2022-11-15T11:11:47-06:00 2021-12-31 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2021-01-01 840591617 KAISER FOUNDATION HEALTH PLAN OF COLORADO % CHIEF ACCOUNTING OFFICER KAIS 5102716611 ONE KAISER PLAZA SUITE 15L OAKLAND CA 94612 MICHAEL P WALTON CHIEF TAX OFFICER 5102716611 2022-10-21 MICHAEL P WALTON 999009999 ROBERT W FRIZ P00438748 2673303000 2022-10-17 2 2021 2022-09-23 18:48:47Z Mike Ramseier ONE KAISER PLAZA SUITE 15L OAKLAND CA 94612 5644309554 false X WWW.KP.ORG X 1969 CO TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE. 13 12 6731 167 426831 0 13676874 12690177 4298997536 4115952296 67241581 47774234 1037251 1044933 4380953242 4177461640 41236727 13000619 0 0 737998156 757867529 0 0 0 3196024430 3330099404 3975259313 4100967552 405693929 76494088 1729411170 2048314564 762640236 687068721 966770934 1361245843 X TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE. false false 3674582815 2487489 4041927557 MEMBER HEALTH CARE SERVICES AND MEDICAL TRAINING FOR CARE IMPROVEMENT KAISER FOUNDATION HEALTH PLAN OF COLORADO (KFHP OF COLORADO) 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 COLORADO EDUCATES AND TRAINS MEDICAL STUDENTS AND OTHER HEALTH CARE PROFESSIONALS AND PROMOTES SCIENTIFIC AND NURSING EDUCATION IN ORDER TO IMPROVE CARE. 119673013 0 61355220 MEDICAID AND OTHER GOVERNMENT SPONSORED PROGRAMS KAISER FOUNDATION HEALTH PLAN OF COLORADO (KFHP-CO) IS COMMITTED TO IMPROVING MEDICAL CARE FOR BENEFICIARIES OF MEDICAID AND OTHER GOVERNMENT SPONSORED PROGRAMS, NOT ONLY FOR KFHP-CO MEMBERS, BUT ALSO, WITHIN THE COMMUNITIES WE SERVE. AT THE END OF 2021, APPROXIMATELY 5,900 INDIVIDUALS RECEIVED THE BENEFITS OF FULL MEMBERSHIP THROUGH KFHP-CO'S CHILDREN HEALTH INSURANCE PROGRAM (CHIP). IN ADDITION, KFHP-CO PROVIDED HEALTH CARE ON A FEE-FOR-SERVICE BASIS TO APPROXIMATELY 42,000 MEDICAID BENEFICIARIES. 24235754 0 0 CHARITY CARE (MEDICAL FINANCIAL ASSISTANCE) KAISER FOUNDATION HEALTH PLAN OF COLORADO (KFHP-CO) PROVIDES CHARITY CARE TO LOW-INCOME VULNERABLE PATIENTS THROUGH THE MEDICAL FINANCIAL ASSISTANCE (MFA) PROGRAM. KFHP-CO OFFERS FINANCIAL ASSISTANCE THROUGH THE MFA PROGRAM TO HELP FAMILIES AND INDIVIDUALS WITH A DEMONSTRATED FINANCIAL NEED PAY FOR ALL OR PART OF THE COST OF EMERGENCY OR MEDICALLY NECESSARY CARE PROVIDED IN KAISER PERMANENTE FACILITIES AND/OR BY KAISER PERMANENTE PROVIDERS. IN 2021, THIS PROGRAM ASSISTED A TOTAL OF 30,000 PATIENTS THROUGH FINANCIAL ASSISTANCE. 32816232 10513130 12669519 SEE EXEMPT PURPOSE ACHIEVEMENTS IN SCH O 32816232 10513130 12669519 3851307814 true true false true false false false false false false true false false false true false false true false false false false false false false false false true false true false false false false false false false false false false false false false true true true false false true 3183 0 true 6731 true true true false false false false false false false false false true false X 13 12 true false false false true true true true true false false true true true true true true true true false X X CHIEF ACCOUNTING OFFICER 5102716611 ONE KAISER PLAZA 15L OAKLAND CA 94612 X Gregory Adams Chairman & CEO 4.0 46.0 X X 0 13283101 2279123 Arthur Southam EVP, Health Plan Ops & CGO 4.0 46.0 X 0 4764836 459569 Kathryn Lancaster EVP & Chief Financial Officer 3.5 46.5 X 0 4580354 447559 Janet Liang EVP, Group President & COO 3.5 46.5 X 0 4004413 934930 Kimberly Horn EVP, Group President, MOC 3.5 46.5 X 0 3251755 1473258 Mark Zemelman SVP, General Counsel & Secy 1.0 49.0 X 0 2838538 134757 Michael Ramseier Regional President - CO 45.0 5.0 X 0 1632246 938018 Roland Lyon SVP, Strategy Implementation 0.0 50.0 X 0 1773338 135683 Vanessa Benavides SVP, Chief Legal Officer 1.5 48.5 X 0 1614569 272107 Thomas Meier SVP, Corporate Treasurer 1.5 48.5 X 0 1461837 301391 Alfonse Upshaw SVP,Corporate Controller & CAO 3.5 46.5 X 0 1150839 199363 Donald Orndoff SVP, NFS 4.0 46.0 X 0 1127680 99760 Ronald Vance Interim Regional President 0.0 0.0 X 0 870325 0 Kelli Kane VP, COO 50.0 0.0 X 0 557793 240950 Laura English VP, CFO - CO 50.0 0.0 X 0 655349 132417 Marie Alanna McKiernan Assistant Secretary 25.0 25.0 X 0 643410 138319 Hong-Sze Yu VP, Brd & Corp Gov & Asst Secy 3.5 46.5 X 0 541112 198385 Ryan Jenson Interim Corp Controller & CAO 3.0 47.0 X 0 606694 125965 Jennifer Goldberg Assistant Secretary 0.0 50.0 X 0 554266 163136 Cory Foreman VP, National Sales 0.0 50.0 X 0 510725 124133 Benjamin Miller VP, MSBD 50.0 0.0 X 0 484352 120260 Guy Thomas ED, Healthcare Analytics 50.0 0.0 X 0 441466 105861 Kristin Bear Assistant Secretary 4.0 46.0 X 0 428579 109839 Jessica Bidlingmaier VP, Human Resources - CO 50.0 0.0 X 0 382668 139041 Cortney Eisses VP, Continuum of Care 50.0 0.0 X 0 361614 151008 Keith Evans ED, Retail & Second Sale 0.0 50.0 X 0 383775 116089 Nicole Kveton VP, Quality & Safety 50.0 0.0 X 0 383019 115704 John Heintz ED, Healthcare Analytics 50.0 0.0 X 0 374081 17802 Bernice Gould Assistant Secretary 1.0 49.0 X 0 256938 104758 Maryann Bodayle Assistant Secretary 1.0 49.0 X 0 191010 55200 Rochelle Roth Assistant Secretary 0.0 50.0 X 0 232789 3090 Ramon F Baez Director 0.24 4.53 X 0 237259 -12291 Matthew T Ryan Director 0.25 8.25 X 0 220855 0 Margaret E Porfido JD Director 0.5 2.5 X 0 279077 -62832 Leslie S Heisz Director 0.3 5.7 X 0 233428 -17324 Judith A Johansen JD Director 0.5 9.0 X 0 277470 -61490 Jeffrey E Epstein Director 0.5 8.0 X 0 230934 -16869 Richard P Shannon MD Director 0.5 5.5 X 0 210000 3503 David F Hoffmeister Director 0.3 9.7 X 0 230207 -18455 A Eugene Washington MD Director 0.25 7.05 X 0 205500 1267 David J Barger Director 0.5 11.5 X 0 199500 -357 Regina M Benjamin MD MBA Director 0.5 8.0 X 0 196138 -16773 Sharon Peters Interim Chief Operating Offcr 0.0 0.0 X 0 109675 0 Cynthia A Telles PHD Director 0.7 9.0 X 0 131496 -28540 Edward YW Pei Director 0.0 0.0 X 0 56844 0 Kim J Kaiser Director 0.0 0.5 X 0 39404 0 Jenny J Ming Director 0.3 4.6 X 0 101209 -95667 0 48521859 9424832 1979 true true true COLORADO PERMANENTE MEDICAL GROUP 10350 E DAKOTA AVE DENVER CO 802471314 MEDICAL SERVICES 692718323 HCA - HEALTHONE LLC PO BOX 403197 ATLANTA GA 303843197 MEDICAL SERVICES 283474303 SAINT JOSEPH HOSPITAL INC 1375 E 19th Ave DENVER CO 80218 MEDICAL SERVICES 256563598 GOOD SAMARITAN MEDICAL CENTER LLC PO BOX 912593 DENVER CO 80291 MEDICAL SERVICES 135530717 CHILDRENS HOSPITAL COLORADO 13123 East 16th Avenue AURORA CO 80045 MEDICAL SERVICES 75602779 392 11095129 1595048 12690177 MEMBERS' DUES 900099 2521606490 2521606490 0 0 MEDICARE REVENUE 900099 1248808030 1248808030 0 0 SUPPLEMENTAL REVENUE 900099 244199892 244199892 0 0 NON-PLAN & INDUSTRIAL 900099 5985090 5558259 426831 0 OTHER PROGRAM SERVICE 900099 95352794 95352794 0 0 4115952296 42476116 42476116 0 0 1044933 1044933 0 1044933 1044933 1468455978 3690054 1466025387 822527 2430591 2867527 5298118 5298118 0 0 0 0 0 0 0 0 0 0 4177461640 4115525465 426831 48819167 13000619 13000619 0 0 0 0 0 493797747 470592592 23205155 0 112091702 112091702 0 0 110111743 98124427 11987316 0 41866337 41866337 0 0 0 381269 0 381269 0 0 120000 0 120000 0 0 667565 667565 0 0 9558150 257117 9301033 0 8542572 8512375 30197 0 196749077 139939082 56809995 0 0 31654604 31654604 0 0 1742646 1694945 47701 0 0 174758 0 174758 0 538206 538206 0 0 0 47417976 47417976 0 0 5159192 5159192 0 0 BASIC CONTRACTUAL PAYMENTS 1442874430 1442874430 0 0 PURCHASED MEDICAL SERVICES 691951822 691951822 0 0 MEDICAL & OTHER SUPPLIES 596389946 540323107 56066839 0 INTER/INTRA REG. ALLOCATIONS 169252345 163871996 5380349 0 126924846 41437285 85487561 4100967552 3851307814 249659738 0 0 0 8148631 1663017 0 0 182600139 148377087 0 0 0 0 0 0 27413862 30054998 1315052 325277905 969960951 592226896 359144894 377734055 1047209495 1094699866 0 0 0 0 1144646 862477 102434451 69645159 1729411170 2048314564 262367075 232607275 0 0 36236947 40601470 0 0 0 0 0 0 0 0 0 0 464036214 413859976 762640236 687068721 X 0 0 -200771048 -200771048 1167541982 1562016891 966770934 1361245843 1729411170 2048314564 X 76494088 -10623192 328604013 X false true X true true true X 9761397 11525868 12272593 13676874 12690177 59926909 3939749002 4123485350 4277280702 4298514026 4115525465 20754554545 