2023-11-15T05:59:48-06:00 2022-12-31 PwC US Tax LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2022-01-01 814053028 KAISER PERMANENTE BERNARD J TYSON SCHOOL OF MEDICINE INC % CHIEF TAX OFFICER KAIS 5102716611 ONE KAISER PLAZA - 26TH FLOOR OAKLAND CA 94612 MICHAEL P WALTON CHIEF TAX OFFICER 5102716611 2023-10-13 MICHAEL P WALTON 999009999 ROBERT W FRIZ P00438748 2673303000 2023-10-08 2 2022 2023-04-26 12:10:37Z X MARK A SCHUSTER ONE KAISER PLAZA - 26TH FLOOR OAKLAND CA 94612 127652024 false X https://medschool.kp.org/ X 2016 CA PROVIDE A WORLD-CLASS MEDICAL EDUCATION THAT IGNITES A PASSION FOR LEARNING, DESIRE TO SERVE & COMMITMENT TO IMPROVE THE HEALTH & WELL-BEING OF PATIENTS & COMMUNITIES. 17 13 0 13 0 86350575 106363407 616325 694508 208378 820371 0 2333 87175278 107880619 2957102 4767030 0 0 41467281 44688713 0 0 0 40523578 48741250 84947961 98196993 2227317 9683626 109560789 112506655 63316796 59367239 46243993 53139416 X PROVIDE A WORLD-CLASS MEDICAL EDUCATION THAT IGNITES A PASSION FOR LEARNING, DESIRE TO SERVE & COMMITMENT TO IMPROVE THE HEALTH & WELL-BEING OF PATIENTS & COMMUNITIES. false false 78836375 4767030 694508 OPERATION OF A MEDICAL SCHOOL IN SOUTHERN CALIFORNIA INCORPORATING ADVANCED HEALTH INFORMATION TECHNOLOGY, ACKNOWLEDGING THE IMPORTANCE OF COLLABORATION, AND PROMOTING DIVERSITY AND INCLUSION TO DELIVER HEALTH EQUITY. THE SCHOOL OF MEDICINE HAS WAIVED TUITION FOR THE ENTERING CLASSES OF 2020-2024 (I.E. FIRST 5 CLASSES). THE TUITION WAIVER APPLIES TO EACH CLASS FOR THEIR FOUR YEARS OF ENROLLMENT AND IS TREATED AS A REDUCTION TO THE REVENUE. FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021, THE TOTAL AMOUNT OF TUITION WAIVED WAS APPROXIMATELY $6.1 MILLION AND $3.8 MILLION, RESPECTIVELY. The Kaiser Permanente Bernard J. Tyson School of Medicine demonstrated its continued commitment to its mission, vision, and values by admitting a diverse group of students to its third cohort (46% underrepresented in medicine, 30% disadvantaged, 22% nontraditional, 16% first-generation). The school waives tuition and fees for all four years of enrollment for its first five cohorts, and continues to provide substantial institutional grant aid to offset living expenses (e.g., room and board, transportation). The school was granted provisional accreditation by the Liaison Committee on Medical Education (LCME) in October 2022. This status is a major milestone in the path toward full accreditation. 78836375 true true false false false false false false false false true false false true true false true true true false false false false false false false false true true true false false false false false false false false false false false false false true true true false false true X 56 0 0 false false false false false false false false false false true false false X 17 13 false false false false true true true true true false false true true true true true true true true false CA X X CHIEF TAX OFFICER 5102716611 ONE KAISER PLAZA - 26TH FLOOR OAKLAND CA 94612 X Mark Zemelman SVP, General Counsel & Secy 0.1 49.9 X 0 5101508 61868 Julie Miller-Phipps Director 1.0 49.0 X 0 2797405 -265420 Vanessa Benavides SVP,Chief Legal Officer & Secy 1.0 