Kaiser Foundation Health Plan Of North Carolina in Oakland, California (CA)

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Kaiser Foundation Health Plan Of North Carolina
Employer Identification Number (EIN)561421313
Name of OrganizationKaiser Foundation Health Plan Of North Carolina
AddressOakland, CA 94612
Tax Period2001
Asset Amount$-240,100,624
Amount of Income$8,067,821
Form 990 Revenue Amount$8,067,821
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Group Health Practice (Health Maintenance Organizations)


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Amount of income in 2001: $8,067,821
Kaiser Foundation Health Plan Of North Carolina: 

 $8,067,821
Other organizations performing similar types of work: 

 $164,342,401

Assets in 2001: $-240,100,624
This organization: 

 $-240,100,624
Other organizations performing similar types of work: 

 $42,287,125

Expenses in 2001: $5,088,764
Kaiser Foundation Health Plan Of North Carolina: 

 $5,088,764
Other organizations performing similar types of work: 

 $162,179,470

Income to expenses ratio in 2001: 1.6
This organization: 

 1.6
Other organizations performing similar types of work: 

 1.1

Expenses allocated to program services in 2001: 96.5%
This organization: 

 96.5%
Other organizations performing similar types of work: 

 91.9%

Financial snapshot ($)

Revenue for 2001

Assets at end of 2001

Expenses for 2001

Functional Expenses for 2001 ($)

