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Nonprofiteer
← KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC

Form 990 for tax year 2023

Filed by KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC.

Totals

Total revenue
$2,416,805,535
Total expenses
$2,473,052,652
Contributions and grants received
$2,990,100
Grants paid
$8,267,161
Program service revenue
$2,396,628,076
Investment income
$17,042,094
Other revenue
$145,265
Total assets, end of year
$958,752,089
Total liabilities, end of year
$2,431,418,915
Net assets or fund balances, end of year
-$1,472,666,826
Program services expenses (Part IX)
$2,315,283,939
Management and general expenses
$157,768,713
Fundraising expenses
$0
Program service expenses (Part III)
$2,315,283,939

Program services were 93.6% 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)

    $1,196,875

  • 1f · All other contributions, gifts and grants

    $1,793,225

  • 2a · Program service revenue: MEMBERS' DUES

    total $1,641,650,775 · related or exempt $1,641,650,775

  • 2b · Program service revenue: MEDICARE REVENUE

    total $513,481,426 · related or exempt $513,468,533 · unrelated business $12,893

  • 2c · Program service revenue: SUPPLEMENTAL REVENUE

    total $138,854,103 · related or exempt $138,854,103

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

    total $6,079,480 · related or exempt $5,546,582 · unrelated business $532,898

  • 2e · Program service revenue: OTHER PROGRAM SERVICES

    total $96,562,292 · related or exempt $96,562,292

  • 3 · Investment income

    total $21,076,126 · excluded $21,076,126

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

    total $0

  • 5 · Royalties

    total $0

  • 6a · Gross rents

    real property $145,265

  • 6c · Rental income or loss

    real property $145,265 · personal property $0

  • 6d · Net rental income or loss

    total $145,265 · excluded $145,265

  • 7a · Gross sales of assets other than inventory

    securities $93,879,379 · other assets $104,164

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

    securities $98,036,136 · other assets -$18,561

  • 7c · Gain or loss

    securities -$4,156,757 · other assets $122,725

  • 7d · Net gain or loss

    total -$4,034,032 · excluded -$4,034,032

  • 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 $8,267,161 · program services $8,267,161

  • 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 $243,612 · management and general $243,612

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $237,432,834 · program services $225,127,614 · management and general $12,305,220 · fundraising $0

  • 8 · Pension plan contributions

    total $22,777,745 · program services $22,777,745

  • 9 · Other employee benefits

    total $32,904,227 · program services $28,293,470 · management and general $4,610,757

  • 10 · Payroll taxes

    total $19,316,362 · program services $19,316,362

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $606,305 · management and general $606,305

  • 11c · Fees: accounting

    total $1,025,124 · management and general $1,025,124

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $427,467 · management and general $427,467

  • 11g · Fees: other

    total $0

  • 12 · Advertising and promotion

    total $15,326,420 · program services $6,389,942 · management and general $8,936,478

  • 13 · Office expenses

    total $7,337,941 · program services $6,692,149 · management and general $645,792

  • 14 · Information technology

    total $108,268,613 · program services $70,863,761 · management and general $37,404,852

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $15,764,360 · program services $15,764,360

  • 17 · Travel

    total $861,616 · program services $762,310 · management and general $99,306

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $482,558 · management and general $482,558

  • 20 · Interest

    total $55,821,486 · program services $55,821,486

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $35,291,161 · program services $35,291,161

  • 23 · Insurance

    total $7,142,638 · program services $7,142,638

  • 24a · Other expenses: BASIC CONTRACTUAL PAYMENTS

    total $942,522,948 · program services $942,522,948

  • 24b · Other expenses: PURCHASED MEDICAL SERVICES

    total $404,713,563 · program services $404,713,563

  • 24c · Other expenses: MEDICAL & OTHER SUPPLIES

    total $367,123,389 · program services $329,718,537 · management and general $37,404,852

  • 24d · Other expenses: INTER-REGIONAL CHARGES

    total $156,735,193 · program services $150,531,941 · management and general $6,203,252

  • 24e · All other expenses

    total $32,659,929 · program services -$14,713,209 · management and general $47,373,138

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 $1,582,920 · end of year $2,150,102

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $81,650,966 · end of year $136,065,672

  • 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 $20,023,528 · end of year $23,163,834