49.0 X 0 1466903 207776 Mark Schuster Dean, President & CEO 50.0 0.0 X X 0 1405095 154686 Andrew Bindman Director 0.1 49.9 X 0 1227452 326409 Thomas Meier SVP, Corporate Treasurer 1.0 49.0 X 0 1614705 -90086 Sean Hennessey-Hsieh SVP, Administration & Finance 50.0 0.0 X 0 882623 74888 Jonathan Finkelstein Sr Assoc Dn Res & Schol- SOM 50.0 0.0 X 0 781670 124679 Ronald Copeland Director 1.0 49.0 X 0 799616 -3936 Maureen Connelly Sr Assoc Dean Acad & Comm-SOM 50.0 0.0 X 0 627175 109501 Jose Manuel Barral Sanchez Chair, Biomedical Science- SOM 50.0 0.0 X 0 479497 83578 Paul Chung Chair Health Sys Sci- SOM 50.0 0.0 X 0 489733 65236 Abbas Hyderi Sr Assoc Dean Med Educ- SOM 50.0 0.0 X 0 503082 51451 Hong-Sze Yu VP, Brd & Corp Gov & Asst Secy 0.1 49.9 X 0 471975 -113514 Walter Harris SVP, Administration & Finance 50.0 0.0 X 0 329383 12326 Maryann Bodayle Assistant Secretary 0.1 49.9 X 0 196255 -24125 David Nichols MD Director 2.0 0.0 X 0 0 0 Holly Humphrey MD Director & Chair 3.0 0.0 X 0 0 0 Marc A Nivet Director 2.0 0.0 X 0 0 0 Gilbert Salinas Director 2.0 0.0 X 0 0 0 Carol Raphael Director 3.0 0.0 X 0 0 0 Richard Isaacs MD Director 2.0 0.0 X 0 0 0 Ramin Davidoff MD Director 2.0 0.0 X 0 0 0 Anthony Iton JD Director 2.0 0.0 X 0 0 0 Maria S Salinas Director 3.0 0.0 X 0 0 0 Glenn Hackbarth JD Director 3.0 0.0 X 0 0 0 Anne Wojcicki Director 2.0 0.0 X 0 0 0 Peter Lee PHD Director 3.0 0.0 X 0 0 0 Mary Hentges Director 3.0 0.0 X 0 0 0 0 19174077 775317 0 true true false PERMANENTE FEDERATION LLC ONE KAISER PLAZA OAKLAND CA 94612 EDUCATION SERVICES 12337032 GIBSON DUNN AND CRUTCHER LLP PO BOX 840723 LOS ANGELES CA 90084 LEGAL SERVICES 4715361 WPP GROUP USA INC 530 MARYVILLE CENTRE DR ST LOUIS MO 63141 MEDIA SERVICES 2918936 ROSE INTERNATIONAL INC 16305 SWINGLEY RIDGE ROAD SUITE 350 CHESTERFIELD MO 63017 STAFFING SERVICES 2564761 PRICEWATERHOUSECOOPERS LLP DEPT NO 1912 SAN FRANCISCO CA 941611912 CONSULTING SERVICES 2083500 6 104832386 1200607 330414 106363407 STUDENT APPLICATION FEES 611710 283250 283250 0 OTHER PROGRAM SERVICES 611710 411258 411258 694508 1228504 0 1228504 0 0 0 0 0 19363272 19771405 -408133 -408133 0 -408133 0 0 0 0 0 0 0 0 0 GIFT SHOP REVENUE 453220 2333 0 0 2333 2333 107880619 694508 0 822704 393755 393755 4373275 4373275 0 0 0 0 32328232 23250843 9077389 0 0 12271132 8887902 3383230 89349 62450 26899 0 4975776 4975776 137349 137349 0 0 72301 72301 0 2741920 2741920 187238 187238 1251338 1230490 20848 0 7170503 6182766 987737 799037 799037 0 434733 434733 0 0 205239 205239 826300 703300 123000 PURCHASED NON-MEDICAL SERVICES 17696198 17696198 INTERREGIONAL COST CHARGES 7536872 6980783 556089 DUES & SUBSCRIPTIONS 675084 675084 EXPENDABLE EQUIPMENT 438805 438805 3592557 3592557 98196993 78836375 19360618 0 0 0 69 1570 0 0 469111 3046469 0 0 0 0 0 0 0 0 1155369 1267971 1186095 475324 834463 710771 42982430 40633990 0 0 0 0 0 0 64119347 66845884 109560789 112506655 0 0 0 0 289547 253050 0 0 0 0 0 0 0 0 0 0 63027249 59114189 63316796 59367239 X 0 0 0 0 46243993 53139416 46243993 53139416 109560789 112506655 X 9683626 93889 -2882092 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1174480 475324 699156 11615 11615 710771 DUE FROM AFFILIATED ORG 