2024-11-15T09:10:18-06:00 2023-12-31 PwC US Tax LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2023-01-01 520954463 KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC % CHIEF TAX OFFICER KAIS 5102716611 C/O KP Tax One Kaiser Plz FL 26 OAKLAND CA 94612 MICHAEL P WALTON CHIEF TAX OFFICER 5102716611 2024-10-24 true Robert W Friz P00438748 2673303000 2024-10-23 2023 2024-10-15 13:58:12Z ISRAEL ROCHA JR C/O KP Tax One Kaiser Plz FL 26 OAKLAND CA 94612 6063502206 false X www.kp.org X 1972 MD TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE. 14 13 10049 835 1236959 0 1012021 27510680 5620683806 5849195142 3460060 6180041 186327 1185421 5625342214 5884071284 2544699 1839762 0 0 962218455 1008216769 0 0 0 4714237602 4865613708 5679000756 5875670239 -53658542 8401045 3165737367 3148201298 2925137701 3032639944 240599666 115561354 X TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE. false false 4548649446 307579 5043004314 MEMBER HEALTH CARE SERVICES AND MEDICAL TRAINING FOR CARE IMPROVEMENT KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES (KFHP-MAS) PROVIDES MEDICAL AND SURGICAL CARE, INCLUDING URGENT CARE SERVICES, EXTENDED CARE AND HOME HEALTH CARE, FOR ITS MEMBERS WITHOUT REGARDS TO AGE, SEX, RACE, RELIGION OR NATIONAL ORIGIN OR THE ABILITY TO PAY. KFHP-MAS 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-MAS 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. 890032948 0 806130130 MEDICAID AND OTHER GOVERNMENT SPONSORED PROGRAMS KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES (KFHP-MAS) IS COMMITTED TO IMPROVING MEDICAL CARE FOR BENEFICIARIES OF MEDICAID AND OTHER GOVERNMENT SPONSORED PROGRAMS, NOT ONLY FOR KFHP-MAS MEMBERS, BUT ALSO WITHIN THE COMMUNITIES WE SERVE. AT THE END OF 2023, A TOTAL OF 169,000 INDIVIDUALS WERE RECEIVING THE BENEFITS OF FULL MEMBERSHIP THROUGH KFHP-MAS'S MEDICAID MANAGED CARE PROGRAMS IN MARYLAND AND VIRGINIA. IN ADDITION, KFHP-MAS PROVIDED HEALTH CARE ON A FEE-FOR-SERVICE BASIS FOR MEDICAID BENEFICIARIES WHO WERE NOT ENROLLED AS KFHP-MAS MEMBERS. 102530674 0 60698 CHARITY CARE (MEDICAL FINANCIAL ASSISTANCE AND CHARITABLE HEALTH COVERAGE) KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES (KFHP-MAS) PROVIDES CHARITY CARE TO LOW-INCOME VULNERABLE PATIENTS THROUGH THE MEDICAL FINANCIAL ASSISTANCE (MFA) AND CHARITABLE HEALTH COVERAGE (CHC) PROGRAMS. KFHP-MAS 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 A TOTAL OF 90,000 PATIENTS THROUGH FINANCAIL 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. OVER 11,600 INDIVIDUALS WERE RECEIVING COMPREHENSIVE HEALTH CARE THROUGH THIS PROGRAM AT THE END OF 2023. 12510806 1532183 0 SEE EXEMPT PURPOSE ACHIEVEMENTS IN SCH O 12510806 1532183 0 5553723874 true true false false false false false false false false true false false true true false false true false false false false false false false false false true false true false false false false false false false false false false false false true true true true false false true 4495 0 true 10049 true true true false false false false false false false false false true false X 14 13 true false false false true true true true true false false true true true true true true true true false X CHIEF TAX OFFICER 5102716611 C/O KP TAX ONE KAISER PLZ FL 26 OAKLAND CA 94612 X Gregory Adams Chairman & CEO 4.0 46.0 X X 0 12567386 154060 Kathryn Lancaster EVP & Chief Financial Officer 3.5 46.5 X 0 4923403 137899 Kimberly Horn EVP, Group President, MOC 3.5 46.5 X 0 4617356 134195 Janet Liang EVP, Group President & COO 3.5 46.5 X 0 4417378 89835 Arthur Southam EVP, Health Plan Ops & CGO 4.0 46.0 X 0 3776237 18575 Ruth Williams-Brinkley Regional President - MAS 45.0 5.0 X 0 3418616 -176937 Mark Zemelman SVP, General Counsel & Secy 0.0 0.0 X 0 1833838 660356 Vanessa Benavides SVP,Chief Legal Officer & Secy 1.5 48.5 X 0 1792455 308115 Thomas Meier SVP, Corporate Treasurer 1.5 48.5 X 0 1721108 121348 Donald Orndoff SVP, NFS 4.0 46.0 X 0 1301160 320687 Alfonse Upshaw SVP,Corporate Controller & CAO 0.0 50.0 X 0 1272055 208369 Frank Titus VP, HPSA - MAS 0.0 50.0 X 0 1099437 211661 Emily Holliman VP, COO - MAS 50.0 0.0 X 0 893062 200857 David Thomason SVP,Corporate Controller & CAO 2.2 47.8 X 0 897898 52883 Ryan Jenson Interim Corp Controller & CAO 3.5 46.5 X 0 743221 129756 Brandon Cuevas EVP, Health Plan 4.0 46.0 X 0 511652 293271 William Wiechmann Assistant Secretary 50.0 0.0 X 0 599846 149593 Gracelyn McDermott VP, MSBD - MAS 50.0 0.0 X 0 577504 149119 Dana Forster VP, Delivery System Operations 50.0 0.0 X 0 510965 197084 Cynthia Cifuentes-Finkel VP, Mktg Comm & Cmty Relations 50.0 0.0 X 0 536647 145569 Hong-Sze Yu VP, Brd & Corp Gov & Asst Secy 3.5 46.5 X 0 508592 167556 Kristin Bear Assistant Secretary 4.0 46.0 X 0 474637 170789 Jeanine Maier VP, Consumer Experience & CCC 50.0 0.0 X 0 460800 142403 Jared Gross VP, CFO - MAS 50.0 0.0 X 0 486065 67618 Angela Beaudry VP, HR - MAS 50.0 0.0 X 0 457284 81099 Jennifer Valentine ED, FP&A 50.0 0.0 X 0 430756 56294 Kimberley Ragnartz VP, Delivery System Operations 50.0 0.0 X 0 465864 -4413 Lawrence Hamilton Regional Administrative Leader 0.0 50.0 X 0 372697 14762 Margaret E Porfido JD Director 0.0 0.5 X 14000 305083 16717 David F Hoffmeister Director 0.3 9.1 X 0 280951 17907 Judith A Johansen JD Director 0.5 9.1 X 0 290800 6534 Leslie S Heisz Director 0.3 5.7 X 0 268956 24274 Ramon F Baez Director 0.1 4.55 X 0 266951 21121 Jeffrey E Epstein Director 0.5 7.5 X 0 265915 13187 Richard P Shannon MD Director 0.5 5.5 X 0 236500 27421 Vivek Sharma Director 0.1 0.9 X 0 261456 0 Jenny J Ming Director 0.3 4.6 X 0 248772 12004 Maryann Bodayle Assistant Secretary 1.0 49.0 X 0 196754 55189 Matthew T Ryan Director 0.25 7.75 X 0 250951 0 A Eugene Washington MD Director 0.25 6.9 X 0 244000 4278 David J Barger Director 0.5 10.5 X 0 234000 13569 Regina M Benjamin MD MBA Director 0.5 7.5 X 0 219620 27404 Israel Rocha Regional President - MAS 45.0 5.0 X 0 118292 12835 Edward Y W Pei Director 0.0 0.0 X 0 53623 0 Kim J Kaiser Director 0.0 1.0 X 0 39004 0 Machelle Behzadi VP, Quality and Service 50.0 0.0 X 0 556440 -905455 0 50398602 4135760 3224 true true false MID-ATLANTIC PERMANENTE MEDICAL GRO 2101 E JEFFERSON STREET ROCKVILLE MD 20852 MEDICAL SERVICES 1070546445 HOLY CROSS HEALTH INC PO BOX 531882 ATLANTA GA 30353 MEDICAL SERVICES 192545790 VIRGINIA HOSPITAL CENTER PO BOX 34840 ALEXANDRIA VA 22334 MEDICAL SERVICES 167923660 INOVA URGENT CARE CENTER PO BOX 37019 BALTIMORE MD 21297 MEDICAL SERVICES 105937019 CHILDRENS NATIONAL MEDICAL ASSOCIAT PO BOX 744785 ATLANTA GA 30374 MEDICAL SERVICES 103462760 467 26492675 1018005 27510680 MEMBERS' DUES 621491 3922547912 3922547912 MEDICARE REVENUE 621491 1476556467 1476399587 156880 SUPPLEMENTAL REVENUE 621491 165946762 165946762 NON-PLAN & INDUSTRY 621491 70440 -1009639 1080079 OTHER PROGRAM SERVICES 621491 284073561 284073561 5849195142 14754921 14754921 0 0 1185421 1185421 0 1185421 1185421 168570907 2285135 177556112 1874810 -8985205 410325 -8574880 -8574880 0 0 0 0 0 0 0 0 0 0 5884071284 5847958183 1236959 7365462 1839762 1839762 0 0 0 14000 14000 0 0 742129904 716683913 25445991 87343571 87343571 116293466 106102434 10191032 62435828 62435828 0 815650 815650 1006210 1006210 0 0 224433 224433 0 13513574 328183 13185391 23094943 22361673 733270 250712990 186335322 64377668 0 55084597 55084597 1865550 1611425 254125 0 1249721 1249721 50402362 50402362 0 132071994 132071994 30583456 30583456 BASIC CONTRACTUAL PAYMENTS 2038904014 2038904014 MEDICAL & OTHER SUPPLIES 998286993 932305683 65981310 PURCHASED MEDICAL SERVICES 721053158 721053158 INTER-REGIONAL CHARGES 348056679 341204389 6852290 198687384 67072110 131615274 5875670239 5553723874 321946365 0 X 0 0 161415794 234859650 0 0 273989511 284435641 0 0 0 0 0 0 86807876 66930934 345307917 204092865 2845650373 1095758306 1712900940 1749892067 287994891 307040051 0 0 0 0 0 0 297320438 300950090 3165737367 3148201298 462004516 451769335 0 0 74624550 71462709 0 0 0 0 0 0 0 0 0 0 2388508635 2509407900 2925137701 3032639944 X 8301762 8301762 0 0 232297904 107259592 240599666 115561354 3165737367 3148201298 X 8401045 13316083 -146755440 X false true X true true true X 431622 442825 1190310 1012021 27510680 30587458 4669434994 5115468095 5302559734 5619665911 5847958183 26555086917 0 0 0 4669866616 5115910920 5303750044 5620677932 5875468863 26585674375 0 0 0 26585674375 15184603 11607433 4253428 10328033 15940342 