Kaiser Foundation Health Plan Of The Mid Atlantic States Inc in Portland, Oregon (OR)

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Kaiser Foundation Health Plan Of The Mid Atlantic States Inc
Employer Identification Number (EIN)520954463
Name of OrganizationKaiser Foundation Health Plan Of The Mid Atlantic States Inc
In Care of NameVp - Tax Services
Address2701 Nw Vaughn St Ste 490, Portland, OR 97210-5358
ActivitiesHealth clinic
SubsectionCharitable Organization
Ruling Date06/1981
DeductibilityContributions are deductible
FoundationHospital or medical research organization
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period12/2013
Assets$50,000,000 to greater
Income$50,000,000 to greater
Filing Requirement990 (all other) or 990EZ return
Asset Amount$1,201,017,659
Amount of Income$2,697,627,645
Form 990 Revenue Amount$2,511,753,631
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Group Health Practice (Health Maintenance Organizations)


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Amount of income in 2013: $2,697,627,645
This organization: 

 $2,697,627,645
Other organizations performing similar types of work: 

 $164,342,401

Assets in 2013: $1,201,017,659
Kaiser Foundation Health Plan Of The Mid Atlantic States Inc: 

 $1,201,017,659
Other organizations performing similar types of work: 

 $42,287,125

Expenses in 2013: $2,525,481,455
Kaiser Foundation Health Plan Of The Mid Atlantic States Inc: 

 $2,525,481,455
Other organizations performing similar types of work: 

 $162,179,470

Income to expenses ratio in 2013: 1.1
This organization: 

 1.1
Other organizations performing similar types of work: 

 1.1

Expenses allocated to program services in 2007: 92.6%
Kaiser Foundation Health Plan Of The Mid Atlantic States Inc: 

 92.6%
Other organizations performing similar types of work: 

 91.9%

Number of employees in 2013: 6,754
Kaiser Foundation Health Plan Of The Mid Atlantic States Inc: 

 6,754
Other organizations performing similar types of work: 

 93

Employees paid over $100,000 in 2013: 19.7%
Kaiser Foundation Health Plan Of The Mid Atlantic States Inc: 

 19.7%
Other organizations performing similar types of work: 

 0.0%

Grants share in income in 2013: 0.0%
This organization: 

 0.0%
Other organizations performing similar types of work: 

