KAISER FOUNDATION HEALTH PLAN OF COLORADO: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
KAISER FOUNDATION HEALTH PLAN OF COLORADO (EIN 84-0591617)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-08
IRS object ID
201833129349302398
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-08T14:09:39-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1800AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN840591617EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KAISER FOUNDATION HEALTH PLAN OF COLORADOBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% CHIEF ACCOUNTING OFFICERInCareOfNm
Business Name ControlKAISBusinessNameControlTxt
Phone5102716611PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE KAISER PLAZA SUITE 15LAddressLine1Txt
CityOAKLANDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94612ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALFONSE UPSHAWPersonNm
Person Titlesvp, cc and caoPersonTitleTxt
Phone5102716611PhoneNum
Signature2018-10-19SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer Personrobert w frizPreparerPersonNm
PTINP00438748PTIN
Phone2673303000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address155.201.188.33IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id23522320183125000034FederalOriginalSubmissionId
Federal Original Submission Id2018-11-08FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id82EF70885BAE644EF1B1FCEB45264405E14EF6B4AtSubmissionCreationDeviceId
At Submission Filing Device Id6CFBC1E470B119DB9F0B0C745D98B714AAF1A9A1AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2018-06-14 16:35:46ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerR ROLAND LYONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE KAISER PLAZA SUITE 15LAddressLine1Txt
CityOAKLANDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94612ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,632,392,328GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.KP.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1969FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionTO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee8454TotalEmployeeCnt
Total Volunteers890TotalVolunteersCnt
Total Gross UBI$2,162,511TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$1,297,578NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$8,794,705PYContributionsGrantsAmt
CY Contributions Grants$9,761,397CYContributionsGrantsAmt
PY Program Service Revenue$3,760,201,713PYProgramServiceRevenueAmt
CY Program Service Revenue$3,941,911,513CYProgramServiceRevenueAmt
PY Investment Income$36,684,621PYInvestmentIncomeAmt
CY Investment Income$65,117,219CYInvestmentIncomeAmt
PY Other Revenue$99,679PYOtherRevenueAmt
CY Other Revenue$43,163CYOtherRevenueAmt
PY Total Revenue$3,805,780,718PYTotalRevenueAmt
CY Total Revenue$4,016,833,292CYTotalRevenueAmt
PY Grants And Similar Paid$2,435,665PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,153,159CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$740,434,816PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$747,488,942CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,039,186,197PYOtherExpensesAmt
CY Other Expenses$3,319,227,713CYOtherExpensesAmt
PY Total Expenses$3,782,056,678PYTotalExpensesAmt
CY Total Expenses$4,068,869,814CYTotalExpensesAmt
PY Revenues Less Expenses$23,724,040PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$52,036,522CYRevenuesLessExpensesAmt
Total Assets BOY$1,782,906,624TotalAssetsBOYAmt
Total Assets EOY$1,797,185,853TotalAssetsEOYAmt
Total Liabilities BOY$1,058,630,481TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,202,010,104TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$724,276,143NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$595,175,749NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$3,583,553,617ExpenseAmt
Grant$1,623,538GrantAmt
Revenue$3,845,153,597RevenueAmt
Descmember 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.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$161,577,732ExpenseAmt
Grant$0GrantAmt
Revenue$84,643,689RevenueAmt
