KAISER FOUNDATION HEALTH PLAN OF T… - Form 990 Financial Data

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1972

Legal Domicile

Principal Officer

ISRAEL ROCHA JR

Phone

5102716611

Tax Period

2023-01-01 to 2023-12-31

KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC, founded in 1972, is a large national nonprofit in the Health Care sector that reported $5.9B in total revenue in fiscal year 2023.

Mission

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

Program Service Accomplishments

Program 1

Expenses: $4,548,649,446 Revenue: $5,043,004,314

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...

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.

Program 2

Expenses: $890,032,948 Revenue: $806,130,130

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...

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.

Program 3

Expenses: $102,530,674 Revenue: $60,698

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.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $27,510,680

Program Service Revenue $5,849,195,142

Investment Income $6,180,041

Other Revenue $1,185,421

TOTAL REVENUE $5,884,071,284

Expense Breakdown

Grants Paid $1,839,762

Salaries & Benefits $1,008,216,769

Fundraising Expenses $0

Program Expenses $5,553,723,874

Other Expenses $4,865,613,708

TOTAL EXPENSES $5,875,670,239

Year-over-Year Comparison

	2023	2022	Change
Revenue	$5,884,071,284	$5,625,342,214	+0.0%
Expenses	$5,875,670,239	$5,679,000,756	+0.0%
Net Income	$8,401,045	$-53,658,542	-1.2%

Key Indicators

✓ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

10049

Volunteers

835

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

⚠ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$44,725,640

Total Directors

$16,293,817

Key Employees

$3,464,478

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
Gregory Adams	Chairman & CEO	4.0	Officer Director	$0	$154,060	$12,721,446
Kathryn Lancaster	EVP & Chief Financial Officer	3.5	Officer	$0	$137,899	$5,061,302
Kimberly Horn	EVP, Group President, MOC	3.5	Officer	$0	$134,195	$4,751,551
Janet Liang	EVP, Group President & COO	3.5	Officer	$0	$89,835	$4,507,213
Arthur Southam	EVP, Health Plan Ops & CGO	4.0	Officer	$0	$18,575	$3,794,812
Ruth Williams-Brinkley	Regional President - MAS	45.0	Officer	$0	$-176,937	$3,241,679
Mark Zemelman	SVP, General Counsel & Secy	0.0		$0	$660,356	$2,494,194
Vanessa Benavides	SVP,Chief Legal Officer & Secy	1.5	Officer	$0	$308,115	$2,100,570
Thomas Meier	SVP, Corporate Treasurer	1.5	Officer	$0	$121,348	$1,842,456
Donald Orndoff	SVP, NFS	4.0	Officer	$0	$320,687	$1,621,847
Alfonse Upshaw	SVP,Corporate Controller & CAO	0.0		$0	$208,369	$1,480,424
Frank Titus	VP, HPSA - MAS	0.0		$0	$211,661	$1,311,098
Emily Holliman	VP, COO - MAS	50.0	Key Emp	$0	$200,857	$1,093,919
David Thomason	SVP,Corporate Controller & CAO	2.2	Officer	$0	$52,883	$950,781
Ryan Jenson	Interim Corp Controller & CAO	3.5	Officer	$0	$129,756	$872,977
Brandon Cuevas	EVP, Health Plan	4.0	Officer	$0	$293,271	$804,923
William Wiechmann	Assistant Secretary	50.0	Officer	$0	$149,593	$749,439
Gracelyn McDermott	VP, MSBD - MAS	50.0	Key Emp	$0	$149,119	$726,623
Dana Forster	VP, Delivery System Operations	50.0	Highest	$0	$197,084	$708,049
Cynthia Cifuentes-Finkel	VP, Mktg Comm & Cmty Relations	50.0	Highest	$0	$145,569	$682,216
Hong-Sze Yu	VP, Brd & Corp Gov & Asst Secy	3.5	Officer	$0	$167,556	$676,148
Kristin Bear	Assistant Secretary	4.0	Officer	$0	$170,789	$645,426
Jeanine Maier	VP, Consumer Experience & CCC	50.0	Key Emp	$0	$142,403	$603,203
Jared Gross	VP, CFO - MAS	50.0	Key Emp	$0	$67,618	$553,683
Angela Beaudry	VP, HR - MAS	50.0	Highest	$0	$81,099	$538,383
Jennifer Valentine	ED, FP&A	50.0	Key Emp	$0	$56,294	$487,050
Kimberley Ragnartz	VP, Delivery System Operations	50.0	Highest	$0	$-4,413	$461,451
Lawrence Hamilton	Regional Administrative Leader	0.0		$0	$14,762	$387,459
Margaret E Porfido JD	Director	0.0	Director	$14,000	$16,717	$335,800
David F Hoffmeister	Director	0.3	Director	$0	$17,907	$298,858
Judith A Johansen JD	Director	0.5	Director	$0	$6,534	$297,334
Leslie S Heisz	Director	0.3	Director	$0	$24,274	$293,230
Ramon F Baez	Director	0.1	Director	$0	$21,121	$288,072
Jeffrey E Epstein	Director	0.5	Director	$0	$13,187	$279,102
Richard P Shannon MD	Director	0.5	Director	$0	$27,421	$263,921
Vivek Sharma	Director	0.1	Director	$0	$0	$261,456
Jenny J Ming	Director	0.3	Director	$0	$12,004	$260,776
Maryann Bodayle	Assistant Secretary	1.0	Officer	$0	$55,189	$251,943
Matthew T Ryan	Director	0.25	Director	$0	$0	$250,951
A Eugene Washington MD	Director	0.25	Director	$0	$4,278	$248,278
David J Barger	Director	0.5	Director	$0	$13,569	$247,569
Regina M Benjamin MD MBA	Director	0.5	Director	$0	$27,404	$247,024
Israel Rocha	Regional President - MAS	45.0	Officer	$0	$12,835	$131,127
Edward Y W Pei	Director	0.0		$0	$0	$53,623
Kim J Kaiser	Director	0.0		$0	$0	$39,004
Machelle Behzadi	VP, Quality and Service	50.0	Highest	$0	$-905,455	$-349,015

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	No data	No data	No data	No data
2023	$5,884,071,284	$5,875,670,239	$3,148,201,298	$8,401,045
2022	$5,625,342,214	$5,679,000,756	$3,165,737,367	$-53,658,542
2021	$5,307,475,151	$5,382,210,678	$2,765,276,515	$-74,735,527
2020	$5,136,253,822	$4,943,797,014	$2,356,811,589	$192,456,808
2019	$4,687,254,997	$4,633,943,589	$2,211,516,129	$53,311,408
2018	$4,350,613,248	$4,310,170,750	$1,876,306,551	$40,442,498
2016	$3,414,413,304	$3,406,721,585	$1,382,676,878	$7,691,719

KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC