TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Peter Andruszkiewicz Regional President, GA	25.0	X	X	0	645,209	157,929
(2) Frank Boone VP - Finance & Regional CFO	50.0	X	X	0	527,948	69,943
(3) George Halvorson Chairman and CEO	5.0	X	X	0	7,667,335	76,092
(4) Kerry Kohnen SVP, Operations	40.0	X	X	0	425,334	100,424
(5) Bernard Tyson President & COO	5.0	X	X	0	1,942,514	359,961
(6) J NEAL PURCELL DIRECTOR	1.0	X		14,894	204,844	0
(7) JEFFREY KOPLAN DIRECTOR	.5	X		12,000	0	0
(8) Julie Fortin VP - REGIONAL COUNSEL - SE	50.0		X	0	120,549	41,492
(9) Kathryn Lancaster EVP & CFO	4.0		X	0	1,558,076	296,474
(10) Kirkland McGhee VP, Regional Counsel - GA	50.0		X	0	201,681	33,488
(11) Thomas Meier SVP, Corporate Treasurer	3.0		X	0	647,785	107,439
(12) Donald Orndoff SVP, NFS	5.0		X	0	508,058	70,932
(13) Arthur Southam EVP, Health Plan Operations	5.0		X	0	2,020,299	353,928
(14) Deborah Stokes SVP, CC & CAO	10.0		X	0	622,642	123,860
(15) Steven Zatkin SVP, Gen Counsel & Secretary	5.0		X	0	1,247,253	97,716
(16) Victoria Zatkin VP, Off of Brd & Corp Gov Svcs	4.0		X	0	311,369	83,647
(17) Mark Zemelman SVP, Gen Counsel & Secretary	4.0		X	0	806,199	150,636

(A) Name and business address	(B) Description of services	(C) Compensation
PIEDMONT HOSPITAL PO BOX 102526 ATLANTA,GA30368	MEDICAL SERVICES	62,321,622
NORTHSIDE HOSPITAL PO BOX 101818 ATLANTA,GA30392	MEDICAL SERVICES	78,269,323
SOUTHEASTERN PERMANENTE MEDICAL GRO 3495 PIEDMONT ROAD NE ATLANTA,GA30305	MEDICAL SERVICES	348,192,082
CHILDREN'S HEALTHCARE OF ATLANTA PO BOX 116101 ATLANTA,GA30368	MEDICAL SERVICES	16,170,240
ST JOSEPH'S HOSPITAL PO BOX 102046 ATLANTA,GA30368	MEDICAL SERVICES	13,184,448
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 352

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21	9,046,312	9,046,312
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	26,894		26,894
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	122,888,965	102,334,320	20,554,645	0
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	7,474,113	7,474,113
9	Other employee benefits .......	29,323,240	21,875,210	7,448,030
10	Payroll taxes ...........	6,961,517	6,961,517
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	3,062		3,062
c	Accounting ...........	999,783		999,783
d	Lobbying ...........	272,556		272,556
e	Professional fundraising. See Part IV, line 17..	0
f	Investment management fees ......	202,380	202,380
g	Other ..........	79,791,350	75,697,537	4,093,813
12	Advertising and promotion ....	21,432,742	779,755	20,652,987
13	Office expenses .......	1,898,306	1,702,407	195,899
14	Information technology ......	67,955,679	67,955,679
15	Royalties ..	0
16	Occupancy ...........	10,987,106	10,987,106
17	Travel ............	1,397,330	1,027,391	369,939
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	500,206		500,206
20	Interest ...........	4,460,986	4,460,986
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	13,806,265	13,806,265
23	Insurance ..............	549,330	549,330
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	PURCHASED MEDICAL SVC - BCP	540,189,660	540,189,660
b	SUPPLIES	101,971,218	101,799,203	172,015
c	INTER-REGIONAL CHARGES	27,995,220	23,658,524	4,336,696
d	REPAIRS & MAINTENANCE	7,617,492	7,538,896	78,596
e	STATE & LOCAL TAXES	2,113,089	2,113,089
f	All other expenses	54,661,610	21,384,534	33,277,076
25	Total functional expenses. Add lines 1 through 24f	1,114,526,411	1,021,544,214	92,982,197	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	9,645,763	1	406,177
2	Savings and temporary cash investments .......		2
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	20,081,553	4	26,718,979
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	8,402,872	8	9,806,294
9	Prepaid expenses and deferred charges ............	346,689	9	867,207
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	277,746,053
b	Less: accumulated depreciation. .....	10b	136,936,328	124,609,667	10c	140,809,725
11	Investments—publicly traded securities ..........	130,295,288	11	193,511,986
12	Investments—other securities. See Part IV, line 11 ......		12
13	Investments—program-related. See Part IV, line 11 ..		13
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	239,464	15	363,626
16	Total assets. Add lines 1 through 15 (must equal line 34)...	293,621,296	16	372,483,994
	17	Accounts payable and accrued expenses .	81,446,199	17	84,150,555
18	Grants payable ..........		18
19	Deferred revenue ..........	9,182,619	19	9,470,758
20	Tax-exempt bond liabilities ..........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....	90,744,342	25	326,754,971
26	Total liabilities. Add lines 17 through 25.....	181,373,160	26	420,376,284
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....		27
28	Temporarily restricted net assets .....		28
29	Permanently restricted net assets .....		29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....	5,665,218	30	5,665,218
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds	106,582,918	32	-53,557,508
33	Total net assets or fund balances .....	112,248,136	33	-47,892,290
34	Total liabilities and net assets/fund balances .....	293,621,296	34	372,483,994

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

KAISER FDN HEALTH PLAN OF GEORGIAINC

Employer identification number

58-1592076

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% 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 331/3% 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. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .	1,428,452	1,562,162	1,882,337	2,057,241	2,350,668	9,280,860
2	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......	971,753,714	1,041,404,677	1,083,297,320	1,060,150,602	945,171,878	5,101,778,191
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.	973,182,166	1,042,966,839	1,085,179,657	1,062,207,843	947,522,546	5,111,059,051
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)						5,111,059,051

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...	973,182,166	1,042,966,839	1,085,179,657	1,062,207,843	947,522,546	5,111,059,051
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	7,204,678	7,749,684	6,513,719	5,254,905	4,327,774	31,050,760
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.	7,204,678	7,749,684	6,513,719	5,254,905	4,327,774	31,050,760
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).	980,386,844	1,050,716,523	1,091,693,376	1,067,462,748	951,850,320	5,142,109,811

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

99.396 %

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

99.362 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

0.604 %

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

0.638 %

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

KAISER FDN HEALTH PLAN OF GEORGIAINC

Employer identification number

58-1592076

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization KAISER FDN HEALTH PLAN OF GEORGIAINC
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization KAISER FDN HEALTH PLAN OF GEORGIAINC
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
KAISER FDN HEALTH PLAN OF GEORGIAINC

Employer identification number

58-1592076

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

KAISER FDN HEALTH PLAN OF GEORGIAINC

Employer identification number

58-1592076

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.

Political expenditures .................................... SchCMd Bullet

$ 6,000

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

$ 600

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

$ 0

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated Group Totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots non-taxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Yes

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Yes

Publications, or published or broadcast statements? .......................

Yes

Grants to other organizations for lobbying purposes? .......................

Yes

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

272,556

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? If "Yes," describe in Part IV ..........................

Yes

Total. lines 1c through 1i ...................................

272,556

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
SCHEDULE C, PART I-A, LINE 1	DESCRIPTION OF DIRECT & INDIRECT POLITICAL CAMPAIGN ACTIVITIES	The disclosed political activity resulted from contribution being approved/paid
SCHEDULE C, PART I-B, LINE 4B	CORRECTIVE ACTION	As a result of our internal investigation conducted in July of 2010, Kaiser Foundation Health Plan of Georgia, Inc discovered that an improper political expenditure occured in 2010. Payment of this expense is contrary to our long-standing written policy on political campaign involvement. We have requested and received a full refund of the payment or contribution from the recipient. In addition, we have sent out a memorandum to all employees with responsibility for processing payments.
SCHEDULE C, PART II-B, LINE 1A THROUGH 1I	LOBBYING ACTIVITY BY NONELECTING PUBLIC CHARITIES	The Organization is a member of the Kaiser Permanente Medical Care Program and participated and benefited from lobbying activities conducted at the regional and national level for the benefit of its enrolled members and for the health care industry as a whole. As an organization generally exempt from income tax under Internal Revenue Code Section 501(c)(3), Health Plan has a policy prohibiting internal involvement in any political campaigns. This policy is closely monitored for compliance. During the year this Organization may have made comments or statements concerning legislation which may affect the health care industry. Health Plan may have engaged in telephone conversations and/or written letters to various federal, state, and local officials regarding matters which affected the healthcare industry as a whole. The amount of time and money involved in the activities is detailed on lines a through i. Health Plan has several employees and/or may retain a professional consultant to represent Health Plan's interests in various legislative and regulatory bodies and from time-to-time to keep informed of Federal and State legislation having an impact on Health Plan's charitable activities as an exempt Health Maintenance Organization. These individuals attempt to ensure that proposed legislation and enacted laws are compatible with the Interest of Health Plan and its members by performing the following activities: - Collecting, analyzing and distributing within the Organization, public and private policy recommendations regarding proposed legislation that affect the operation of Health Plan and its ability to provide quality health and medical care services to its members in a cost effective environment. - Providing appropriate informational materials to legislators and to their staffs that pertain to matters of common interest in the health care community and in the not-for-profit community. - Also by preparing written and oral testimony, these individuals appear at legislative hearings, monitor legislative proceedings and meet with legislators and/or their staffs regarding issues pertinent to the mission of Health Plan. Those individuals appearing at such hearings and meetings for and on behalf of Health Plan often are representing the interests of common interest groups as well as the interests of the members of Health Plan. - Other employees and officers perform services by delivering speeches at various public and private functions and in serving as faculty in healthcare related educational programs throughout the community.