6843600 OPERATING LEASE ROU ASSETS 59810288 OTHER LONG-TERM ASSETS 191996 66845884 0 DUE TO AFFILIATED ORGANIZATION 0 OPERATING LEASE LIABILITIES 51417070 OTHER CURRENT LIABILITIES 7697119 59114189 147196 147196 107733423 107733423 107880619 98124692 98124692 72301 72301 98196993 SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE UNDER ASC 740. SCHEDULE D, PART XI, LINE 4b CONTRIBUTIONS FROM AFFILIATE ORG $ 104,757,787 OTHER THAN TEMPORARY IMPAIRMENTS 3,202,501 GAIN/LOSS ON INVESTMENT - BOOK 108,967 GAIN/LOSS ON INVESTMENT - TAX (408,133) INVESTMENT MANAGEMENT FEES 72,301 ------------- TOTAL $ 107,733,423 SCHEDULE D, PART XII, LINE 4b INVESTMENT MANAGEMENT FEES $ 72,301 true true true true true true true false false false false false false false false false false true SCHEDULE E, LINE 3 KAISER PERMANENTE BERNARD J. TYSON SCHOOL OF MEDICINE (KPSOM) HAS A POLICY OF NON-DISCRIMINATION AGAINST PROSPECTIVE AND CURRENT STUDENTS, WHICH HAS BEEN APPROVED BY THE BOARD OF DIRECTORS OF KPSOM. true Info & Referral Federation of LA County 526 W Las Tunas Dr San Gabriel CA 91776 953510017 501(c)(3) 89568 RESEARCH Regents of the University of California 405 Hilgard Ave Los Angeles CA 90095 956006143 Government 235622 Research Virginia Commonwealth University 800 E Leigh St Richmond VA 23298 546001758 Government 68565 RESEARCH 3 0 Institional Grant Aid 150 4373275 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANTS At the end of their funding cycle, grantees are required to submit a final report which delineates accomplishments related to stated objectives. Larger grants (typically over $100k) may require quarterly progress reports. true true false false false false false true false Mark Zemelman SVP, General Counsel & Secy 0 339902 0 3880962 0 880644 0 41523 0 20345 0 5163376 0 124044 Julie Miller-Phipps Director 0 1027681 0 1381412 0 388312 0 -291765 0 26345 0 2531985 0 0 Vanessa Benavides SVP,Chief Legal Officer & Secy 0 687727 0 726916 0 52260 0 189045 0 18731 0 1674679 0 0 Mark Schuster Dean, President & CEO 0 868988 0 488766 0 47341 0 122474 0 32212 0 1559781 0 212507 Andrew Bindman Director 0 734422 0 463892 0 29138 0 297518 0 28891 0 1553861 0 0 Thomas Meier SVP, Corporate Treasurer 0 568446 0 904341 0 141918 0 -116603 0 26517 0 1524619 0 107580 Sean Hennessey-Hsieh SVP, Administration & Finance 0 409596 0 150000 0 323027 0 58818 0 16070 0 957511 0 0 Jonathan Finkelstein Sr Assoc Dn Res & Schol- SOM 0 462893 0 295654 0 23123 0 96370 0 28309 0 906349 0 0 Ronald Copeland Director 0 412702 0 290333 0 96581 0 -40960 0 37024 0 795680 0 0 Maureen Connelly Sr Assoc Dean Acad & Comm-SOM 0 474598 0 146732 0 5845 0 96792 0 12709 0 736676 0 0 Jose Manuel Barral Sanchez Chair, Biomedical Science- SOM 0 435756 0 39782 0 3959 0 65333 0 18245 0 563075 0 0 Paul Chung Chair Health Sys Sci- SOM 0 438627 0 44517 0 6589 0 63988 0 1248 0 554969 0 0 Abbas Hyderi Sr Assoc Dean Med Educ- SOM 0 444370 0 43970 0 14742 0 29102 0 22349 0 554533 0 0 Hong-Sze Yu VP, Brd & Corp Gov & Asst Secy 0 293512 0 158442 0 20021 0 -141683 0 28169 0 358461 0 0 Walter Harris SVP, Administration & Finance 0 129530 0 150000 0 49853 0 8925 0 3401 0 341709 0 0 Maryann Bodayle Assistant Secretary 0 175247 0 18737 0 2271 0 -34504 0 10379 0 172130 0 0 Schedule J, Part I, Line 3 METHODS USED TO ESTABLISH COMPENSATION OF CEO/EXECUTIVE DIRECTOR: THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION 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 OF A RELATED ORGANIZATION. Schedule J, Part I, Line 4a Mark Zemelman $ 465,099 LISTED PERSONS PARTICIPATED IN SEPARATION ARRANGEMENTS. DEPENDING ON POSITION LEVEL, TENURE, AND SEPARATION REASON, 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, 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 Mark Zemelman $ 371,550 Julie Miller-Phipps 349,721 Thomas Meier 89,053 Ronald Copeland 58,771 SOME OF THE PARTICIPANTS LISTED IN SCHEDULE J, PART II PARTICIPATED IN NONQUALIFIED SUPPLEMENTAL RETIREMENT PLANS. UNDER THESE PLANS, THE ORGANIZATION MAKES ANNUAL CONTRIBUTIONS TO A NOTIONAL ACCOUNT ON BEHALF OF EACH PARTICIPANT. CONTRIBUTIONS VARY BY POSITION, LEVEL AND PAY, AND VEST OVER TIME BASED ON AGE AND/OR SERVICE. PARTICIPANT ACCOUNTS ARE CREDITED WITH A FIXED RATE OF INTEREST, INVESTED IN AVAILABLE MUTUAL FUNDS OR A COMBINATION OF BOTH. CERTAIN OFFICERS ACCRUE A BENEFIT THAT VESTS BASED ON AGE AND SERVICE AND TARGETS A PERCENTAGE OF FINAL AVERAGE PAY LESS PRIOR PLAN OFFSETS. 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 DISCRETIONARY BONUS PROGRAMS AND 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. THE PLANS' ORGANIZATIONAL PERFORMANCE GOALS INCLUDED: QUALITY OF CARE AND SERVICE, MEMBERSHIP GROWTH, OPERATING INCOME, PER MEMBER EXPENSE TREND, AND COMMUNITY BENEFIT. PLAN DESIGNS, PERFORMANCE, AND PAYOUT LEVELS, AS WELL AS INDIVIDUAL PAYMENTS TO CERTAIN PERSONS, WERE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, COMPRISED OF INDEPENDENT DIRECTORS. SCHEDULE J, PART II, SECTION A, COLUMN F AMOUNTS INCLUDED IN SCHEDULE J, PART II, COLUMN F INCLUDE AMOUNTS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION, AS WELL AS DISTRIBUTIONS FROM A 457(B) PLAN THAT WERE PREVIOUSLY REPORTED AS REPORTABLE COMPENSATION IN ACCORDANCE WITH FORM 990 INSTRUCTIONS. SCHEDULE J, PART II, COLUMN C THE ACTUARIAL VALUE FOR THE MAJORITY OF INDIVIDUALS' DEFINED BENEFIT PLAN DECLINED IN 2022, RESULTING IN NEGATIVE COMPENSATION FOR CERTAIN EXECUTIVES. THE ACTUARIAL INCREASE OR DECREASE IN VALUE MAY CHANGE FOR VARIOUS REASONS, INCLUDING CONTINUED SERVICE, AGE, AND CHANGES IN ASSUMPTIONS. THE DECLINE IN ACTUARIAL VALUE OF BENEFITS DURING 2022 IS PRIMARILY DUE TO SIGNIFICANT INCREASE IN MARKET INTEREST RATES, RESULTING IN LOWER PRESENT VALUE OF BENEFITS COMPARED TO THE PRIOR YEAR. THE ACTUAL DOLLARS RECEIVED FROM THE DEFINED BENEFIT PLAN UPON RETIREMENT ARE NOT AFFECTED BY THE INTEREST RATE INCREASES. FORM 990, PART V, LINE 2A ALL COMPENSATED OFFICERS, DIRECTORS AND EMPLOYEES PERFORMING SERVICES FOR KAISER PERMANENTE BERNARD J. TYSON SCHOOL OF MEDICINE, INC.(KPSOM) ARE EMPLOYEES OF OTHER KAISER ORGANIZATIONS. KPSOM IS RECHARGED BY OTHER KAISER ORGANIZATIONS FOR EMPLOYEES' TIME. FORM 990, PART VI, LINE 1A THE EXECUTIVE COMMITTEE, CONSISTING OF EIGHT DIRECTORS INCLUDING THE BOARD CHAIR, CHAIRS OF OTHER STANDING COMMITTEES, ONE KFHP/H DIRECTOR AND ONE PMG DIRECTOR, HAS AUTHORITY TO ACT FOR THE BOARD BETWEEN MEETINGS EXCEPT IT HAS NO AUTHORITY TO: 1. APPROVE ANY ACTION FOR WHICH CA NONPROFIT PUBLIC BENEFIT CORPORATION LAW OR THIS CORPORATION'S BYLAWS ALSO REQUIRE APPROVAL OF THE MEMBER; 2. FILL VACANCIES ON THE BOARD OR ON ANY COMMITTEE WHICH HAS THE AUTHORITY OF THE BOARD; 3. APPOINT OR REMOVE THE DEAN; 4. ADOPT, AMEND OR REPEAL BYLAWS; 5. AMEND OR REPEAL ANY RESOLUTION OF THE BOARD WHICH BY ITS EXPRESS TERMS IS NOT SO AMENDABLE OR REPEALABLE; 6. APPOINT COMMITTEES OF THE BOARD OR APPOINT THE MEMBERS THEREOF; 7. DETERMINE OR ADJUST IN ANY WAY THE COMPENSATION OF THE DEAN OR OTHERS WHOSE COMPENSATION IS UNDER THE PURVIEW OF THE COMPENSATION COMMITTEE OR THE BOARD; OR 8. APPROVE ANY ASPECT OF A TRANSACTION INVOLVING THE CORPORATION WHEN A MEMBER OF THE BOARD OF DIRECTORS HAS A MATERIAL FINANCIAL INTEREST IN THAT TRANSACTION. FORM 990, PART VI, LINE 6 THE SOLE CORPORATE MEMBER OF THE CORPORATION IS KAISER FOUNDATION HOSPITALS, A CALIFORNIA NONPROFIT CORPORATION. FORM 990, PART VI, LINE 7A THE BOARD NOMINATES AND KAISER FOUNDATION HOSPITALS APPOINTS ALL DIRECTORS OTHER THAN EX-OFFICIO DIRECTORS. REMOVAL OF DIRECTORS REQUIRES MEMBER APPROVAL. FORM 990, PART VI, LINE 7B THE FOLLOWING ACTIONS BY THE BOARD ARE SUBJECT TO THE APPROVAL OF THE MEMBER: (I) APPROVAL OF ANNUAL OPERATING, CASH AND CAPITAL BUDGETS; (II) APPROVAL OF THE CORPORATION'S LONG-RANGE STRATEGIC OR BUSINESS PLAN AND BUDGET FORECASTS; (IIV) CORPORATE BORROWINGS, DEBT ISSUANCE, OR GUARANTEES OF PAYMENT OF DEBT SERVICE; (IV) ACQUISITION, SALE, LEASE OR MORTGAGE OF ANY REAL PROPERTY; (V) ACCEPTANCE OF DONATIONS WHICH NECESSITATE MAJOR ADDITIONAL CAPITAL OR OPERATING EXPENDITURES; (VI) FORMATION OF ANY NEW CORPORATION, PARTNERSHIP OR ENTITY IN WHICH THE CORPORATION WILL BE A MAJORITY SHAREHOLDER, THE CONTROLLING MEMBER OR MEMBERS, THE CONTROLLING PARTNER OR PARTNERS, OR WILL EXERCISE CONTROL THROUGH ANY OTHER MECHANISM; (VII) APPROVAL OF THE BOARD'S SELECTION OF ANY CANDIDATE TO SERVE AS A DIRECTOR OF THE CORPORATION; (VIII) MERGER OR CONSOLIDATION OF THE CORPORATION WITH ONE OR MORE OTHER CORPORATION(S), OR AFFILIATION OR JOINT VENTURE OF THE CORPORATION WITH ONE OR MORE OTHER BUSINESS ENTITIES; THE MEMBER HAS SOLE AUTHORITY TO APPROVE THE FOLLOWING ACTIONS: (I) CHANGING THE CHARITABLE MISSION OR PURPOSE OR PURPOSES OF THE CORPORATION; (II) AMENDMENT, REPEAL OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; (III) SALE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; (IV) VOLUNTARY DISSOLUTION OF THE CORPORATION; (V) APPROVAL OF ANY OTHER ACTION THAT WOULD BE INCONSISTENT WITH THE OBJECTIVES AND PURPOSES OF THE CORPORATION SET FORTH IN THE CORPORATION'S ARTICLES OF INCORPORATION OR IN ARTICLE I OF THE BYLAWS. FORM 990, PART VI, LINE 11B FORM 990 REVIEW PROCESS: 1. KEY INFORMATION NECESSARY FOR THE PREPARATION OF THE TAX RETURN IS OBTAINED AND/OR CONFIRMED WITH INTERNAL SOURCES INCLUDING REGIONAL FINANCE, EXECUTIVE COMPENSATION, COMMUNITY BENEFITS, TREASURY, GOVERNMENT RELATIONS, AND LEGAL. 2. PRIOR TO FINALIZATION, THE RETURN IS REVIEWED BY AN EXTERNAL TAX ADVISOR. 3. ONCE SIGNED BY AN EXTERNAL TAX ADVISOR, THE RETURN AND UNDERLYING DATA ARE REVIEWED BY AN OFFICER OR A MEMBER OF MANAGEMENT DESIGNATED BY AN OFFICER FOR SIGNATURE AND FILING. 4. COPIES ARE THEN PROVIDED TO BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, LINE 12C Ethics and Compliance Ongoing Monitoring and Enforcement Activities Kaiser Permanente regularly and consistently monitors and enforces compliance with the Conflicts of Interest policy in the following ways: Reporting Conflicts of Interest Concerns - The Kaiser Permanente Ethics and Compliance Hotline or Webline is available to all employees, vendors, contractors, and agents to anonymously report actual or perceived conflicts of interest. This process is managed by a third party; however, all reported allegations are provided to Ethics and Compliance for investigation, and if required, corrective action. Employees are prohibited from retaliating against or intimidating anyone who reports concerns in good faith or refuse to participate in wrongdoing. Annual Disclosure Process - Annually, Directors, Officers, Key Employees, Executives, and other employees in roles with elevated risk are required to complete a Conflicts of Interest Disclosure (COID). Responses are reviewed by Ethics and Compliance, Board Services, and / or the Governance, Accountability and Nominating Committee of the Kaiser Foundation Health Plan/Hospital Board of Directors. When actions are required, they are addressed in accordance with policies and written standards. Conflicts of interest responses and actions are maintained for tracking and reporting purposes. Ongoing Disclosure Process - In addition to the annual disclosure process and in accordance with the Conflicts of Interest policy, on an ongoing basis Ethics and Compliance receives, consults, and reports conflicts of interest matters. External Audit Review of Disclosures - Annually, as a part of the Kaiser Permanente external audit, an outside certified public accounting firm reviews the COID process and actions taken for Directors, Officers, Key Employees, and Executives. The results, inclusive of any findings, are presented to the Kaiser Foundation Health Plan/ Hospital Audit and Compliance Committee of the Board of Directors. Awareness and Enforcement - Kaiser Permanente adheres to the following general awareness and enforcement guidelines: - Annually, the Conflicts of Interest and Corrective / Disciplinary Action policies are provided and reviewed as a part of the general ethics and compliance training and the Conflicts of Interest Policy is attested to during the disclosure process. - Represented employees are subject to corrective/disciplinary action provisions outlined in the regional or national collective bargaining agreements and applicable policies. - In the event disciplinary action is required due to failure to comply with applicable legal and regulatory requirements, Kaiser Permanente policies and procedures, the Code of Conduct (Principles of Responsibility), unsatisfactory performance, or misconduct disciplinary action includes, but is not limited to: * verbal discussion, coaching, and/or warning by the employee's immediate; supervisor or higher-level manager to correct the problem; * written notice, with or without final warning; * suspension, with or without final