 0.0%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

Support schedule

Checklist
20122013
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?NoYes
Is the organization required to complete Schedule B, Schedule of Contributors?YesYes
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?NoNo
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?NoYes
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?NoNo
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?NoNo
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?NoNo
Did the organization maintain collections of works of art, historical treasures, or other similar assets?NoNo
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?NoNo
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?NoNo
Did the organization report an amount for land, buildings, and equipment?YesYes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?NoNo
Did the organization report an amount for investments-program related that is 5% or more of its total assets?NoNo
Did the organization report an amount for other assets that is 5% or more of its total assets?NoNo
Did the organization report an amount for other liabilities?YesYes
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?NoNo
Did the organization obtain separate, independent audited financial statements for the tax year?YesYes
Was the organization included in consolidated, independent audited financial statements for the tax year?YesYes
Is the organization a school described in section 170(b)(1)(A)(ii)?NoNo
Did the organization maintain an office, employees, or agents outside of the United States?NoNo
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?NoNo
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?NoNo
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?NoNo
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?NoNo
Did the organization report more than $15,000 total of fundraising event gross income and contributions?NoNo
Did the organization report more than $15,000 of gross income from gaming activities?NoNo
Did the organization operate one or more hospital facilities?NoNo
Did the organization attach a copy of its audited financial statements?NoNo
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?YesYes
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?NoNo
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?YesYes
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?NoNo
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?NoNo
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?NoNo
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?NoNo
Did the organization engage in an excess benefit transaction with a disqualified person during the year?NoNo
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?NoNo
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?NoNo
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?NoNo
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?NoNo
A family member of a current or former officer, director, trustee, or key employee?NoNo
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?NoNo
Did the organization receive more than $25,000 in non-cash contributions?NoNo
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?NoNo
Did the organization liquidate, terminate, or dissolve and cease operations?NoNo
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?NoNo
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?NoNo
Was the organization related to any tax-exempt or taxable entity?YesYes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?YesYes
Did the organization make any transfers to an exempt non-charitable related organization?NoNo
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?NoNo
Statements Regarding Other IRS Filings and Tax Compliance
201120122013
The number reported in Box 3 of Form 10964,8203,783
The number of Forms W-2G00
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?YesYes
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return6,5366,754
Did the organization file all required federal employment tax returns?YesYes
Did the organization have unrelated business gross income of $1,000 or more during the year?YesYesYes
Has it filed a Form 990-T for this year?YesYes
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?NoNo
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?NoNo
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?NoNo