Schedule C (Form 990 or 990EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

KAISER FDN HEALTH PLAN OF GEORGIAINC

Employer identification number

58-1592076

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Investment earnings or losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	24,371,491		24,371,491
b	Buildings ................	120,843,716	54,439,795	66,403,921
c	Leasehold improvements ............	27,620,104	14,499,667	13,120,437
d	Equipment ................	86,378,956	57,488,615	28,890,341
e	Other .................	18,531,786	10,508,251	8,023,535
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				140,809,725

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes		0
PENSION PLAN PAYABLE		47,051,923
SELF INS RISK-PROF PUBLIC LIAB		7,828,422
OTHER CURRENT LIABILITIES		3,121,025
OTHER LONG-TERM LIABILITIES		8,060,048
DUE TO AFFILIATED ORGANIZATION		66,737,576
PREMIUM DEFICIENCY RESERVE		40,916,477
NOTE PAYABLE TO AFFILIATES		153,039,500


Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		326,754,971
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1	960,595,170
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2	1,114,526,411
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3	-153,931,241
4	Net unrealized gains (losses) on investments ..........................	4	-1,228,071
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8	-4,981,114
9	Total adjustments (net). Add lines 4 - 8 .............................	9	-6,209,185
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10	-160,140,426

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......			1	952,041,540
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	-1,228,071
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d	1,400,189
e	Add lines 2a through 2d .....................			2e	172,118
3	Subtract line 2e from line 1.....................			3	951,869,422
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b	8,725,748
c	Add lines 4a and 4b.......................			4c	8,725,748
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......			5	960,595,170

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............			1	1,112,181,966
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d	9,234,609
e	Add lines 2a through 2d......................			2e	9,234,609
3	Subtract line 2e from line 1.....................			3	1,102,947,357
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b	11,579,054
c	Add lines 4a and 4b.......................			4c	11,579,054
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......			5	1,114,526,411

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
SCHEDULE D, PART X, LINE 2	FIN 48 FOOTNOTE	NOT REQUIRED
SCHEDULE D, PART XI, LINE 8	RECONCILIATION OF CHANGE IN NET ASSETS	DECREASE IN PENSION & OTHER COMPREHENSIVE INCOME <$4,866,499> GAIN/LOSS ON INVESTMENTS - TAX < 1,586,013> GAIN/LOSS ON INVESTMENTS - BOOK 1,835,250 SEE "NOTE 1" < 363,852> ____________ TOTAL <$4,981,114> NOTE 1: OTHER THAN TEMPORARY IMPAIRMENT (OTTI) OF INVESTMENT RECOGNIZED FOR FINANCIAL STATEMENT PURPOSES, WHICH WILL BE TAX REPORTED WHEN REALIZED
SCHEDULE D, PART XII	RECONCILIATION OF REVENUE	LINE 2D: BAD DEBT EXPENSE - RECLASS <$4,438,279> INTER-ENTITY REVENUE - RECLASS 4,569,450 GAIN (LOSS) ON INVESTMENTS - BOOK 1,835,250 OTTI < 363,852> Investment Management Fees < 202,380> _____________ TOTAL $1,400,189 LINE 4B: FIXED ASSET LOSS - RECLASS <$ 1,040> GAIN (LOSS) ON INVESTMENTS - TAX 1,586,013 INSURANCE PREMIUM REIMBURSEMENT - RECLASS 7,140,775 ___________ TOTAL $8,725,748
SCHEDULE D, PART XIII	RECONCILIATION OF EXPENSES	LINE 2D: FIXED ASSET LOSS - RECLASS $ 1,040 INTER-ENTITY REVENUE - RECLASS 4,569,450 DECREASE IN PENSION & OTHER COMPREHENSIVE INCOME 4,866,499 Investment Management Fees < 202,380> _____________ TOTAL $9,234,609 LINE 4B: INSURANCE PREMIUM REIMBURSEMENT - RECLASS $ 7,140,775 BAD DEBT EXPENSE - RECLASS 4,438,279 ___________ TOTAL $11,579,054

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
KAISER FDN HEALTH PLAN OF GEORGIAINC

