Kaiser Foundation Health Plan Inc

Nonprofit profile at a glance

EIN
941340523
IRS 990 coverage
2011–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
Oakland, CA, USA
Phone
5102716611
Rating
84
Verdict
STRONG
Rating confidence
Moderate
Sector
Group Health Practice (Health Maintenance Organizations)

Official website

Reported finances

Revenue
$82,490,440,881
Expenses
$82,234,695,814
Assets
$33,547,368,863
Liabilities
$22,695,635,780

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

67 people listed

Executive titles in this filing

  • Gregory Adams (Chairman & CEO)
  • Kimberly Horn (EVP, Group President, MOC)
  • Janet Liang (EVP, Group President & COO)
  • Carrie Plietz (Regional President - NCAL)
  • Michelle Gaskill (Regional President - SCAL & HI)
  • Paul Minardi (EVP and CEO of KPMF)

Highest reported compensation

  • Gregory Adams (Chairman & CEO): $12,976,050 total reported compensation
  • Kimberly Horn (EVP, Group President, MOC): $6,474,308 total reported compensation
  • Janet Liang (EVP, Group President & COO): $5,011,705 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To provide high-quality, affordable health care services to improve the health of our members and the communities we serve.

What it reported doing in 2024

Charity care (medical financial assistance and charitable health coverage) kaiser foundation health plan (kfhp, inc.) provides charity care to low-income vulnerable patients through the medical financial assistance (mfa) and charitable health coverage (chc) programs. Kfhp, inc. 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 2024, this program assisted over 370,000 people through financial assistance. The chc programs offer regular kaiser foundation health plan membership at minimal cost to low income families who are not eligible for other public or privately sponsored coverage.

Operating model

Revenue model
Earned-program. 100% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 84
  • Transparency & Controls: 81
  • Accountability: 95
  • Sustainability: 33
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 94.4%; rating input score 94
  • Program expense ratio: 95.3%; rating input score 95
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.9%; rating input score 93; 17th percentile among comparable filings
  • Pay-setting controls: 6 of 6 controls in place; rating input score 100
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Pass
    • Written employment contract: Pass
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Scored; rating input score 0
  • Grant itemization coverage: 97.3%; rating input score 97; 32nd percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 92.3%; rating input score 92; 41st percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 0.3%; rating input score 33; 33rd percentile among comparable filings
  • Total-asset coverage ratio: 0.41; rating input score 14; 14th percentile among comparable filings
  • Liabilities to assets ratio: 0.68; rating input score 23; 23rd percentile among comparable filings
  • Officer compensation ratio: 0.1%; rating input score 92; 92nd percentile among comparable filings

Growth

  • Program expense growth: 6% per year; rating input score 100; 49th percentile among comparable filings
  • Revenue growth: 5.9% per year; rating input score 100; 51st percentile among comparable filings
  • Asset growth: 6.2% per year; rating input score 100; 46th percentile among comparable filings

Details

  • Where the money goes: 94.4% of revenue deployed · 95.3% of spending went to programs
  • Governance: 12 of 13 board members independent · 9 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $78.4B in reported program spending
  • Leadership: top reported pay $13M · 67 people listed · 6 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $57.3B reported
  • Consistency: 35 of 36 current checks pass · 1 finding to review
  • Schedules: 10 filed schedules · includes major donors, foreign activity, grants, executive pay, and related organizations
  • Filing history: 13 filing years from 2011 to 2024
  • Contacts: How to reach this organization
  • Money network: 202 filed money-flow records
  • Related organizations: 215 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Foreign activity oversight scored 0/100.
  • Moderate — Sustainability: Operating margin scored 33/100.
  • High — Sustainability: Total-asset coverage ratio scored 14/100.
  • High — Sustainability: Liabilities to assets ratio scored 23/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.