Quality - GA

    Total calculated
    $469,506
    From this org
    $0
    From related orgs
    $368,643
    Other
    $100,863
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $266,676 related
    Bonus
    $0 + $82,954 related
    Other
    $0 + $19,013 related
    Deferred
    $0 + $69,147 related
    Nontaxable benefits
    $0 + $31,716 related
    Filer's total
    $0 + $469,506 related

  • Christopher Berry

    VP, Consumer Experience

    Total calculated
    $425,375
    From this org
    $2
    From related orgs
    $322,607
    Other
    $102,766
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $241,502 related
    Bonus
    $0 + $63,311 related
    Other
    $2 + $17,794 related
    Deferred
    $0 + $65,520 related
    Nontaxable benefits
    $0 + $37,246 related
    Filer's total
    $2 + $425,373 related

  • Jonna Kirkwood

    VP, Ambulatory Care - GA

    Total calculated
    $415,181
    From this org
    $0
    From related orgs
    $407,023
    Other
    $8,158
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $57,059 related
    Bonus
    $0 + $156,514 related
    Other
    $0 + $193,450 related
    Deferred
    $0 + $2,881 related
    Nontaxable benefits
    $0 + $5,277 related
    Filer's total
    $0 + $415,181 related

  • Noel Baber

    VP, CFO - GA

    Total calculated
    $367,856
    From this org
    $0
    From related orgs
    $321,128
    Other
    $46,728
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $246,076 related
    Bonus
    $0 + $45,172 related
    Other
    $0 + $29,880 related
    Deferred
    $0 + $4,229 related
    Nontaxable benefits
    $0 + $42,499 related
    Filer's total
    $0 + $367,856 related

  • Hong-Sze Yu

    VP, Brd & Corp Gov & Asst Secy

    Total calculated
    $358,461
    From this org
    $0
    From related orgs
    $471,975
    Other
    -$113,514
    Hours/week
    3.5 + 46.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $293,512 related
    Bonus
    $0 + $158,442 related
    Other
    $0 + $20,021 related
    Deferred
    $0 + -$141,683 related
    Nontaxable benefits
    $0 + $28,169 related
    Filer's total
    $0 + $358,461 related

  • Michael Hudson

    VP, CFO - GA

    Total calculated
    $343,754
    From this org
    $0
    From related orgs
    $319,653
    Other
    $24,101
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $163,283 related
    Bonus
    $0 + $146,529 related
    Other
    $0 + $9,841 related
    Deferred
    $0 + $4,687 related
    Nontaxable benefits
    $0 + $19,414 related
    Filer's total
    $0 + $343,754 related

  • Kirkland McGhee

    Assistant Secretary

    Total calculated
    $334,629
    From this org
    $0
    From related orgs
    $369,950
    Other
    -$35,321
    Hours/week
    47 + 3 related

    Schedule J breakdown matched by us

    Base
    $0 + $297,696 related
    Bonus
    $0 + $64,543 related
    Other
    $0 + $7,711 related
    Deferred
    $0 + -$67,401 related
    Nontaxable benefits
    $0 + $32,080 related
    Filer's total
    $0 + $334,629 related

  • Sandra Harris

    MGT, Sales&AM IV

    Total calculated
    $331,531
    From this org
    $292,128
    From related orgs
    $0
    Other
    $39,403
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $199,723
    Bonus
    $81,352
    Other
    $11,053
    Deferred
    $14,135
    Nontaxable benefits
    $25,268
    Filer's total
    $331,531

  • Heidi Veltman

    VP, COO - GA

    Total calculated
    $322,408
    From this org
    $0
    From related orgs
    $577,008
    Other
    -$254,600
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $382,341 related
    Bonus
    $0 + $174,291 related
    Other
    $0 + $20,376 related
    Deferred
    $0 + -$295,638 related
    Nontaxable benefits
    $0 + $41,038 related
    Filer's total
    $0 + $322,408 related

  • Qiana Hines-Taylor

    VP, Continuum of Care

    Total calculated
    $312,432
    From this org
    $0
    From related orgs
    $298,275
    Other
    $14,157
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $246,423 related
    Bonus
    $0 + $47,992 related
    Other
    $0 + $3,860 related
    Deferred
    $0 + -$13,255 related
    Nontaxable benefits
    $0 + $27,412 related
    Filer's total
    $0 + $312,432 related

  • Kristin Bear

    Assistant Secretary

    Total calculated
    $289,424
    From this org
    $0
    From related orgs
    $438,408
    Other
    -$148,984
    Hours/week
    4 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $275,913 related
    Bonus
    $0 + $139,679 related
    Other
    $0 + $22,816 related
    Deferred
    $0 + -$169,385 related
    Nontaxable benefits
    $0 + $20,401 related
    Filer's total
    $0 + $289,424 related

  • Shelley Sweazey

    ED, Strategic Planning

    Total calculated
    $283,130
    From this org
    $0
    From related orgs
    $342,797
    Other
    -$59,667
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $258,721 related
    Bonus
    $0 + $80,497 related
    Other
    $0 + $3,579 related
    Deferred
    $0 + -$75,005 related
    Nontaxable benefits
    $0 + $15,338 related
    Filer's total
    $0 + $283,130 related