57313839 0 15184603 11607433 4253428 10328033 15940342 57313839 0 0 0 0 0 0 0 7006 0 0 0 7006 4685051219 5127525359 5308003472 5631005965 5891409205 26642995220 0.99785 0.99782 0.00215 0.00217 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 211413135 211413135 2017128178 738070331 1279057847 150975925 109034916 41941009 387775563 243207160 144568403 78357572 5445899 72911673 1749892067 DUE FROM AFFILIATES 187234362 OPERATING LEASE ROU ASSETS 107357339 OTHER LONG-TERM ASSETS 659656 OTHER CURRENT ASSETS 5698733 300950090 0 DUE TO AFFILIATED ORGANIZATION 1178692920 PROFESSIONAL & OTHER INSURED LIAB. 213606269 OPERATING LEASE LIABILITIES 102472118 SUBORDINATED DEBT 743000000 LONG-TERM DEBT 16124298 OTHER CURRENT LIABILITIES 251950149 OTHER LONG-TERM LIABILITIES 3562146 2509407900 SCHEDULE D, PART X, Line 2 ASC 740 FOOTNOTE THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE UNDER ASC 740. true Acts Po Box 74 Dumfries VA 22026 540897679 501(c)(3) 20000 Social Health Practices Alliance For A Healthier Generation Inc 1028 Se Water Ave215 Portland OR 97214 272028308 501(c)(3) 100000 Thriving Schools. Building Healthier Communities T Baileys Crossroads Health Access Po Box 8332 Falls Church VA 22041 300765570 501(c)(3) 46683 Kp Enterprise Strategies Baltimore Healthy Start Inc 610 N Chester St Baltimore MD 21205 521694523 501(c)(3) 9150 Operating Support Baltimore Office Of Promotion & The Arts 7 Saint Paul St 100 Baltimore MD 21202 900091850 501(c)(3) 25000 Nonprofit Organization That Cultivates The City's Bridgetower Media 222 S 9th St 900 Minneapolis MN 55402 853333083 501(c)(3) 8800 Empowering Communities With Data, Insights And Con Capital Pride Alliance Inc 2000 14th St Nw Washington DC 20009 261763254 501(c)(3) 31530 Serving The Needs Of The Lgbtq+ Community All Year Celebrate Annapolis Juneteenth 3036 Rock Dr Riva MD 21140 921132568 501(c)(3) 7500 To Commemorate The Emancipation Of The Last Enslav Coalition For Nonprofit Housing 727 15th St Nw 600 Washington DC 20005 521750323 501(c)(3) 75000 Economic Opportunity Community Clinic Inc 8630 Fenton St1204 Silver Spring MD 20910 520988386 501(c)(3) 7500 Social Health Practices Dar Al-hijrah Islamic Center 3159 Row St Falls Church VA 22044 311256417 501(c)(3) 50000 Economic Opportunity Ebenezer Cog Community Outreach 7550 Buchanan St Hyattsville MD 20784 884035121 501(c)(3) 7500 Social Health Practices Edu-futuro 2110 Washington Blvd 3fl Arlington VA 22204 541914671 501(c)(3) 50000 Economic Opportunity Greater Washington Community Foundation 1325 G St Nw 480 Washington DC 20005 237343119 501(c)(3) 86000 Housing For Health Healthworks For Northern Virginia 163 Fort Evans Rd Ne Leesburg VA 20176 202379419 501(c)(3) 50000 Kp Enterprise Strategies Homes For Hope 3009 G St Se Washington DC 20019 270034814 501(c)(3) 50000 Economic Opportunity Hospice Of The Chesapeake Foundation 90 Ritchie Hwy Pasadena MD 21122 521457419 501(c)(3) 7800 Caring For Life Throughout The Journey With Illnes Kings Deliverance Hope Helping Others 248 W Chestnut Hill Rd Newark DE 19713 852588031 501(c)(3) 6250 Economic Opportunity La Clinica Del Pueblo Inc 2831 15th St Nw Washington DC 20009 521942551 501(c)(3) 50000 Kp Enterprise Strategies Legal Aid Bureau Inc 500 E Lexington St Baltimore MD 21202 520591621 501(c)(3) 100000 Housing For Health Make A Wish Of The Mid Atlantic 6555 Rock Spring Dr280 Bethesda MD 20817 521306075 501(c)(3) 14500 Granted Over 10,000 Wishes Of Children Fighting Cr Maryland African American Museum 830 E Pratt St Baltimore MD 21202 522107879 501(c)(3) 125000 Maryland African American Museum Maryland Citizens Health Initiative 2600 Saint Paul St Baltimore MD 21218 522173223 501(c)(3) 10000 Social Health Practices Micah Ecumenical Ministries Po Box 3277 Fredericksburg VA 22402 204044884 501(c)(3) 75000 Housing For Health Montgomery Housing Partnership Inc 12200 Tech Rd 250 Silver Spring MD 20904 521631939 501(c)(3) 200000 Housing For Health Mosaic Theater Company Of Dc 1333 H St Ne Washington DC 20002 472641919 501(c)(3) 9250 Make Powerful, Transformational, Socially-relevant National Coalition For The Homeless 2201 P St Nw Washington DC 20037 521517415 501(c)(3) 30000 Housing For Health National Korean American Svc & Education Consortiu 13890 Braddock Rd309 Centreville VA 20121 113303986 501(c)(3) 75000 Economic Opportunity New Futures 609 H St Ne 500 Washington DC 20002 522180378 501(c)(3) 35000 Economic Opportunity Novella Ctr For Entrepreneurship (NEC) 250 W Dickman St Baltimore MD 21231 834583974 501(c)(3) 50000 Thriving Schools Npower Inc 55 Washington St 560 Brooklyn NY 11201 134145441 501(c)(3) 50000 Economic Opportunity Pathforward Inc Po Box 100731 Arlington VA 22210 541615993 501(c)(3) 8749 Housing For Health Pauls Place Inc 1118 Ward St Baltimore MD 21230 521372359 501(c)(3) 20000 Social Health Practices Pickett Fences Senior Services Inc 9701 Apollo Dr 301 Largo MD 20774 461572005 501(c)(3) 20000 Social Health Practices Prince Georges County Fire Ems 9201 Basil Ct 452 Largo MD 20774 526000998 Government 75000 Promote Safety And Provide The Highest Quality Of Prince Georges Healthcare Alliance Inc 9475 Lottsford Rd270 Largo MD 20774 811002853 501(c)(3) 10000 Safety Net Program That Subsidizes Health Care Ser Sheperds Table Inc 8106 Georgia Ave Silver Spring MD 20910 521381738 501(c)(3) 10000 Housing For Health South Baltimore Learning Corporation 28 E Ostend St Baltimore MD 21230 521745263 501(c)(3) 50000 Economic Opportunity Suitup Incorporated 25 Broadway Fl 12 New York NY 10004 463381399 501(c)(3) 7000 Economic Opportunity University Of Maryland Medical System Fdn 110 S Paca St Fl 9 Baltimore MD 21201 522238893 501(c)(3) 10000 Serving The Health Care Needs Of Maryland Virginia Hospital Center Fdn Arlington Health System Arlington VA 22205 204129901 501(c)(3) 10000 To Honor Veterans, Their Families, And Caregivers WETATI Academy Inc 6304 Somerset Rd Riverdale MD 20737 371704890 501(c)(3) 5160 Operating Support 42 0 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANTS At the end of their funding cycle, grantees are required to submit a final report which delineates accomplishments related to stated objectives. Larger grants (typically over $100k) may require quarterly progress reports. true true false false false false false true true true Gregory Adams Chairman & CEO 0 2123581 0 9103058 0 1340747 0 122468 0 31592 0 12721446 0 0 Kathryn Lancaster EVP & Chief Financial Officer 0 1269207 0 3069715 0 584481 0 118595 0 19304 0 5061302 0 0 Kimberly Horn EVP, Group President, MOC 0 1118899 0 1571247 0 1927210 0 100993 0 33202 0 4751551 0 1391673 Janet Liang EVP, Group President & COO 0 1262682 0 2460748 0 693948 0 51770 0 38065 0 4507213 0 0 Arthur Southam EVP, Health Plan Ops & CGO 0 194706 0 3022498 0 559033 0 10910 0 7665 0 3794812 0 0 Ruth Williams-Brinkley Regional President - MAS 0 804931 0 1256152 0 1357533 0 -201208 0 24271 0 3241679 0 968436 Mark Zemelman SVP, General Counsel & Secy 0 0 0 0 0 1833838 0 660356 0 0 0 2494194 0 0 Vanessa Benavides SVP,Chief Legal Officer & Secy 0 708622 0 1028988 0 54845 0 288586 0 19529 0 2100570 0 0 Thomas Meier SVP, Corporate Treasurer 0 593270 0 977784 0 150054 0 94964 0 26384 0 1842456 0 227652 Donald Orndoff SVP, NFS 0 185407 0 452361 0 663392 0 307153 0 13534 0 1621847 0 36947 Alfonse Upshaw SVP,Corporate Controller & CAO 0 535015 0 558993 0 178047 0 176289 0 32080 0 1480424 0 109173 Frank Titus VP, HPSA - MAS 0 515294 0 447954 0 136189 0 193349 0 18312 0 1311098 0 94692 Emily Holliman VP, COO - MAS 0 301406 0 0 0 591656 0 183848 0 17009 0 1093919 0 0 David Thomason SVP,Corporate Controller & CAO 0 412855 0 0 0 485043 0 42288 0 10595 0 950781 0 0 Ryan Jenson Interim Corp Controller & CAO 0 346441 0 349170 0 47610 0 100508 0 29248 0 872977 0 0 Brandon Cuevas EVP, Health Plan 0 282154 0 0 0 229498 0 286674 0 6597 0 804923 0 0 William Wiechmann Assistant Secretary 0 328762 0 205699 0 65385 0 118517 0 31076 0 749439 0 0 Gracelyn McDermott VP, MSBD - MAS 0 335672 0 224166 0 17666 0 118219 0 30900 0 726623 0 0 Dana Forster VP, Delivery System Operations 0 279195 0 190895 0 40875 0 167002 0 30082 0 708049 0 0 Cynthia Cifuentes-Finkel VP, Mktg Comm & Cmty Relations 0 305406 0 196675 0 34566 0 115595 0 29974 0 682216 0 0 Hong-Sze Yu VP, Brd & Corp Gov & Asst Secy 0 300090 0 188569 0 19933 0 137523 0 30033 0 676148 0 0 Kristin Bear Assistant Secretary 0 313172 0 131402 0 30063 0 149166 0 21623 0 645426 0 0 Jeanine Maier VP, Consumer Experience & CCC 0 323709 0 121240 0 15851 0 113969 0 28434 0 603203 0 0 Jared Gross VP, CFO - MAS 0 391762 0 44800 0 49503 0 0 0 67618 0 553683 0 0 Angela Beaudry VP, HR - MAS 0 256625 0 118580 0 82079 0 41122 0 39977 0 538383 0 0 Jennifer Valentine ED, FP&A 0 240374 0 173929 0 16453 0 45592 0 10702 0 487050 0 0 Kimberley Ragnartz VP, Delivery System Operations 0 71958 0 146941 0 246965 0 -14436 0 10023 0 461451 0 0 Lawrence Hamilton Regional Administrative Leader 0 0 0 0 0 372697 0 14762 0 0 0 387459 0 55014 Margaret E Porfido JD Director 14000 283000 0 0 0 22083 0 16717 0 0 14000 321800 0 0 David F Hoffmeister Director 0 266500 0 0 0 14451 0 17907 0 0 0 298858 0 0 Judith A Johansen JD Director 0 290800 0 0 0 0 0 6534 0 0 0 297334 0 0 Leslie S Heisz Director 0 249000 0 0 0 19956 0 24274 0 0 0 293230 0 0 Ramon F Baez Director 0 252500 0 0 0 14451 0 21121 0 0 0 288072 0 0 Jeffrey E Epstein Director 0 256500 0 0 0 9415 0 13187 0 0 0 279102 0 0 Richard P Shannon MD Director 0 236500 0 0 0 0 0 27421 0 0 0 263921 0 0 Vivek Sharma Director 0 241500 0 0 0 19956 0 0 0 0 0 261456 0 0 Jenny J Ming Director 0 229000 0 0 0 19772 0 12004 0 0 0 260776 0 0 Maryann Bodayle Assistant Secretary 0 180482 0 13962 0 2310 0 44374 0 10815 0 251943 0 0 Matthew T Ryan Director 0 236500 0 0 0 14451 0 0 0 0 0 250951 0 0 A Eugene Washington MD Director 0 244000 0 0 0 0 0 4278 0 0 0 248278 0 0 David J Barger Director 0 234000 0 0 0 0 0 13569 0 0 0 247569 0 0 Regina M Benjamin MD MBA Director 0 210000 0 0 0 9620 0 27404 0 0 0 247024 0 0 Edward Y W Pei Director 0 0 0 0 0 53623 0 0 0 0 0 53623 0 43217 Kim J Kaiser Director 0 24300 0 0 0 14704 0 0 0 0 0 39004 0 0 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 Kimberley Ragnartz $ 218,842 Lawrence Hamilton $ 317,533 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 Ruth Williams-Brinkley 1,288,433 Thomas Meier 95,030 Donald Orndoff 147,967 Alfonse Upshaw 135,880 Frank Titus 117,033 William Wiechmann 43,391 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 3 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. Form 990, Part III, Line 4A-D EXEMPT PURPOSE ACHIEVEMENTS I. Introduction A. About Kaiser Permanente Founded in 1945, Kaiser Permanente is recognized as one of America's leading health care providers and nonprofit health plans. We currently serve 12.6 million members in 8 states and the District of Columbia. We were created to meet the challenge of providing American workers with medical care during the Great Depression and World War II, when most people could not afford to go to a doctor. Since our beginnings, we have been committed to helping shape the future of healthcare. Kaiser Permanente exists to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. Kaiser Permanente's integrated health care model means we seamlessly provide care and coverage together with a wide range of services under one roof, whether in a Kaiser Permanente medical office or hospital, or at a contracted facility. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists, and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery, and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education, and the support of community health. B. Kaiser Permanente's Approach to Community Health At Kaiser Permanente, we recognize that where we live, work, learn, and play has a big impact on our health and well-being. We are driven by our mission to improve the health of our members and the communities we serve. To be our healthiest we need more than high-quality medical care, we need to improve the conditions for health and equity in the communities we serve. This means addressing all the factors that affect health, such as having a safe place to live, enough money to pay the bills, and access to healthy meals. Kaiser Permanente community investments and partnerships address the factors that impact health and well-being. C. Kaiser Permanente's Total Contribution Kaiser Permanente provided $3.1 billion in 2023 to improve the health of our communities. The amounts attributable to Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. is $199 million as follows: - Financial Assistance at cost - $102.5M - Medicaid - $54M - Costs of other means-tested government programs - $30M - Community health improvement services and community benefit operations- $3.5M - Health Professions Education - $4M - Research - $3.5M - Cash and in-kind contributions from community benefit - $1.5M In addition to our direct spend, we also leverage assets from across Kaiser Permanente to help us achieve our mission to improve the health of communities. This includes our widely recognized activities around supplier diversity, socially responsible investing and environmental stewardship. II.Health Access Ensuring health access means serving those most in need of health care through Medicaid, medical financial assistance, charitable health coverage, and other forms of subsidized care and coverage. It also means connecting people with wrap-around social services, healthy meals, affordable homes, safe playgrounds, and supportive schools. For many low-income people without access to health care coverage, or for those who lose their jobs and can't maintain health care coverage, an emergency room is often the only place they receive care. At Kaiser Permanente, we're working to change that with programs that lower financial barriers by providing deeply subsidized health coverage and medical financial assistance for care. We also provide information about how to access and qualify for public programs such as Medicaid and financial assistance through the marketplace to individuals who may be eligible. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. supports the health access needs of our communities through a combination of coverage and care programs. We provide coverage to low-income populations through our participation in government programs like Medicaid and the Children's Health Insurance Programs (CHIP) and via our own Charitable Health Coverage (CHC) program, which provides a premium subsidy for Kaiser Permanente coverage for qualified low-income families and children who do not have access to public or private health coverage. Similarly, we provide care to low-income populations through our treatment of Medicaid and CHIP enrollees, and second, via the Medical Financial Assistance (MFA) program, which is Kaiser Permanente's traditional charity care or financial assistance program (FAP). For Kaiser Foundation Health Plan, Inc. and all of its subsidiary health plans, the main way to address health access challenges is by absorbing the cost of the coverage and care programs described above. A. Coverage Having health coverage means consistent access to comprehensive and continuous medical and preventative services for people to get and stay healthy, a much better alternative to episodic care at emergency departments. KP is committed to advancing equity and removing disparities in access to coverage and health outcomes. i. Coverage provided through Medicaid, CHIP and other government programs The Affordable Care Act has had a far-reaching impact on the landscape of government-sponsored programs, as these options have become a key source of health coverage for a significant portion of the US population. Kaiser Permanente has organizational strategies to enable individuals with low incomes to obtain and/or retain health coverage through Medicaid, CHIP or other government programs. At the end of 2023, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. was providing coverage to a total of 169,000 people through these government programs. ii. Coverage provided through Charitable Health Coverage (CHC) Kaiser Permanente's CHC programs provide health care coverage to low-income individuals and families who don't have access to other public or private health coverage. CHC programs work by enrolling qualifying individuals in a Kaiser Permanente Individual and Family Health Plan. Through CHC, members' monthly premiums are subsidized, and members do not have to pay copays or out-of-pocket costs for most care at Kaiser Permanente facilities. Through CHC, members have a medical home that includes comprehensive coverage, preventive services and consistent access through the "front door" of the health delivery system. At the end of 2023, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. was