warning; or * termination of employment FORM 990, PART VI, LINE 15A/B COMPENSATION DETERMINATION THE EXECUTIVE COMPENSATION PROGRAM FOR THE CEO/TOP MANAGEMENT OFFICIAL AND CERTAIN OFFICERS AS ADMINISTERED BY KAISER PERMANENTE BERNARD J. TYSON SCHOOL OF MEDICINE (KP-SOM) IS DESIGNED TO RECRUIT, RETAIN AND MOTIVATE QUALIFIED SENIOR MANAGEMENT PERSONNEL. THE CEO/TOP MANAGEMENT OFFICIAL AND CERTAIN OFFICERS HAVE A SIGNIFICANT IMPACT ON THE STRATEGIC AND POLICY DIRECTION AND RESULTS OF THE ORGANIZATION. THEREFORE, THE EXECUTIVE COMPENSATION PROGRAM HAS A PERFORMANCE-BASED COMPONENT. THE COMPENSATION PROGRAM FOR THE CEO/TOP MANAGEMENT OFFICIAL AND OTHER DISQUALIFIED PERSON EXECUTIVES WHO PERFORM SUBSTANTIALLY ALL OF THEIR SERVICE FOR THE ORGANIZATION ARE REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE CEO/TOP MANAGEMENT OFFICIAL WILL BE SUBJECT TO FINAL APPROVAL BY CERTAIN DISINTERESTED DIRECTORS OF THE BOARD. CERTAIN OTHER OFFICERS ARE REVIEWED ANNUALLY BY THE CEO/TOP MANAGEMENT OFFICIAL, THE KP-SOM COMPENSATION COMMITTEE AND/OR MANAGEMENT COMMITTEE ON COMPENSATION. PRIOR TO PAYMENT, ALL PROGRAMS AND PAYMENTS TO THE CEO, EXECUTIVE DIRECTOR, AND OTHER TOP MANAGEMENT OFFICIALS (EXECUTIVES) ARE REVIEWED BY THE BOARD OF DIRECTORS, COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OR THE CEO/TOP MANAGEMENT OFFICIAL, AND FOR CERTAIN OFFICERS THE KP-SOM COMPENSATION COMMITTEE AND/OR THE MANAGEMENT COMMITTEE ON COMPENSATION. BASE PAY FOR EXECUTIVE POSITIONS IS ESTABLISHED AT A LEVEL COMPARABLE TO THE RELEVANT MARKET. IN ADDITION, FOR CERTAIN EXECUTIVES, 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 TO BE COMPETITIVE TO THE COMPARABLE EXTERNAL MARKET IN WHICH THE ORGANIZATION COMPETES FOR EXECUTIVE LEADERSHIP. EVALUATION OF COMPARABLE PAY DATA IS PERFORMANED BY AN INDEPENDENT COMPENSATION, BENEFITS & HUMAN RESOURCES CONSULTING FIRM. FORM 990, PART VI, LINE 18 FORMS 990 ARE AVAILABLE ON WWW.GUIDESTAR.ORG. FORM 990, PART VI, LINE 19 Public Inspection GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST AS DISCLOSED TO OTHER REGULATORY BODIES. TO REQUEST COPIES CONTACT: NATIONAL COMMUNICATIONS - RM OPERATIONS KAISER FOUNDATION HEALTH PLAN AND HOSPITALS ONE KAISER PLAZA, 22ND FLOOR OAKLAND, CA 94612 FORM 990, PART VII, SECTION A, COLUMN B HOURS FOR RELATED ORGANIZATIONS 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 WERE ESTIMATED. FORM 990, PART XI, Line 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN CAPITAL TRANSFERS $ 104,779,027 OTHER THAN TEMPORARY IMPAIRMENTS (3,202,501) GAIN/LOSS ON INVESTMENTS - BOOK (108,967) GAIN/LOSS ON INVESTMENTS - TAX 408,133 CONTRIBUTIONS FROM AFFILIATED ORG (104,757,787) Rounding Adjustment 3 --------------- TOTAL $ (2,882,092) Kaiser Foundation Hospitals One Kaiser Plaza - 26th Floor Oakland CA 94612 941105628 Health Care CA 501(c)(3) 3 NA false Kaiser Foundation Health Plan Inc One Kaiser Plaza - 26th Floor Oakland CA 94612 941340523 Health Care CA 501(c)(3) 10 NA false Kaiser Foundation Health Plan of CO One Kaiser Plaza - 26th Floor Oakland CA 94612 840591617 Health Care CO 501(c)(3) 10 KFHP Inc false Kaiser Foundation Health Plan of GA Inc One Kaiser Plaza - 26th Floor Oakland CA 94612 