DescMedicaid 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 2017, approximately 51,000 individuals were receiving the benefits of full membership in KFHP-COs Medicaid managed care program. Approximately 11,000 more individuals were members of the Childrens Health Insurance Program (CHIP). In addition, KFHP-CO provided health care on a fee-for-service basis for Medicaid beneficiaries who were not enrolled as KFHP-CO members.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$28,616,039ExpenseAmt
Grant$0GrantAmt
Revenue$1,158,907RevenueAmt
DescCharity Care (Medical Financial Assistance and Charitable Health Coverage) Kaiser Foundation Health Plan of Colorado (KFHP-CO) provides charity care to low-income vulnerable patients through the Medical Financial Assistance (MFA) and Charitable Health Coverage (CHC) Programs. 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 2017, this program assisted more than 14,000 qualifying applicants, including more than 2,800 patients who were not covered by a KFHP-CO product. The CHC program offers regular Kaiser Foundation Health Plan membership at minimal cost to low income families who are not eligible for other public or privately sponsored coverage. Over 500 individuals were receiving comprehensive health care through this program at the end of 2017.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$26,155,153ExpenseAmt
Grant$529,621GrantAmt
Revenue$10,955,320RevenueAmt
DescSCH. O, COMMUNITY BENEFIT REPORTDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$26,155,153TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$529,621TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$10,955,320TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$3,799,902,541TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document747IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee8454EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCHIEF ACCOUNTING OFFICERPersonNm
Phone5102716611PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE KAISER PLAZA 15LAddressLine1Txt
CityOAKLANDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94612ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (49 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Ramon F Baez
Director0.254.75Yes (X)$0$216,956$0
David Barger
Director0.56.5Yes (X)$0$129,258$0
Regina M Benjamin MD MBA
Director0.58.0Yes (X)$0$195,085$0
Jeffery E Epstein
Director0.58.0Yes (X)$0$209,793$0
Leslie S Heisz
Director0.254.75Yes (X)$0$221,011$0
David F Hoffmeister
Director0.259.25Yes (X)$0$228,956$0
Judith A Johansen JD
Director0.58.5Yes (X)$0$245,223$0
Kim J Kaiser
Director0.47.6Yes (X)$0$229,212$0
Edward Y W Pei
Director0.257.25Yes (X)$0$227,488$18,000
Margaret E Porfido JD
Director1.05.0Yes (X)$0$273,015$0
Richard Shannon MD
Director0.55.0Yes (X)$0$190,000$18,000
Cynthia A Telles PHD
Director0.57.0Yes (X)$0$233,956$0
Bernard Tyson
Chairman & CEO4.046.0Yes (X)$0$10,709,503$5,373,250Yes (X)
Eugene Washington MD
Director0.256.75Yes (X)$0$193,495$0
Gregory Adams
EVP, Group President4.046.0$0$3,042,495$3,546,643Yes (X)
Kristin Bear
Assistant Secretary4.046.0$0$346,012$142,273Yes (X)
Maryann Bodayle
Assistant Secretary1.049.0$0$172,364$48,189Yes (X)
Bernice Gould
Assistant Secretary1.049.0$0$211,923$119,722Yes (X)
Kathryn Lancaster
EVP & CFO3.546.5$0$2,834,247$889,086Yes (X)
R Roland Lyon
Regional President - Colorado45.05.0$0$891,176$364,965Yes (X)
Thomas Meier
SVP, Corporate Treasurer1.548.5$0$1,125,095$191,167Yes (X)
Donald Orndoff
SVP, NFS4.046.0$0$974,157$230,435Yes (X)
Rochelle Roth
Assistant Secretary4.046.0$0$235,364$200,790Yes (X)
Jacqueline Sellers
Assistant Secretary1.049.0$0$287,588$171,076Yes (X)
Arthur Southam
EVP, Health Plan Operations4.046.0$0$3,230,890$776,312Yes (X)
Alfonse Upshaw
SVP,Corporate Controller & CAO3.546.5$0$839,199$168,061Yes (X)
Matthew Weber
Assistant Secretary45.05.0$0$429,187$154,638Yes (X)
Hong-Sze Yu
VP, Brd & Corp Gov & Asst Secy3.546.5$0$330,937$179,627Yes (X)
Mark Zemelman
SVP, General Counsel & Secy2.048.0$0$2,447,915$221,897Yes (X)
Suzanne Anest
VP, MSBD - Colorado50.00.0$0$568,138$156,616Yes (X)
Laura English
VP, CFO - CO50.00.0$0$349,053$83,880Yes (X)
Shawn J Mehta
VP, HPSA - Colorado50.00.0$0$493,052$173,679Yes (X)
Denise Mckenna
VP, HPSA - CO50.00.0$0$386,048$18,661Yes (X)
Jandel T Allen-Davis
VP, Govt & External Relations50.00.0$0$460,080$170,729Yes (X)
Justin C Chang
VP, Quality & Innovation50.00.0$0$469,667$148,368Yes (X)
Jerry F Hartbarger
VP, HR - Colorado50.00.0$0$411,798$129,699Yes (X)
Jennifer L Misajet
VP, Care Del Ops-External Svcs50.00.0$0$333,460$234,928Yes (X)
Jason M Tacha
VP, Care Delivery - Ambulatory50.00.0$0$316,924$178,639Yes (X)
George Halvorson
Chairman0.00.0$0$28,956$25,716Yes (X)
J Neal Purcell
Director0.00.0$0$48,745$0Yes (X)
Vanessa Benavides
SVP, Chief Comp & Priv Officer0.050.0$0$923,294$190,921Yes (X)
Daniel Garcia
SVP, Chief Compliance Officer0.00.0$0$593,429$0Yes (X)
Deborah Stokes
SVP,Corporate Controller & CAO0.00.0$0$165,396$0Yes (X)
Paul Swenson
SVP & Chief Strategy Officer0.050.0$0$1,472,354$284,884Yes (X)
Nancy Wollen
SVP, Chief Operating Officer0.00.0$0$449,497$89,911Yes (X)
Victoria Zatkin
VP, Off of Brd & Corp Gov Svcs0.00.0$0$105,278$0Yes (X)
Keith Evans
VP, MSBD - CO0.050.0$0$579,745$140,770Yes (X)
Jeffrey Hahn
Senior Program Manager50.00.0$0$183,969$123,621Yes (X)
James Newsome
VP, Finance0.00.0$0$127,790$68,938Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$39,368,173TotReportableCompRltdOrgAmt
Total Other Compensation$15,034,091TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1579IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
COLORADO PERMANENTE MEDICAL GROUP
10350 E DAKOTA AVEDENVERCO80231MEDICAL SERVICES$708,589,869
Saint Joseph Hospital
2480 W 26th ave b-200DENVERCO80211MEDICAL SERVICES$246,855,178
HCA HEALTHONE LLC
PO BOX 403171ATLANTAGA30384MEDICAL SERVICES$221,047,120
GOOD SAMARITAN MED CENTER
PO BOX 912593DENVERCO80291MEDICAL SERVICES$145,541,130
CHILDREN'S HOSPITAL COLORADO
13123 E 16TH AVEAURORACO80045MEDICAL SERVICES$54,289,729
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K71CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$836,509RelatedOrganizationsAmt
Government Grants$4,066,908GovernmentGrantsAmt
All Other Contributions$4,857,980AllOtherContributionsAmt
Total Contributions$9,761,397TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MEMBERS HEALTH DUES900099$2,545,420,745$2,545,420,745
MEDICARE900099$1,046,987,986$1,046,987,986
SUPPLY CHARGE/PHARM900099$244,667,345$244,667,345
NON-PLAN & INDUSTRIAL900099$5,037,766$2,875,255$2,162,511
OTHER PROGRAM SERV900099$99,797,671$99,797,671
FieldValueIRS element (for citing)
Total Program Service Revenue$3,941,911,513TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$49,638,756TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$49,638,756ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$43,163RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$43,163RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$43,163TotalRevenueColumnAmt
Exclusion$43,163ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$630,980,926SecuritiesAmt
Other$56,573OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$615,538,081SecuritiesAmt
Other$20,955OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$15,442,845SecuritiesAmt
Other$35,618OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,478,463TotalRevenueColumnAmt
Exclusion$15,478,463ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,016,833,292TotalRevenueColumnAmt
Related Or Exempt Func Income$3,939,749,002RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,162,511UnrelatedBusinessRevenueAmt
Exclusion$65,160,382ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,153,159TotalAmt
Program Services$2,153,159ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$514,829,663TotalAmt
Program Services$476,125,969ProgramServicesAmt
Management And General$38,703,694ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$72,369,904TotalAmt
Program Services$72,369,904ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$119,017,601TotalAmt
Program Services$102,036,062ProgramServicesAmt
Management And General$16,981,539ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$41,271,774TotalAmt
Program Services$41,271,774ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total-$39,419TotalAmt
Management And General-$39,419ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$626,319TotalAmt
Management And General$626,319ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$759,468TotalAmt
Management And General$759,468ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$12,244,114TotalAmt
Program Services$1,728,405ProgramServicesAmt
Management And General$10,515,709ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,055,782TotalAmt
Program Services$8,351,599ProgramServicesAmt
Management And General$704,183ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$213,648,801TotalAmt
Program Services$161,742,568ProgramServicesAmt
Management And General$51,906,233ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$21,357,958TotalAmt
Program Services$21,357,958ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,221,969TotalAmt
Program Services$2,844,310ProgramServicesAmt
Management And General$377,659ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,083,642TotalAmt
Management And General$1,083,642ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,649,915TotalAmt
Program Services$3,649,915ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$45,945,813TotalAmt
Program Services$45,945,813ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,660,505TotalAmt
Program Services$10,660,505ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACT PAYMENTS$1,424,656,079$1,424,656,079
PURCHASED MED SVC - OUTSIDE$737,544,261$737,544,261
PURCHASED SVC - NON-MEDICAL$90,492,947$45,279,971$45,212,976
SUPPLIES$530,114,429$477,188,129$52,926,300

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$214,205,130TotalAmt
Program Services$164,996,160ProgramServicesAmt
Management And General$49,208,970ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,068,869,814TotalAmt
Program Services$3,799,902,541ProgramServicesAmt
Management And General$268,967,273ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,376,180BOYAmt
EOY$13,328,347EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$134,370,592BOYAmt
EOY$105,863,539EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$67,669,603BOYAmt
EOY$44,881,559EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$16,779,461BOYAmt
EOY$27,671,512EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$910,597,315LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$534,958,938LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$343,385,744BOYAmt
EOY$375,638,377EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,157,112,877BOYAmt
EOY$1,159,035,819EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$56,212,167BOYAmt
EOY$70,766,700EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,782,906,624BOYAmt
EOY$1,797,185,853EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$501,893,250BOYAmt
EOY$644,789,374EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$43,326,297BOYAmt
EOY$41,962,960EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$513,410,934BOYAmt
EOY$515,257,770EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,058,630,481BOYAmt
EOY$1,202,010,104EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$20,702BOYAmt
EOY$20,702EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$724,255,441BOYAmt
EOY$595,155,047EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$724,276,143BOYAmt
EOY$595,175,749EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,782,906,624BOYAmt
EOY$1,797,185,853EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$52,036,522ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$16,097,802NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$93,161,674OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,721,147CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,768,197CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,198,103CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,794,705CurrentTaxYearMinus1YearAmt
Current Tax Year$9,761,397CurrentTaxYearAmt
Total$42,243,549TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,122,130,913CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,412,772,584CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,509,863,549CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,757,972,263CurrentTaxYearMinus1YearAmt
Current Tax Year$3,939,749,002CurrentTaxYearAmt
Total$17,742,488,311TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,137,852,060CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,419,540,781CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,511,061,652CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,766,766,968CurrentTaxYearMinus1YearAmt