providing coverage to over 11,600 people through the CHC program. B. Care To get and/or stay healthy, people need access to high quality care by providers they trust. This care must include preventative services and required medications so that people can avoid ending up in the emergency room or requiring more extensive services down the line. Kaiser Permanente helps low-income populations gain access to this type of care by leveraging the full scope of its integrated delivery system, including not only critical hospital-based services but also outpatient primary, specialty, and pharmacy services. i. Care provided through Medicaid, CHIP and other government programs Kaiser Permanente provides a wide range of health care services to individuals enrolled in Medicaid, CHIP and other government programs, regardless of whether they are assigned to Kaiser Permanente or not. In addition to the individuals who received health coverage in 2023 due to Kaiser Permanente's participation in these government programs, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. also subsidized care to people who are enrolled in these programs but not formally assigned to Kaiser Foundation Health Plan. ii. Care subsidized by Medical Financial Assistance (MFA) KP's Medical Financial Assistance program (MFA) improves health care access for people with limited incomes and resources and is fundamental to Kaiser Permanente's mission. Our MFA program helps low-income, uninsured, and underinsured patients receive access to care. The program provides temporary financial assistance or free care to patients who receive health care services from our providers, regardless of whether they have health coverage or are uninsured. Eligibility for financial assistance is based on financial need. In general, patients whose household income is at or below 300%, and in some regions up to 400%, of the federal poverty limit are eligible for the MFA program. Patients who are experiencing high medical expenses as compared to their income may be eligible under high medical expenses criteria, regardless of household income. The MFA program covers emergency and medically necessary health care services, pharmacy services and products, and medical supplies provided at Kaiser Permanente facilities (such as hospitals, medical centers, and medical office buildings), at Kaiser Permanente outpatient pharmacies, or by Kaiser Permanente providers. Over the course of 2023, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. subsidized care for a total of 90,000 people through the MFA program. C. Safety-Net Partnerships Kaiser Permanente also increases access to health care in the community by establishing safety net partnerships. Safety net providers are a mix of public hospitals, community-based organizations such as federally qualified health centers, and other health care organizations. Safety-net health care providers provide care for patients who have low incomes and/or are uninsured regardless of their ability to pay. In Kaiser Permanente service areas, federally qualified health centers serve the uninsured, Medicaid, and other vulnerable populations. Strengthening the safety net advances our mission to improve the conditions for health and equity in the community. Our communities' most vulnerable populations, including a disproportionate number of low-income people of color, rely on the safety net for their health care needs. Our support ensures that communities have access to a strong safety net that can equitably meet patients' needs and improve health outcomes for low-income patients including people experiencing homelessness. In 2023, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. supported La Clinica del Pueblo, Inc. to deliver culturally and linguistically appropriate reproductive healthcare including prenatal, postpartum, and family planning services to uninsured, low-income, and limited English proficient Latinx immigrants in Washington, DC, and Prince George's County, Maryland. This partnership aims to strengthen the clinic's capacity to provide reproductive health services to their patient population. Additionally, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. partnered with the Loudoun Community Health Center dba HealthWorks for Northern Virginia to implement a Healthy Mother's Program to provide educational, dental, behavioral, and emotional health support along with postpartum family planning to reduce maternal morbidity and mortality for its prenatal patients. This program will also include Obstetric training for all staff to identify prenatal and postpartum high-risk signs and symptoms that may prevent maternal morbidity as well as identify and reduce biases that may impede care. III.Community Health At Kaiser Permanente, we are working to improve the conditions for health and equity in communities by addressing the root causes of health, such as economic opportunity, affordable housing, safe and supportive schools, and a healthy environment. These improvements grow from our collaboration with each community to co-design and co-create solutions that truly make a positive impact. A. Economic Opportunity Inclusive economic growth is critical to both individual and community health. When there is a lack of economic opportunity in communities, the prospects for upward social mobility are diminished, often resulting in poorer health and higher mortality rates for people living in those communities. By contrast, economic growth and opportunity provides individuals with jobs, income, a sense of purpose, and opportunities to improve their circumstances over time. Kaiser Permanente recognizes that the way we do business can support economic opportunity in local communities through how we hire, purchase, build our facilities and partner with communities. Some ways that we're helping revitalize and grow our communities by strengthening economic opportunity include: - Providing good jobs to individuals facing barriers to employment through high-impact hiring and workforce pipeline efforts. - Pursuing a social impact investment strategy to support impact investments aimed at addressing key social issues that have a significant impact on health. - Purchasing goods and services from local, diverse, small businesses and seeking out vendor partners with missions and business practices that align with our own. - Building new facilities with an emphasis on positive local community impact, including neighborhood revitalization, and deep community engagement. - Partnering with community organizations to grow local business capacity, increase access to good jobs, and support stable, quality, affordable housing. Kaiser Permanente is also deepening our efforts to get at the heart of inequities, addressing systemic racism, breaking cycles of trauma, and creating economic opportunities for communities that have endured decades of underinvestment. We are working with these communities to overcome systemic and structural economic disadvantage and supporting the resiliency of businesses owned by Black and other historically underrepresented individuals, recognizing that it will require sustained efforts to increase access to business capital and build capacity for growth. Success for these communities requires intentional, long-term investment, and ongoing work to dismantle racist systems that create barriers to success. In addition, Kaiser Permanente is working to expand access to education and career pathways in health care. We support programs and initiatives that provide clear education and career pathways, in health care and mental health, especially for people of color, who have historically faced gaps in income and earning potential. This includes helping professionals graduate into allied health careers, public health fellowship opportunities, and providing local grants to support people with access to opportunities for higher education and job training programs. In 2023, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. partnered with the Coalition for Nonprofit Housing and Economic Development to expand the DC Community Anchor Partnership program into Virginia and Maryland communities adjacent to Washington, DC and give increasing economic opportunities to nearby minority residents. The Community Anchor Partnership program is a minority procurement network that affects policy change and then refers