0 0 0 3949510399 4135011218 4289553295 4312190900 4128215642 20814481454 0 0 0 20814481454 49681919 31851288 36313388 34328382 43521049 195696026 856401 138220 0 0 0 994621 50538320 31989508 36313388 34328382 43521049 196690647 0 0 4000048719 4167000726 4325866683 4346519282 4171736691 21011172101 0.99064 0.99083 0.00936 0.00917 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false true 40320 true 175000 false false 215320 false SCHEDULE C, PART II-B, LINE 1A THROUGH 1I LOBBYING ACTIVITY BY NONELECTING PUBLIC CHARITIES THE ORGANIZATION ("KAISER FOUNDATION HEALTH PLAN OF COLORADO" AKA "KFHP CO") IS A MEMBER OF THE KAISER PERMANENTE MEDICAL CARE PROGRAM (KP) AND PARTICIPATED IN AND BENEFITED FROM LOBBYING ACTIVITIES CONDUCTED AT THE REGIONAL AND NATIONAL LEVELS FOR THE BENEFIT OF ITS ENROLLED MEMBERS, THE BROADER COMMUNITY AND FOR THE HEALTH CARE INDUSTRY AS A WHOLE. AS AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), KFHP CO HAS A POLICY PROHIBITING ANY OF KFHP CO'S RESOURCES BEING USED IN ANY POLITICAL CAMPAIGNS. THIS POLICY IS CLOSELY MONITORED FOR COMPLIANCE. DURING THE YEAR THIS ORGANIZATION MADE COMMENTS OR STATEMENTS CONCERNING LEGISLATION AND BALLOT INITIATIVES WHICH MAY AFFECT THE HEALTH CARE INDUSTRY. KFHP CO ENGAGED IN CONVERSATIONS WITH AND/OR WRITTEN COMMUNICATIONS TO VARIOUS FEDERAL, STATE, AND LOCAL OFFICIALS REGARDING MATTERS WHICH AFFECTED THE HEALTHCARE INDUSTRY AS A WHOLE. THE AMOUNT OF MONEY INVOLVED IN THE ACTIVITIES IS DETAILED ON LINES A THROUGH I. KP EMPLOYS INDIVIDUALS, INCLUDING ONE OR MORE REGISTERED LOBBYISTS AND/OR MAY RETAIN ONE OR MORE PROFESSIONAL CONSULTANTS TO REPRESENT KFHP CO'S INTERESTS IN VARIOUS LEGISLATIVE AND REGULATORY BODIES AND FROM TIME-TO-TIME TO KEEP INFORMED ABOUT FEDERAL AND STATE LEGISLATION HAVING AN IMPACT ON KP'S CHARITABLE ACTIVITIES AS AN EXEMPT HEALTH MAINTENANCE ORGANIZATION. THESE INDIVIDUALS ATTEMPT TO ENSURE THAT PROPOSED LEGISLATION AND ENACTED LAWS ARE COMPATIBLE WITH THE INTERESTS OF KP, ITS MEMBERS AND ITS PATIENTS 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 KFHP CO AND ITS ABILITY TO PROVIDE QUALITY HEALTH AND MEDICAL CARE SERVICES TO ITS MEMBERS AND THE BROADER COMMUNITY IN A COST EFFECTIVE MANNER. - PROVIDING APPROPRIATE INFORMATIONAL MATERIALS TO LEGISLATORS AND THEIR STAFFS THAT PERTAIN TO MATTERS OF COMMON INTEREST IN THE HEALTH CARE COMMUNITY AND IN THE NOT-FOR-PROFIT COMMUNITY. - PREPARING WRITTEN AND ORAL TESTIMONY, APPEARING AT LEGISLATIVE HEARINGS, MONITORING LEGISLATIVE PROCEEDINGS AND MEETING WITH LEGISLATORS AND/OR THEIR STAFFS REGARDING ISSUES PERTINENT TO THE MISSION OF KFHP CO. INDIVIDUALS APPEARING AT SUCH HEARINGS AND MEETINGS FOR AND ON BEHALF OF KFHP CO OFTEN ARE REPRESENTING THE INTERESTS OF COMMON INTEREST GROUPS AS WELL AS THE INTERESTS OF THE MEMBERS AND PATIENTS OF KFHP CO. 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. 43795264 43795264 695374033 456607703 238766330 29924763 19876325 10048438 124758651 84714602 40044049 76108240 31028266 45079974 377734055 0 DUE TO AFFILIATE ORGANIZATIONS 321020752 PROFESSIONAL & OTHER INSURED L 57086001 PENSION AND RETIREMENT 0 OPERATING LEASE LIABILITIES 8143253 OTHER CURRENT LIABILITIES 23564715 OTHER LIABILITIES 4045255 413859976 Schedule D, Part X, LINE 2 ASC 740 Footnote THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE UNDER ASC 740. true Adams County School District 14 5291 E 60th Ave Commerce City CO 80022 846000823 Government 44500 Supporting Educators, Students And Families Overal American Heart Association Inc 2007 O St Sacramento CA 95811 135613797 501(c)(3) 48250 General Operating Donation American Red Cross Kern Chapter 5035 Gilmore Ave Bakersfield CA 93308 530196605 501(c)(3) 109720 Colorado Platinum Partnership Arrupe Corporate Work Study Program 4343 Utica St Denver CO 80212 460508814 501(c)(3) 10000 General Operating Support Aya Foundation 1031 33rd St Denver CO 80205 852802236 501(c)(3) 90000 Restoring Black Health Through Economic Health In Boulder Valley School District Re-2 6500 Arapahoe Rd Boulder CO 80303 846014683 Government 100000 Thriving Schools Rise Canon City Schools 101 N 14th St Canon City CO 81212 846013945 Government 25000 Food Access In Schools Donation Care-a-van Saint Inc 333 W Drake Rd 42 Fort Collins CO 80526 840626086 501(c)(3) 7500 Covid Vaccine Transportation For Older Adults Caring For Colorado Centennial Fund 1635 W 13th Ave 303 Denver CO 80204 832742375 501(c)(3) 1675000 Boosting Covid-19 Vaccination Rates By Elevating A Center For Community Wealth Building 2900 N Downing St Unit 1b Denver CO 80205 852257483 501(c)(3) 10000 Financial Health Initiative Center For Family Outreach 212 W Mountain Ave Fort Collins CO 80521 841515937 501(c)(3) 6000 Unite Colorado Noco Cherry Creek School District No 5 4700 S Yosemite St Greenwood Village CO 80111 846000861 Government 121250 Thriving Schools Rise City And County Of Denver 201 W Colfax Ave Fl 6 Denver CO 80202 846000580 Government 20000 The Good Food Purchasing Program Ongoing Assessmen Clinica Colorado 8300 Alcott St 300 Westminster CO 80031 273794068 501(c)(3) 20000 General Operating Expenses Colorado Association For School-based 455 N Sherman St 468 Denver CO 80203 841376318 501(c)(3) 840000 Telehealth Hub-and-spoke Model Colorado Community College System 9101 E Lowry Pl Denver CO 80230 841070271 501(c)(3) 1000000 Kaiser Permanente Equity Scholarship Endowment Colorado Community Health Network 600 Grant St800 Denver CO 80203 840910590 501(c)(3) 400000 Safety Net Vaccine Equity Initiative, Po - Grants Colorado Nonprofit Development Center 789 N Sherman St250 Denver CO 80203 841493585 501(c)(3) 64997 Access To Specialty Care 2.0 Colorado Rural Health Center 3033 S Parker Rd 606 Aurora CO 80014 841192031 501(c)(3) 20000 General Operations Donation Colorado Springs School District 11 1115 N El Paso St Colorado Springs CO 80903 846001179 Government 20000 Food Access In Schools Donation Community Foundation 1123 Spruce St Boulder CO 80302 841171836 501(c)(3) 60000 Access To Specialty Care 2.0 Community Health Partnership 121 S Tejon St 601 Colorado Springs CO 80903 841388331 501(c)(3) 500000 Colorado Springs Housing & Homeless Services Fund Community Solutions International Inc 60 Broad St Fl 24 2422 New York NY 10004 273523909 501(c)(3) 194000 Coordinated Entry Improvement & Regional Implement County Of El Paso Hanover School 17050 S Peyton Hwy Colorado Springs CO 80928 846001189 Government 15000 Food Access In Schools Donation County Of Teller School District Re 1 410 N B St Cripple Creek CO 80813 846013740 Government 10000 Food Access In Schools Donation Dana-farber Cancer Inst 450 Brookline Avenue Boston MA 02215 042263040 501(c)(3) 43305 Research Collaboration Delta Eta Boule Foundation Po Box 462618 Aurora CO 80046 841459058 501(c)(3) 20000 2021 General Operating Donation Denver Actors Fund Inc Po Box 11182 Denver CO 80211 462988908 501(c)(3) 20000 Denver Actors Fund Donation Denver Foundation 1009 N Grant St Denver CO 80203 846048381 501(c)(3) 75000 Strengthening Colorado Black Communities Denver Health And Hospital Authority 777 Bannock Street Denver CO 80204 320310536 501(c)(3) 464766 Research Collaboration Denver Public Schools Foundation 1860 N Lincoln St Fl 10 Denver CO 80203 841224325 501(c)(3) 39500 Denver Public Schools Thriving Schools Playbook Ac Denver Scholarship Foundation 789 N Sherman St 610 Denver CO 80203 205143175 501(c)(3) 50000 Denver Scholarship Foundation Kaiser Permanente Eq Disability Services Inc 5660 N Academy Blvd Colorado Springs CO 80918 203058736 501(c)(3) 10000 Unite Colorado Soco Discover Goodwill Foundation Of Southern 6850 Federal Blvd Denver CO 80221 840513404 501(c)(3) 8000 Unite Colorado Soco Douglas County School District 620 Wilcox St Castle Rock CO 80104 846011446 Government 100000 Thriving Schools Rise Dsst Public Schools Foundation 3401 Quebec St 2000 Denver CO 80207 452796694 501(c)(3) 24500 Dsst Staff Mental Health Counseling Donation - Thr Duke Univ 2 Genome Ct Msrbii Rm Durham NC 27701 560532129 501(c)(3) 21753 Research Collaboration East Denver Colfax Partnership 6740 E Colfax Ave Denver CO 80220 770633106 501(c)(3) 80000 East Colfax Small Business Support And Internation El Paso County Colorado School 10850 E Woodmen Rd Peyton CO 80831 846001199 Government 24500 Enhancing Mental Health, Teacher, And Staff Well-b El Paso County School District 22 350 S Ellicott Hwy Calhan CO 80808 846001187 Government 15000 Food Access In Schools Donation Energize Colorado Gap Fund Llc 340 Dewey Ave Boulder CO 80304 851446446 501(c)(3) 1000000 Gap Fund Small Business Recovery Loan Program Englewood Schools 4101 S Bannock St Englewood CO 80110 846000858 Government 44500 Supporting Students And Staff Past Covid - Playboo Five Star Education Foundation 1500 E 128th Ave Thornton CO 80241 742401659 501(c)(3) 27000 Five Star Resource Closets - Playbook Funding Foundation For Black Entrepreneurship 20340 E 40th Ave Denver CO 80249 825188795 501(c)(3) 95000 Sistahbiz Global Network - Strengthening Economic Fountain-fort Carson School District 8 10665 Jimmy Camp Rd Fountain CO 80817 846008041 Government 44500 Rejuven8! - Thriving Schools Playbook Activation Fremont Re-2 School District 403 W 5th St Florence CO 81226 846012305 Government 10000 Food Access In Schools Donation Harrison School District Foundation Inc 1060 Harrison Rd Colorado Springs CO 80905 742558196 501(c)(3) 44500 Mindfulness & Positivity Project D2 - Playbook Don Henry Ford Health System 1 Ford Place 3a Detroit MI 48202 386553031 501(c)(3) 459583 Research Collaboration Hispanic Scholarship Fund 1411 W 190th St 700 Gardena CA 90248 521051044 501(c)(3) 35000 Kaiser Permanente Health Equity Scholars Program Homeward Alliance Inc Po Box 873 Fort Collins CO 80522 274641606 501(c)(3) 154583 Resource Navigation In Larimer And Weld Counties Hopelight Medical Clinic 1351 Collyer St Longmont CO 80501 464657471 501(c)(3) 50000 Access To Specialty Care 2.0 Housing Catalyst 1715 W Mountain Ave Fort Collins CO 80521 840691948 501(c)(3) 10000 Financial Health Initiative Interfaith Hospitality Network Of 519 N Tejon St Colorado Springs CO 80903 841366832 501(c)(3) 80000 Individual Financial Health Jeffco Public Schools 1829 Denver West Dr Bldg 27 Golden CO 80401 846002817 Government 24500 Thriving Schools Playbook Activation-round 2 Jeffco Schools Foundation 581 Conference Pl Golden CO 80401 840970315 501(c)(3) 7500 Jeffco Schools Foundation General Operating Donati Johns Hopkins Univ 1650 Orleans Street Baltimore MD 21231 367129657 501(c)(3) 127829 Research Collaboration Leanin1220 Inc 32045 Castle Ct 100 Evergreen CO 80439 834651143 501(c)(3) 20000 Expansion Of Mental Health Services Donation Livewell Colorado 1490 Lafayette St 404 Denver CO 80218 262464764 501(c)(3) 300000 Kpco Wic Produce Boxes Mapleton Public Schools 7350 Broadway Denver CO 80221 846000817 Government 25000 Food Access In Schools Donation Marshfield Clinic Rsrch Fdn 1000 North Oak Avenue Marshfield WI 54449 812822823 501(c)(3) 332058 Research Collaboration Metro Community Provider Network Inc 2255 S Oneida St Denver CO 80224 742477108 501(c)(3) 20000 Stride Chc & Cherry Creek Schools Immunization Cli Mi Casa Resource Center 345 S Grove St Denver CO 80219 840867773 501(c)(3) 90000 Diverse Business Growth Colorado Mile High United Way Inc 711 Park Ave W Denver CO 80205 840404235 501(c)(3) 500000 Kpco Employee Giving Campaign 2021-2022 Neighbor To Neighbor Inc 1550 Blue Spruce Dr Fort Collins CO 80524 840630214 501(c)(3) 15000 Financial Health Initiative Project Angel Heart 4950 Washington St Denver CO 80216 841199481 501(c)(3) 618600 Expansion Of Medically Tailored Meals In Colorado Pueblo City Schools 315 W 11th St Pueblo CO 81003 846001882 Government 49500 Mental Health Training And Support For Staff And S Pueblo County School District 70 24951 East Highway 50 Pueblo CO 81006 846002832 Government 97261 Thriving Schools Rise Ray Of Hope Cancer Foundation 1385 S Colorado Blvd 108 Denver CO 80222 270029283 501(c)(3) 20000 Rohcf 2021 End Of Year General Operating Support Rocky Mountain Microfinance Institute Po Box 48138 Denver CO 80204 263218152 501(c)(3) 80000 Rmmfi's Idea, Launch, Thrive Program - Generationa Sccc Po Box 4337 Frisco CO 80443 201139635 501(c)(3) 50000 Access To Specialty Care 2.0 Sheridan School District 2 Po Box 1198 Englewood CO 80150 840521403 Government 44500 Staff And Community Engagement In Sheridan School Sisters Of Color United For Education 1400 N Williams St Denver CO 80218 311554794 501(c)(3) 10000 Digital Storytelling For The Montbello Community D State Of Colorado 1313 N Sherman St 320 Denver CO 80203 840644739 Government 800000 Tenancy Support Services For Supportive Housing In The Action Center 8755 W 14th Ave Lakewood CO 80215 237019679 501(c)(3) 50000 Respite, Resource And Recovery Center Program The Success Foundation 1025 9th Ave Greeley CO 80631 273567674 501(c)(3) 30000 Food Access In Schools Donation Thompson School District R2-j 800 S Taft Ave Loveland CO 80537 846013346 Government 100000 Thriving Schools Rise Trailhead Institute 1385 S Colorado Blvd 622 Denver CO 80222 841267213 501(c)(3) 22000 Blueprint To End Hunger Funders Committee Design D United Negro College Fund 1805 7th Street Nw Washington DC 20001 131624241 501(c)(3) 35000 Kaiser Permanente Health Equity Scholarship Progra Univ Of Colorado Denver 13199 E Montview Blvd Aurora CO 80045 846000555 Government 40021 Research Collaboration Univ Of Michigan 5065 Wolverine Tower Ann Arbor MI 48109 386006309 501(c)(3) 8239 Research Collaboration Univ Of Pennsylvania 3451 Walnut St 4th Philadelphia PA 19104 231352685 501(c)(3) 630218 Research Collaboration University Of Colorado Foundation 1800 N Grant St 725 Denver CO 80203 846049811 501(c)(3) 15000 Uprise: Cityhealth Tobacco Flavor Ban Youth Advoca Via Mobility Services 2855 N 63rd St Boulder CO 80301 840777296 501(c)(3) 15000 Older Adult Transportation To Covid Vaccine Appoin Weld County School District Re-8 200 S Fulton Ave Fort Lupton CO 80621 846002059 Government 20000 Food Access In Schools Donation Weld County School District Re-1 Po Box 157 Gilcrest CO 80623 846013393 Government 20000 Food Access In Schools Donation Westminster High School 7002 Raleigh St Westminster CO 80030 846000839 Government 25000 Food Access In Schools Donation Worklife Partnership 3513 Brighton Blvd 489 Denver CO 80216 471331690 501(c)(3) 10000 Financial Health Initiative 87 0 SCHEDULE I, PART I, QUESTION 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 Gregory Adams Chairman & CEO 0 1949013 0 10590330 0 743758 0 2248687 0 30436 0 15562224 0 3067941 Arthur Southam EVP, Health Plan Ops & CGO 0 1196028 0 3042244 0 526564 0 427557 0 32012 0 5224405 0 0 Kathryn Lancaster EVP & Chief Financial Officer 0 1197032 0 2859194 0 524128 0 430575 0 16984 0 5027913 0 0 Janet Liang EVP, Group President & COO 0 1187802 0 2273257 0 543354 0 900276 0 34654 0 4939343 0 373405 Kimberly Horn EVP, Group President, MOC 0 1048109 0 1460250 0 743396 0 1442280 0 30978 0 4725013 0 502935 Mark Zemelman SVP, General Counsel & Secy 0 767516 0 1741934 0 329088 0 96689 0 38068 0 2973295 0 0 Michael Ramseier Regional President - CO 0 845797 0 739644 0 46805 0 904887 0 33131 0 2570264 0 0 Roland Lyon SVP, Strategy Implementation 0 522074 0 628972 0 622292 0 107210 0 28473 0 1909021 0 580894 Vanessa Benavides SVP, Chief Legal Officer 0 484886 0 712201 0 417482 0 253358 0 18749 0 1886676 0 273264 Thomas Meier SVP, Corporate Treasurer 0 545140 0 785594 0 131103 0 271040 0 30351 0 1763228 0 0 Alfonse Upshaw SVP,Corporate Controller & CAO 0 510316 0 601573 0 38950 0 177877 0 21486 0 1350202 0 0 Donald Orndoff SVP, NFS 0 469482 0 517692 0 140506 0 68245 0 31515 0 1227440 0 0 Ronald Vance Interim Regional President 0 870325 0 0 0 0 0 0 0 0 0 870325 0 0 Kelli Kane VP, COO 0 357292 0 160635 0 39866 0 204903 0 36047 0 798743 0 0 Laura English VP, CFO - CO 0 348082 0 271082 0 36185 0 102148 0 30269 0 787766 0 0 Marie Alanna McKiernan Assistant Secretary 0 256480 0 84592 0 302338 0 106464 0 31855 0 781729 0 0 Hong-Sze Yu VP, Brd & Corp Gov & Asst Secy 0 285025 0 147406 0 108681 0 170997 0 27388 0 739497 0 69146 Ryan Jenson Interim Corp Controller & CAO 0 299001 0 197139 0 110554 0 98471 0 27494 0 732659 0 66215 Jennifer Goldberg Assistant Secretary 0 341637 0 195715 0 16914 0 126748 0 36388 0 717402 0 0 Cory Foreman VP, National Sales 0 274945 0 199952 0 35828 0 101643 0 22490 0 634858 0 0 Benjamin Miller VP, MSBD 0 318490 0 74667 0 91195 0 85560 0 34700 0 604612 0 45722 Guy Thomas ED, Healthcare Analytics 0 109849 0 64675 0 266942 0 93515 0 12346 0 547327 0 0 Kristin Bear Assistant Secretary 0 235103 0 151767 0 41709 0 89342 0 20497 0 538418 0 0 Jessica Bidlingmaier VP, Human Resources - CO 0 264584 0 101798 0 16286 0 108512 0 30529 0 521709 0 0 Cortney Eisses VP, Continuum of Care 0 263957 0 81855 0 15802 0 119929 0 31079 0 512622 0 0 Keith Evans ED, Retail & Second Sale 0 253027 0 104329 0 26419 0 86864 0 29225 0 499864 0 0 Nicole Kveton VP, Quality & Safety 0 278502 0 88275 0 16242 0 93171 0 22533 0 498723 0 0 John Heintz ED, Healthcare Analytics 0 193323 0 10000 0 170758 0 0 0 17802 0 391883 0 0 Bernice Gould Assistant Secretary 0 219155 0 35438 0 2345 0 93938 0 10820 0 361696 0 0 Maryann Bodayle Assistant Secretary 0 170274 0 18502 0 2234 0 44738 0 10462 0 246210 0 0 Rochelle Roth Assistant Secretary 0 195497 0 35129 0 2163 0 -15908 0 18998 0 235879 0 0 Ramon F Baez Director 0 223552 0 0 0 13707 0 -12291 0 0 0 224968 0 0 Matthew T Ryan Director 0 207000 0 0 0 13855 0 0 0 0 0 220855 0 0 Margaret E Porfido JD Director 0 257500 0 0 0 21577 0 -62832 0 0 0 216245 0 0 Leslie S Heisz Director 0 214500 0 0 0 18928 0 -17324 0 0 0 216104 0 0 Judith A Johansen JD Director 0 267600 0 0 0 9870 0 -61490 0 0 0 215980 0 0 Jeffrey E Epstein Director 0 222000 0 0 0 8934 0 -16869 0 0 0 214065 0 0 Richard P Shannon MD Director 0 210000 0 0 0 0 0 3503 0 0 0 213503 0 0 David F Hoffmeister Director 0 216500 0 0 0 13707 0 -18455 0 0 0 211752 0 0 A Eugene Washington MD Director 0 205500 0 0 0 0 0 1267 0 0 0 206767 0 0 David J Barger Director 0 199500 0 0 0 0 0 -357 0 0 0 199143 0 0 Regina M Benjamin MD MBA Director 0 187500 0 0 0 8638 0 -16773 0 0 0 179365 0 0 Sharon Peters Interim Chief Operating Offcr 0 0 0 57736 0 51939 0 0 0 0 0 109675 0 42608 Edward YW Pei Director 0 0 0 0 0 56844 0 0 0 0 0 56844 0 46316 Kim J Kaiser Director 0 25400 0 0 0 14004 0 0 0 0 0 39404 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 - Severance Payments - Guy Thomas $ 263,800 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: Gregory Adams $ 637,715 Arthur Southam 467,059 Kathryn Lancaster 464,623 Janet Liang 496,329 Kimberly Horn 313,188 Mark Zemelman 272,737 Roland Lyon 580,894 Vanessa Benavides 367,762 Thomas Meier 86,733 Donald Orndoff 106,741 Hong-Sze Yu 91,157 Ryan Jenson 89,323 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, 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 SOME INDIVIDUALS' DEFINED BENEFIT PLAN DECLINED IN 2021, RESULTING IN NEGATIVE VALUES IN COLUMN (C) IN SOME INSTANCES. CERTAIN BOARD MEMBERS ARE ELIGIBLE FOR A RETIREE MEDICAL BENEFIT FOLLOWING RETIREMENT FROM THE BOARD. THE ACTUARIAL INCREASE OR DECREASE IN VALUE MAY CHANGE FOR VARIOUS REASONS, INCLUDING CONTINUED SERVICE, AGE, AND CHANGES IN ASSUMPTIONS, RESULTING IN NEGATIVE VALUES IN COLUMN (C) IN SOME INSTANCES. PART VII, LINE 5 ONE FORMER OFFICER RECEIVED COMPENSATION FROM AN UNRELATED ORGANIZATION, ALVAREZ & MARSAL HOLDINGS, LLC. FORM 990, PART VI, LINE 1a - Voting Member and Governing Body - THE EXECUTIVE COMMITTEE, COMPOSED OF THE DIRECTORS THAT ARE THE CHAIRS OF THE BOARD'S OTHER STANDING COMMITTEES, HAS AUTHORITY TO ACT FOR THE BOARD BETWEEN MEETINGS EXCEPT IT HAS NO AUTHORITY TO: A. FILL VACANCIES ON THE BOARD OR THE COMMITTEE; B. FIX THE COMPENSATION OF DIRECTORS FOR SERVING ON THE BOARD OR ANY COMMITTEE; C. ADOPT, AMEND OR REPEAL BYLAWS; D. AMEND OR REPEAL ANY RESOLUTION OF THE BOARD WHICH BY ITS EXPRESS TERMS CANNOT BE AMENDED OR REPEALED BY THE EXECUTIVE COMMITTEE; E. APPOINT COMMITTEES OF THE BOARD OR APPOINT THE MEMBERS THEREOF; OR F. APPROVE ANY ASPECT OF A TRANSACTION INVOLVING THE COMPANY WHEN A DIRECTOR HAS A MATERIAL FINANCIAL INTEREST IN THAT TRANSACTION, EXCEPT AS EXPRESSLY PROVIDED BY THE LAW. Form 990, Part VI, Line 2 Family or Business Relationships Board members Eugene Washington, MD and Richard Shannon, MD have a business relationship. Board members Jeffrey Epstein and Jenny Ming have a business relationship. Form 990, Part VI, Line 6 KAISER FOUNDATION HEALTH PLAN, INC. IS THE SOLE MEMBER. Form 990, PART VI, LINE 7A - APPOINTMENT OF GOVERNING BODY - KAISER FOUNDATION HEALTH PLAN, INC. APPOINTS THE DIRECTORS (AND FILLS VACANCIES AND HAS AUTHORITY TO REMOVE DIRECTORS). THE SAME INDIVIDUALS WHO COMPRISE THE BOARD OF DIRECTORS OF KFHP ALSO SERVE AS THE DIRECTORS OF KFHP COLORADO, NORTHWEST, MID-ATLANTIC STATES, AND KFHPW HOLDINGS. Form 990, PART VI, LINE 7B - APPROVAL OF CERTAIN GOVERNANCE DECISIONS - THE FOLLOWING ACTIONS OF THE CORPORATION REQUIRE APPROVAL OF THE SOLE MEMBER: A) REMOVAL OF THE CHAIRMAN OF THE BOARD OR THE PRESIDENT, THE GROUP PRESIDENT OR REGIONAL PRESIDENT; B) AMENDMENTS TO ARTICLES C (MEMBER), D (DIRECTORS) AND H (AMENDMENT AND EFFECT OF BYLAWS) OF THE BYLAWS MAY BE AMENDED ONLY BY THE MEMBER; C) AMENDMENT OF THE ARTICLES OF INCORPORATION. 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. - 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, LINEs 15A/B COMPENSATION DETERMINATION THE EXECUTIVE COMPENSATION PROGRAM AS ADMINISTERED BY KAISER FOUNDATION HEALTH PLAN, INC. 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 AND THE MANAGEMENT COMMITTEE ON COMPENSATION. PRIOR TO PAYMENT, ALL PROGRAMS AND PAYMENTS TO THE CEO, EXECUTIVE DIRECTOR, AND TOP MANAGEMENT OFFICIALS (EXECUTIVES) ARE REVIEWED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE MANAGEMENT COMMITTEE ON COMPENSATION. 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 TO BE COMPETITIVE TO THE COMPARABLE EXTERNAL MARKET IN WHICH THE ORGANIZATION COMPETES FOR EXECUTIVE LEADERSHIP. EVALUATION OF COMPARABLE PAY DATA IS PERFORMED BY AN INDEPENDENT COMPENSATION, BENEFITS & HUMAN RESOURCES CONSULTING FIRM. THE COMPENSATION PROGRAM FOCUSES ON OBJECTIVES IN THE AREAS OF QUALITY OF MEMBER CARE AND SERVICE, MEMBERSHIP GROWTH, FINANCIAL SOUNDNESS, AND THE COMMUNITY AND SOCIAL MISSION OF THE ORGANIZATION. Form 990, PART VI, LINE 18 Form 990 is available on www.guidestar.org. Form 990, PART VI, LINE 19 - Public Inspection - Governing documents, conflict of interest policy are available upon request as disclosed to other regulatory bodies. 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 Independent Auditors' Report. To request copies contact: National Communications - RM Operations Kaiser Foundation Health Plan and Hospitals One Kaiser Plaza, 18th Floor 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 9 - other changes in net assets or fund balances - change in pension and other retirement lia $ 344,529,121 otti losses - book (3,673,694) Gain/ Loss on Investments - Book (9,820,823) Gain/ Loss on Investments - Tax (2,430,591) ------------------ 328,604,013 Form 990, PART III, LINE 4A-D - EXEMPT PURPOSE ACHIEVEMENTS - I. Introduction A. About Kaiser Permanente Founded in 1945, Kaiser Permanente is recognized as one of America's leading health care providers and nonprofit health plans. We were created to meet the challenge of providing American workers with medical care during the Great Depression and World War II, when most people could not afford to go to a doctor. Since our beginnings, we have been committed to helping shape the future of healthcare. Kaiser Permanente has influenced U.S. health care through its innovations in these areas: - Prepaid health plans, which spread the cost to make it more affordable - A focus on preventing illness and disease as much as on caring for the sick - An organized, coordinated system that puts as many services as possible under one roof-all connected by an electronic medical record Kaiser Permanente has been committed to shaping the future of health and health care - and helping our members, patients, and communities experience more healthy years. We are recognized as one of America's leading health care providers and not-for-profit health plans. Since 1945, Kaiser Permanente's mission has been to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve 12.5 million members in 8 states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists, and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery, and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education, and the support of community health. B. Kaiser Permanente's Approach to Community Health At Kaiser Permanente, we recognize that where we live and how we live has a big impact on our health and well-being. Our work is driven by our mission: to provide high-quality, affordable health care services and to improve the health of our members and our communities. It's also driven by our heritage of prevention and health promotion, and by our conviction that good health is a fundamental right. To be our healthiest we need more than high-quality medical care - we need to improve the conditions for health and equity in the communities we serve. What does that mean? It means addressing all the factors that affect health, such as having a safe place to live, enough money to pay the bills, access to healthy meals, and meaningful social connections. Kaiser Permanente is accelerating efforts to broaden the scope of our work - and ultimately create healthier, more equitable communities for all. Through our continued focus on expanding our community health approach, however, we laid the foundation for an acceleration of work to meet the challenges posed by the public health crises we now face. We dedicated ourselves to improving the social health of our 12.5 million members and the communities we serve. C. Kaiser Permanente's Total Contribution Kaiser Permanente provided $2.6 billion in 2021 to improve the health of our communities. The amounts attributable to Kaiser Foundation Health Plan of Colorado is $102.7 million as follows: - Financial Assistance at cost - $24.2 million - Medicaid - $54.7 million - Costs of other means-tested government programs - $3.6 million - Community health improvement services and community benefit operations - $5.3 million - Health Professions Education - $300,000 - Research - $4 million - Cash and in-kind contributions from community benefit - $10.5 million In addition to our direct spend, we also leverage assets from across Kaiser Permanente to help us achieve our mission to improve the health of communities. This "Total Health" strategy includes our widely recognized activities around supplier diversity, socially responsible investing and environmental stewardship. II. Health Access Ensuring health access means serving those most in need of health care through Medicaid, medical financial assistance, charitable health coverage, and other forms of subsidized care and coverage. It also means connecting people with wrap-around social services, healthy meals, affordable homes, safe playgrounds, and supportive schools. For many low-income people without access to health care coverage, or for those who lose their jobs and can't maintain health care coverage, an emergency room is often the only place they receive care. At Kaiser Permanente, we're working to change that with programs that lower financial barriers by providing deeply subsidized health coverage and medical financial assistance for care. We also provide information about how to access and qualify for public programs such as Medicaid and financial assistance through the marketplace to individuals who may be eligible. Kaiser Foundation Health Plan of Colorado supports the health access needs of our communities through a combination of coverage and care programs. We provide coverage to low-income populations through our participation in government programs like Medicaid and the Children's Health Insurance Programs (CHIP). Similarly, we provide care to low-income populations through two key vehicles: first, via our treatment of Medicaid and CHIP enrollees, and second, via the Medical Financial Assistance (MFA) program, which is Kaiser Permanente's traditional charity care or financial assistance program (FAP). For Kaiser Foundation Health Plan, Inc. and all of its subsidiary health plans, the main way to address health access challenges is by absorbing the cost of the coverage and care programs described above. A. Coverage Having health coverage means consistent access to comprehensive and continuous medical and preventative services for people to get and stay healthy, a much better alternative to episodic care at emergency departments. Coverage is good for the patient, good for Kaiser Permanente and good for the US overall because it helps people get and stay healthy and avoid costly hospital services. i. Coverage provided through Medicaid, CHIP and other government programs The Affordable Care Act has had a far-reaching impact on the landscape of government-sponsored programs, as these options have become a key source of health coverage for a significant portion of the US population. Kaiser Permanente has responded to this challenge by developing organizational strategies to enable low-income individuals to obtain and/or retain health coverage through Medicaid, CHIP or other government programs, even as their personal or financial circumstances may be changing. At the end of 2021, Kaiser Foundation Health Plan of Colorado was providing care to approximately 48,000 people through these government programs. B. Care To get and/or stay healthy, people need access to high quality care by providers they trust. This care must include preventative services and required medications so that people can avoid ending up in the emergency room or requiring more extensive services down the line. Kaiser Permanente helps low-income populations gain access to this type of care by leveraging the full scope of its integrated delivery system, including not only critical hospital-based services but also outpatient primary, specialty and pharmacy services. i. Care provided through Medicaid, CHIP and other government programs Kaiser Permanente provides a wide range of health care services to individuals enrolled in Medicaid, CHIP and other government programs, regardless of whether they are assigned to Kaiser Permanente or not. In addition to the individuals who received health coverage in 2021 due to Kaiser Permanente's participation in these government programs, Kaiser Foundation Health Plan of Colorado also subsidized care to people who are enrolled in these programs but not formally assigned to Kaiser Foundation Health Plan. ii. Care subsidized by MFA Medical Financial Assistance program (MFA) helps low-income, uninsured, and underinsured patients receive access to care. The program provides temporary financial assistance or free care to patients who receive health care services from our providers, regardless of whether they have health coverage or are uninsured. Eligibility is based on financial need. In general, patients whose household income is at or below 200 percent, and in some regions up to 400 percent, of the federal poverty guidelines are eligible for the MFA program. Patients who are experiencing high medical expenses as compared to their income may be eligible under high medical expenses criteria, regardless of household income. The MFA program covers emergency and medically necessary health care services, pharmacy services and products, and medical supplies provided at Kaiser Permanente facilities (i.e. hospitals, medical centers, and medical office buildings), at Kaiser Permanente outpatient pharmacies, or by Kaiser Permanente providers. Over the course of 2021, Kaiser Foundation Health Plan of Colorado subsidized care for a total of 30,000 people through the MFA program. C. Safety-Net Partnerships Safety net providers are a mix of public hospitals, community-based organizations such as federally qualified health centers, and other health care organizations. Safety-net health care providers have a legal mandate or explicit mission to provide care for patients who have low incomes and/or are uninsured regardless of their ability to pay. In Kaiser Permanente service areas, federally qualified health centers serve the uninsured, Medicaid, and other vulnerable populations. In addition to working families, children, the elderly, and the disabled, health centers serve students, homeless people, people living in public housing, agricultural workers, and veterans. Strengthening the safety net advances our mission to improve the health of the communities we serve as well as our equity agenda. Our communities' most vulnerable populations, including a disproportionate number of low-income people of color, rely on the safety net for their health care needs. Our support ensures that communities have access to a strong safety net that can equitably meet patients' needs and improve health outcomes. As we continue to confront COVID-19, ensuring that low-income patients and people experiencing homelessness continue to have access to high-quality health care is more important than ever. Kaiser Foundation Health Plan of Colorado invested approximately $200,000 in its Safety Net to support access to Specialty Care to community members who are underinsured and underserved as part of a multi-year project called ASCENT. Kaiser Permanente supported the Safety Net's efforts to leverage telehealth as part of a multi-year, multi-organization investment to address Colorado's critical shortage of specialty care for the most vulnerable. III.Social Health Healthy individuals need healthy communities, and healthy communities need healthy people to thrive. At Kaiser Permanente, we are working to improve the conditions for health and equity in communities by addressing the root causes of health, such as healthy food, economic opportunity, affordable housing, and safe and supportive schools. We screen patients for social factors influencing their health and connect them to resources when needed - both community-based programs and Kaiser Permanente-funded initiatives. These improvements grow from our collaboration with each community to co-design and co-create solutions that truly make a positive impact. By engaging members, communities, our sizeable workforce, and all of our organization's considerable assets, we are working to create communities that are among the healthiest in the nation, and inspiring greater health for America and the world. A. Economic Opportunity Inclusive economic growth is critical to both individual and community health. When there is a lack of economic opportunity in communities, the prospects for upward social mobility are diminished, often resulting in poorer health and higher mortality rates for people living in those communities. By contrast, economic growth and opportunity provides individuals with jobs, income, a sense of purpose, and opportunities to improve their economic circumstances overtime. As a large, influential institution in our communities, Kaiser Permanente also recognizes that the way we do business can support economic opportunity in local communities through how we hire, purchase, build our facilities and partner with communities. Some ways that we're helping revitalize and grow our communities by strengthening economic opportunity include: - Providing good jobs to individuals facing barriers to employment through high-impact hiring and workforce pipeline efforts. - Pursuing a social impact investment strategy to support impact investments aimed at addressing key social issues that have a significant impact on health. - Purchasing goods and services from local minority- and women-owned businesses and encouraging good employment practices by our vendor partners. - Building new facilities with an emphasis on positive local community impact, including local construction hiring, local and diverse purchasing, healthy and sustainable design features, neighborhood revitalization, and deep community engagement. - Partnering with community organizations to grow local business capacity, increase access to good jobs, and support stable, quality, affordable housing. Kaiser Permanente is also deepening its efforts to get at the heart of inequities, addressing systemic racism, breaking cycles of trauma, and creating economic opportunities for communities that have endured decades of underinvestment. We are working with communities striving to overcome systemic and structural economic disadvantage and supporting the resiliency of businesses owned by Black and other historically underrepresented individuals. We recognize that it will require sustained efforts to increase access to business capital and build capacity for growth. Success for these communities requires intentional, long-term investment, and ongoing work to dismantle racist systems that create barriers to success. Kaiser Foundation Health Plan of Colorado provided funding of $1,000,000 to Energize Colorado Gap Fund in support of their Diverse Business Pandemic Response program. Energize Colorado Gap Fund is a coalition of philanthropic private-public sector organizations serving Colorado's sole proprietors, small business, and nonprofit business owners who were economically impacted by the pandemic. It provides small businesses and entrepreneurs of color access to technical assistance programs and support in accessing financing. Funding will strengthen the technical and capacity building support provided to women, Black, Hispanic, rural, and veteran entrepreneurs. Kaiser Foundation Health Plan of Colorado also provided funding of $1,000,000 to the Foundation for Colorado Community Colleges to establish an endowed scholarship fund. The Kaiser Permanente Equity Scholarship Fund will provide financial assistance to Black, Indigenous, People Of Color (BIPOC) and other minority students for the advancement of education in the health care industry. The endowment fund will help alleviate some of the financial burdens these students experience when entering post-secondary programs. B. Housing for Health Without a safe place to call home, it's nearly impossible to focus on basic health and medical needs. Kaiser Permanente is leading efforts to end homelessness and preserve affordable housing by making strategic impact investments, shaping policy, and catalyzing innovative partnerships. The COVID-19 pandemic had a significant impact on social health needs in our communities, and people experiencing homelessness or housing insecurity were among the most vulnerable. Even in the absence of COVID-19, people experiencing homelessness face a higher risk of death than housed populations. Increasing affordable housing preserves homes that improve total health and lift residents socially and economically. Nationwide, people of color are disproportionately impacted by homelessness and housing insecurity, further exacerbated by COVID-19. The health crisis and economic fallout from the pandemic have hit low-income and communities of color hardest and threaten to widen the health equity gap in our country even further. Kaiser Permanente cannot solve the affordable housing and homelessness crisis alone. Only through innovative partnerships, strategic investments, and impactful storytelling can we move the needle for our most vulnerable communities. Kaiser Permanente will continue to drive national housing for health initiatives that create more healthy years for all. Kaiser Foundation Health Plan of Colorado provided funding of $800,000 to the State of Colorado, Division of Housing for continued tenancy supportive services. The Division of Housing creates housing opportunities for Coloradans who face the greatest challenges to accessing affordable, safe, and secure homes. The Division of Housing supports projects ranging from homelessness prevention to homeownership, including increasing affordable housing inventory, managing rental vouchers, and funding collaborative approaches to end homelessness. The aim of this effort is to reduce homelessness, increase housing stability, and increase positive health outcomes for Coloradans living without a home. Kaiser Foundation Health Plan of Colorado provided funding of $500,000 to Community Health Partnership to create a Housing & Homeless Services Fund that will implement interventions to achieve population-level goals for veteran homelessness and increase the number of individuals who obtain/remain stably housed. Priorities identified through this grant include landlord incentives for acceptance of HUD-VASH vouchers, case management capacity in shelter settings, gap funding for the outreach team, eviction prevention, and COVID-19 response for needs not supported through CARES Act Funds, such as immunization incentives. Kaiser Foundation Health Plan of Colorado also partnered with Community Solutions International, Inc. to help accelerate efforts to end chronic homelessness in communities within Kaiser Permanente's national footprint. Our partnership with Community Solutions includes supporting their capacity and ability to successfully conduct Built for Zero work in Kaiser Permanente communities. It also supports building the evidence base for validating the Built for Zero methodology and creating other models to help communities achieve quality data, an essential piece of the Built for Zero process. New proof points and shared learning around Built for Zero's success will help build out a roadmap to help any community reduce and end homelessness. C. Thriving Schools At Kaiser Permanente, we're committed to not only delivering great health care but also creating communities where people can be healthy in all the places they live, learn, work, and play. Thriving Schools brings together Kaiser Permanente's extensive health care expertise and our partnerships with nationally recognized and trusted organizations working to support schools in becoming a beacon of health in their community. Thriving Schools takes an integrated approach to school health, curating the best thinking and guidance on how to keep students, staff, teachers, and families healthy across four dimensions of health: physical health, mental health, social health, and equity and access. Taking an integrated approach to health means supporting schools and districts in advancing their wellness and educational goals by incorporating health-related strategies into school and district improvement efforts. Like the communities in which they sit, schools often reflect a diversity of cultures, beliefs, and experiences. As such, the services and opportunities they provide must ensure that all students and staff are given the opportunity to reach their full potential. Thriving Schools' integrated approach explicitly addresses equity and inclusion, both in the assessment tools we use and in the resources we offer for school staff and district leaders. Kaiser Foundation Health Plan of Colorado partnered with the Alliance for Healthier Generation to advance the RISE (Resilience in School Environments) initiative, an enterprise-wide effort. RISE is designed to empower schools and districts to create safe and supportive learning environments by cultivating practices that strengthen the social and emotional health of all students and school staff. RISE is the first national initiative of its kind specifically designed for schools and districts to improve safety, connectedness, and relationships among students and staff; increase skills related to social and emotional learning for students and staff; increase mental health supports; and increase job satisfaction, including reducing staff member stress. As a result of this partnership, Kaiser Foundation Health Plan of Colorado also awarded approximately $500,000 to five school districts in Colorado to promote social/emotional health by creating trauma-informed, culturally responsive communities for students and staff. D. Thrive Local Social determinants of health -- the conditions in which people live, learn, work, and play - affect a wide range of health risks and outcomes. Access to quality health care is critical, but social factors, such as lack of safe housing and transportation, inadequate education or job opportunities, and poor access to good nutrition and physical activity, inevitably create barriers to health and wellbeing. While many social resources may exist in a community, they are often unknown to those most in need and disconnected from one another even when serving the same client, creating confusion and exacerbating stress for community members. Through the Thrive Local initiative, launched in late 2019, Kaiser Permanente is establishing bi-directional electronic community networks in every Kaiser Permanente service area. The networks enable health care providers, safety net clinics, social service agencies, government programs, and other participants to make, receive, and track patient and client referrals. Health care providers can refer patients to organizations that address social factors affecting their health, and social service providers can coordinate effectively among themselves to improve community-wide care delivery. Data aggregated through the network technology provides a robust source of information on local social needs and service gaps to drive collaborative community planning. Kaiser Permanente's Thrive Local contributions in 2021 facilitated growth of these community networks by funding community-based organizations to invest in change management, technology, or staffing to assist them in joining the network, as well as "anchor" social service organizations that participated in outreach to build the networks, ensuring they reflect the needs of their respective communities. Kaiser Foundation Health Plan of Colorado awarded community-based organizations over $180,000 to assist community partners to join the community network and to serve as a "champion" to support outreach and on-boarding of local social service providers. These organizations will address a variety of needs including, housing insecurity and homelessness; health and behavioral health; child, youth, family, and senior services; nutrition and food insecurity; financial support and employment; and domestic and interpersonal violence. Funds will be used to provide much needed services to under-served communities and will include working in partnership with local employers, educators, government and community organizations. This effort will facilitate participation of key social service providers in the community networks. E. Food for Life Food for Life is Kaiser Permanente's comprehensive approach to transforming the economic, social, and policy environments connected to food so that people across the nation have access to, and can afford, healthy food. It includes increasing individual and family purchasing power; providing enhanced nutrition to vulnerable and sick members; improving access to community resources; and advancing local and national food security efforts through research, policy advocacy, thought leadership and community support. Kaiser Permanente recognizes that solving for food security goes beyond just giving people food. People's attitudes toward food, the economic tradeoffs they must make, the stigma around food assistance, and social and culture dimensions all play an important role. Food insecurity is linked to a variety of adverse health outcomes, including poor chronic disease management, developmental and mental health problems, increased hospitalizations, and higher costs of care. Kaiser Foundation Health Plan of Colorado provided funding of $300,000 to Nourish Colorado to purchase community-supported agriculture shares and work directly with farmers and county agencies to distribute produce boxes to WIC recipients. Nourish Colorado is uniquely positioned to address the rising food security needs by leveraging existing partnerships with local growers. Their focus is to transform Colorado's food system to ensure all Coloradans have equal and abundant access to nutritious foods from sustainable sources. Kaiser Foundation Health Plan of Colorado also awarded $300,000 to several schools and districts to conduct verification of students' parents or caretakers to enroll children and/or their household in eligible public food assistance programs such as SNAP, WIC, and P-EBT. Households with children remain at the forefront of Colorado's hunger crisis and this funding will be used to ensure students and their families are receiving the nutrition they need to fully engage in school and work. IV.Policy and Systems A. Thriving Cities The places where we live, learn, work, and play - our cities and towns, our schools, our homes, our neighborhoods - have an enormous impact on our health. And how we shape those places, through public policy and the support for healthy environments, has the potential to make real, lasting impacts on our