  • Cherita White

    Assistant Secretary

    Total calculated
    $112,792
    From this org
    $0
    From related orgs
    $157,871
    Other
    -$45,079
    Hours/week
    50

  • John W Jackson

    Director

    Total calculated
    $24,976
    From this org
    $24,976
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings

The filer's explanations (Part III)

SCHEDULE J, PART I, LINE 3
THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS DESCRIBED BELOW TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF A RELATED ORGANIZATION.
SCHEDULE J, PART I, LINE 4A
Mark Zemelman $465,099 Jonna Kirkwood $129,635 LISTED PERSONS PARTICIPATED IN SEPARATION ARRANGEMENTS. DEPENDING ON POSITION LEVEL, TENURE, AND SEPARATION REASON, 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, 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 Gregory Adams $1,189,653 Kimberly Horn 5,314,752 Arthur Southam 536,824 Kathryn Lancaster 500,214 Mark Zemelman 371,550 Janet Liang 2,124,667 Julie Miller-Phipps 349,721 Thomas Meier 89,053 James Simpson 180,056 Donald Orndoff 110,897 James Cullinan 300,137 Jonna Kirkwood 51,213 SOME OF THE PARTICIPANTS LISTED IN SCHEDULE J, PART II PARTICIPATED IN NONQUALIFIED SUPPLEMENTAL RETIREMENT PLANS. UNDER THESE PLANS, THE ORGANIZATION MAKES ANNUAL CONTRIBUTIONS TO A NOTIONAL ACCOUNT ON BEHALF OF EACH PARTICIPANT. CONTRIBUTIONS VARY BY POSITION, LEVEL AND PAY, AND VEST OVER TIME BASED ON AGE AND/OR SERVICE. PARTICIPANT ACCOUNTS ARE CREDITED WITH A FIXED RATE OF INTEREST, INVESTED IN AVAILABLE MUTUAL FUNDS OR A COMBINATION OF BOTH. CERTAIN OFFICERS ACCRUE A BENEFIT THAT VESTS BASED ON AGE AND SERVICE AND TARGETS A PERCENTAGE OF FINAL AVERAGE PAY LESS PRIOR PLAN OFFSETS. 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 DISCRETIONARY BONUS PROGRAMS AND 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. THE PLANS' ORGANIZATIONAL PERFORMANCE GOALS INCLUDED: QUALITY OF CARE AND SERVICE, MEMBERSHIP GROWTH, OPERATING INCOME, PER MEMBER EXPENSE TREND, AND COMMUNITY BENEFIT. PLAN DESIGNS, PERFORMANCE, AND PAYOUT LEVELS, AS WELL AS INDIVIDUAL PAYMENTS TO CERTAIN PERSONS, WERE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, COMPRISED OF INDEPENDENT DIRECTORS.
SCHEDULE J, PART I, LINE 8
CERTAIN AMOUNTS REPORTED IN FORM 990, PART VII, WERE PAID OR ACCRUED PURSUANT TO A CONTRACT THAT WAS SUBJECT TO THE INITIAL CONTRACT EXCEPTION DESCRIBED IN REGULATIONS SECTION 53.4958-4(A)(3). FIXED PAYMENTS WERE PAID TO OR ACCRUED FOR 1 OFFICER IN 2022.
SCHEDULE J, PART II, SECTION A, COLUMN F
AMOUNTS INCLUDED IN SCHEDULE J, PART II, COLUMN F INCLUDE AMOUNTS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION, AS WELL AS DISTRIBUTIONS FROM A 457(B) PLAN THAT WERE PREVIOUSLY REPORTED AS REPORTABLE COMPENSATION IN ACCORDANCE WITH FORM 990 INSTRUCTIONS.
SCHEDULE J, PART II, COLUMN C
THE ACTUARIAL VALUE FOR THE MAJORITY OF INDIVIDUALS' DEFINED BENEFIT PLAN DECLINED IN 2022, RESULTING IN NEGATIVE COMPENSATION FOR CERTAIN EXECUTIVES. THE ACTUARIAL INCREASE OR DECREASE IN VALUE MAY CHANGE FOR VARIOUS REASONS, INCLUDING CONTINUED SERVICE, AGE, AND CHANGES IN ASSUMPTIONS. THE DECLINE IN ACTUARIAL VALUE OF BENEFITS DURING 2022 IS PRIMARILY DUE TO SIGNIFICANT INCREASE IN MARKET INTEREST RATES, RESULTING IN LOWER PRESENT VALUE OF BENEFITS COMPARED TO THE PRIOR YEAR. THE ACTUAL DOLLARS RECEIVED FROM THE DEFINED BENEFIT PLAN UPON RETIREMENT ARE NOT AFFECTED BY THE INTEREST RATE INCREASES.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

The 10 largest by cash amount. The API serves every itemized grant.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • NXT CAP SR FD I LLC

    N/A · Investment · DE · share of income $0 · share of assets $0

    Directly controlled by NA

  • Garfield Health Sol E Pvt Ltd

    N/A · Admin · IN · share of income $0 · share of assets $0

    Directly controlled by NA

  • Maui Nui ASC Holdco LLC

    N/A · Holding Co · HI · share of income $0 · share of assets $0

    Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
13 October 2023
IRS schema version
2022v5.0
Source object
202343199349301609

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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