Income-Producing Activities for 2001

Revenue, Expenses, and Changes in Net Assets or Fund Balances
20002001
Total revenue$18,233,272$8,067,821
Contributions, gifts, grants, and similar amounts received$0$0
Contributions to donor advised funds
Direct public support$0$0
Indirect public support$0$0
Government contributions (grants)$0$0
Program service revenue including government fees and contracts$14,993,096$8,934,479
Membership dues and assessments$0$0
Interest on savings and temporary cash investments$3,264,486$2,979,086
Dividends and interest from securities$0$0
Net rental income or (loss)$0$0
Gross rents$0$0
Less: rental expenses$0$0
Other investment income$0$0
Gain or (loss) from sales of assets other than inventory$-24,310$-3,845,744
Gross amount from sales of assets other than inventory$24,590$11,635,000
Less: cost or other basis and sales expenses$48,900$15,480,744
Net income or (loss) from special events and activities$0$0
Gross revenue$0$0
Less: direct expenses other than fundraising expenses$0$0
Gross profit or (loss) from sales of inventory$0$0
Gross sales of inventory, less returns and allowances$0$0
Less: cost of goods sold$0$0
Other revenue$0$0
Total expenses$15,006,481$5,088,764
Program services$10,297,010$4,910,347
Management and general$4,709,471$178,417
Fundraising$0$0
Payments to affiliates$0$0
Net assets or fund balances at end of year$-243,461,650$-240,100,624
Excess or (deficit) for the year$3,226,791$2,979,057
Net assets or fund balances at beginning of year$-246,688,441$-243,461,650
Other changes in net assets or fund balances$0$381,969
Statement of Functional Expenses (for 2001)
TotalProgram servicesManagement and generalFundraising
Total functional expenses$5,088,764$4,910,347$178,417$0
Grants paid from donor advised funds
Other grants and allocations$0
Specific assistance to individuals$0
Benefits paid to or for members$0
Compensation of current officers, directors, key employees, etc.$141,622$0$141,622$0
Compensation of former officers, directors, key employees, etc.
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)
Salaries and wages of employees not included above$0$0$0$0
Pension plan contributions not included above$0$0$0$0
Employee benefits not included above$0$0$0$0
Payroll taxes$0$0$0$0
Professional fundraising fees$0$0$0$0
Accounting fees$154,371$154,371$0$0
Legal fees$721,346$721,346$0$0
Supplies$1,164$1,164$0$0
Telephone$11,408$11,408$0$0
Postage and shipping$4,244$0$4,244$0
Occupancy$1,499,246$1,499,246$0$0
Equipment rental and maintenance$47,182$47,182$0$0
Printing and publications$210$85$125$0
Travel$32,277$0$32,277$0
Conferences, conventions, and meetings$0$0$0$0
Interest$30$30$0$0
Depreciation, depletion, etc.$121,937$121,937$0$0
Other expenses not covered above$2,353,727$2,353,578$149$0
Balance Sheets
20002001
Total assets$71,958,746$64,022,606
Cash - non-interest-bearing$22,552,306$0
Savings and temporary cash investments$28,093,264$30,669,544
Accounts receivable less allowance for doubtful accounts$171,708$0
Pledges receivable less allowance for doubtful accounts$0$0
Grants receivable$0$0
Receivables from current and former officers, directors, trustees, and key employees$0$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)
Other notes and loans receivable less allowance for doubtful accounts$0$0
Inventories for sale or use$0$0
Prepaid expenses and deferred charges$49,630$90,775
Investments - publicly-traded securities
Investments - other securities$6,031,000$0
Investments - land, buildings, and equipment less accumulated depreciation$0$0
Investments - other$0$0
Land, buildings, and equipment less accumulated depreciation$15,060,838$0
Other assets, including program-related investments$0$33,262,287
Total liabilities$315,420,396$304,123,230
Accounts payable and accrued expenses$2,385,669$1,026,916
Grants payable$0$0
Deferred revenue$0$0
Loans from officers, directors, trustees, and key employees$0$0
Tax-exempt bond liabilities$0$0
Mortgages and other notes payable$278,133,178$276,261,335
Other liabilities$34,901,549$26,834,979
Total liabilities and net assets/fund balances$71,958,746$64,022,606
Total net assets or fund balances$-243,461,650$-240,100,624
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
20002001
Total revenue$0$0
Total revenue, gains, and other support per audited financial statements$0$0
Other expenses$0$0
Net unrealized gains on investments$0$0
Donated services and use of facilities$0$0
Recoveries of prior year grants$0$0
Other$0$0
Other revenue$0$0
Investment expenses$0$0
Other$0$0
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
20002001
Total expenses$0$0
Total expenses and losses per audited financial statements$0$0
Other revenue$0$0
Donated services and use of facilities$0$0
Prior year adjustments$0$0
Losses$0$0
Other$0$0
Other expenses$0$0
Investment expenses$0$0
Other$0$0
Current Officers, Directors, Trustees, and Key Employees
Total number of officers, directors, and trustees permitted to vote on organization business at board meetings0
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?
Does the organization have a written conflict of interest policy?
Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?No
Was there a liquidation, dissolution, termination, or substantial contraction during the year?Yes
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?Yes
Direct and indirect political expenditures$0
Did the organization file Form 1120-POL for this year?No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members$0
Section 162(e) lobbying and political expenditures$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices$0
Taxable amount of lobbying and political expenditures$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?
Amount of tax imposed on the organization during the year under: section 4911$0
Amount of tax imposed on the organization during the year under: section 4912$0
Amount of tax imposed on the organization during the year under: section 4955$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958$0
Amount of tax above, reimbursed by the organization$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?
Did the organization acquire a direct or indirect interest in any applicable insurance contract?