DC's high-performing minority-owned business enterprises to these anchors which include area hospitals, universities, and utility companies. Also, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. partnered with Dar Al-Hijrah Islamic Center, Educacion Para Nuestro Futuro Founded by Escuela Bolivia, and New Futures, to provide training and career pathways for under-represented communities and people of color. This partnership will support refugees and immigrants who face barriers to securing living-wage jobs with opportunities for advancement and by providing stipends for living expenses, will provide comprehensive, culturally responsive college and career readiness, and will develop robust academic and career-related resources for healthcare and IT pathways. B. Housing for Health Without a safe place to call home, it's nearly impossible to focus on basic health and medical needs. For years, Kaiser Permanente has led efforts to end homelessness and preserve affordable housing. We do this by investing in solutions, helping shape public policy, and forming innovative partnerships. Inadequate housing contributes to several health problems, including chronic diseases, injuries, and poor mental health. Housing security is a crucial health issue for disadvantaged populations, such as low-income communities and communities of color. Working to solve housing insecurity is part of Kaiser Permanente's focus on improving equitable conditions for people of color in America. We are addressing historical disinvestment in our communities, which is directly tied to racism and racial inequities. This kind of disinvestment and lack of economic opportunity can impact affordable housing. Through innovative partnerships and strategic investments, Kaiser Permanente is working to bridge the unique strengths of the health and housing sectors, to strengthen neighborhoods, drive equitable health outcomes and help communities thrive. In 2023, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. partnered with Greater Washington Community Foundation and Micah Ecumenical Ministries, Inc. to support the Medical Respite initiative which aims to strengthen the ecosystem of medical respite providers to better align with the Standards for Medical Respite Programs, advance best practices, and enhance state-of-the-field knowledge in medical respite. Medical respite programs provide post-acute care for people experiencing homelessness who are too ill or frail to recover from an illness or injury on the street or in shelter, but who do not require hospital level care. Medical respite programs offer short-term residential care for people experiencing homelessness to recover and heal in a safe environment while also accessing clinical care and support services, including transition into a stable living environment. While there is growing demand for medical respite care and safe discharge facilities across the country, medical respite continues to be an emerging field with programs varying widely by facility types, staffing, services, and standards of care. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. also partnered with Legal Aid Bureau, Inc. as part of the Health, Housing, and Justice Medical-Legal Partnership Initiative to support legal interventions that help prevent eviction and ensure adequate, affordable, and stable housing for individuals and families via variety of housing resolution options. This partnership focuses on building organizational capacity to provide housing related legal services both in and out of health care settings and to provide training and technical assistance to inform, catalyze, and sustain partnerships with health care organizations focused on eviction prevention. Meeting the legal needs of vulnerable populations can help advance health equity by addressing social determinants of health and overall wellbeing. Medical-legal partnerships are proven interventions that embed access to legal services within the health care delivery system. C.Thriving Schools At Kaiser Permanente, we're committed to not only delivering great health care but also creating communities where people can be healthy in all the places they live, learn, work, and play. Thriving Schools brings together Kaiser Permanente's extensive health care expertise and our partnerships with nationally recognized and trusted organizations working to support K-12 school systems to be a beacon of health in their community. Thriving Schools takes an integrated approach to school health, curating the best thinking and guidance on how to keep students, staff, teachers, and families healthy across four dimensions of health: physical health, mental health, social health, and equity and access. Taking an integrated approach to health means supporting schools and districts in advancing their wellness and educational goals by incorporating health-related strategies into school and district improvement efforts. Like the communities in which they sit, schools often reflect a diversity of cultures, beliefs, and experiences. As such, the services and opportunities they provide must ensure that all students and staff are given the opportunity to reach their full potential. Thriving Schools' integrated approach explicitly addresses equity and inclusion, both in the assessment tools we use, and in the resources, we offer for school staff and district leaders. Kaiser Permanente's Educational Theatre has inspired and empowered millions of students and adults in communities across the United States to make healthy choices. Educational Theatre offers a wide range of award-winning, no-cost theatrical programs that engage and inspire students, teachers, and staff to make healthy choices. These award-winning virtual performances and workshops address important health topics that enhance our comprehensive approach to social health, mental health, and resilience. In 2023, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. collaborated with Novella Center for Entrepreneurship to support mental and emotional health in Maryland community schools through the Together We Climb project. This project will support and improve the mental and emotional health of K-8 students in Prince George's County by offering their schools the Clymb software, training, professional development, implementation support, and tech support for two years. The project intends to positively impact Maryland Community Schools, which are schools that promote equity by working with community resources to provide wraparound services, by fostering positive school climates, enhancing attendance, reducing school discipline rates, and equipping students with essential skills for managing emotions. D. Community Support Hub Social determinants of health - the conditions in which people live, learn, work, and play - affect a wide range of health risks and outcomes. Access to quality health care is critical, but social factors, such as lack of safe housing and transportation, inadequate education or job opportunities, and poor access to good nutrition and physical activity, inevitably create barriers to health and wellbeing. While many social resources may exist in a community or through government programs, they are often unknown to those most in need and disconnected from one another even when serving the same person, creating confusion and exacerbating stress for communities. We launched the Kaiser Permanente Community Support Hub in 2023 as a support center dedicated to helping people meet their basic needs so they can achieve good health. The Kaiser Permanente Community Support Hub's resource directory is a searchable database of tens of thousands of community-based programs and services that anyone can explore online at kp.org/communityresources at their own convenience. It is accessible anytime for anyone seeking help with basic needs - members and nonmembers alike - to explore and connect with social services and assistance programs in their communities. The hub operates with a proactive service model, using text, email, and phone outreach to facilitate social health screenings and offer support connecting to local community-based resources and public benefits. The hub also operates a toll-free call center. In 2023, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. partnered with multiple organizations across Baltimore and Virginia to build and expand networks of community-based