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← KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Form 990 for tax year 2022

Filed by KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST.

Totals

Total revenue
$4,751,087,115
Total expenses
$4,815,952,814
Contributions and grants received
$11,700
Grants paid
$0
Program services expenses (Part IX)
$4,589,280,997
Management and general expenses
$226,671,817
Fundraising expenses
$0
Program service expenses (Part III)
$4,589,280,997

Program services were 95.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

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

  • Ruth Williams-Brinkley

    Regional President

    Total calculated
    $1,936,493
    From this org
    $0
    From related orgs
    $1,899,755
    Other
    $36,738
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $782,383 related
    Bonus
    $0 + $1,050,458 related
    Other
    $0 + $66,914 related
    Deferred
    $0 + $13,391 related
    Nontaxable benefits
    $0 + $23,347 related
    Filer's total
    $0 + $1,936,493 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

  • Jeffrey Collins

    Regional President - NW

    Total calculated
    $1,622,230
    From this org
    $0
    From related orgs
    $1,690,095
    Other
    -$67,865
    Hours/week
    45 + 5 related

    Schedule J breakdown matched by us

    Base
    $0 + $764,902 related
    Bonus
    $0 + $631,573 related
    Other
    $0 + $293,620 related
    Deferred
    $0 + -$100,524 related
    Nontaxable benefits
    $0 + $32,659 related
    Filer's total
    $0 + $1,622,230 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

  • 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

  • Rebecca Williams

    VP, CFO - NW

    Total calculated
    $711,434
    From this org
    $0
    From related orgs
    $596,423
    Other
    $115,011
    Hours/week
    20 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $362,383 related
    Bonus
    $0 + $168,056 related
    Other
    $0 + $65,984 related
    Deferred
    $0 + $87,889 related
    Nontaxable benefits
    $0 + $27,122 related
    Filer's total
    $0 + $711,434 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

  • Camille Applin-Jones

    VP, Ambulatory Care & Clin Svc

    Total calculated
    $641,616
    From this org
    $0
    From related orgs
    $536,699
    Other
    $104,917
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $344,268 related
    Bonus
    $0 + $153,868 related
    Other
    $0 + $38,563 related
    Deferred
    $0 + $68,546 related
    Nontaxable benefits
    $0 + $36,371 related
    Filer's total
    $0 + $641,616 related

  • Wendy Watson

    Regional COO - NW

    Total calculated
    $609,272
    From this org
    $0
    From related orgs
    $736,500
    Other
    -$127,228
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $450,627 related
    Bonus
    $0 + $259,999 related
    Other
    $0 + $25,874 related
    Deferred
    $0 + -$156,184 related
    Nontaxable benefits
    $0 + $28,956 related
    Filer's total
    $0 + $609,272 related

  • Keith Forrester

    VP, MSBD - NW

    Total calculated
    $569,430
    From this org
    $0
    From related orgs
    $597,465
    Other
    -$28,035
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $319,447 related
    Bonus
    $0 + $237,273 related
    Other
    $0 + $40,745 related
    Deferred
    $0 + -$53,720 related
    Nontaxable benefits
    $0 + $25,685 related
    Filer's total
    $0 + $569,430 related

  • Barbara Basney

    VP, PR, Commns & Brand Mgmt

    Total calculated
    $513,374
    From this org
    $0
    From related orgs
    $411,261
    Other
    $102,113
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $245,007 related
    Bonus
    $0 + $114,016 related
    Other
    $0 + $52,238 related
    Deferred
    $0 + $74,790 related
    Nontaxable benefits
    $0 + $27,323 related
    Filer's total
    $0 + $513,374 related

  • Kirk Dobbins

    Assistant Secretary

    Total calculated
    $509,643
    From this org
    $0
    From related orgs
    $478,370
    Other
    $31,273
    Hours/week
    49.5 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $285,047 related
    Bonus
    $0 + $174,690 related
    Other
    $0 + $18,633 related
    Deferred
    $0 + $3,278 related
    Nontaxable benefits
    $0 + $27,995 related
    Filer's total
    $0 + $509,643 related

  • Lucy Savitz

    VP, Center for Hlth Resrch-NW

    Total calculated
    $505,947
    From this org
    $0
    From related orgs
    $477,935
    Other
    $28,012
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $202,594 related
    Bonus
    $0 + $154,076 related
    Other
    $0 + $121,265 related
    Deferred
    $0 + $17,129 related
    Nontaxable benefits
    $0 + $10,883 related
    Filer's total
    $0 + $505,947 related