581592076 Health Care GA 501(c)(3) 10 KFHP Inc false Kaiser Foundation Health Plan of the MAS One Kaiser Plaza - 26th Floor Oakland CA 94612 520954463 Health Care MD 501(c)(3) 10 KFHP Inc false Kaiser Foundation Health Plan of the NW One Kaiser Plaza - 26th Floor Oakland CA 94612 930798039 Health Care OR 501(c)(3) 10 KFHP Inc false Kaiser Fdn Health Plan of Washington One Kaiser Plaza - 26th Floor Oakland CA 94612 910511770 Health Care WA 501(c)(3) 3 KFHPW Hldng false Kaiser Hospital Asset Management Inc One Kaiser Plaza - 26th Floor Oakland CA 94612 943299125 Asset Mgmt CA 501(c)(3) 12-I KFH false Kaiser Health Plan Asset Management Inc One Kaiser Plaza - 26th Floor Oakland CA 94612 943299124 Asset Mgmt CA 501(c)(3) 12-I KFHP Inc false Camp Bowie Service Center One Kaiser Plaza - 26th Floor Oakland CA 94612 943299123 Admin CA 501(c)(3) 12-I KFHP Inc false Lokahi Assurance LTD One Kaiser Plaza - 26th Floor Oakland CA 94612 912171891 WC Placement HI 501(c)(3) 12-I KFHP Inc false 1800 Harrison Foundation One Kaiser Plaza - 26th Floor Oakland CA 94612 943317484 Financing CA 501(c)(3) 12-I KFHP Inc false Kaiser Hospital Assistance Corporation One Kaiser Plaza - 26th Floor Oakland CA 94612 311779500 Financing CA 501(c)(3) 12-I KFH false Kaiser Health Alternatives One Kaiser Plaza - 26th Floor Oakland CA 94612 930954562 Health Care OR 501(c)(3) 10 KFHP Inc false KFHPW Holdings One Kaiser Plaza - 26th Floor Oakland CA 94612 930480268 Health Care WA 501(c)(3) 12-I KFHP Inc false Group Health Northwest One Kaiser Plaza - 26th Floor Oakland CA 94612 911216856 Inactive WA 501(c)(3) 12-I KFHP of WA false Group Health of Washington One Kaiser Plaza - 26th Floor Oakland CA 94612 911314907 Inactive WA 501(c)(3) 12-I KFHP of WA false Kaiser Fdn For The Adv of Integrated HC One Kaiser Plaza - 26th Floor Oakland CA 94612 823819611 Advocacy CA 501(c)(4) N/A KFHP Inc false Kaiser Foundation Health Plan of NV Inc One Kaiser Plaza - 26th Floor Oakland CA 94612 372097870 Health Care DE 501(c)(4) N/A KFHP Inc false KP Medical Foundation One Kaiser Plaza - 26th Floor Oakland CA 94612 920685740 Health Care DE 501(c)(3) 12-I KFHP Inc false KFH Holdings Inc One Kaiser Plaza - 26th Floor Oakland CA 94612 884172095 Holding Co DE 501(c)(3) 12-I KFH false NXT CAP SR FD ILLC 191 N Wacker Dr 1200 CHICAGO IL 60606 371651297 INVESTMENT DE NA N/A 0 0 Garfield Health Sol E Pvt Ltd 1 Kaiser Pl - 26th Fl Oakland CA 94612 Admin IN NA N/A 0 0 Maui Nui ASC Holdco LLC 1 Kaiser Pl - 26th Fl Oakland CA 94612 Holding Co HI NA N/A 0 0 OAK TREE ASSURANCE LTD ONE KAISER PLAZA - 26TH FLOOR OAKLAND CA 94612 030329760 INSURANCE VT NA C CORP 0 0 0.00000 false KAISER PERMANENTE INSURANCE COMPANY ONE KAISER PLAZA - 26TH FLOOR OAKLAND CA 94612 943203402 INSURANCE CA NA C CORP 0 0 0.00000 false KAISER PERMANENTE INTERNATIONAL ONE KAISER PLAZA - 26TH FLOOR OAKLAND CA 94612 943245176 CONSULTING CA NA C CORP 0 0 0.00000 false KFHP OF WASHINGTON OPTIONS INC ONE KAISER PLAZA - 26TH FLOOR OAKLAND CA 94612 911467158 INSURANCE WA NA C CORP 0 0 0.00000 false false false true false true false false false false false false false true true true false false false false Kaisier Foundation Hospitals C 104832386 Per Agreement