  • 9 · Prepaid expenses and deferred charges

    beginning of year $60,884,527 · end of year $21,653,716

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

    $610,613,320

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

    $352,741,692

  • 10c · Land, buildings and equipment, net

    beginning of year $260,374,815 · end of year $257,871,628

  • 11 · Investments: publicly traded securities

    beginning of year $405,118,802 · end of year $428,105,796

  • 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 $29,120,468 · end of year $25,488,332

  • 15 · Other assets

    beginning of year $72,056,201 · end of year $64,253,009

  • 17 · Accounts payable and accrued expenses

    beginning of year $177,810,195 · end of year $191,141,634

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $16,234,019 · end of year $17,706,896

  • 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 $2,124,781,512 · end of year $2,222,570,385

  • 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 -$1,446,149,122 · end of year -$1,530,802,449

Mission and programs · 2023

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 $2,255,662,305 · Grants $1,247,561 · Revenue $2,390,383,066

  • 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 2023, THIS PROGRAM ASSISTED ALMOST 30,000 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. A TOTAL OF 1,000 INDIVIDUALS WERE RECEIVING COMPREHENSIVE HEALTH CARE THROUGH THIS PROGRAM AT THE END OF 2023.

    Expenses $35,073,137

  • 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 2023, A TOTAL OF 25,000 INDIVIDUALS WERE RECEIVING BENEFITS THROUGH KFHP-GA'S MANAGED CARE CONTRACTS.

    Expenses $14,742,018 · Revenue $6,245,010

  • SCH. O, COMMUNITY BENEFIT REPORT

    Expenses $9,806,479 · Grants $7,019,600

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Gregory Adams

    Chairman & CEO

    Total calculated
    $12,721,446
    From this org
    $0
    From related orgs
    $12,567,386
    Other
    $154,060
    Hours/week
    4 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $2,123,581 related
    Bonus
    $0 + $9,103,058 related
    Other
    $0 + $1,340,747 related
    Deferred
    $0 + $122,468 related
    Nontaxable benefits
    $0 + $31,592 related
    Filer's total
    $0 + $12,721,446 related

  • Kathryn Lancaster

    EVP & Chief Financial Officer

    Total calculated
    $5,061,302
    From this org
    $0
    From related orgs
    $4,923,403
    Other
    $137,899
    Hours/week
    3.5 + 46.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,269,207 related
    Bonus
    $0 + $3,069,715 related
    Other
    $0 + $584,481 related
    Deferred
    $0 + $118,595 related
    Nontaxable benefits
    $0 + $19,304 related
    Filer's total
    $0 + $5,061,302 related

  • Kimberly Horn

    EVP, Group President, MOC

    Total calculated
    $4,751,551
    From this org
    $0
    From related orgs
    $4,617,356
    Other
    $134,195
    Hours/week
    3.5 + 46.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,118,899 related
    Bonus
    $0 + $1,571,247 related
    Other
    $0 + $1,927,210 related
    Deferred
    $0 + $100,993 related
    Nontaxable benefits
    $0 + $33,202 related
    Filer's total
    $0 + $4,751,551 related

  • Janet Liang

    EVP, Group President & COO

    Total calculated
    $4,507,213
    From this org
    $0
    From related orgs
    $4,417,378
    Other
    $89,835
    Hours/week
    3.5 + 46.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,262,682 related
    Bonus
    $0 + $2,460,748 related
    Other
    $0 + $693,948 related
    Deferred
    $0 + $51,770 related
    Nontaxable benefits
    $0 + $38,065 related
    Filer's total
    $0 + $4,507,213 related

  • Arthur Southam

    EVP, Health Plan Ops & CGO

    Total calculated
    $3,794,812
    From this org
    $0
    From related orgs
    $3,776,237
    Other
    $18,575
    Hours/week
    4 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $194,706 related
    Bonus
    $0 + $3,022,498 related
    Other
    $0 + $559,033 related
    Deferred
    $0 + $10,910 related
    Nontaxable benefits
    $0 + $7,665 related
    Filer's total
    $0 + $3,794,812 related

  • Julie Miller-Phipps

    Region President - SCAL & HI

    Total calculated
    $2,807,666
    From this org
    $0
    From related orgs
    $2,776,319
    Other
    $31,347
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $550,420 related
    Bonus
    $0 + $1,843,179 related
    Other
    $0 + $382,720 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $14,847 related
    Filer's total
    $0 + $2,807,666 related