Did the organization file Form 8886-T?NoNo
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?NoNo
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?NoNo
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?NoNo
Did the organization notify the donor of the value of the goods or services provided?NoNo
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?NoNo
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?NoNo
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?NoNo
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?NoNo
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?NoNo
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?NoNo
Did the sponsoring organization make any taxable distributions under section 4966?NoNo
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?NoNo
Initiation fees and capital contributions$0$0$0
Gross receipts for public use of club facilities $0$0$0
Gross income from members or shareholders$0$0$0
Gross income from other sources$0$0$0
Is the organization filing Form 990 in lieu of Form 1041?NoNo
The amount of tax-exempt interest received or accrued during the year$0$0
Is the organization licensed to issue qualified health plans in more than one state?NoNo
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans$0$0
The amount of reserves on hand$0$0
Did the organization receive any payments for indoor tanning services during the tax year?NoNo
Has it filed a Form 720 to report these payments?NoNo
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
20122013
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization$0$0
Total reportable compensation from related organizations$35,437,175$35,043,105
Total estimated amount of other compensation from the organization and related organizations$3,825,577$2,198,635
Total number of individuals who received more than $100,000 of reportable compensation from the organization8641,037
Total number of independent contractors who received more than $100,000 of compensation from the organization394291
Statement of Revenue
201120122013
Total revenue$2,280,542,116$2,396,252,586$2,511,753,631
Contributions, Gifts, Grants and Other Similar Amounts$16,275$344,247$22,290
Program Service Revenue$2,272,514,533$2,388,129,639$2,508,202,069
621400$1,983,070,458$2,056,130,993
621400$102,395,601$107,487,789
621400$3,960,347$1,486,724
621400$19,642,220$24,803,241
621400$279,061,013$318,293,322
All other program service revenue$0$0
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$5,842,449$5,911,574$3,233,408
Income from investment of tax-exempt bond proceeds$0$0$0
Royalties$0$0$0
Net rental income$0$831,446$159,136
Gross rents (Real / Personal)$0 / $0$831,446 / $0$159,136 / $0
Less: rental expenses (Real / Personal)$0 / $0$0 / $0$0 / $0
Rental income or (loss) (Real / Personal)$0 / $0$831,446 / $0$159,136 / $0
Net gain/loss from sales of assets other than inventory$1,580,890$1,035,680$136,728
Gross amount from sales of assets other than inventory (Securities / Other)$212,144,567 / $31,190$223,451,964 / $6,725$185,577,703 / $433,039
Less: cost or other basis and sales expenses (Securities / Other)$210,468,620 / $126,247$222,174,225 / $248,784$184,725,802 / $1,148,212
Gain or (loss) (Securities / Other)$1,675,947 / $-95,057$1,277,739 / $-242,059$851,901 / $-715,173
Net income/loss from fundraising events$0$0$0
Net income/loss from gaming activities$0$0$0
Net income/loss from sales of inventory$0$0$0
Miscellaneous Revenue$587,969$0$0
Statement of Functional Expenses
201120122013
Total functional expenses$2,334,233,360$2,416,979,360$2,525,481,455
Grants and other assistance to domestic organizations and domestic governments$1,926,096$3,004,612
Grants and other assistance to domestic individuals$0$0
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals$0$0
Benefits paid to or for members$0$0
Compensation of current officers, directors, trustees, and key employees$51,500$0$0
Compensation not included above, to disqualified persons$0$0
Other salaries and wages$362,360,620$398,099,193$416,943,631
Pension plan accruals and contributions$59,213,443$74,834,146
Other employee benefits$79,702,014$87,656,917
Payroll taxes$27,303,693$29,554,145$26,452,804
Fees for services (non-employees)
Management$0$0
Legal$2,029,332$1,137,729
Accounting$1,203,384$1,303,234
Lobbying$618,518$0
Professional fundraising services$0$0$0
Investment management fees$153,418$171,712
Other$0$0
Advertising and promotion$9,978,364$10,458,794