Employer identification number
58-1592076

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) A Gift of Love Svc of West Georgia Inc3870 Longview Dr Douglasville,GA30135	58-2373174	501(c)(3)	10,000	Back Pack Weekend Food Program
(2) American Cancer Society Inc250 Williams Street Atlanta,GA30303	58-0659875	501(c)(3)	50,000	Patient Resource Navigator at Grady Memorial Hospi
(3) American Diabetes Asssociation17 Executive Pk Dr NE115 Atlanta,GA30329	13-1623888	501(c)(3)	50,000	Diabetes Expo Atlanta
(4) American Heart Association Inc1101 Northchase Pkwy 1 Marietta,GA30067	13-5613797	501(c)(3)	95,500	2010 Atlanta Heart Ball Event; Metro Atlanta Annua
(5) Atlanta Community Food Bank Inc732 Joseph E Lowery Blvd NW Atlanta,GA30318	58-1376648	501(c)(3)	50,000	Benefits Outreach Program
(6) Atlanta Leadership Development Fdn IncTen Peachtree Place 620 Atlanta,GA30309	23-7015688	501(c)(3)	6,000	Leadership Atlanta Healthy Day
(7) Atlanta Regional Commission40 Courtland Street NE Atlanta,GA30303	58-6002324	501(c)(3)	65,000	Senior Community Garden Initiative
(8) Atlanta Women's Foundation Inc50 Hurt Plaza Suite 401 Atlanta,GA30303	58-2389721	501(c)(3)	125,000	Atlanta Women's Foundation Grantmaking Support
(9) BeltLine Partnership Inc50 Hurt Plaza Suite 910 Atlanta,GA30303	56-2464486	501(c)(3)	1,250,000	NE Corridor Project Support
(10) Boys and Girls Clubs Metro Atlanta Inc100 Edgewood Ave NE 700 Atlanta,GA30303	58-0566123	501(c)(3)	65,000	Triple Play Program Project
(11) Captain Planet Foundation Inc133 Luckie Street Atlanta,GA30308	58-1959421	501(c)(3)	25,000	Captain Planet's Learning Gardens Project
(12) Center for Pan Asian Community Svc Inc3510 Shallowford Road NE Atlanta,GA30341	58-1437980	501(c)(3)	74,060	Dowa Clinic Project Support
(13) Chattahoochee Nature Center Inc9135 Willeo Road Roswell,GA30075	58-1275604	501(c)(3)	42,809	Community Garden Project
(14) Cherokee FOCUS Inc100 Hickory Circle Holly Springs,GA30115	45-0466319	501(c)(3)	10,000	Live Healthy Cherokee Project
(15) Children's Healthcare Atlanta Fdtn Inc1584 Tullie Circle NE Atlanta,GA30329	58-1710601	501(c)(3)	1,000,000	Children's Healthcare of Atlanta Hughes Spalding C
(16) CHRIS Kids Inc3109 Clairmont Rd Suite B Atlanta,GA30329	58-1430183	501(c)(3)	75,000	CHRIS Counseling Center Project
(17) Clayton State Univ Foundation Inc2000 Clayton State Blvd Morrow,GA30260	23-7419285	501(c)(3)	80,000	Nursing Department Student and Faculty Recruitment
(18) Clean Air Campaign Inc55 Park Place NE 250 Atlanta,GA30303	58-2600070	501(c)(3)	22,400	No-Idling Program Project
(19) Decatur Education Foundation Inc315 W Ponce De Leon Ave Decatur,GA30030	58-2601384	501(c)(3)	10,500	Decatur Farm to School Initiative Proj; Int'l Walk
(20) Diabetes Association of Atlanta Inc100 Edgewood Ave NE 1004 Atlanta,GA30303	58-0973055	501(c)(3)	65,000	Diabetes Prevention and Control Program
(21) Dream House Medically Fragile Children2092 Scenic Highway B Snellville,GA30078	58-2654766	501(c)(3)	10,000	Dream House Family for Keeps? Transition Care Prog
(22) East Lake Foundation Inc2606 Alston Drive SE Atlanta,GA30317	58-2204306	501(c)(3)	15,000	Community Garden Collaborative Project Support
(23) Families First Inc1105 W Peachtree St NE Atlanta,GA30357	58-1054331	501(c)(3)	38,740	2010 Dining for a Difference Fundraiser; Doula Pro
(24) Fernbank Inc767 Clifton Road Atlanta,GA30307	58-6028607	501(c)(3)	25,000	Community Access Program
(25) First Step Staffing Inc236 Auburn Ave NE 203 Atlanta,GA30303	20-8038859	501(c)(3)	75,000	First Step Benefits Program
(26) Georgia Campaign Adolesc Pregn Prevention1450 W Peachtree St NW Suite 200 Atlanta,GA30309	31-1520709	501(c)(3)	59,304	World Fitness Day Fundraiser; Parent Outreach Prog
(27) Georgia Conservancy Inc817 W Peachtree St 200 Atlanta,GA30308	58-1027246	501(c)(3)	42,000	Mothers & Other for Clean Air
(28) Georgia Family Connection Partnership235 Peachtree St 1600 Atlanta,GA30303	58-1888262	501(c)(3)	65,000	Reducing Low Birthweight Pilot
(29) Georgia Free Clinic Network Inc1015 Donald Lee Hollowell Pkwy Suit Atlanta,GA30318	80-0100336	501(c)(3)	156,000	Specialty Care Initiative Project; C.A.R.E. Clinic
(30) Georgia Hospital Association Inc1675 Terrell Mill Road Marietta,GA30067	58-0612274	501(c)(6)	50,000	Yes 2 Save Lives
(31) Georgia Organics Inc200 A Ottley Drive Atlanta,GA30324	58-2345310	501(c)(3)	70,000	Georgia Farm To School
(32) Georgia Perimeter College Foundation Inc3251 Panthersville Road Decatur,GA30034	58-1492364	501(c)(3)	70,000	Nursing Department Student and Faculty Recruitment
(33) Georgia State Univ Foundation Inc140 Decatur St UL 918A Atlanta,GA30302	58-6033185	501(c)(3)	85,000	Nursing Dept.Student/Faculty Recruitmen Retention
(34) Georgia State Univ Research Foundation IncPO Box 3999 Atlanta,GA30302	58-1845423	501(c)(3)	10,000	Southern Obesity Summit
(35) Good Samaritan Health Center of Cobb1605 Roberta Drive SW Marietta,GA30008	32-0045238	501(c)(3)	10,000	Physician's Dispensary General Operating Support
(36) Hands of Hope Clinic Inc1010 Hospital Dr B Stockbridge,GA30281	42-1591970	501(c)(3)	95,000	Maintenance and/or Expansion of Clinic Capacity
(37) Hands on Atlanta Inc600 Means St Suite 100 Atlanta,GA30318	58-1861026	501(c)(3)	10,000	Hands on Atlanta Day Project
(38) Health Ed Assessment and Leadership1300 Joseph E Boone Blvd Atlanta,GA30314	26-3990559	501(c)(3)	42,241	HEALing Community Center General Operating Support
(39) Henry W Grady Health System Fdtn Inc50 Hurt Plaza Suite 803 Atlanta,GA30303	58-2130437	501(c)(3)	2,024,200	Community Health Partnership for Chronically Ill;
(40) Heritage Fund of Atlanta Med Assoc Inc100 Edgewood Ave NE 540 Atlanta,GA30303	58-2372394	501(c)(3)	9,100	Scholarship Fund - Heritage Fund of Atlanta Medica
(41) Hispanic Health Coalition of Georgia Inc424 Decatur Street Atlanta,GA30312	75-2995466	501(c)(3)	55,000	Inclusive and Culturally Appropriate Prenatal Care
(42) Jerusalem House Inc17 Executive Park Dr NE Suite 290 Atlanta,GA30329	58-1829807	501(c)(3)	50,000	The Housing Programs of Jerusalem House Project
(43) Junior Achievement of Georgia Inc460 Abernathy Road Atlanta,GA30328	58-0598050	501(c)(3)	25,000	JA of Georgia Growth Campaign - Program Support fo
(44) Kennesaw State University Fdtn Inc1000 Chastain Road Kennesaw,GA30066	23-7034345	501(c)(3)	80,000	Nursing Department Student and Faculty Recruitment
(45) Lawrenceville Cooperative Ministry Inc176 Church Street Lawrenceville,GA30046	58-2193039	501(c)(3)	10,000	Emergency Food and Prescription Medication Program
(46) Literacy Action Inc100 Edgewood Ave Ste 650 Atlanta,GA30303	58-1053728	501(c)(3)	50,000	Improving Health through Literacy Training
(47) March of Dimes Foundation1776 Peachtree St Ste 100 Atlanta,GA30309	13-1846366	501(c)(3)	80,000	2010 March for Babies Event Support\Annual Fundrai
(48) Martin Luther King Jr Ctr for Nonviolent449 Auburn Avenue NE Atlanta,GA30312	58-1030989	501(c)(3)	13,500	Salute to Greatness Awards Dinner Event
(49) Ministries United for Service Training Inc1407 Cobb Parkway North Marietta,GA30061	58-2034725	501(c)(3)	50,000	Build We MUST Clinic and Capital Campaign Project
(50) Morehouse School Of Medicine Inc720 Westview Drive SW Atlanta,GA30310	58-1438873	501(c)(3)	55,000	Kaiser Permanente Medical Student Scholarships
(51) National Mental Health Assoc of GA Inc100 Edgewood Ave Ste 502 Atlanta,GA30303	58-0611310	501(c)(3)	43,000	Project Healthcare Access II Project Support
(52) North Fulton Community Charities Inc11270 Elkins Road Roswell,GA30076	58-1521088	501(c)(3)	26,000	Emergency Assist. Prog. for Med Prescription Cover
(53) Oakhurst Medical Centers Inc770 Village Square Dr Stone Mtn,GA30083	58-1413957	501(c)(3)	80,000	FQHC (Safety Net) Collaboration Project Support
(54) Park Pride Atlanta Inc233 Peachtree St NE 1600 Atlanta,GA30303	58-1883895	501(c)(3)	17,000	Community Gardens Project
(55) Partnership Against Domestic Violence114 New Street Suite L Decatur,GA30030	58-1314556	501(c)(3)	78,000	PADV's Hearts with Hope Gala Fundraiser; Safety &
(56) Piedmont Park Conservancy Inc400 Park Drive NE Atlanta,GA30306	58-1551369	501(c)(3)	85,000	Healthy Livinig Initiative Project
(57) Project Open Hand-Atlanta Inc176 Ottley Drive Atlanta,GA30324	58-1816778	501(c)(3)	70,000	Comprehensive Nutrition Care Services Implementati
(58) Robert W Woodruff Arts Center Inc1280 Peachtree Street NE Atlanta,GA30309	58-0633971	501(c)(3)	99,000	2009-2010 Annual Corporate Campaign and Young Audi
(59) Saint Joseph's Mercy Care Services Inc424 Decatur Street Atlanta,GA30312	58-1752700	501(c)(3)	80,000	FQHC (Safety Net) Collaboration Project Support
(60) Senior Citizen Services MetroAtlanta Inc1705 Commerce Drive NW Atlanta,GA30318	58-0960309	501(c)(3)	70,000	Extra Helping Initiative Project
(61) Senior Connections Inc5328 Peachtree Road Chamblee,GA30341	58-1187876	501(c)(3)	150,000	Eliminating Hunger Waitlists- Feeding low-Income S
(62) Servants Relief for Incurable Cancer Inc760 Pollard Boulevard SW Atlanta,GA30315	58-0566234	501(c)(3)	9,500	Palliative Care Program Project
(63) South Fulton Senior Services Inc3680 College Street College Park,GA30337	58-1948408	501(c)(3)	20,000	Meals on Wheels Transportation (Van) Program
(64) Southside Medical Center Inc1046 Ridge Avenue SW Atlanta,GA30315	58-1131002	501(c)(3)	80,000	FQHC (Safety Net) Collaboration Project Support
(65) Susan G Komen Breast Cancer Fdtn4840 Roswell Rd Bldg D Suite 100 Atlanta,GA30342	58-1959763	501(c)(3)	25,000	Komen Atlanta Race for the Cure 2010 Event
(66) The Center for Family Resources Inc995 Roswell St Suite 100 Marietta,GA30060	58-0876634	501(c)(3)	45,000	Building Strong Communities General Operating Supp
(67) The Children's Museum of Atlanta Inc275 Centennial Olympic Dr NW Atlanta,GA30313	58-1785484	501(c)(3)	75,000	Growing Healthy Kids: Health and Nutrition Communi
(68) The Community Fdtn Greater Atlanta50 Hurt Plaza Suite 449 Atlatnta,GA30303	58-1344646	501(c)(3)	350,000	Agenda for a Healthy Region Project
(69) The Corporation of Mercer University3001 Mercer University Dr Atlanta,GA30341	58-0566167	501(c)(3)	25,000	Kaiser Permanente Pharmacy Student Scholarship End
(70) The Environmental Fund for Georgia1447 Peachtree St Ste 214 Atlanta,GA30309	58-2022001	501(c)(3)	80,125	2010 Earth Day Events; 2010 Corporate Contribution
(71) The Leukemia and Lymphoma Society3715 Northside Pkwy 400 Suite 300 Atlanta,GA30327	13-5644916	501(c)(3)	26,000	Patient Financial Aid Program Project Support
(72) The Sheltering Arms385 Centennial Olympic Park Dr Atlanta,GA30313	58-0566236	501(c)(3)	10,000	Operation StoryBook Project
(73) United Way of Metropolitan Atlanta Inc100 Edgewood Ave NE Atlanta,GA30303	58-0566194	501(c)(3)	300,000	Primary Health Care Access Grants Program
(74) United Way of Metropolitan Atlanta Inc100 Edgewood Ave NE Atlanta,GA30303	58-0566194	501(c)(3)	102,400	United Way African American Partnership; Primary H
(75) Voices for Georgia's Children100 Edgewood Ave NE 1580 Atlanta,GA30303	02-0678823	501(c)(3)	64,633	Expanding Children's Health Enrollment through Edu
(76) West End Medical Centers Inc868 York Avenue SW Atlanta,GA30310	58-1233448	501(c)(3)	80,000	FQHC (Safety Net) Collaboration Project Support
(77) YMCA of Metropolitan Atlanta Inc100 Edgewood Ave Ste 1100 Atlanta,GA30303	58-0566253	501(c)(3)	300,000	Longitudinal Assessment of Obesity Intervention Tr
(78) YWCA of Greater Atlanta957 North Highland Ave NE Atlanta,GA30306	58-0593442	501(c)(3)	24,550	Salute to Women of Achievement Luncheon Event

Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image

Enter total number of other organizations ................................ . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2010

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
PROCEDURES FOR MONITORING THE USE OF GRANTS	SCHEDULE I, PART I, LINE 2	At the end of their funding cycle, grantees are required to submit a final report which delineates accomplishments related to stated objectives. Large grants (typically over $100K) may require quarterly progress reports.

Schedule I (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

KAISER FDN HEALTH PLAN OF GEORGIAINC

Employer identification number

58-1592076

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) Peter Andruszkiewicz	(i) (ii)	0 396,169	0 227,750	0 21,290	0 141,947	0 15,982	0 803,138	0 0
(2) Dawn Bading	(i) (ii)	0 197,269	0 48,453	0 15,576	0 53,586	0 15,066	0 329,950	0 0
(3) Frank Boone	(i) (ii)	0 176,057	0 78,751	0 273,140	0 44,380	0 25,563	0 597,891	0 74,091
(4) James Cullinan	(i) (ii)	0 193,858	0 82,439	0 15,552	0 48,814	0 14,598	0 355,261	0 0
(5) Julie Fortin	(i) (ii)	0 108,743	0 0	0 11,806	0 32,205	0 9,287	0 162,041	0 0
(6) George Halvorson	(i) (ii)	0 1,177,487	0 5,155,125	0 1,334,723	0 62,481	0 13,611	0 7,743,427	0 0
(7) Jonna Kirkwood	(i) (ii)	0 201,919	0 23,450	0 16,972	0 56,374	0 15,982	0 314,697	0 0
(8) Kerry Kohnen	(i) (ii)	0 262,317	0 146,484	0 16,533	0 86,913	0 13,511	0 525,758	0 0
(9) Kathryn Lancaster	(i) (ii)	0 615,090	0 919,900	0 23,086	0 283,406	0 13,068	0 1,854,550	0 0
(10) Christine Malcolm	(i) (ii)	0 0	0 0	0 568,721	0 0	0 12,021	0 580,742	0 0
(11) Kirkland McGhee	(i) (ii)	0 189,088	0 9,447	0 3,146	0 17,925	0 15,563	0 235,169	0 0
(12) Thomas Meier	(i) (ii)	0 316,076	0 297,094	0 34,615	0 94,371	0 13,068	0 755,224	0 0
(13) Donald Orndoff	(i) (ii)	0 333,479	0 0	0 174,579	0 57,212	0 13,720	0 578,990	0 0
(14) Sarah Sidwell	(i) (ii)	0 200,720	0 99,130	0 156,591	0 27,668	0 25,982	0 510,091	0 0
(15) Arthur Southam	(i) (ii)	0 735,252	0 1,241,861	0 43,186	0 342,622	0 11,306	0 2,374,227	0 0
(16) Deborah Stokes	(i) (ii)	0 313,713	0 249,552	0 59,377	0 110,792	0 13,068	0 746,502	0 40,338
(17) Daniel Styf	(i) (ii)	0 175,184	0 36,512	0 14,834	0 37,551	0 15,175	0 279,256	0 0
(18) Beverly Thomas	(i) (ii)	0 178,229	0 66,934	0 16,244	0 64,222	0 15,563	0 341,192	0 0
(19) Timothy Trussell	(i) (ii)	75,059 0	129,245 0	5,502 0	30,561 0	15,198 0	255,565 0	0 0
(20) Bernard Tyson	(i) (ii)	0 737,887	0 1,180,500	0 24,127	0 346,893	0 13,068	0 2,302,475	0 0
(21) Steven Zatkin	(i) (ii)	0 283,028	0 932,500	0 31,725	0 86,239	0 11,477	0 1,344,969	0 0
(22) Victoria Zatkin	(i) (ii)	0 196,570	0 80,174	0 34,625	0 81,763	0 1,884	0 395,016	0 0
(23) Mark Zemelman	(i) (ii)	0 342,852	0 224,105	0 239,242	0 137,956	0 12,680	0 956,835	0 57,187
(24) J NEAL PURCELL	(i) (ii)	14,894 204,844	0 0	0 0	0 0	0 0	14,894 204,844	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
SCHEDULE J, PART I, LINE 3	TOP MANAGEMENT OFFICIALS' COMPENSATION	Kaiser Foundation Health Plan of Georgia relied on Kaiser Foundation Health Plan, Inc 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
SCHEDULE J, PART I, LINE 4A	SEVERANCE PAYMENT	FRANK BOONE $ 44,192 CHRISTINE MALCOLM 568,515 SARAH SIDWELL 141,434 Listed persons participated in arrangements entitling them to severance benefits in the event of termination by the organization without cause or due to job elimination. Depending on position level, tenure, and termination reason, severance 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, severance 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	GEORGE HALVORSON 1,237,500 FRANK BOONE 196,955 KATHRYN LANCASTER 368 THOMAS MEIER 609 DEBORAH STOKES 40,338 STEVEN ZATKIN 5,463 MARK ZEMELMAN 218,741 Some of the listed persons participated in nonqualified supplemental retirement plans. Under these plans, the organization makes annual contributions to accounts held in the name of individual participants. Contributions vary by position level and pay, and vest over time based on age and/or service. Participant accounts are credited with actual investment returns from up to four mutual funds and/or with a fixed rate of interest or a combination thereof. 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 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.

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

KAISER FDN HEALTH PLAN OF GEORGIAINC

Employer identification number

58-1592076

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2010

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) MARK MALCOLM	KFHP INC EMPLOYEE	96,476	COMPENSATION		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