surroundings and our everyday quality of life. Through Kaiser Foundation Health Plan of Colorado's ongoing partnerships with community organizations, municipal leaders, and public health champions, we are working to incorporate health, equity and sustainability considerations into public policy and the built environment in ways that influence how neighborhoods take shape and grow. In 2018, we joined forces with the de Beaumont Foundation, a leader in public health philanthropy, to help U.S. cities thrive through the CityHealth initiative. Created by the de Beaumont Foundation to promote practices that make cities healthier, CityHealth tracks and reports on proven policies, and works with cities to advance policies that achieve community health priorities. Through this relationship, Kaiser Foundation Health Plan of Colorado will leverage its deep expertise in health policy, government relations, and community-based prevention to accelerate cities' efforts to improve people's health and quality of life. For Kaiser Foundation Health Plan of Colorado, this partnership complements the organization's established approach to community health - bringing together health leaders, clinicians and community partners to help solve the social, economic and environmental health challenges facing the who live in the communities it serves. Policy menu includes: earned sick leave, high-quality accessible pre-Kindergarten, affordable housing/inclusionary zoning, complete streets, safer alcohol sales, Tobacco 21, smoke-free indoor air, food safety and restaurant inspection rating, healthy food procurement. Kaiser Foundation Health Plan of Colorado also supported efforts to partner with the Vose River Charitable Fund, which is an organization that develops tools and collaborates with other nonprofit organizations and government health departments to support effective policies and the public health workforce. Our partnership with Vose River Charitable Fund will ensure the CityHealth initiative has sufficient staffing and consultants, policy-specific technical assistance, policy assessment research and communications support. Funding will also support a new policy menu and greater reach among cities in Kaiser Permanente's footprint. B. Environmental Stewardship At Kaiser Permanente, we believe it is our obligation as a health care provider to minimize our environmental impact. We work to be environmentally responsible throughout our organization - in how we power our facilities, purchase food and medical supplies and equipment, manage waste, and invest in our communities. We also prioritize partnerships with others to develop policies and systems that strengthen community health and protect our environment. Our mission to improve the total health of our members and the communities we serve compels us to take bold steps to reduce our impact on the climate and increase understanding of the connection between climate and health. We know one way to improve the health of the communities we serve is by improving their environmental conditions. In 2020, we became the first U.S. health system to become carbon neutral as an organization, completing the "last mile" toward this milestone through investment in carefully chosen carbon offset projects. By eliminating our carbon footprint, we have taken measurable action to improve conditions that lead to poor health, deepening our commitment to create more healthy years for all, and supporting the medical community's pledge to do no harm. In 2021, we also dedicated 26.62% of overall spending on products to items that met our Environmentally Preferable Purchasing standards and 100% of our overall operations were powered by renewable electricity. C. Health Professionals Education Our Graduate Medical Education (GME) program provides training and education for medical residents and interns in the interest of educating the next generation of physicians. The nationally acclaimed program attracts some of the top medical school graduates in the United States and serves as a national model by exposing future health care providers to an integrated health care delivery system. Residents are offered the opportunity to serve a large, culturally diverse patient base in a setting with sophisticated technology and information systems, established clinical guidelines and an emphasis on preventive and primary care. The majority of medical residents are studying within the primary care medicine areas of family practice, internal medicine, ob/gyn, pediatrics, preventive medicine, and psychiatry. In addition to GME, we provide a range of training and education programs for nurse practitioners, nurses, radiology and sonography technicians, physical therapists, post-graduate psychology and social work students, pharmacists, and other non-physician health professionals. D. Research Kaiser Permanente's research efforts are core to the organization's mission to improve population health, and its commitment to continued learning. Kaiser Permanente researchers study critical health issues such as cancer, cardiovascular conditions, diabetes, behavioral and mental health, and health care delivery improvement. Kaiser Permanente's research is broadly focused on three themes: understanding health risks; addressing patients' needs and improving health outcomes; and informing policy and practice to facilitate the use of evidence-based care. Kaiser Permanente is uniquely positioned to conduct research due to its rich, longitudinal, electronic clinical databases that capture virtually complete health care delivery, payment, decision-making and behavioral data across inpatient, outpatient, and emergency department settings for its geographically and demographically diverse members. In 2021, Kaiser Foundation Health Plan of Colorado engaged in 335 active studies (including 86 clinical trials) and published 120 journal articles. Established in 1992, the Institute for Health Research (IHR) is an integrated department that conducts, publishes, and disseminates epidemiologic, behavioral, health services, implementation, and clinical research. In 2021, the Institute for Health Research published the following research: Breast cancer survivors are at increased risk for developing second primary cancers compared with the general population. Little is known about whether body mass index (BMI) increases this risk. Research scientists examined the association between BMI and second cancers among women with newly diagnosed invasive breast cancer. Their results, published in the Journal of the National Cancer Institute, found a statistically higher risk of second cancers associated with increasing BMI. These findings have important public health implications given the prevalence of overweight and obesity in breast cancer survivors and they underscore the need for effective prevention strategies. V.Pandemic Response After two years, the COVID-19 pandemic continues to be a significant risk in our communities, especially for people who are not yet vaccinated. We rapidly rolled out vaccines, and now boosters, and administered COVID-19 tests while managing new and unpredictable variants like delta and omicron as they surfaced. Kaiser Permanente awarded grants to dozens of community-based organizations, safety net providers, and trusted messengers in every market we serve to expand public education and to create trusted messenger campaigns to increase education and to remove barriers for individuals and communities at highest risk for contracting COVID-19. Kaiser Permanente's COVID-19 Social Health Playbook provides care teams with guidance and tools for screening patients for social needs, connecting them to help, and following up to ensure their needs are met. The guidelines have a strong focus on addressing COVID-19 patients' social needs to improve their health outcomes and to prevent further transmission of the virus. Kaiser Permanente has been part of studies to improve our understanding of COVID-19 and develop tools to prevent and treat the disease, including clinical trials to determine the safety and effectiveness of coronavirus vaccines. 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