Office expenses$8,686,103$9,199,425
Information technology$139,501,851$143,283,692
Royalties$0$0
Occupancy$49,967,377$43,821,144
Travel$2,441,956$2,669,044
Payments of travel or entertainment expenses for any federal, state, or local public officials$0$0
Conferences, conventions, and meetings$1,234,366$1,310,618
Interest$8,664,884$10,241,409
Payments to affiliates$0$0
Depreciation, depletion, and amortization$53,106,381$69,733,875
Insurance$22,728,904$23,484,374
Other expenses$704,152,133$782,330,902
Other expenses$314,482,462$249,202,558
Other expenses$329,471,817$338,059,618
Other expenses$91,012,168$98,068,525
Other expenses$109,051,051$132,112,692
Balance Sheet
201120122013
Total assets$985,638,340$1,184,225,388$1,201,017,659
Cash - non-interest-bearing$8,391,431$0
Savings and temporary cash investments$0$7,741,713
Pledges and grants receivable, net$0$0
Accounts receivable, net$101,127,836$118,200,294
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees$0$0
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations$0$0
Notes and loans receivable, net$0$0
Inventories for sale or use$25,010,224$28,564,152
Prepaid expenses and deferred charges$6,539,876$4,956,742
Land, buildings, and equipment: cost or other basis$759,198,329$796,012,863
Investments - publicly traded securities$280,946,152$242,251,370
Investments - other securities$0$0
Investments - program-related$0$0
Intangible assets$0$0
Other assets$3,011,540$3,290,525
Total liabilities$1,007,449,179$1,298,675,195$1,221,895,918
Accounts payable and accrued expenses$246,820,670$178,462,284
Grants payable$0$0
Deferred revenue$12,711,369$4,423,563
Tax-exempt bond liabilities$12,913,877$12,888,484$12,863,090
Escrow or custodial account liability$0$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons$0$0
Secured mortgages and notes payable to unrelated third parties$0$0$0
Unsecured notes and loans payable to unrelated third parties$0$0$0
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)$1,026,254,672$1,026,146,981
Total net assets or fund balances$-21,810,839$-114,449,807$-20,878,259
Unrestricted net assets$0$0
Temporarily restricted net assets$0$0
Permanently restricted net assets$0$0
Capital stock or trust principal, or current funds$6,795,610$8,301,762
Paid-in or capital surplus, or land, building, or equipment fund$0$0
Retained earnings, endowment, accumulated income, or other funds$-28,606,449$-121,245,417$-29,180,021
Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:An organization that normally receives: (1) more than 33 1/3 % of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3 % of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975
Number of organizations supported0
Sum of amounts of support$0
Support Schedule for Organizations Described in Section 509(a)(2) (for 2009 - 2013)
2009 - 2013 Total
Public support$11,408,865,634
Subtotal$11,408,865,634
Gifts, grants, contributions, and membership fees received$383,812
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose$11,408,481,822
Gross receipts from activities that are not an unrelated trade or business under section 513$0
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf$0
The value of services or facilities furnished by a governmental unit to the organization without charge$0
Less$0
Amounts received from disqualified persons$0
Amounts received from other than disqualified persons that exceed the greater of $5,000 or 1% of the total support$0
Total support$11,450,407,061
Public support$11,408,865,634
Subtotal$41,541,427
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources$41,541,427
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975$0
Net income from unrelated business activities, whether or not the business is regularly carried on$0
Other income$0
Revenue, Expenses, and Changes in Net Assets or Fund Balances
20002001200220032004200520062007
Total revenue$1,233,877,352$1,328,698,302$1,377,918,208$1,406,429,595$1,566,716,580$1,693,826,868$1,843,922,639$1,955,184,402
Contributions, gifts, grants, and similar amounts received$0$0$0$0$0$0$0$0
Contributions to donor advised funds$0$0
Direct public support$0$0$0$0$0$0$0$0
Indirect public support$0$0$0$0$0$0$0$0
Government contributions (grants)$0$0$0$0$0$0$0$0
Program service revenue including government fees and contracts$1,220,191,635$1,316,944,795$1,367,755,991$1,397,688,401$1,560,382,812$1,688,799,384$1,833,460,358$1,939,546,503