KAISER FDN HEALTH PLAN OF GEORGIAINC

Employer identification number

58-1592076

Identifier	Return Reference	Explanation
FORM 990, PART VI, LINE 2	Family Affiliations	steven r zatkin - spouse: officer of Kaiser Foundation Health Plan Inc. (KFHP Inc), Kaiser Foundation Hospitals (KFH) and subsidiaries victoria zatkin - spouse: senior vp, general counsel and officer of kfh, kfhp inc. and regional health plans
FORM 990, PART VI, LINE 4	CHANGES TO GOVERNING DOCUMENTS	On June 24, 2010, Article E., Officers, of the Bylaws of the Corporation was amended by the member to provide for a Chief Executive Officer as an officer of the Corporation to be elected by the member to conform the bylaws of the Corporation to the Bylaws of the other Health Plan subsidiaries of the member, which amendments were approved by the Board of Directors of the Corporation on November 17, 2010 (Sections E-1, Officers, E-2, Election and Term of Office, and E-4 Removal and Resignation); and On March 3, 2011, Article E., Officers, of the Bylaws of the Corporation was amended by the member to (a) provide that the officers of the Corporation may include one or more Group Presidents (Section E-1, Officers); (b) add a new Section E-8, Group President and/or Regional President, to describe the duties and responsibilities of those positions; (c) provide that the President shall be the Chief Operating Officer of the Corporation (Section E-7, President); and (d) ) provide clarification regarding leadership in the event of the absence or disability of the President (Section D-9, Executive Vice President or National Senior Vice President); and (e) to change the reference to "the President" in Sections E-3, E-4 and E-11 to "any President"; which amendments were approved by the Board of Directors of the Corporation on April 6, 2011.
FORM 990, PART VI, LINE 6	MEMBERS OR STOCKHOLDERS	KAISER FOUNDATION HEALTH PLAN, INC IS SOLE MEMBER Upon dissolution, remaining assets shall be distributed to a 501(c)(3) organization
FORM 990, PART VI, LINE 7A	ELECT MEMBERS OF THE GOVERNING BODY	Kaiser Foundation Health Plan, Inc appoints the Board of Directors (and fills vacancies and has authority to remove Directors)
FORM 990, PART VI, LINE 7B	MEMBERS' APPROVAL	The following actions of the corporation require the approval of the member. Typically the member (KFHP) would approve actions requiring member approval and the Board of Directors of KFHP-GA also would approve or ratify the action: 1. Removal of the Chairman of the Board, CEO, or Regional President. The compensation of the Regional President and other executive officers of the corporation shall be approved by the member's Compensation Committee; 2. The sale, lease, exchange, or other disposition of, the mortgage, pledge or dedication to the repayment of indebtedness (whether with or without recourse), or any other encumbrance of property of the corporation, or the acquisition of assets, whether or not in the usual or regular course of the corporation's activities, where the fair market value of such corporate property or assets being disposed of, acquired or encumbered exceeds 10% of the value of the assets of the corporation as reflected in the most recent annual or quarterly financial statements that are available on the date immediately preceding the date of the relevant transaction shall require the approval of the member 3. Capital expenditures that exceed $25 million shall require the approval of the member 4. The issuance of tax-exempt bonds 5. Amendments to Article C (Members), D (Directors) and H (Amendment and Effect of Bylaws) of the Bylaws and amendments to the Articles of Incorporation. Article A (Purposes), B (Offices), E (Officers), F (Committees) and G (Miscellaneous) of the Bylaws may be amended by the Board of KFHP-GA acting alone and do not require ratification by the member.
FORM 990, PART VI, LINE 11B	FORM 990 REVIEW PROCESS	1. Community benefit details are presented to the community benefit committee of the board for review. 2. The tax return is reviewed and signed by a KPMG tax advisor. 3. The complete tax return is reviewed and signed by an officer or a member of management designated by an officer. 4. A compact disk containing the signed return is provided to each board member prior to filing.
FORM 990, PART VI, LINE 12C	COMPLIANCE ENFORCEMENT	Regularly and Consistently Monitors Compliance with the Conflicts of Interest Policy Kaiser Permanente regularly monitors compliance with the Conflicts of Interest Policy in 3 key ways: 1. The Kaiser Permanente Compliance Hotline is available to all employees and vendors to report actual or potential conflicts of interest. All calls are answered by a third party and provided to Kaiser Permanente's National Compliance Office for review and appropriate action. Employees can report anonymously. Retaliation is prohibited. Reports of actual or potential Conflicts of Interest are generated and investigations are conducted as required and information is tracked and trended to determine if additional guidance is required to avoid or manage conflicts of interest. Compliance Hotline Reports are provided for review and action to the Kaiser Foundation Health Plan/ Hospitals Boards of Directors annually. 2. Chief Compliance Officer and the SVP of Internal Audit Services annually review the directors', officers', key employees', and executives' Annual Conflicts of Interest Questionnaire disclosures and provide direction on any investigations required. Investigations are documented, tracked and trended to determine if additional controls or education is required; In addition, Conflicts of Interest Questionnaire reports are provided for review and action to the Kaiser Foundation Health Plan/ Hospitals Boards of Directors annually; and 3. Annually, as a component of the external audit, KPMG reviews the Annual Conflicts of Interest Questionnaires process completed by Directors, Officers, Key Employees, and Executives, and actions taken as a result of the disclosures. The results of the annual audit, including any findings in this area are presented to the Kaiser Foundation Health Plan/ Hospitals Audit and Compliance Committee. Regularly and Consistently Enforces Compliance with the Conflicts of Interest Policy To ensure consistency in the enforcement of the policy Kaiser Permanente uses the following steps as a general guideline: A. Represented employees are subject to any corrective/disciplinary action provisions described in specific regional/national collective bargaining agreements and/or organizational policies and practices. B. Kaiser Permanente informs employees of the National Human Resources Policy No. 14. Corrective/Disciplinary Action Policy during new employee orientation and in annual compliance training. C. In the event that it is necessary to discipline any employee because of, but not limited to, failure to comply with applicable legal/regulatory requirements, Kaiser Permanente policies and procedures, or the Principles of Responsibility, or for unsatisfactory performance or misconduct, coaching/counseling and/or corrective/disciplinary action may include, but is not limited to: - Oral discussion and/or warning by the employee's immediate supervisor or higher level manager to correct the problem - Written notice, with or without final warning - Paid or unpaid suspension, with or without final warning - Termination of employment
FORM 990, PART VI, LINE 15A/B	COMPENSATION DETERMINATION	The executive compensation program 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 which evaluates and approves, prior to payment, all programs and payments to CEO, Executive Director and top management officials (executives). 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 at the median of the comparable external market in which the organization competes for executive leadership. Evaluation of comparable pay data is performed by an Independent Compensation, Benefit & Human Resource Consulting firm. The compensation program focuses on objectives in the areas of quality of member care and service, financial soundness, and the community and social mission of the organization.
FORM 990, PART VI, LINE 19	PUBLIC INSPECTION	Governing documents are available as provided to state Dept. of Insurance and maintained on state agency website or upon request. Conflict of Interest is available on KP website under vendor Principles of Responsibility or upon request. Financial Statements are on file with state insurance agency on a statutory basis (stand alone entity). Combined data is published for Kaiser Foundation Health Plan Inc. and subsidiaries and Kaiser Foundation Hospitals and Subsidiaries with audit opinion by KPMG upon request. To request copies contact: VP - National Tax Compliance Kaiser Foundation Health Plan and Hospitals One Kaiser Plaza, Ste 15L Oakland, CA 94612
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 5	OTHER CHANGES IN NET ASSETS OR FUND BALANCES	CHANGE IN UNREALIZED GAIN/LOSS ON INVESTMENTS <$1,228,071> CHANGE IN OTHER COMPREHENSIVE INCOME < 4,866,499> GAIN/LOSS ON INVESTMENTS - TAX < 1,586,013> GAIN/LOSS ON INVESTMENTS - BOOK 1,835,250 OTTI LOSSES < 363,852> ____________ TOTAL <$6,209,185>
FORM 990, PART III, LINE 4A-D		2010 COMMUNITY BENEFIT REPORT KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC. Kaiser Foundation Health Plan of Georgia, Inc. or "Georgia Health Plan" is a tax-exempt subsidiary health plan of Kaiser Foundation Health Plan, Inc. (KFHP). Kaiser Foundation Health Plan of Georgia as well as Kaiser Foundation Hospitals (KFH) are nonprofit corporations that are part of the integrated health care delivery system known as the Kaiser Permanente Medical Care Program or "Kaiser Permanente." In 2010, Georgia Health Plan served 222,074 members and has 2,285 full-time administrative, clerical and technical employees. Georgia Health Plan provides and arranges comprehensive health care services for members on a predominantly prepaid basis. Health Plan fulfills its contractual obligations to group and individual members by contracting with KFH and a Permanente Medical Group to provide the required health care services. Membership in KFHP and its health plan subsidiaries is available without regard to sex, race, religion, ethnic background, sexual orientation, and occupational status or income level. Health Plan members are broadly representative of the various ages, social and income groups within the areas it serves. Once enrolled, a member is free to maintain membership regardless of age, health status or employment.
.		KAISER PERMANENTE'S COMMITMENT TO THE COMMUNITY Kaiser Permanente believes its Direct Community Benefit Investment (DCBI), is fundamental to being a nonprofit organization. It embodies the organization's commitment to improve the health of communities beyond services to Health Plan members. It is more than traditional corporate citizenship or corporate philanthropy. It is an intentional, planned, budgeted, measurable, accountable creation for better health in our communities. It is done in collaboration with, not in isolation from, the community. DCBI serves to fulfill Kaiser Permanente's social purpose, justify its tax-exempt status, and differentiate it from other health care organizations. This tradition of community benefit dates from the earliest days of the Program, when charitable care to non-employees, and later, nonmembers, was initiated. That heritage has continued through the years in Kaiser Permanente's early participation in publicly financed programs such as Medicaid and Medicare, establishment of residency training and medical research programs, and later, in the development of the Educational Theatre Programs, Safety Net Partnerships, Community Health Initiatives and Charitable Health Coverage Programs. In 2007, the KFHP/H Board of Directors refined the focus of the organization's Community Benefit Program and established the following four priority areas which have come to be known as "streams of work": - Care and Coverage for Low-Income People - Creates and supports programs that lower the financial barriers for the under- and uninsured. - Community Health Initiatives - Designs, delivers, and sustains long-term programs that engage communities in work to improve conditions in their neighborhoods. - Safety Net Partnerships - Builds partnerships with community clinics, local health departments, and public hospitals. Provides funding, technical assistance, dissemination of care management and quality improvements technology to help improve care and expand treatment capacity for vulnerable populations. - Developing and Disseminating Knowledge - Improves health care by sharing our knowledge- educating practitioners, advancing research, empowering consumers and informing policymakers about the evidence base for care and health. The Board elaborated that at least 75% of total community benefit funding will be directed to program priorities within the four streams of work and the remaining 25% of funding will be directed by local regions to respond to local community benefit needs and opportunities that may or may not be within the four key focus areas.
.		THE COMMUNITY BENEFIT PROGRAM IN THE GEORGIA REGION In 2010, Georgia Health Plan expended $29.4 million to support community benefit activities. A breakdown of the 2010 Community Benefit dollars attributable to the Georgia Health Plan is included in Attachment A. The following identifies many of the signature community benefit programs and services grouped according to the national streams of work funded by Georgia Health Plan. CARE AND COVERAGE FOR LOW-INCOME PEOPLE There are roughly 46 million Americans without access to health care or coverage. Uninsured, low-income individuals and families who are not eligible for public programs often have to rely on traditional charity care. Frequently, individuals in this situation may wait to seek medical care until their conditions become critical, and end up in hospital emergency rooms for treatment of conditions that are preventable or easily treated in earlier stages. In 2010, the Georgia Health Plan expended $17.9 million to address the financing and delivery of health care for populations vulnerable due to socio-economic status, illness, ethnicity, age, or other factors. Program beneficiaries (under- and uninsured) received free or discounted care in a Kaiser Permanente facility or by a Permanente provider. Charitable Care (Medical Financial Assistance and Charitable Health Coverage Programs) In the Georgia Region, Health Plan provides charity care to low-income vulnerable populations through the Medical Financial Assistance and Charitable Coverage Program. In 2010, the Georgia Health Plan spent approximately $15.3 million on under- and uninsured residents. - Medical Financial Assistance Program The Georgia Health Plan's Medical Financial Assistance Program provides temporary financial assistance and/or medically necessary services, medications or supplies to patients with a demonstrated financial need. Patients must receive health care services at a Kaiser Permanente facility and/or from a Kaiser Permanente provider. Kaiser Permanente's charity care program also includes discounted charges for uninsured patients below 400% federal poverty guidelines and aligned contracted collection agency practices with Kaiser Permanente social values. In 2010, this program assisted 1,122 patients. - Charitable Health Coverage Program Charitable Health Coverage (CHC) is our unique approach to caring for low-income uninsured persons in our communities. Participants receive a regular Kaiser Permanente membership card and access to the full range of our service and providers-a much better alternative to a brief and costly emergency room visit or hospitalization. This allows us to invest in the longer term health of patients and the community. Since inception in the early 1980s, CHC programs have made a real difference in the lives of persons who might otherwise have no other source of care. The Kaiser Permanente Bridge Program enrolls and subsidizes for up to two years, 95% of the premium for income-eligible individuals who do not have access to any other form of health insurance. This program partners with community agencies to identify eligible clients whose income falls at or below 300% of the federal poverty guidelines. By year-end 2010, the Georgia Health Plan had 2,096 individuals in the Kaiser Permanente Bridge Program.