organizations in our communities that work with us and other health care organizations to address social health needs of our patients and to coordinate care. This included supporting organizations that are working to provide rental assistance and employment and housing to prevent homelessness and foster hope and growth in the communities. E. Food and Nutrition Security Kaiser Permanente's comprehensive approach to food and nutrition security includes transforming the economic, social, and policy environments connected to food so that people across the nation can access and afford healthy food. To help address the food needs of its communities, Kaiser Permanente has invested in the improvement of food and nutrition security and helped with applications for federal nutrition programs like Supplemental Nutrition Assistance Program (SNAP) and Women, Infants, and Children (WIC). Kaiser Permanente continues to work with community partners to provide free, nutritious meals in low-income communities. We also joined health and nutrition experts from around the country to share results and best practices about Food is Medicine programs to advance the evidence base for food and nutrition programs in health care and establish food-based interventions as standard health care practices. IV.Policy and Systems A. Advancing Systems Change Through Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.'s ongoing partnerships with community organizations, municipal leaders, and public health champions, we are working to incorporate health, equity and sustainability considerations into public policy and the built environment in ways that influence how neighborhoods take shape and grow. Since 2018, we have partnered with the de Beaumont Foundation, a leader in public health philanthropy, to help U.S. cities thrive through the CityHealth initiative. CityHealth tracks and reports on proven policy solutions and works with cities to advance policies that achieve community health priorities. Through this relationship, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. leverages its deep expertise in health policy, government relations, and community-based prevention to accelerate cities' efforts to improve people's health and quality of life. The policy menu includes affordable housing trusts, complete streets, earned sick leave, eco-friendly purchasing, flavored tobacco restrictions, greenspace, healthy food purchasing, healthy rental housing, high-quality and accessible pre-K, legal support for renters, safer alcohol sales, and smoke free indoor air. For Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., this partnership complements the organization's established approach to community health - bringing together health leaders, clinicians and community partners to help solve the social, economic and environmental health challenges facing the residents who live in the communities it serves. As an organization, Kaiser Permanente regularly looks at the issues that impact the health and well-being of our members and communities. Gun violence is an urgent public health issue in the United States. In 2022, we launched the Kaiser Permanente Center for Gun Violence Research and Education. The center is focused on funding equity-centered researchers to support their work focusing on impacted and historically underserved communities. This includes studies on innovative community-based solutions and clinical interventions to address the long-term physical, mental, and emotional consequences of gun violence. The education component of the center is focused on collaborating with community-based organizations to bring a deeper understanding of the root causes of gun violence, its impacts, and solutions to advocates in health care, business, policy-making, the community, and beyond. In January 2023, Kaiser Permanente made a commitment to the center to support scientific research, provide health-focused public education, as well as scale innovative evidence-based, community-centered interventions that address and prevent gun violence. Kaiser Permanente is also committed to strengthening our public health system and ensuring the U.S. health system is well-equipped to respond to future public health emergencies. In collaboration with key partners, Kaiser Permanente is striving to build a more resilient public health system by improving the connections between public health, health care, and community-based organizations, and by establishing a public health research agenda. Creating a strong healthcare ecosystem that works effectively with the nation's public health system is a key mechanism for promoting health equity and improving community health. Everyone has a role to play in supporting and enhancing public health in the U.S. Kaiser Permanente is proud to rally for public health with partners across industries through investments, engagement, and coalition building. B. Environmental Stewardship At Kaiser Permanente, we believe it is our responsibility to continue to contribute to solutions that help slow climate change and raise awareness of its health impacts. One way to improve the health of the people who live in the communities we serve is to protect the environment and minimize our environmental impact. We create partnerships with others to develop policies and systems that strengthen community health and protect the environment. This includes how we operate our facilities and invest in our communities. We have, and will continue to, set ambitious goals to drive both internal and private sector climate action. We prioritize reducing greenhouse gas emissions to lower our carbon footprint and lower the climate impact on the health of the communities Kaiser Permanente serves. In 2023, we dedicated 36.3% of overall spending on products to items that met our Environmentally Preferable Purchasing standards and ensured 100% of our overall operations were powered by onsite and offsite renewable electricity. Through innovations in energy use, construction and building strategies, supply chain, food systems, finance, and clinical practice that promote community health, we are leading the health care sector in reducing environmental contributors to disease and illness. As part of our effort to promote health and health equity as central objectives in private sector climate action, we partnered throughout the year with key stakeholders in many industries, including finance, business, energy, conservation, education, and public policy, to help shape their approaches to sustainable business practices. C. Health Professionals Education Our health professions education programs include both physician training programs like Graduate Medical Education (GME) and non-physician training programs (i.e., residency programs). Our GME program provides training and education for medical residents and interns in the interest of educating the next generation of physicians. Residents are offered the opportunity to serve a large, culturally diverse member and patient base in a setting with sophisticated technology and information systems, established clinical guidelines and an emphasis on preventive and primary care. The majority of medical residents are studying within the primary care medicine areas of family practice, internal medicine, ob/gyn, pediatrics, preventive medicine, and psychiatry. In addition to GME, we provide a range of training and education programs for nurse practitioners, nurses, radiology and sonography technicians, physical therapists, post-graduate psychology and social work students, pharmacists, and other non-physician health professionals. D. Research Kaiser Permanente's research efforts are core to the organization's mission to improve population health, and its commitment to continued learning. Kaiser Permanente researchers study critical health issues such as cancer, cardiovascular conditions, diabetes, behavioral and mental health, and health care delivery improvement. Kaiser Permanente's research is broadly focused on three themes: understanding health risks; addressing patients' needs and improving health outcomes; and informing policy and practice to facilitate the use of evidence-based care. Kaiser Permanente is uniquely positioned to conduct research due to its rich, longitudinal, electronic clinical databases that capture virtually complete health care delivery, payment, decision-making and