  • David Lake

    VP, HPSA

    Total calculated
    $461,040
    From this org
    $0
    From related orgs
    $486,114
    Other
    -$25,074
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $57,969 related
    Bonus
    $0 + $159,457 related
    Other
    $0 + $268,688 related
    Deferred
    $0 + -$34,486 related
    Nontaxable benefits
    $0 + $9,412 related
    Filer's total
    $0 + $461,040 related

  • William Wiechmann

    Assistant Secretary

    Total calculated
    $421,008
    From this org
    $0
    From related orgs
    $597,644
    Other
    -$176,636
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $313,805 related
    Bonus
    $0 + $221,723 related
    Other
    $0 + $62,116 related
    Deferred
    $0 + -$205,048 related
    Nontaxable benefits
    $0 + $28,412 related
    Filer's total
    $0 + $421,008 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

  • Margaret E Porfido JD

    Director

    Total calculated
    $302,568
    From this org
    $0
    From related orgs
    $317,130
    Other
    -$14,562
    Hours/week
    0 + 3.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $295,500 related
    Bonus
    $0
    Other
    $0 + $21,630 related
    Deferred
    $0 + -$14,562 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $302,568 related

  • Deanna Dudley

    VP, Human Resources -Northwest

    Total calculated
    $299,513
    From this org
    $0
    From related orgs
    $416,255
    Other
    -$116,742
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $211,130 related
    Bonus
    $0 + $194,176 related
    Other
    $0 + $10,949 related
    Deferred
    $0 + -$134,878 related
    Nontaxable benefits
    $0 + $18,136 related
    Filer's total
    $0 + $299,513 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

  • David F Hoffmeister

    Director

    Total calculated
    $282,894
    From this org
    $0
    From related orgs
    $293,262
    Other
    -$10,368
    Hours/week
    0.3 + 9.1 related

    Schedule J breakdown matched by us

    Base
    $0 + $279,500 related
    Bonus
    $0
    Other
    $0 + $13,762 related
    Deferred
    $0 + -$10,368 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $282,894 related

  • Ramon F Baez

    Director

    Total calculated
    $276,915
    From this org
    $0
    From related orgs
    $282,762
    Other
    -$5,847
    Hours/week
    0.24 + 4.53 related

    Schedule J breakdown matched by us

    Base
    $0 + $269,000 related
    Bonus
    $0
    Other
    $0 + $13,762 related
    Deferred
    $0 + -$5,847 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $276,915 related

  • Judith A Johansen JD

    Director

    Total calculated
    $271,316
    From this org
    $10,900
    From related orgs
    $287,792
    Other
    -$27,376
    Hours/week
    0.5 + 9 related

    Schedule J breakdown matched by us

    Base
    $10,900 + $284,500 related
    Bonus
    $0
    Other
    $0 + $3,292 related
    Deferred
    $0 + -$27,376 related
    Nontaxable benefits
    $0
    Filer's total
    $10,900 + $260,416 related

  • Lindsay Liewergen

    VP, Consumer Experience

    Total calculated
    $253,757
    From this org
    $0
    From related orgs
    $301,722
    Other
    -$47,965
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $244,199 related
    Bonus
    $0 + $42,422 related
    Other
    $0 + $15,101 related
    Deferred
    $0 + -$80,991 related
    Nontaxable benefits
    $0 + $33,026 related
    Filer's total
    $0 + $253,757 related

  • Matthew T Ryan

    Director

    Total calculated
    $250,262
    From this org
    $0
    From related orgs
    $250,262
    Other
    $0
    Hours/week
    0.25 + 7.75 related

    Schedule J breakdown matched by us

    Base
    $0 + $236,500 related
    Bonus
    $0
    Other
    $0 + $13,762 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $250,262 related

  • Leslie S Heisz

    Director

    Total calculated
    $247,826
    From this org
    $0
    From related orgs
    $268,005
    Other
    -$20,179
    Hours/week
    0.3 + 5.7 related

    Schedule J breakdown matched by us

    Base
    $0 + $249,000 related
    Bonus
    $0
    Other
    $0 + $19,005 related
    Deferred
    $0 + -$20,179 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $247,826 related

  • Regina M Benjamin MD MBA

    Director

    Total calculated
    $243,230
    From this org
    $0
    From related orgs
    $225,188
    Other
    $18,042
    Hours/week
    0.5 + 7.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $216,000 related
    Bonus
    $0
    Other
    $0 + $9,188 related
    Deferred
    $0 + $18,042 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $243,230 related