  • Mark Zemelman

    SVP, General Counsel & Secy

    Total calculated
    $2,494,194
    From this org
    $0
    From related orgs
    $1,833,838
    Other
    $660,356
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $1,833,838 related
    Deferred
    $0 + $660,356 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $2,494,194 related

  • Vanessa Benavides

    SVP,Chief Legal Officer & Secy

    Total calculated
    $2,100,570
    From this org
    $0
    From related orgs
    $1,792,455
    Other
    $308,115
    Hours/week
    1.5 + 48.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $708,622 related
    Bonus
    $0 + $1,028,988 related
    Other
    $0 + $54,845 related
    Deferred
    $0 + $288,586 related
    Nontaxable benefits
    $0 + $19,529 related
    Filer's total
    $0 + $2,100,570 related

  • Pamela Shipley

    Regional President - GA

    Total calculated
    $1,860,318
    From this org
    $0
    From related orgs
    $1,346,786
    Other
    $513,532
    Hours/week
    45 + 5 related

    Schedule J breakdown matched by us

    Base
    $0 + $767,556 related
    Bonus
    $0 + $305,017 related
    Other
    $0 + $274,213 related
    Deferred
    $0 + $468,974 related
    Nontaxable benefits
    $0 + $44,558 related
    Filer's total
    $0 + $1,860,318 related

  • Thomas Meier

    SVP, Corporate Treasurer

    Total calculated
    $1,842,456
    From this org
    $0
    From related orgs
    $1,721,108
    Other
    $121,348
    Hours/week
    1.5 + 48.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $593,270 related
    Bonus
    $0 + $977,784 related
    Other
    $0 + $150,054 related
    Deferred
    $0 + $94,964 related
    Nontaxable benefits
    $0 + $26,384 related
    Filer's total
    $0 + $1,842,456 related

  • James Simpson

    Region President - GA

    Total calculated
    $1,628,039
    From this org
    $0
    From related orgs
    $1,459,334
    Other
    $168,705
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $586,212 related
    Bonus
    $0 + $655,514 related
    Other
    $0 + $217,608 related
    Deferred
    $0 + $125,971 related
    Nontaxable benefits
    $0 + $42,734 related
    Filer's total
    $0 + $1,628,039 related

  • Donald Orndoff

    SVP, NFS

    Total calculated
    $1,621,847
    From this org
    $0
    From related orgs
    $1,301,160
    Other
    $320,687
    Hours/week
    4 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $185,407 related
    Bonus
    $0 + $452,361 related
    Other
    $0 + $663,392 related
    Deferred
    $0 + $307,153 related
    Nontaxable benefits
    $0 + $13,534 related
    Filer's total
    $0 + $1,621,847 related

  • Alfonse Upshaw

    SVP,Corporate Controller & CAO

    Total calculated
    $1,480,424
    From this org
    $0
    From related orgs
    $1,272,055
    Other
    $208,369
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $535,015 related
    Bonus
    $0 + $558,993 related
    Other
    $0 + $178,047 related
    Deferred
    $0 + $176,289 related
    Nontaxable benefits
    $0 + $32,080 related
    Filer's total
    $0 + $1,480,424 related

  • David Thomason

    SVP,Corporate Controller & CAO

    Total calculated
    $950,781
    From this org
    $0
    From related orgs
    $897,898
    Other
    $52,883
    Hours/week
    2.2 + 47.8 related

    Schedule J breakdown matched by us

    Base
    $0 + $412,855 related
    Bonus
    $0
    Other
    $0 + $485,043 related
    Deferred
    $0 + $42,288 related
    Nontaxable benefits
    $0 + $10,595 related
    Filer's total
    $0 + $950,781 related

  • Heidi Veltman

    VP, COO - GA

    Total calculated
    $929,196
    From this org
    $0
    From related orgs
    $680,915
    Other
    $248,281
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $410,431 related
    Bonus
    $0 + $247,433 related
    Other
    $0 + $23,051 related
    Deferred
    $0 + $204,373 related
    Nontaxable benefits
    $0 + $43,908 related
    Filer's total
    $0 + $929,196 related

  • Ryan Jenson

    Interim Corp Controller & CAO

    Total calculated
    $872,977
    From this org
    $0
    From related orgs
    $743,221
    Other
    $129,756
    Hours/week
    3.5 + 46.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $346,441 related
    Bonus
    $0 + $349,170 related
    Other
    $0 + $47,610 related
    Deferred
    $0 + $100,508 related
    Nontaxable benefits
    $0 + $29,248 related
    Filer's total
    $0 + $872,977 related