behavioral data across inpatient, outpatient, and emergency department settings. In 2023, Kaiser Permanente's research programs engaged in 90 active studies (including 38 clinical trials) and published 95 journal articles. Our Community Benefit investments supported the following research: The Mid-Atlantic Permanente Research Institute (MAPRI) was established in 2000 to advance medical knowledge and improve the quality of care and health of our patients and communities we serve by conducting innovative scientific and clinical research. The institute's primary research continues to be patient-focused, with major areas of study in infectious diseases, cardiovascular and metabolic research, maternal-child and behavioral health, oncology, and health informatics. In 2023, the Mid-Atlantic Permanente Research Institute published several research studies, a summary of one publication includes: Digital mental health applications (apps) often incorporate mindfulness and meditation and/or cognitive-behavioral therapy as evidence-based approaches for managing anxiety and depression and can help alleviate barriers to care. By including digital mental health application referral into clinical workflows, providers can help patients select the correct app for their needs, mitigate app cost, increase patient engagement, track referrals, and optimize patient app use. A study published in Psychiatric Services describes trends and attributes associated with digital mental health application referrals to Kaiser Permanente patients. Although the study demonstrates readiness to integrate digital mental health applications into clinical workflows, the authors conclude that further research is needed to investigate provider decision-making and whether referral patterns are optimal and sustainable. Form 990, Part VI, Line 1a - Voting Member and Governing Body - THE EXECUTIVE COMMITTEE, COMPOSED OF THE DIRECTORS THAT ARE THE CHAIRS OF THE BOARD'S OTHER STANDING COMMITTEES, HAS AUTHORITY TO ACT FOR THE BOARD BETWEEN MEETINGS EXCEPT IT HAS NO AUTHORITY TO: A. FILL VACANCIES ON THE BOARD OR THE COMMITTEE; B. FIX THE COMPENSATION OF DIRECTORS FOR SERVING ON THE BOARD OR ANY COMMITTEE; C. ADOPT, AMEND OR REPEAL BYLAWS; D. AMEND OR REPEAL ANY RESOLUTION OF THE BOARD WHICH BY ITS EXPRESS TERMS CANNOT BE AMENDED OR REPEALED BY THE EXECUTIVE COMMITTEE; E. APPOINT COMMITTEES OF THE BOARD OR APPOINT THE MEMBERS THEREOF; OR F. APPROVE ANY ASPECT OF A TRANSACTION INVOLVING THE COMPANY WHEN A DIRECTOR HAS A MATERIAL FINANCIAL INTEREST IN THAT TRANSACTION, EXCEPT AS EXPRESSLY PROVIDED BY THE LAW. Form 990, Part VI, Line 2 - Family or Business Relationships - Board member Eugene Washington, MD and Richard Shannon, MD have a business relationship. Board member Jeff Epstein and Jenny Ming have a business relationship. FORM 990, PART VI, LINE 6 KAISER FOUNDATION HEALTH PLAN, INC. IS THE SOLE MEMBER. FORM 990, PART VI, LINE 7A - APPOINTMENT OF GOVERNING BODY - KAISER FOUNDATION HEALTH PLAN, INC. APPOINTS THE DIRECTORS (AND FILLS VACANCIES AND HAS AUTHORITY TO REMOVE DIRECTORS). THE SAME INDIVIDUALS WHO COMPRISE THE BOARD OF DIRECTORS OF KFHP ALSO SERVE AS THE DIRECTORS OF KFHP COLORADO, NORTHWEST, MID-ATLANTIC STATES, AND KFHPW HOLDINGS. FORM 990, PART VI, LINE 7B - APPROVAL OF CERTAIN GOVERNANCE DECISIONS - THE FOLLOWING ACTIONS OF THE CORPORATION ARE RESERVED TO OR REQUIRE APPROVAL OF THE SOLE MEMBER: A) CHANGE IN MEMBERSHIP; B) REMOVAL OF THE CHAIRMAN OF THE BOARD OR THE PRESIDENT, THE GROUP PRESIDENT OR REGIONAL PRESIDENT; C) AMENDMENTS TO ARTICLES C (MEMBER), D (DIRECTORS) AND H (AMENDMENT AND EFFECT OF BYLAWS) OF THE BYLAWS MAY BE AMENDED ONLY BY THE MEMBER; D) AMENDMENT OF THE ARTICLES OF INCORPORATION. Form 990, Part VI, Line 11B - FORM 990 REVIEW PROCESS - 1. KEY INFORMATION NECESSARY FOR THE PREPARATION OF THE TAX RETURN IS OBTAINED AND/OR CONFIRMED WITH INTERNAL SOURCES INCLUDING REGIONAL FINANCE, EXECUTIVE COMPENSATION, COMMUNITY HEALTH DEPARTMENT, TREASURY, GOVERNMENT RELATIONS, AND LEGAL. 2. PRIOR TO FINALIZATION, THE RETURN IS REVIEWED BY AN EXTERNAL TAX ADVISOR. 3. ONCE SIGNED BY AN EXTERNAL TAX ADVISOR, THE RETURN AND UNDERLYING DATA ARE REVIEWED BY AN OFFICER OR A MEMBER OF MANAGEMENT DESIGNATED BY AN OFFICER FOR SIGNATURE AND FILING. 4. COPIES ARE THEN PROVIDED TO BOARD MEMBERS PRIOR TO FILING. Form 990, Part VI, Line 12C Ethics and Compliance Ongoing Monitoring and Enforcement Activities Kaiser Permanente regularly and consistently monitors and enforces compliance with the Conflicts of Interest policy in the following ways: Reporting Conflicts of Interest Concerns - The Kaiser Permanente Ethics and Compliance Hotline or Webline is available to all employees, vendors, contractors, and agents to anonymously report actual or perceived conflicts of interest. The Hotline is managed by a third party; however, reported conflicts of interest allegations are provided to Ethics and Compliance for investigation, and if required, corrective actions are taken to address the conflict of interest. Employees are prohibited from retaliating against or intimidating anyone who reports concerns in good faith or refuse to participate in wrongdoing. Annual Disclosure Process - Annually, Directors, Officers, Key Employees, Executives, and other employees in roles with elevated risk (e.g., research investigator, managers and supervisors with funds disbursement authority, or sales consultants) are required to complete a Conflicts of Interest Disclosure form. Responses are reviewed by Ethics and Compliance, Board Services, and / or the Governance, Accountability and Nominating Committee of the Kaiser Foundation Health Plan/Hospital Board of Directors. When actions are required, they are addressed in accordance with policies and written standards. Conflicts of interest responses and actions are maintained in our system of record for tracking and reporting purposes. Ongoing Disclosure Process - In addition to the annual disclosure process and in accordance with the Conflicts of Interest policy, on an ongoing basis Ethics and Compliance receives, consults, and reports on conflicts of interest matters. External Audit Review of Disclosures - Annually, as a part of the Kaiser Permanente external audit, an outside certified public accounting firm reviews the conflicts of interest disclosure process and actions taken for Directors, Officers, Key Employees, and Executives. The results, inclusive of any findings, are presented to the Kaiser Foundation Health Plan/ Hospital Audit and Compliance Committee of the Board of Directors. Awareness and Enforcement - Kaiser Permanente adheres to the following general awareness and enforcement guidelines: - Interactive conflicts of interest scenarios, and the Conflicts of Interest and Corrective or Disciplinary Action policies are provided and reviewed as part of the general annual ethics and compliance training, and compliance training for new employees. - Employees who complete the training are provided learning boosters which occur 2 days, 2 weeks, and 2 months after the course to help retain and apply learning. - The Conflicts of Interest Policy is reviewed and attested to by those selected to complete the annual disclosure form. - Conflict of interest topics (e.g., how to disclose conflict of interest situations, examples of conflicts of interest, etc.) are included in annual Ethics and Compliance week's activities. - Road shows are conducted throughout the year to educate employees in elevated risk departments, such as Community Health, on conflicts of interest situations. - Represented employees are subject to corrective or disciplinary action provisions outlined in the regional or national collective bargaining agreements and applicable policies. In the event disciplinary action is required due to failure to comply with applicable legal and regulatory requirements, Kaiser Permanente policies and procedures, the Code of Conduct (Principles of Responsibility), unsatisfactory performance, or misconduct disciplinary action includes, but is not limited to: * verbal discussion, coaching, and/or warning by the employee's immediate; supervisor or higher-level manager to correct the problem; * written notice, with or without final warning; * suspension, with or without final warning; or * termination of employment Form 990, Part VI, Line 15A/B COMPENSATION DETERMINATION THE EXECUTIVE COMPENSATION PROGRAM AS