Membership dues and assessments$0$0$0$0$0$0$0$0
Interest on savings and temporary cash investments$0$0$0$0$0$4,363,091$7,783,552$8,914,757
Dividends and interest from securities$5,552,241$2,496,585$1,758,525$1,099,804$4,679,600$0$0$0
Net rental income or (loss)$0$0$0$2,203,046$246,117$268,600$196,349$117,325
Gross rents$0$0$0$2,203,046$246,117$268,600$196,349$117,325
Less: rental expenses$0$0$0$0$0$0$0$0
Other investment income$8,127,417$9,214,415$8,382,461$5,677,657$962,162$0$0$0
Gain or (loss) from sales of assets other than inventory$6,059$42,507$21,231$-239,313$445,889$-1,613,989$54,402$-425,955
Gross amount from sales of assets other than inventory$14,142$54,444$21,231$88,266$184,387,321$199,246,285$238,264,305$272,596,479
Less: cost or other basis and sales expenses$8,083$11,937$0$327,579$183,941,432$200,860,274$238,209,903$273,022,434
Net income or (loss) from special events and activities$0$0$0$0$0$0$0$0
Gross revenue$0$0$0$0$0$0$0$0
Less: direct expenses other than fundraising expenses$0$0$0$0$0$0$0$0
Gross profit or (loss) from sales of inventory$0$0$0$0$0$0$0$0
Gross sales of inventory, less returns and allowances$0$0$0$0$0$0$0$0
Less: cost of goods sold$0$0$0$0$0$0$0$0
Other revenue$0$0$0$0$0$2,009,782$2,427,978$7,031,772
Total expenses$1,262,277,557$1,343,277,708$1,397,421,018$1,408,041,743$1,544,582,899$1,670,731,721$1,813,844,346$1,900,498,386
Program services$1,120,745,663$1,219,336,619$1,323,388,867$1,330,216,603$1,441,311,387$1,544,777,983$1,676,094,566$1,759,118,599
Management and general$141,531,894$123,941,089$74,032,151$77,825,140$103,271,512$125,953,738$137,749,780$141,379,787
Fundraising$0$0$0$0$0$0$0$0
Payments to affiliates$0$0$0$0$0$0$0$0
Net assets or fund balances at end of year$183,963,692$170,583,505$126,094,705$149,318,190$169,289,912$191,018,408$180,142,864$256,295,219
Excess or (deficit) for the year$-28,400,205$-14,579,406$-19,502,810$-1,612,148$22,133,681$23,095,147$30,078,293$54,686,016
Net assets or fund balances at beginning of year$211,977,190$183,963,692$170,583,505$126,094,705$149,318,190$169,289,912$191,018,408$180,142,864
Other changes in net assets or fund balances$386,707$1,199,219$-24,985,990$24,835,633$-2,161,959$-1,366,651$-40,953,837$21,466,339
Statement of Functional Expenses (for 2007)
TotalProgram servicesManagement and generalFundraising
Total functional expenses$1,900,498,386$1,759,118,599$141,379,787$0
Grants paid from donor advised funds$0
Other grants and allocations$2,018,159
Specific assistance to individuals$0
Benefits paid to or for members$0
Compensation of current officers, directors, key employees, etc.$84,100$0$84,100$0
Compensation of former officers, directors, key employees, etc.$0$0$0$0
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0$0$0
Salaries and wages of employees not included above$277,788,654$245,025,947$32,762,707$0
Pension plan contributions not included above$28,344,534$26,739,767$1,604,767$0
Employee benefits not included above$50,651,977$45,024,327$5,627,650$0
Payroll taxes$18,985,868$16,665,127$2,320,741$0
Professional fundraising fees$0$0$0$0
Accounting fees$782,314$0$782,314$0
Legal fees$1,158,243$0$1,158,243$0
Supplies$262,935,579$250,244,746$12,690,833$0
Telephone$1,537,619$546,690$990,929$0
Postage and shipping$5,777,462$4,239,169$1,538,293$0
Occupancy$31,071,403$31,071,403$0$0
Equipment rental and maintenance$6,851,104$6,845,871$5,233$0
Printing and publications$5,075,508$2,486,178$2,589,330$0
Travel$2,261,019$1,803,665$457,354$0
Conferences, conventions, and meetings$1,422,548$0$1,422,548$0
Interest$3,705,945$3,705,945$0$0
Depreciation, depletion, etc.$26,940,134$26,940,134$0$0
Other expenses not covered above$1,173,106,216$1,095,761,471$77,344,745$0
Balance Sheets
20002001200220032004200520062007
Total assets$502,529,466$490,393,000$481,069,465$499,062,781$523,938,448$499,351,245$507,817,752$611,750,489
Cash - non-interest-bearing$262,000$17,000$4,480,385$4,027,807$2,421,946$6,842,194$5,348,604$8,019,489
Savings and temporary cash investments$0$0$3,657,042$0$0$169,325,056$176,988,552$265,203,908
Accounts receivable less allowance for doubtful accounts$67,172,397$71,897,777$53,810,296$54,457,870$56,179,678$61,339,368$68,430,377$66,847,241
Pledges receivable less allowance for doubtful accounts$0$0$0$0$0$0$0$0
Grants receivable$0$0$0$0$0$0$0$0
Receivables from current and former officers, directors, trustees, and key employees$0$0$0$0$0$0$0$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0