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?
Number of employees employed in the pay period that includes March 12, 20060
Analysis of Income-Producing Activities (for 2001)
Unrelated business incomeExcluded by section 512, 513, or 514Related or exempt function income
Business codeAmountExclusion codeAmount
Total$0$8,067,821$0
Program service revenue
Program service revenue 1000000$0Income from an activity that is not regularly carried on (section 512(a)(1))$8,934,479$0
Program service revenue 2000000$000$0$0
Program service revenue 3000000$000$0$0
Program service revenue 4000000$000$0$0
Program service revenue 5000000$000$0$0
Medicare/Medicaid payments000000$000$0$0
Fees and contracts from government agencies000000$000$0$0
Membership dues and assessments000000$000$0$0
Interest on savings and temporary cash investments000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$2,979,086$0
Dividends and interest from securities000000$000$0$0
Net rental income or (loss) from real estate
debt-financed property000000$000$0$0
not debt-financed property000000$000$0$0
Net rental income or (loss) from personal property000000$000$0$0
Other investment income000000$000$0$0
Gain or (loss) from sales of assets other than inventory000000$0Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A))$-3,845,744$0
Net income or (loss) from special events000000$000$0$0
Gross profit or (loss) from sales of inventory000000$000$0$0
Other revenue000000$000$0$0
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2001)
EIN of corporation, partnership, or disregarded entityPercentage of ownership interestTotal incomeEnd-of-year assets
0%$0$0
0%$0$0
0%$0$0
0%$0$0
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2001)
CompensationContributions to employee benefit plans & deferred compensationExpense account and other allowances
$0$0$0
$0$0$0
$0$0$0
$0$0$0
$0$0$0
Total number of other employees paid over $50,0000
Statements About Activities (for 2001)
Expenses paid or incurred in connection with the lobbying activities$0
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?
Did the organization maintain any donor advised funds?
Did the organization make any taxable distributions under section 4966?
Did the organization make a distribution to a donor, donor advisor, or related person?
The total number of donor advised funds owned at the end of the tax year
The aggregate value of assets held in all donor advised funds owned at the end of the tax year
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts
The aggregate value of assets held in all funds or accounts included above at the end of the tax year
Reason for Non-Private Foundation Status
The organization is not a private foundation because it isOrganization that normally receives: less than 1/3 of its support from gross investment income and unrelated taxable business income and more than 1/3 of its support from contribution, membership fees
Support Schedule
19992000
Total$192,331,101$18,257,582
Gifts, grants, and contributions received$0$0
Membership fees received$0$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose$189,611,114$13,109,443
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975$2,719,987$5,148,139
Net income from unrelated business activities not included above$0$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf$0$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge$0$0
Other income$0$0
Lobbying Expenditures by Electing Public Charities (for 2001)
Total exempt purpose expenditures$0
Total lobbying expenditures$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)$0
Total lobbying expenditures to influence a legislative body (direct lobbying)$0
Other exempt purpose expenditures$0
Lobbying nontaxable amount$0
Grassroots nontaxable amount$0
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Organizations performing similar types of work
IdNameAddressStateEstablishedTotal Income
1California Vision ServiceRancho Cordova, CA 95670CA$626,353,122
2Sharp Health Plan4000 Ruffin Rd Ste A, San Diego, CA 92123-1849CA1995-11$325,602,754
3Inter Valley Health Plan Inc300 S Park Ave Ste 300, Pomona, CA 91766-1500CA1979-03$238,672,358
4Scan Health Plan Arizona3800 Kilroy Airport Way Ste 100, Long Beach, CA 90806-6818CA2008-04$132,256,400
5Vision Service Plan IncRancho Cordova, CA 95670CA$121,232,283
6Total Health Care Usa Inc3011 W Grand Blvd Ste 1600, Detroit, MI 48202-3000MI1998-01$114,873,177
7Vision Service Plan3333 Quality Dr, Rncho Cordova, CA 95670-7985CA1966-02$71,780,655
8Mid-Atlantic Vision Service Plan Inc3333 Quality Dr, Rncho Cordova, CA 95670-7985CA1972-01$70,821,129
9Health Plan Of The Redwoods, Sloan Daniel Officer In BankruptcyPO BOX 1673, Santa Rosa, CA 95402-1673CA1980-05$67,603,044
10Indiana Vision Services Inc3333 Quality Dr, Rncho Cordova, CA 95670-7985CA1979-11$41,762,326
11Pacific Health Advantage221 Main Street 1500, San Francisco, CA 94105CA1999-11$27,235,715
12Vision Care Of Oregon IncRancho Cordova, CA 95670CA$26,812,841
13Wisconsin Vision Services Inc3333 Quality Dr, Rncho Cordova, CA 95670-7985CA1968-06$22,186,157
14Community Health Plan IncOne Kaiser Plaza Suite 1550l, Oakland, CA 94612-3610CA1981-10$18,125,796
15Kaiser Foundation Health Plan Of Connecticut IncOakland, CA 94612CA$12,578,784
16Kaiser Foundation Health Plan /Kansas City IncOakland, CA 94612CA$9,289,858
17Alaska Vision Services Inc3333 Quality Dr, Rncho Cordova, CA 95670-7985CA1984-03$8,098,282
18West Penn Physician Practice Network320 E North Ave, Pittsburgh, PA 15212-4756PA2008-08$1,391,387
19South Hills Medical Associates Inc565 Coal Valley Road, Pittsburgh, PA 15236PA1998-02$0
20Upstate Urology Inc750 E Adams St Cwb 2nd Fl, Syracuse, NY 13210-2306NY2012-12$0
Number of organizations performing similar types of work
Alabama1
Arkansas1
California19
Colorado5
Connecticut1
District of Columbia2
Florida2
Georgia1
Hawaii2
Idaho1
Illinois3
Indiana2
Kansas1
Kentucky1
Massachusetts6
Maryland1
Michigan17
Minnesota8
Missouri2
North Dakota1
New Jersey1
New Mexico1
New York19
Ohio7
Oklahoma1
Oregon6
Pennsylvania5
Rhode Island1
South Dakota1
Tennessee2
Texas7
Utah4
Virginia2
Vermont1
Washington1
Wisconsin4
West Virginia1
International1
Total142

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