.		COMMUNITY HEALTH INITIATIVES As an innovator in health, Kaiser Permanente designs, delivers, and sustains long-term programs that engage communities in work to improve conditions in their neighborhoods, workplaces, and schools to support good health, particularly Healthy Eating, Active Living (HEAL). The Georgia Health Plan spent approximately $4.4 million on community health initiatives during 2010. Community Health Education and Prevention Programs The Georgia Health Plan offered a variety of health education classes, events, and programs for the general public. During 2010, the Health Education Department organized numerous health fairs and screenings at Health Plan medical offices which were open to the general public. Expenditures in this category exclude program cost for health education programs targeting or restricted to Health Plan members. The following is an example of a community partnership aimed at promoting health and well being. - The Georgia Health Plan is the sponsor of the Green Market, weekly farmers' market (May-December) offering a variety of organic fruits, vegetables, fresh cut flowers, baked goods as well as healthy cooking demonstrations and fitness classes. In 2010, 67,000 people attended the Green Market. Grants and Donations for Community Health Initiatives The Georgia Health Plan contributed $4.4 million to 63 nonprofit organizations to support a variety of community health initiatives. Following are examples of two programs funded in 2010: - The Chattahoochee Nature Center (CNC) transformed an abandoned soccer field into a community garden with funding from a $42,809 Kaiser Permanente grant. The garden yields 24,000 pounds of fresh produce annually, and benefits clients of another KPGA grantee, the nearby North Fulton Community Charities, a nonprofit that provides food, clothing and short-term emergency assistance to low-income families. CNC also provides educational workshops to the families on healthy eating and active living. The partnership increases access to seasonal fresh produce, while strengthening community networks and increasing healthy living. - KPGA is addressing the region's childhood obesity challenge (almost 38% of children younger than 17 are obese) through a project implemented by the YMCA of Metropolitan Atlanta. The initiative will test and put into practice techniques that minimize health risks related to overweight/obesity. The goal is to improve health outcomes for youth (ages 2 to 16) through programs that promote healthy eating, physical activity and behavior change that establish lifelong habits of health and wellness. The contribution supported the study's first phase, which focuses on 3 to 5 year olds, and will fund curriculum development and strategy implementation to prevent and address obesity in YMCA pre-school Head Start students.
.		SAFETY NET PARTNERSHIPS Through funding, technical assistance, public policy advocacy, training and volunteering, dissemination of care-management and quality improvement technologies, Kaiser Permanente helps these vital health care providers improve care and expand treatment capacity for the communities and vulnerable people they serve. Grants and Donations for Safety Net Partnerships The Georgia Health Plan contributed $1.5 million to 13 organizations that deliver medical or dental care services to uninsured people in community settings, primarily safety net clinics in Georgia. Following are two community organizations supported by these grants in 2010: - Nationally, Georgia is ranked 36th in the percent of its population that has access to primary care. A Kaiser Permanente Georgia grant to the United Way of Metropolitan Atlanta created the Primary Care Access program. The initiative expands access to care in five metro Atlanta counties. The program helps people access primary care and addresses the 300% increase in patients seeking care that community clinics have recently experienced. Counties were selected based on residents' health status, income levels, and the capacity of community-based health care organizations (where they existed). Because of the project, hundreds of patients who have no other options for care will receive services through new access points for primary care. - Community clinics are a vital part of the safety net providing healthcare to thousands of under- and uninsured patients each year. Hebron Community Health Center is such a facility. With a $10,000 Kaiser Permanente Georgia grant, the organization implemented a diabetes health education and prescription program called "Being Put to the Test." Diabetes is a leading cause of death among Georgians, and is linked to health disparities in the Kaiser Permanente service area. The grant makes possible health care for 150 diabetic patients who might not otherwise receive appropriate care. By providing patient education, screening, monitoring, and medication Hebron is improving its patients' health, but is also freeing hospital emergency rooms to treat patients with urgent health crises.
.		EVELOPING AND DISSEMINATING KNOWLEDGE Kaiser Permanente aims to improve health by sharing its knowledge, educating practitioners, advancing research, empowering consumers, and informing policymakers about the evidence base for care and health. The Georgia Health Plan spent $4.2 million to support programs and services for the development and dissemination of knowledge and provided grants and donations to nonprofit organizations. Clinical and Health Services Research The Georgia Health Plan's Center for Health Research department partners with research programs at Emory University, Morehouse School of Medicine, Centers for Disease Control and Prevention (CDC) and the Georgia Department of Human Resources, Division of Public Health. During 2010, the Center for Health Research participated in 108 studies and published results in 22 peer-reviewed publications. The following are two examples of studies conducted in 2010: - Children's Healthcare of Atlanta at Hughes Spalding is the only pediatric safety net hospital in metro Atlanta. Through a contribution to the hospital - whose patients are 98% minority, 80% Medicaid enrolled, and 11% uninsured - Kaiser Permanente is ensuring that low-income, underserved children are cared for with appropriate medical care and equipment. Low-income children had previously been served in a sub-standard, outdated facility that lacked up-to-date equipment and systems. The project will increase the number of Charity Care-qualified children served and improve access to care. - Georgia is ranked 5th highest in the country for the number of uninsured residents. This lack of care - among other factors - often contributes to poor health among residents. Community clinics are a vital part of the safety net, providing healthcare to thousands of under- and uninsured patients each year. A $95,000 Kaiser Permanente grant allowed the Hands of Hope Clinic to increase its capacity and serve over 1800 medical and almost 100 dental patients. The Clinic was able to maintain its medical and dental provider staff, increase volunteer medical, dental and clerical staff; and increase the clinic's hours in order to serve more patients. Educational Theatre Programs (ETP) The Georgia Health Plan offered free, award-winning health education plays for youth and adults. Kaiser Permanente's Educational Theatre Programs offers a unique series of dynamic theatre programs with compelling health messages to reach children, teens and adults. These national award-winning plays promote individual responsibility for one's health, instill positive attitudes about healthy lifestyle choices and demonstrate the benefits of positive action. Topics addressed in the performances range from AIDS awareness and stress management to grief counseling and health and wellness messages, related to nutrition and asthma education. All programs are offered free of charge as a community benefit of Kaiser Permanente. In 2010, the program reached approximately 86,675 children and adults through 1,254 programs. Training and Education of Health Care Professionals In 2010, the Georgia Health Plan spent $214,945 to support the education and training of health care professionals.
.		Grants and Donations for Knowledge Dissemination The Georgia Health Plan donated $538,133 in charitable contributions to 6 nonprofit organizations for the dissemination of evidence-based studies which informed the community about health care public policy and educational opportunities for individuals seeking a career as a health care professional. Following is an example of one of the programs supported in 2010. - Voices for Georgia's Children provides research-based information that helps policymakers and the state's citizens make informed decisions about policies affecting children. Kaiser Permanente Georgia granted the organization $64,633 to use education and advocacy to support enrolling children in health insurance programs. The organization is partnering with Georgia's Department of Community Health and other community-based organizations to implement policy and practice changes to improve the state's enrollment systems for Medicaid and PeachCare for Kids (the state's child health insurance program). - In addition, the Georgia Health Plan partners with colleges and universities to address the shortage of healthcare workers in our state. In 2010, Clayton State University, Georgia Perimeter College, Georgia State University, Kennesaw State University, Mercer University, and the Morehouse School of Medicine received grants totaling $410,000, and awarded scholarships to 28 nursing, pharmacy and medical students.
.		OTHER COMMUNITY BENEFIT The Georgia Health Plan spent $1.4 million on other community benefit activities and programs beyond the national streams of work. Self-Sufficiency Programs The Georgia Health Plan spent $99,113 to support five INROADS interns in 2010. The INROADS program is aimed at improving education and job skills or providing employment opportunities for targeted populations. INROADS is an organization focused on developing minority college students for leadership roles in corporations and in the community. Student interns typically work two to five summers with the organization with the goal of permanent placement upon graduation from college. Community Giving Campaign The Georgia Region's Community Giving Campaign is the employee's charitable giving program. Employees contribute to United Way and Earthshare through payroll deductions, direct gifts and special event fundraising. The amount reported is to cover administrative expenses for operating the campaign. Other Community Grants and Donations The Georgia Health Plan contributed $114,000 to four nonprofit community organizations in support of a variety of other programs and services for vulnerable populations. Following are highlights of one of the programs funded: - The Martin Luther King, Jr. Center for Nonviolent Social Change provides education about Dr. King's philosophy and continues his work research, education and training. Each year, the Center hosts the Salute to Greatness Awards Dinner to honors recipients of the Salute to Greatness Award, the Center's highest recognition afforded individuals and institutions that embody the principles espoused by Dr. King. Kaiser Permanente Georgia joined with other local and national companies to support the King Center, and award recipients who help improve quality of life through their efforts. Regional Community Benefit Operations The Georgia Health Plan has a Community Benefit Department with nine employees to support regional community benefit programs and coordinate CB initiatives including the Educational Theatre Programs. In addition, there are many other Health Plan personnel who collaborate to help manage community benefit programs like Charity Care, Charitable Health Coverage.
.		ATTACHMENT A 2010 COMMUNITY BENEFIT INVESTMENT - GEORGIA REGION The following chart summarizes 2010 Community Benefit investments by the Georgia Health Plan. The investments in the community reflected in the chart are unaudited. REGIONAL HEALTH PLAN TOTAL CARE AND COVERAGE Charitable Care and Coverage Programs $15,363,042 Government-Sponsored Programs 50,032 Grants & Donations for Care & Coverage 2,500,000 Subtotal: $17,913,074 COMMUNITY HEALTH INITIATIVES Community Health Initiatives Programs and Services $14,790 Grants & Donations for Community Health Initiatives 4,433,881 Subtotal: $4,448,671 SAFETY NET PARTNERSHIPS Grants & Donations for Safety Net Partnerships $1,473,241 CB Operations for Safety Net 66,371 Subtotal: $1,539,612 KNOWLEDGE DISSEMINATION Medical Research $2,604,888 Educational Theatre Program 810,607 Health Care Training and Education Programs 214,945 Grants & Donations for Knowledge Dissemination 538,133 Subtotal: $4,168,573 OTHER COMMUNITY BENEFITS Self Sufficiency Programs $99,113 Other CB Grants & Donations 114,000 CB Operations 1,138,850 Subtotal: $1,351,963 TOTAL $29,421,893
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Peter Andruszkiewicz TITLE:Regional President, GA HOURS:25
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Frank Boone TITLE:VP - Finance & Regional CFO HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:George Halvorson TITLE:Chairman and CEO HOURS:45
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Kerry Kohnen TITLE:SVP, Operations HOURS:10
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Bernard Tyson TITLE:President & COO HOURS:45
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:J. NEAL PURCELL TITLE:DIRECTOR HOURS:8
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JEFFREY KOPLAN TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Julie Fortin TITLE:VP - REGIONAL COUNSEL - SE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Kathryn Lancaster TITLE:EVP & CFO HOURS:46
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Kirkland McGhee TITLE:VP, Regional Counsel - GA HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Thomas Meier TITLE:SVP, Corporate Treasurer HOURS:47
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Donald Orndoff TITLE:SVP, NFS HOURS:45
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Arthur Southam TITLE:EVP, Health Plan Operations HOURS:45
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Deborah Stokes TITLE:SVP, CC & CAO HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Steven Zatkin TITLE:SVP, Gen Counsel & Secretary HOURS:45
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Victoria Zatkin TITLE:VP, Off of Brd & Corp Gov Svcs HOURS:46
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Mark Zemelman TITLE:SVP, Gen Counsel & Secretary HOURS:46
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:James Cullinan TITLE:VP, Mktg Sales & Bus Dev HOURS:20
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Sarah Sidwell TITLE:VP, Chief Operating Officer HOURS:20
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Dawn Bading TITLE:VP, Human Resources - GA HOURS:20
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Jonna Kirkwood TITLE:VP, HP Svcs & Admin - GA HOURS:20
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Daniel Styf TITLE:VP, Strategy & Business Exec HOURS:20
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Beverly Thomas TITLE:VP, Community & Public Affairs HOURS:20
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Timothy Trussell TITLE:SR. SALES EXECUTIVE HOURS:20
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Christine Malcolm TITLE:Former SVP HOURS:

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

KAISER FDN HEALTH PLAN OF GEORGIAINC

Employer identification number

58-1592076

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) KAISER FOUNDATION HEALTH PLAN INC ONE KAISER PLAZA SUITE 15L OAKLAND,CA94612 94-1340523	HEALTH CARE	CA	501(c)(3)	9	NA
(2) KAISER FOUNDATION HOSPITALS ONE KAISER PLAZA SUITE 15L OAKLAND,CA94612 94-1105628	HEALTH CARE	CA	501(c)(3)	3	KFHP INC
(3) KAISER FDN HEALTH PLAN OF COLORADO ONE KAISER PLAZA SUITE 15L OAKLAND,CA94612 84-0591617	HEALTH CARE	CO	501(c)(3)	9	KFHP INC
(4) KFHP OF THE MID-ATLANTIC STATES ONE KAISER PLAZA SUITE 15L OAKLAND,CA94612 52-0954463	HEALTH CARE	MD	501(c)(3)	9	KFHP INC
(5) KAISER FDN HEALTH PLAN OF THE NORTHWEST ONE KAISER PLAZA SUITE 15L OAKLAND,CA94612 93-0798039	HEALTH CARE	OR	501(c)(3)	9	KFHP INC
(6) KAISER FDN HEALTH PLAN OF OHIO ONE KAISER PLAZA SUITE 15L OAKLAND,CA94612 34-0922268	HEALTH CARE	OH	501(c)(3)	9	KFHP INC
(7) KAISER HEALTH PLAN ASSET MANAGEMENT INC ONE KAISER PLAZA SUITE 15L OAKLAND,CA94612 94-3299124	ASSET MGMT	CA	501(c)(3)	11	KFHP INC
(8) LOKAHI ASSURANCE LTD ONE KAISER PLAZA SUITE 15L OAKLAND,CA94612 91-2171891	RISK MGMT	HI	501(c)(3)	11	KFHP INC
(9) KAISER HOSPITAL ASSET MANAGEMENT INC ONE KAISER PLAZA SUITE 15L OAKLAND,CA94612 94-3299125	ASSET MGMT	CA	501(c)(3)	11	KF HOSPITALS
(10) CAMP BOWIE SERVICE CENTER ONE KAISER PLAZA SUITE 15L OAKLAND,CA94612 94-3299123	ADMIN	CA	501(c)(3)	11	KFHP INC
(11) OHP ONE KAISER PLAZA SUITE 15L OAKLAND,CA94612 93-0480268	LEASING	WA	501(c)(3)	11	KFHP INC
(12) KAISER HEALTH ALTERNATIVES ONE KAISER PLAZA SUITE 15L OAKLAND,CA94612 93-0954562	HEALTH CARE	OR	501(c)(3)	11	KFHP INC
(13) 1800 HARRISON ONE KAISER PLAZA SUITE 15L OAKLAND,CA94612 94-3317484	FINANCING	CA	501(c)(3)	11	KFHP INC
(14) KAISER HOSPITAL ASSISTANCE CORPORATION ONE KAISER PLAZA SUITE 15L OAKLAND,CA94612 31-1779500	FINANCING	CA	501(C)(3)	11	KF HOSPITALS