Current Tax Year$3,949,510,399CurrentTaxYearAmt
Total$17,784,731,860TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$17,784,731,860PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$42,455,192CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$47,679,687CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$38,733,737CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$35,298,724CurrentTaxYearMinus1YearAmt
Current Tax Year$49,681,919CurrentTaxYearAmt
Total$213,849,259TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$115,085CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$905,828CurrentTaxYearMinus1YearAmt
Current Tax Year$856,401CurrentTaxYearAmt
Total$1,877,314TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$42,455,192CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$47,679,687CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$38,848,822CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$36,204,552CurrentTaxYearMinus1YearAmt
Current Tax Year$50,538,320CurrentTaxYearAmt
Total$215,726,573TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,180,307,252CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,467,220,468CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,549,910,474CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,802,971,520CurrentTaxYearMinus1YearAmt
Current Tax Year$4,000,048,719CurrentTaxYearAmt
Total$18,000,458,433TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98801PublicSupportCY509Pct
Public Support PY5090.98861PublicSupportPY509Pct
Investment Income CY0.01199InvestmentIncomeCYPct
Investment Income PY0.01139InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$114,000DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$28,566OtherActivitiesAmt
Total Lobbying Expenditures$142,566TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1A THROUGH 1IFormAndLineReferenceDesc
ExplanationLOBBYING ACTIVITY BY NONELECTING PUBLIC CHARITIES THE ORGANIZATION ("health plan") IS A MEMBER OF THE KAISER PERMANENTE MEDICAL CARE PROGRAM 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), Health Plan HAS A POLICY PROHIBITING ANY OF Health Plan'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. Health Plan 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. Health Plan EMPLOYS INDIVIDUALS, INCLUDING ONE OR MORE REGISTERED LOBBYISTS AND/OR MAY RETAIN ONE OR MORE PROFESSIONAL CONSULTANTS TO REPRESENT Health Plan'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 Health Plan'S CHARITABLE ACTIVITIES AS AN EXEMPT HEALTH MAINTENANCE ORGANIZATION. THESE INDIVIDUALS ATTEMPT TO ENSURE THAT PROPOSED LEGISLATION AND ENACTED LAWS ARE COMPATIBLE WITH THE INTERESTS OF Health Plan, 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 Health Plan 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 Health Plan. INDIVIDUALS APPEARING AT SUCH HEARINGS AND MEETINGS FOR AND ON BEHALF OF Health Plan OFTEN ARE REPRESENTING THE INTERESTS OF COMMON INTEREST GROUPS AS WELL AS THE INTERESTS OF THE MEMBERS AND PATIENTS OF Health Plan. OTHER EMPLOYEES AND OFFICERS PERFORM SERVICES BY DELIVERING SPEECHES AT VARIOUS PUBLIC AND PRIVATE FUNCTIONS AND IN SERVING AS FACULTY IN HEALTHCARE RELATED EDUCATIONAL PROGRAMS THROUGHOUT THE COMMUNITY.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$43,623,457OtherCostOrOtherBasisAmt
Book Value$43,623,457BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$546,306,022OtherCostOrOtherBasisAmt
Depreciation$331,352,566DepreciationAmt
Book Value$214,953,456BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,377,194OtherCostOrOtherBasisAmt
Depreciation$23,285,172DepreciationAmt
Book Value$7,092,022BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$199,771,841OtherCostOrOtherBasisAmt
Depreciation$153,630,768DepreciationAmt
Book Value$46,141,073BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$90,518,801OtherCostOrOtherBasisAmt
Depreciation$26,690,432DepreciationAmt
Book Value$63,828,369BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$375,638,377TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
OTHER LIABILITIES$21,771,773
PPL & OTHER INSURED LIABILITIES$56,391,693
POST RETIREMENT LIABILITIES$432,008,379
BROKER PAYABLE$5,085,925
FieldValueIRS element (for citing)