Other notes and loans receivable less allowance for doubtful accounts$0$0$0$0$0$0$0$0
Inventories for sale or use$24,639,363$19,958,457$28,271,495$24,584,027$26,400,920$24,837,014$26,596,024$22,009,078
Prepaid expenses and deferred charges$2,630,235$3,262,658$2,474,863$29,564,570$29,246,724$24,776,429$2,476,532$3,957,486
Investments - publicly-traded securities$1,786,956$0
Investments - other securities$138,652,264$0$0$163,526,305$167,015,991$801,467$0$0
Investments - land, buildings, and equipment less accumulated depreciation$0$0$0$3,657,042$3,657,042$0$0$0
Investments - other$0$148,795,186$156,861,596$0$0$0$0$0
Land, buildings, and equipment less accumulated depreciation$236,903,098$233,161,634$223,814,633$213,838,073$213,030,326$210,670,358$224,595,707$215,352,958
Other assets, including program-related investments$32,270,109$13,300,288$7,699,155$5,407,087$25,985,821$759,359$1,595,000$30,360,329
Total liabilities$318,565,774$319,809,495$354,974,760$349,744,591$354,648,536$308,332,837$327,674,888$355,455,270
Accounts payable and accrued expenses$163,637,480$186,069,346$126,916,086$156,432,005$134,971,864$147,540,289$141,391,922$197,265,466
Grants payable$0$0$0$0$0$0$0$0
Deferred revenue$20,126,381$17,324,008$13,866,320$13,815,574$14,410,497$3,115,181$2,180,820$4,167,473
Loans from officers, directors, trustees, and key employees$0$0$0$0$0$0$0$0
Tax-exempt bond liabilities$13,193,206$13,167,812$13,142,418$13,117,025$13,091,632$0$13,040,845$13,015,451
Mortgages and other notes payable$10,700,000$10,700,000$0$0$0$0$0$0
Other liabilities$110,908,707$92,548,329$201,049,936$166,379,987$192,174,543$157,677,367$171,061,301$141,006,880
Total liabilities and net assets/fund balances$502,529,466$490,393,000$481,069,465$499,062,781$523,938,448$499,351,245$507,817,752$611,750,489
Total net assets or fund balances$183,963,692$170,583,505$126,094,705$149,318,190$169,289,912$191,018,408$180,142,864$256,295,219
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
20002001200220032004200520062007
Total revenue$1,233,877,352$1,328,698,302$0$0$1,566,716,580$1,693,826,868$1,843,922,639$1,955,184,402
Total revenue, gains, and other support per audited financial statements$1,205,966,000$1,275,172,000$0$0$1,568,452,000$1,691,649,419$1,836,422,751$1,966,109,181
Other expenses$527,624$0$0$0$5,492,081$-2,182,217$-7,518,362$10,894,338
Net unrealized gains on investments$386,000$0$0$0$0$-935,917$0$3,118,608
Donated services and use of facilities$0$0$0$0$0$0$0$0
Recoveries of prior year grants$0$0$0$0$0$0$0$0
Other$141,624$0$0$0$5,492,081$-1,246,300$-7,518,362$7,775,730
Other revenue$28,438,976$53,526,302$0$0$3,756,661$-4,768$-18,474$-30,441
Investment expenses$0$0$0$0$0$0$0$0
Other$28,438,976$53,526,302$0$0$3,756,661$-4,768$-18,474$-30,441
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
20002001200220032004200520062007
Total expenses$1,262,277,557$1,343,277,708$0$0$1,544,582,899$1,670,731,721$1,813,844,346$1,900,498,386
Total expenses and losses per audited financial statements$1,233,980,000$1,289,751,406$0$0$1,546,318,000$1,669,920,923$1,806,344,458$1,889,956,829
Other revenue$141,637$0$0$0$5,492,062$4,768$18,474$30,441
Donated services and use of facilities$0$0$0$0$0$0$0$0
Prior year adjustments$0$0$0$0$0$0$0$0
Losses$0$0$0$0$0$0$0$0
Other$141,637$0$0$0$5,492,062$4,768$18,474$30,441
Other expenses$28,439,194$53,526,302$0$0$3,756,961$815,566$7,518,362$10,571,998
Investment expenses$0$0$0$0$0$0$0$0
Other$28,439,194$53,526,302$0$0$3,756,961$815,566$7,518,362$10,571,998
Current Officers, Directors, Trustees, and Key Employees
Total number of officers, directors, and trustees permitted to vote on organization business at board meetings9
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?Yes
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?Yes
Does the organization have a written conflict of interest policy?Yes
Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?Yes
Was there a liquidation, dissolution, termination, or substantial contraction during the year?No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?Yes
Direct and indirect political expenditures$5,900
Did the organization file Form 1120-POL for this year?Yes
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members$0
Section 162(e) lobbying and political expenditures$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices$0