  • James Cullinan

    VP, MSBD - GA

    Total calculated
    $820,953
    From this org
    $0
    From related orgs
    $789,873
    Other
    $31,080
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0 + $171,077 related
    Other
    $0 + $618,796 related
    Deferred
    $0 + $31,080 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $820,953 related

  • Brandon Cuevas

    EVP, Health Plan

    Total calculated
    $804,923
    From this org
    $0
    From related orgs
    $511,652
    Other
    $293,271
    Hours/week
    4 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $282,154 related
    Bonus
    $0
    Other
    $0 + $229,498 related
    Deferred
    $0 + $286,674 related
    Nontaxable benefits
    $0 + $6,597 related
    Filer's total
    $0 + $804,923 related

  • Qiana Hines-Taylor

    VP, Continuum of Care

    Total calculated
    $695,048
    From this org
    $0
    From related orgs
    $581,648
    Other
    $113,400
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $288,443 related
    Bonus
    $0 + $53,045 related
    Other
    $0 + $240,160 related
    Deferred
    $0 + $87,220 related
    Nontaxable benefits
    $0 + $26,180 related
    Filer's total
    $0 + $695,048 related

  • Eldridge Banks

    VP, Human Resources - Georgia

    Total calculated
    $689,816
    From this org
    $0
    From related orgs
    $522,664
    Other
    $167,152
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $333,036 related
    Bonus
    $0 + $172,751 related
    Other
    $0 + $16,877 related
    Deferred
    $0 + $96,747 related
    Nontaxable benefits
    $0 + $70,405 related
    Filer's total
    $0 + $689,816 related

  • Hong-Sze Yu

    VP, Brd & Corp Gov & Asst Secy

    Total calculated
    $676,148
    From this org
    $0
    From related orgs
    $508,592
    Other
    $167,556
    Hours/week
    3.5 + 46.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $300,090 related
    Bonus
    $0 + $188,569 related
    Other
    $0 + $19,933 related
    Deferred
    $0 + $137,523 related
    Nontaxable benefits
    $0 + $30,033 related
    Filer's total
    $0 + $676,148 related

  • Kristin Bear

    Assistant Secretary

    Total calculated
    $645,426
    From this org
    $0
    From related orgs
    $474,637
    Other
    $170,789
    Hours/week
    4 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $313,172 related
    Bonus
    $0 + $131,402 related
    Other
    $0 + $30,063 related
    Deferred
    $0 + $149,166 related
    Nontaxable benefits
    $0 + $21,623 related
    Filer's total
    $0 + $645,426 related

  • Kimberee Phelps

    VP, Quality - GA

    Total calculated
    $574,367
    From this org
    $0
    From related orgs
    $435,912
    Other
    $138,455
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $277,736 related
    Bonus
    $0 + $138,903 related
    Other
    $0 + $19,273 related
    Deferred
    $0 + $104,165 related
    Nontaxable benefits
    $0 + $34,290 related
    Filer's total
    $0 + $574,367 related

  • Kirkland McGhee

    Assistant Secretary

    Total calculated
    $556,417
    From this org
    $0
    From related orgs
    $437,826
    Other
    $118,591
    Hours/week
    47 + 3 related

    Schedule J breakdown matched by us

    Base
    $0 + $324,788 related
    Bonus
    $0 + $99,895 related
    Other
    $0 + $13,143 related
    Deferred
    $0 + $82,749 related
    Nontaxable benefits
    $0 + $35,842 related
    Filer's total
    $0 + $556,417 related

  • Noel Baber

    VP, CFO - GA

    Total calculated
    $524,390
    From this org
    $0
    From related orgs
    $402,248
    Other
    $122,142
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $311,579 related
    Bonus
    $0 + $70,612 related
    Other
    $0 + $20,057 related
    Deferred
    $0 + $78,120 related
    Nontaxable benefits
    $0 + $44,022 related
    Filer's total
    $0 + $524,390 related

  • Anjum Khan

    VP, Ambulatory Care - GA

    Total calculated
    $501,216
    From this org
    $0
    From related orgs
    $409,156
    Other
    $92,060
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $316,906 related
    Bonus
    $0 + $53,210 related
    Other
    $0 + $39,040 related
    Deferred
    $0 + $51,883 related
    Nontaxable benefits
    $0 + $40,177 related
    Filer's total
    $0 + $501,216 related