  • Jeffrey E Epstein

    Director

    Total calculated
    $241,046
    From this org
    $0
    From related orgs
    $259,967
    Other
    -$18,921
    Hours/week
    0.5 + 7 related

    Schedule J breakdown matched by us

    Base
    $0 + $251,000 related
    Bonus
    $0
    Other
    $0 + $8,967 related
    Deferred
    $0 + -$18,921 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $241,046 related

  • Richard P Shannon MD

    Director

    Total calculated
    $239,937
    From this org
    $0
    From related orgs
    $236,000
    Other
    $3,937
    Hours/week
    0.5 + 5.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $236,000 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $3,937 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $239,937 related

  • A Eugene Washington MD

    Director

    Total calculated
    $237,975
    From this org
    $0
    From related orgs
    $241,500
    Other
    -$3,525
    Hours/week
    0.25 + 6.8 related

    Schedule J breakdown matched by us

    Base
    $0 + $241,500 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + -$3,525 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $237,975 related

  • Jenny J Ming

    Director

    Total calculated
    $235,931
    From this org
    $0
    From related orgs
    $256,283
    Other
    -$20,352
    Hours/week
    0.3 + 4.6 related

    Schedule J breakdown matched by us

    Base
    $0 + $231,500 related
    Bonus
    $0
    Other
    $0 + $24,783 related
    Deferred
    $0 + -$20,352 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $235,931 related

  • Bernice Gould

    Assistant Secretary

    Total calculated
    $228,631
    From this org
    $0
    From related orgs
    $212,938
    Other
    $15,693
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $132,832 related
    Bonus
    $0 + $34,789 related
    Other
    $0 + $45,317 related
    Deferred
    $0 + $8,894 related
    Nontaxable benefits
    $0 + $6,799 related
    Filer's total
    $0 + $228,631 related

  • David J Barger

    Director

    Total calculated
    $227,197
    From this org
    $0
    From related orgs
    $234,000
    Other
    -$6,803
    Hours/week
    0.5 + 10.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $234,000 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + -$6,803 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $227,197 related

  • Janet O'Hollaren

    VP, COO

    Total calculated
    $174,637
    From this org
    $0
    From related orgs
    $174,637
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0 + $154,635 related
    Other
    $0 + $20,002 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $174,637 related

  • Maryann Bodayle

    Assistant Secretary

    Total calculated
    $172,130
    From this org
    $0
    From related orgs
    $196,255
    Other
    -$24,125
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $175,247 related
    Bonus
    $0 + $18,737 related
    Other
    $0 + $2,271 related
    Deferred
    $0 + -$34,504 related
    Nontaxable benefits
    $0 + $10,379 related
    Filer's total
    $0 + $172,130 related

  • Adam Nemer

    ED, Claims Memb & Ben Admin

    Total calculated
    $144,184
    From this org
    $0
    From related orgs
    $419,778
    Other
    -$275,594
    Hours/week
    50

  • Edward YW Pei

    Director

    Total calculated
    $52,147
    From this org
    $0
    From related orgs
    $52,147
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $52,147 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $52,147 related

  • Kim J Kaiser

    Director

    Total calculated
    $42,404
    From this org
    $10,900
    From related orgs
    $31,504
    Other
    $0
    Hours/week
    0 + 1 related

    Schedule J breakdown matched by us

    Base
    $10,900 + $17,500 related
    Bonus
    $0
    Other
    $0 + $14,004 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $10,900 + $31,504 related

  • Vivek Sharma

    Director

    Total calculated
    $22,750
    From this org
    $0
    From related orgs
    $22,750
    Other
    $0
    Hours/week
    0.1 + 0.9 related

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 — 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

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
  • 8 · Paid under the initial-contract exception

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 Adam Nemer 372,837 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 Jeffrey Collins 236,325 Thomas Meier 89,053 Donald Orndoff 110,897 Lucy Savitz 104,536 David Lake 240,690 William Wiechmann 42,771 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 II, 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. CERTAIN BOARD MEMBERS ARE ELIGIBLE FOR A RETIREE MEDICAL BENEFIT FOLLOWING RETIREMENT FROM THE BOARD. THE ACTUARIAL INCREASE OR DECREASE IN VALUE MAY CHANGE FOR VARIOUS REASONS, INCLUDING CONTINUED SERVICE, AGE, AND CHANGES IN ASSUMPTIONS, RESULTING IN NEGATIVE VALUES IN COLUMN (C) IN SOME INSTANCES.

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

No itemized grants to organizations on this return.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
20 October 2023
IRS schema version
2022v5.0
Source object
202333199349301003

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

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