Taxable amount of lobbying and political expenditures$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?No
Amount of tax imposed on the organization during the year under: section 4911$0
Amount of tax imposed on the organization during the year under: section 4912$0
Amount of tax imposed on the organization during the year under: section 4955$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958$0
Amount of tax above, reimbursed by the organization$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?No
Number of employees employed in the pay period that includes March 12, 20065,556
Analysis of Income-Producing Activities (for 2007)
Unrelated business incomeExcluded by section 512, 513, or 514Related or exempt function income
Business codeAmountExclusion codeAmount
Total$163,699$15,637,899$1,939,382,804
Program service revenue
Program service revenue 1000000$000$0$1,668,266,409
Program service revenue 2Outpatient care centers$129,23100$0$94,307,697
Program service revenue 3Outpatient care centers$34,46800$0$13,916,240
Program service revenue 4000000$000$0$5,035,883
Program service revenue 5000000$000$0$0
Medicare/Medicaid payments000000$000$0$157,856,575
Fees and contracts from government agencies000000$000$0$0
Membership dues and assessments000000$000$0$0
Interest on savings and temporary cash investments000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$8,914,757$0
Dividends and interest from securities000000$000$0$0
Net rental income or (loss) from real estate
debt-financed property000000$000$0$0
not debt-financed property000000$000$0$0
Net rental income or (loss) from personal property000000$0Real property rental income that does not depend on the income or profits derived by the person leasing the property and is excluded by section 512(b)(3)$117,325$0
Other investment income000000$000$0$0
Gain or (loss) from sales of assets other than inventory000000$0Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A))$-425,955$0
Net income or (loss) from special events000000$000$0$0
Gross profit or (loss) from sales of inventory000000$000$0$0
Other revenue000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$7,031,772$0
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
EIN of corporation, partnership, or disregarded entityPercentage of ownership interestTotal incomeEnd-of-year assets
999999999100%$0$0
0000000000%$0$0
0000000000%$0$0
0000000000%$0$0
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
CompensationContributions to employee benefit plans & deferred compensationExpense account and other allowances
$317,834$87,809$0
$423,723$220,117$0
$295,345$193,807$0
$306,468$183,535$0
$524,927$227,983$0
Total number of other employees paid over $50,0002,281
Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities$194,975
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?No
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?No
Did the organization maintain any donor advised funds?No
Did the organization make any taxable distributions under section 4966?No
Did the organization make a distribution to a donor, donor advisor, or related person?No
The total number of donor advised funds owned at the end of the tax year$0
The aggregate value of assets held in all donor advised funds owned at the end of the tax year$0
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts$0
The aggregate value of assets held in all funds or accounts included above at the end of the tax year$0
Reason for Non-Private Foundation Status
The organization is not a private foundation because it isOrganization that normally receives: less than 1/3 of its support from gross investment income and unrelated taxable business income and more than 1/3 of its support from contribution, membership fees
Support Schedule
19992000200120022003200420052006
Total$1,130,749,241$1,233,871,293$1,328,655,795$1,377,918,208$1,406,021,334$1,564,548,883$1,690,281,167$1,836,777,228
Gifts, grants, and contributions received$0$0$0$0$0$0$0$0
Membership fees received$0$0$0$0$0$0$0$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose$1,120,811,866$1,211,610,240$1,261,969,145$1,342,498,414$1,371,858,010$1,558,661,004$1,683,639,694$1,826,369,349
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975$9,937,375$22,261,053$66,686,650$35,419,794$34,163,324$5,887,879$6,641,473$10,407,879
Net income from unrelated business activities not included above$0$0$0$0$0$0$0$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf$0$0$0$0$0$0$0$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge$0$0$0$0$0$0$0$0