  • Christopher Berry

    VP, Consumer Experience

    Total calculated
    $470,004
    From this org
    $0
    From related orgs
    $347,981
    Other
    $122,023
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $248,954 related
    Bonus
    $0 + $81,100 related
    Other
    $0 + $17,927 related
    Deferred
    $0 + $82,992 related
    Nontaxable benefits
    $0 + $39,031 related
    Filer's total
    $0 + $470,004 related

  • Sandra Harris

    VP, Sales and Account Mgmt

    Total calculated
    $432,698
    From this org
    $202,698
    From related orgs
    $154,549
    Other
    $75,451
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $109,881 + $136,984 related
    Bonus
    $54,277 + $9,641 related
    Other
    $38,540 + $7,924 related
    Deferred
    $1,881 + $46,604 related
    Nontaxable benefits
    $13,892 + $13,074 related
    Filer's total
    $218,471 + $214,227 related

  • Shelley Sweazey

    VP, Strategic Implementation

    Total calculated
    $428,217
    From this org
    $0
    From related orgs
    $338,413
    Other
    $89,804
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $276,201 related
    Bonus
    $0 + $53,418 related
    Other
    $0 + $8,794 related
    Deferred
    $0 + $70,682 related
    Nontaxable benefits
    $0 + $19,122 related
    Filer's total
    $0 + $428,217 related

  • Charmaine Ward

    VP, Mktg Comm & Cmty Relations

    Total calculated
    $371,345
    From this org
    $0
    From related orgs
    $308,885
    Other
    $62,460
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $263,568 related
    Bonus
    $0 + $26,818 related
    Other
    $0 + $18,499 related
    Deferred
    $0 + $29,939 related
    Nontaxable benefits
    $0 + $32,521 related
    Filer's total
    $0 + $371,345 related

  • Cherita White

    Assistant Secretary

    Total calculated
    $215,069
    From this org
    $0
    From related orgs
    $147,685
    Other
    $67,384
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $136,249 related
    Bonus
    $0 + $6,878 related
    Other
    $0 + $4,558 related
    Deferred
    $0 + $37,842 related
    Nontaxable benefits
    $0 + $29,542 related
    Filer's total
    $0 + $215,069 related

  • John W Jackson

    Director

    Total calculated
    $25,141
    From this org
    $25,141
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Cheryl G Franklin MD

    Director

    Total calculated
    $0
    Hours/week
    3

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
  • 9 · Followed the rebuttable-presumption procedure

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 $1,823,105 Donald Orndoff 501,026 James Cullinan 572,051 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 $1,177,969 Kathryn Lancaster 521,405 Kimberly Horn 1,872,534 Janet Liang 640,943 Arthur Southam 521,405 Julie Miller-Phipps 358,888 Thomas Meier 95,030 James Simpson 166,951 Donald Orndoff 147,967 Alfonse Upshaw 135,880 James Cullinan 43,908 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 2 OFFICERS IN 2023.
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.

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

  • 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.

  • Oak Tree Assurance Ltd

    C Corp · Insurance · VT · 0% owned · share of income $0 · share of assets $0 · controlled entity

    Directly controlled by NA

  • Kaiser Permanente Insurance Company

    C Corp · Insurance · CA · 0% owned · share of income $0 · share of assets $0 · controlled entity

    Directly controlled by NA

  • Kaiser Permanente International

    C Corp · Consulting · CA · 0% owned · share of income $0 · share of assets $0 · controlled entity

    Directly controlled by NA

  • KFHP of Washington Options Inc

    C Corp · Insurance · WA · 0% owned · share of income $0 · share of assets $0 · controlled entity

    Directly controlled by NA

  • Group Health of Washington

    C Corp · Inactive · WA · 0% owned · share of income $0 · share of assets $0 · controlled entity

    Directly controlled by NA

  • Garfield Health Solutions East Pte Ltd

    C Corp · Admin · IN · 0% owned · share of income $0 · share of assets $0 · controlled entity

    Directly controlled by NA

  • Garfield Health Solutions West SRL

    C Corp · Admin · CS · 0% owned · share of income $0 · share of assets $0 · controlled entity

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2023
Filed
24 October 2024
IRS schema version
2023v5.1
Source object
202423209349305957

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

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