ADMINISTERED BY KAISER FOUNDATION HEALTH PLAN, INC. IS DESIGNED TO RECRUIT, RETAIN AND MOTIVATE QUALIFIED SENIOR MANAGEMENT PERSONNEL. SENIOR MANAGEMENT PERSONNEL HAVE A SIGNIFICANT IMPACT ON THE STRATEGIC AND POLICY DIRECTION AND RESULTS OF THE ORGANIZATION. THEREFORE, THE EXECUTIVE COMPENSATION PROGRAM IS, TO A SIGNIFICANT DEGREE, PERFORMANCE-BASED. THE COMPENSATION PROGRAM IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE MANAGEMENT COMMITTEE ON COMPENSATION. PRIOR TO PAYMENT, ALL PROGRAMS AND PAYMENTS TO THE CEO, EXECUTIVE DIRECTOR, AND TOP MANAGEMENT OFFICIALS (EXECUTIVES) ARE REVIEWED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE MANAGEMENT COMMITTEE ON COMPENSATION. BASE PAY FOR EXECUTIVE POSITIONS IS ESTABLISHED AT A LEVEL COMPARABLE TO THE RELEVANT MARKET. IN ADDITION, OTHER COMPONENTS OF THE COMPENSATION PROGRAM BEAR 'AT-RISK' FEATURES DESIGNED TO FOCUS ON STRATEGICALLY IMPORTANT PERFORMANCE GOALS AND TO ASSIST IN ATTRACTING AND RETAINING TOP PERFORMERS. THE EXECUTIVE COMPENSATION PROGRAM IS TARGETED TO BE COMPETITIVE TO THE COMPARABLE EXTERNAL MARKET IN WHICH THE ORGANIZATION COMPETES FOR EXECUTIVE LEADERSHIP. EVALUATION OF COMPARABLE PAY DATA IS PERFORMED BY AN INDEPENDENT COMPENSATION, BENEFITS & HUMAN RESOURCES CONSULTING FIRM. THE COMPENSATION PROGRAM FOCUSES ON OBJECTIVES IN THE AREAS OF QUALITY OF MEMBER CARE AND SERVICE, MEMBERSHIP GROWTH, FINANCIAL SOUNDNESS, AND THE COMMUNITY AND SOCIAL MISSION OF THE ORGANIZATION. Form 990, Part VI, Line 18 TO REQUEST COPIES CONTACT: NATIONAL COMMUNICATIONS - RM OPERATIONS KAISER FOUNDATION HEALTH PLAN AND HOSPITALS ONE KAISER PLAZA, 22ND FLOOR OAKLAND, CA 94612 Form 990, Part VI, Line 19 These documents are made available when regulatorily required. Form 990, Part VII, Section A, Column B HOURS FOR RELATED ORGANIZATIONS INDIVIDUALS WHO ARE BOTH OFFICERS AND MEMBERS OF BOARDS OF DIRECTORS WORK FULL TIME AS EMPLOYEES AS WELL AS FULFILL THEIR BOARD ASSIGNMENT. ALL OFFICERS WORK FULL TIME IN THEIR EMPLOYEE CAPACITY. FULL TIME WORK MAY REQUIRE IN EXCESS OF THE TRADITIONAL 40 HOUR WEEK. GIVEN THE INTEGRATED NATURE OF OUR ORGANIZATION, EMPLOYEES MAY PROVIDE SUPPORT FOR VARIOUS KAISER PERMANENTE COMPANIES. THE AVERAGE HOURS PER WEEK REPORTED FOR THE FILING ORGANIZATION AND RELATED ORGANIZATIONS WAS ESTIMATED. Form 990, Part XI, Line 9 - Other changes in net assets or fund balances - CHANGE IN PENSION AND OTHER RETIREMENT LIABILITIES $ (145,418,055) OTHER THAN TEMPORARY IMPAIRMENTS (10,692,245) GAIN/LOSS ON SALE OF INVESTMENTS - BOOK 369,655 GAIN/LOSS ON SALE OF INVESTMENTS - TAX 8,985,205 --------------- TOTAL $ (146,755,440) KAISER MANAGEMENT SERVICES LLC ONE KAISER PLAZA - 26TH FLOOR OAKLAND CA 94612 823908916 HEALTH CARE MD 1977276938 233010257 NA Kaiser Foundation Hospitals One Kaiser Plaza 26th Floor Oakland CA 94612 941105628 Health Care CA 501(c)(3) 3 NA true Kaiser Foundation Health Plan Inc One Kaiser Plaza 26th Floor Oakland CA 94612 941340523 Health Care CA 501(c)(3) 10 NA false Kaiser Foundation Health Plan of CO One Kaiser Plaza 26th Floor Oakland CA 94612 840591617 Health Care CO 501(c)(3) 10 KFHP Inc true Kaiser Foundation Health Plan of GA Inc One Kaiser Plaza 26th Floor Oakland CA 94612 581592076 Health Care GA 501(c)(3) 10 KFHP Inc true Kaiser Foundation Health Plan of the NW One Kaiser Plaza 26th Floor Oakland CA 94612 930798039 Health Care OR 501(c)(3) 10 KFHP Inc true Kaiser Fdn Health Plan of Washington One Kaiser Plaza 26th Floor Oakland CA 94612 910511770 Health Care WA 501(c)(3) 3 KFHPW Hldng true Kaiser Hospital Asset Management Inc One Kaiser Plaza 26th Floor Oakland CA 94612 943299125 Asset Mgmt CA 501(c)(3) 12-I KFH true Kaiser Health Plan Asset Management Inc One Kaiser Plaza 26th Floor Oakland CA 94612 943299124 Asset Mgmt CA 501(c)(3) 12-I KFHP Inc true Camp Bowie Service Center One Kaiser Plaza 26th Floor Oakland CA 94612 943299123 Admin CA 501(c)(3) 12-I KFHP Inc true Lokahi Assurance LTD One Kaiser Plaza 26th Floor Oakland CA 94612 912171891 WC Placement HI 501(c)(3) 12-I KFHP Inc true 1800 Harrison Foundation One Kaiser Plaza 26th Floor Oakland CA 94612 943317484 Financing CA 501(c)(3) 12-I KFHP Inc true Kaiser Hospital Assistance Corporation One Kaiser Plaza 26th Floor Oakland CA 94612 311779500 Financing CA 501(c)(3) 12-I KFH true Kaiser Health Alternatives One Kaiser Plaza 26th Floor Oakland CA 94612 930954562 Health Care OR 501(c)(3) 10 KFHP Inc true KP Bernard J Tyson School of Medicine One Kaiser Plaza 26th Floor Oakland CA 94612 814053028 Medical Edu. CA 501(c)(3) 2 KFH true KFHPW Holdings One Kaiser Plaza 26th Floor Oakland CA 94612 930480268 Health Care WA 501(c)(3) 12-I KFHP Inc true Group Health Northwest One Kaiser Plaza 26th Floor Oakland CA 94612 911216856 Inactive WA 501(c)(3) 12-I KFHP of WA true Kaiser Fdn For The Adv of Integrated HC One Kaiser Plaza 26th Floor Oakland CA 94612 823819611 Advocacy CA 501(c)(4) N/A KFHP Inc true Kaiser Foundation Health Plan of NV Inc One Kaiser Plaza 26th Floor Oakland CA 94612 372097870 Health Care DE 501(c)(4) N/A KFHP Inc true KP Medical Foundation One Kaiser Plaza 26th Floor Oakland CA 94612 920685740 Health Care DE 501(c)(3) 12-I KFHP Inc true KFH Holdings Inc One Kaiser Plaza 26th Floor Oakland CA 94612 884172095 Holding Co DE 501(c)(3) 12-I KFH true Risant Health Inc One Kaiser Plaza 26th Floor Oakland CA 94612 923467590 Health Care DE 501(c)(3) 12-I NA true NXT CAP SR FD I LLC 191 N Wacker Dr 1200 Chicago IL 60606 371651297 Investment DE NA N/A 0 0 0 0.00000 Maui Nui ASC Holdco LLC 1 Kaiser Pl 26th Fl Oakland CA 94612 Holding Co HI NA N/A 0 0 0 0.00000 Oak Tree Assurance Ltd One Kaiser Plaza 26th Floor Oakland CA 94612 030329760 Insurance VT NA C Corp 0 0 true Kaiser Permanente Insurance Company One Kaiser Plaza 26th Floor Oakland CA 94612 943203402 Insurance CA NA C Corp 0 0 true Kaiser Permanente International One Kaiser Plaza 26th Floor Oakland CA 94612 943245176 Consulting CA NA C Corp 0 0 true KFHP of Washington Options Inc One Kaiser Plaza 26th Floor Oakland CA 94612 911467158 Insurance WA NA C Corp 0 0 true Group Health of Washington One Kaiser Plaza 26th Floor Oakland CA 94612 911314907 Inactive WA NA C Corp 0 0 true Garfield Health Solutions East Pte Ltd Level 10 Tower C Panchshil Busine Balewadi Pune IN 411045 Admin IN NA C Corp 0 0 true Garfield Health Solutions West SRL Ultrapark II Free trade Zone Bld4 Lagunilla Heredia CS Admin CS NA C CORP 0 0 true false false false false true false false false false false false true true true true true true true true KAISER FOUNDATION HEALTH PLAN INC L 99225344 PER AGREEMENT KAISER FOUNDATION HEALTH PLAN INC M 299140816 PER AGREEMENT KAISER FOUNDATION HEALTH PLAN INC P 580288460 PER AGREEMENT KAISER FOUNDATION HEALTH PLAN INC Q 84774027 PER AGREEMENT KAISER FOUNDATION HEALTH PLAN INC R 78349996 PER AGREEMENT KAISER FOUNDATION HEALTH PLAN INC S 194069410 PER AGREEMENT KAISER FOUNDATION HOSPITALS L 180241 PER AGREEMENT KAISER FOUNDATION HOSPITALS M 125182115 PER AGREEMENT KAISER FOUNDATION HOSPITALS P 144566385 PER AGREEMENT KAISER FOUNDATION HOSPITALS Q 23193496 PER AGREEMENT KAISER FOUNDATION HOSPITALS S 229956 PER AGREEMENT KAISER FDN HEALTH PLAN OF COLORADO L 1003777 PER AGREEMENT KAISER FDN HEALTH PLAN OF COLORADO M 189287 PER AGREEMENT KAISER FDN HEALTH PLAN OF COLORADO P 174520 PER AGREEMENT KAISER FDN HEALTH PLAN OF COLORADO Q 80206 PER AGREEMENT KAISER FDN HEALTH PLAN OF GEORGIA INC L 698987 PER AGREEMENT KAISER FDN HEALTH PLAN OF GEORGIA INC M 887148 PER AGREEMENT KAISER FDN HEALTH PLAN OF GEORGIA INC P 3711185 PER AGREEMENT KAISER FDN HEALTH PLAN OF THE NORTHWEST L 1121990 PER AGREEMENT KAISER FDN HEALTH PLAN OF THE NORTHWEST M 428351 PER AGREEMENT KAISER FDN HEALTH PLAN OF THE NORTHWEST P 1019161 PER AGREEMENT KAISER FDN HEALTH PLAN OF THE NORTHWEST Q 364099 PER AGREEMENT CAMP BOWIE SERVICE CENTER M 561599 PER AGREEMENT CAMP BOWIE SERVICE CENTER P 87607625 PER AGREEMENT CAMP BOWIE SERVICE CENTER Q 48532345 PER AGREEMENT KAISER PERMANENTE INSURANCE COMPANY L 9128114 PER AGREEMENT KAISER PERMANENTE INSURANCE COMPANY M 24422574 PER AGREEMENT KAISER PERMANENTE INSURANCE COMPANY Q 5835301 PER AGREEMENT LOKAHI ASSURANCE LTD L 15645626 PER AGREEMENT LOKAHI ASSURANCE LTD M 44747750 PER AGREEMENT LOKAHI ASSURANCE LTD Q 11148447 PER AGREEMENT LOKAHI ASSURANCE LTD R 581924 PER AGREEMENT OAK TREE ASSURANCE LTD L 242755 PER AGREEMENT OAK TREE ASSURANCE LTD M 242755 PER AGREEMENT