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) HCMS LLC ONE KAISER PLAZA SUITE 15L OAKLAND,CA94612 20-3924985	CASE MANAGEMENT	CA	NA	NONE	0	0			0			0 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership
(1) OAK TREE ASSURANCE LTD ONE KAISER PLAZA SUITE 15L OAKLAND,CA94612 03-0329760	INUSRANCE	VT	NA	C CORP	0	0	0 %
(2) KAISER PERMANENTE INSURANCE COMPANY ONE KAISER PLAZA SUITE 15L OAKLAND,CA94612 94-3203402	INUSRANCE	CA	NA	C CORP	0	0	0 %
(3) KAISER PROPERTY SERVICES INC ONE KAISER PLAZA SUITE 15L OAKLAND,CA94612 94-3259432	REAL ESTATE	CA	NA	C CORP	0	0	0 %
(4) ARCHIMEDES INC ONE KAISER PLAZA SUITE 15L OAKLAND,CA94612 20-3774729	CONSULTING	CA	NA	C CORP	0	0	0 %
(5) KAISER PERMANENTE INTERNATIONAL ONE KAISER PLAZA SUITE 15L OAKLAND,CA94612 94-3245176	CONSULTING	CA	NA	C CORP	0	0	0 %

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1)
(2)
(3)
(4)
(5)
(6)

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	5
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	2
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	2,555
6	Total number of volunteers (estimate if necessary) ....	6	469
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	27,854
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	17,390

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 993,669,074 including grants of $ 0 ) (Revenue $ 951,213,720 )
	Member health care services and medical training for care improvement Kaiser Foundation Health Plan of Georgia, Inc. (KFHP of Georgia) 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 of Georgia educates and trains medical students and other health care professionals and promotes scientific and nursing education in order to improve care. Additional information about Georgia Health Plan's charitable activities can be found in Schedule O, Community Benefit Report.

4b	(Code: ) (Expenses $ 16,434,120 including grants of $ 0 ) (Revenue $ 1,071,079 )
	Charitable Care (Medical Financial Assistance and Charitable Coverage) Health Plan provides charity care to low-income vulnerable patients through the Medical Financial Assistance (MFA) and Charitable Health Coverage (CHC) Programs. MFA - Health Plan offers financial assistance to help families and individuals that are unable to pay for all or part of the cost of urgent or emergent care provided in Kaiser Permanente facilities. In 2010 this program assisted 1,122 applicants. CHC - these programs are available to low income adults and children who are not eligible for other public or privately sponsored coverage. More than 2,096 patients received comprehensive care for up to four years through this program. Health Plan also partnered with the Grady Medical Center and gave them a restricted grant to underwrite the cost of care for uninsured individuals with chronic conditions. Additional information about Georgia Health Plan's charitable activities can be found in Schedule O, Community Benefit Report.

4c	(Code: ) (Expenses $ 9,046,312 including grants of $ 9,046,312 ) (Revenue $ 0 )
	Grants and Donations The Georgia Health Plan supported approximately 119 nonprofit organizations and enabled them to continue providing programs and services that serve vulnerable populations. One example is the "Green Market" a weekly farmers' market (May-December) offering a variety of organic fruits, vegetables, fresh cut flowers, baked goods as well as healthy cooking demonstrations and fitness classes. Additional information about Georgia Health Plan's charitable activities can be found in Schedule O, Community Benefit Report.

	(Code: ) (Expenses $ 2,394,708 including grants of $ 0 ) (Revenue $ 0 )
	SCH. O, COMMUNITY BENEFIT REPORT

4d	Other program services. (Describe in Schedule O.)
	(Expenses $ 2,394,708 including grants of $ 0 ) (Revenue $ 0 )
4e	Total program service expenses$ 1,021,544,214

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)				(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) James Cullinan VP, Mktg Sales & Bus Dev	30.0	X			0	291,849	63,412
(19) Sarah Sidwell VP, Chief Operating Officer	30.0	X			0	456,441	53,650
(20) Dawn Bading VP, Human Resources - GA	30.0		X		0	261,298	68,652
(21) Jonna Kirkwood VP, HP Svcs & Admin - GA	30.0		X		0	242,341	72,356
(22) Daniel Styf VP, Strategy & Business Exec	30.0		X		0	226,530	52,726
(23) Beverly Thomas VP, Community & Public Affairs	30.0		X		0	261,407	79,785
(24) Timothy Trussell SR. SALES EXECUTIVE	30.0		X		209,806	0	45,759
(25) Christine Malcolm Former SVP	0.0			X	0	568,721	12,021

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,057,241	2,350,668
9	Program service revenue (Part VIII, line 2g) .........	1,060,150,602	945,171,878
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	5,474,392	5,931,849
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	7,970,968	7,140,775
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	1,075,653,203	960,595,170
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	6,556,865	9,046,312
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	143,435,370	166,674,729
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	925,976,552	938,805,370
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,075,968,787	1,114,526,411
19	Revenue less expenses. Subtract line 18 from line 12......	-315,584	-153,931,241
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	293,621,296	372,483,994
21	Total liabilities (Part X, line 26)............	181,373,160	420,376,284
22	Net assets or fund balances. Subtract line 21 from line 20 .....	112,248,136	-47,892,290

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	236,700	21,765,682	2,572,322

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		1,577,335
e	Government grants (contributions)1e		48,091

f	All other contributions, gifts, grants, and similar amounts not included above1f		725,242
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			2,350,668
			Business Code
2a	MEMBERS HEALTH CARE		621,400	729,936,635	729,936,635
b	SUPPLEMENTAL CHARGE		621,400	52,003,681	52,003,681
c	NON-PLAN & INDUSTRIAL		621,400	1,992,636	1,964,782	27,854
d	OTHER PROGRAM SERVICES		621,400	13,899,871	13,899,871
e	MEDICARE/MEDICAID PAYMENTS		621,400	147,339,055	147,339,055
f	All other program service revenue .
g	Total. Add lines 2a–2f........			945,171,878
3	Investment income (including dividends, interest
	and other similar amounts).....			4,327,774			4,327,774
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross Rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	66,405,054	31,623
b	Less: cost or other basis and sales expenses	64,819,041	13,561
c	Gain or (loss)	1,586,013	18,062
d	Net gain or (loss)..........			1,604,075			1,604,075
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	PP&L INSURANCE PREMIUM REIMBURSEMENT		900,099	7,140,775	7,140,775
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			7,140,775
12	Total revenue. See Instructions....			960,595,170	952,284,799	27,854	5,931,849


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			9,645,763	1	406,177
2	Savings and temporary cash investments .......				2
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			20,081,553	4	26,718,979
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			8,402,872	8	9,806,294
9	Prepaid expenses and deferred charges ............			346,689	9	867,207
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	277,746,053
b	Less: accumulated depreciation. .....	10b	136,936,328	124,609,667	10c	140,809,725
11	Investments—publicly traded securities ..........			130,295,288	11	193,511,986
12	Investments—other securities. See Part IV, line 11 ......				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			239,464	15	363,626
16	Total assets. Add lines 1 through 15 (must equal line 34)...			293,621,296	16	372,483,994
17	Accounts payable and accrued expenses .			81,446,199	17	84,150,555
18	Grants payable ..........				18
19	Deferred revenue ..........			9,182,619	19	9,470,758
20	Tax-exempt bond liabilities ..........				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			90,744,342	25	326,754,971
26	Total liabilities. Add lines 17 through 25.....			181,373,160	26	420,376,284
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....				27
28	Temporarily restricted net assets .....				28
29	Permanently restricted net assets .....				29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....			5,665,218	30	5,665,218
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds			106,582,918	32	-53,557,508
33	Total net assets or fund balances .....			112,248,136	33	-47,892,290
34	Total liabilities and net assets/fund balances .....			293,621,296	34	372,483,994