Other income$0$0$0$0$0$0$0$0
Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures$0
Total lobbying expenditures$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)$0
Total lobbying expenditures to influence a legislative body (direct lobbying)$0
Other exempt purpose expenditures$0
Lobbying nontaxable amount$0
Grassroots nontaxable amount$0
Unrelated Trade or Business Income (for 2008)
IncomeExpensesNet
Total$47,284$0$47,284
Gross receipts or sales less returns and allowances$57,875$0$0
Cost of goods sold$10,591$0$0
Gross profit$47,284$0$47,284
Capital gain net income$0$0$0
Net gain$0$0$0
Capital loss deduction for trusts$0$0$0
Income (loss) from partnerships and S corporations$0$0$0
Rent income$0$0$0
Unrelated debt-financed income$0$0$0
Interest, annuities, royalties, and rents from controlled organizations$0$0$0
Investment income of a section 501(c)(7), (9), or (17) organization$0$0$0
Exploited exempt activity income$0$0$0
Advertising income$0$0$0
Other income$0$0$0
Deductions Not Taken Elsewhere (for 2008)
Total deductions$0
Compensation of officers, directors, and trustees$0
Salaries and wages$5,008
Repairs and maintenance$0
Bad debts$0
Interest$0
Taxes and licenses$0
Charitable contributions$0
Depreciation$0
Depletion$0
Contributions to deferred compensation plans$0
Employee benefit programs$2,290
Excess exempt expenses$0
Excess readership costs$0
Other deductions$14,937
Unrelated business taxable income$0
Unrelated business taxable income before net operating loss deduction$25,049
Net operating loss deduction$25,049
Unrelated business taxable income before specific deduction$0
Specific deduction$1,000
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Organizations performing similar types of work
IdNameAddressStateEstablishedTotal Income
1Kaiser Foundation Health Plan Inc2701 Nw Vaughn St Ste 490, Portland, OR 97210-5358OR1981-12$66,889,601,170
2New York State Catholic Health Plan Inc95-25 Queens Blvd, Rego Park, NY 11374-4510NY1998-03$4,971,759,473
3Blue Cross And Blue Shield Of Massachusetts Hmo Blue IncBoston, MA 02215MA$4,516,207,547
4Tufts Associated Health Maintenance Organization Inc705 Mount Auburn St, Watertown, MA 02472-1508MA1979-12$4,018,536,369
5Kaiser Foundation Health Plan Of The Northwest2701 Nw Vaughn St Ste 490, Portland, OR 97210-5358OR1981-12$3,662,501,705
6Kaiser Foundation Health Plan Of Colorado2701 Nw Vaughn St Ste 490, Portland, OR 97210-5358OR1981-12$3,528,255,852
7Priority Health1231 E Beltline Ave Ne, Grand Rapids, MI 49525-4501MI1995-12$3,500,794,270
8Healthfirst Phsp Inc100 Church St Fl 18, New York, NY 10007-2601NY1995-11$3,307,259,420
9Rochester Area Health Maintenance Organization Inc, Preferred Care220 Alexander St, Rochester, NY 14607-4002NY1979-05$3,261,971,027
10Kaiser Foundation Health Plan Of The Mid Atlantic States Inc2701 Nw Vaughn St Ste 490, Portland, OR 97210-5358OR1981-06$2,697,627,645
11Providence Health Plan4400 Ne Halsey Bldg 2, Portland, OR 97213-1545OR1984-07$2,208,682,991
12Selecthealth Inc5381 S Green St, Murray, UT 84123-4661UT1985-06$2,181,463,043
13Harvard Pilgrim Health Care Inc93 Worcester Street Ste 100, Wellesley, MA 02481-3609MA1969-10$2,142,477,807
14Optima Health Plan6015 Poplar Hall Dr, Norfolk, VA 23502-3819VA1986-01$2,099,827,491
15Hmo OregonPortland, OR 97201OR$656,673,153
16Scan Health Plan Arizona3800 Kilroy Airport Way Ste 100, Long Beach, CA 90806-6818CA2008-04$132,256,400
17Total Health Care Usa Inc3011 W Grand Blvd Ste 1600, Detroit, MI 48202-3000MI1998-01$114,873,177
18West Penn Physician Practice Network320 E North Ave, Pittsburgh, PA 15212-4756PA2008-08$1,391,387
19South Hills Medical Associates Inc565 Coal Valley Road, Pittsburgh, PA 15236PA1998-02$0
20Upstate Urology Inc750 E Adams St Cwb 2nd Fl, Syracuse, NY 13210-2306NY2012-12$0
Number of organizations performing similar types of work
Alabama1
Arkansas1
California19
Colorado5
Connecticut1
District of Columbia2
Florida2
Georgia1
Hawaii2
Idaho1
Illinois3
Indiana2
Kansas1
Kentucky1
Massachusetts6
Maryland1
Michigan17
Minnesota8
Missouri2
North Dakota1
New Jersey1
New Mexico1
New York19
Ohio7
Oklahoma1
Oregon6
Pennsylvania5
Rhode Island1
South Dakota1
Tennessee2
Texas7
Utah4
Virginia2
Vermont1
Washington1
Wisconsin4
West Virginia1
International1
Total142

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