Total Liability$515,257,770TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, LINE 2FormAndLineReferenceDesc
ExplanationASC 740 Footnote: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE UNDER ASC 740.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (23 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Civic Canopy
3532 Franklin St Ste HDenverCO80205262319042501(c)(3)$100,000Project Support
Colorado Department of Education
1580 Logan St Suite 200DenverCO80203980256500Government$169,712Project Support
CO FDN for Public Health & Environment
1385 S Colorado BlvdDenverCO80222841267213501(c)(3)$20,000Challenge Grant
Community Shares of Colorado
795 Sherman St Suite 230DenverCO80203742401941501(c)(3)$529,621EMPLOYEE SPONSORED\Matching Gift
Cultivando
7290 Magnolia StCommerce CityCO80022841499624501(c)(3)$150,500Project Support
Denver Botanic Garden Inc
909 York StreetDenverCO80206840440359501(c)(3)$27,510Project Support
Denver Public Schools Foundation
1860 Lincoln St 9th FloorDenverCO80203841224325501(c)(3)$216,016Project Support
Doctors Care
609 WLittleton BlvdLittletonCO80120841150815501(c)(3)$49,100Project Support
Eagle River Youth Coalition Inc
PO Box 4613EdwardsCO81632841593859501(c)(3)$34,293Project Support
Friends of Longmont Youth
1050 Lashley StLongmontCO80504841572377501(c)(3)$50,786Project Support
Front Range Economic Development Center
2501 E 48th AveDenverCO80216260019190501(c)(3)$100,000Project Support
GoFarm
1301 Arapahoe StSuite 105GoldenCO80401472823438501(c)(3)$48,114Project Support
Huerfano County Hospital District
129 KansasWalsenburgCO81089846027322Government$100,000Project Support
Metro Caring
PO Box 300459DenverCO80203846116951501(c)(3)$19,500Project Support
Mountain Resource Center Inc
PO Box 425ConiferCO80433841178699501(c)(3)$39,426Project Support
National Jewish Health
1400 Jackson StreetDenverCO80206742044647501(c)(3)$212,034Project Support
Northern Colorado Food Cluster
PO Box 1545Fort CollinsCO80522200348200501(c)(3)$38,740Project Support
ReVision
3800 Morrison RoadDenverCO80219261204343501(c)(3)$46,729Project Support
S E T of Colorado Springs Inc
2420 W 26th AveDenverCO80211841183335501(c)(3)$46,879Project Support
TESSA
435 Gold Pass HeightsCO SpringsCO80906840746803501(c)(3)$30,021Project Support
The Children's Hospital Association
13123 E 16th Ave Box 045AuroraCO80045840166760501(c)(3)$38,372Project Support
Tri Lakes Cares
PO Box 1301MonumentCO80132742501356501(c)(3)$19,706Project Support
University of Colorado
1800 Grant St Ste 800DenverCO80203846000555501(c)(3)$56,800Scholarship Support
FieldValueIRS element (for citing)
Total501c3 Org23Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, QUESTION 2FormAndLineReferenceDesc
ExplanationPROCEDURES 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (48 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Gregory Adams
EVP, Group President$0$1,049,401$0$1,616,205$0$376,889$0$3,517,776$0$28,867$0$6,589,138$0$0
Jandel T Allen-Davis
VP, Govt & External Relations$0$261,320$0$136,544$0$62,216$0$148,074$0$22,655$0$630,809$0$34,453
Suzanne Anest
VP, MSBD - Colorado$0$220,938$0$115,478$0$231,722$0$131,085$0$25,531$0$724,754$0$0
Ramon F Baez
Director$0$204,500$0$0$0$12,456$0$0$0$0$0$216,956$0$0
Kristin Bear
Assistant Secretary$0$224,693$0$116,173$0$5,146$0$124,717$0$17,556$0$488,285$0$0
Vanessa Benavides
SVP, Chief Comp & Priv Officer$0$391,760$0$437,497$0$94,037$0$172,275$0$18,646$0$1,114,215$0$86,809
Regina M Benjamin MD MBA
Director$0$187,000$0$0$0$8,085$0$0$0$0$0$195,085$0$0
Maryann Bodayle
Assistant Secretary$0$151,515$0$18,654$0$2,195$0$38,051$0$10,138$0$220,553$0$0
Justin C Chang
VP, Quality & Innovation$0$268,304$0$166,624$0$34,739$0$121,306$0$27,062$0$618,035$0$0
Laura English
VP, CFO - CO$0$248,693$0$66,419$0$33,941$0$57,707$0$26,173$0$432,933$0$0
Jeffery E Epstein
Director$0$202,000$0$0$0$7,793$0$0$0$0$0$209,793$0$0
Keith Evans
VP, MSBD - CO$0$232,244$0$195,794$0$151,707$0$117,000$0$23,770$0$720,515$0$0
Daniel Garcia
SVP, Chief Compliance Officer$0$0$0$537,870$0$55,559$0$0$0$0$0$593,429$0$45,739
Bernice Gould
Assistant Secretary$0$175,937$0$33,715$0$2,271$0$109,987$0$9,735$0$331,645$0$0
Jeffrey Hahn
Senior Program Manager$0$149,377$0$15,509$0$19,083$0$94,017$0$29,604$0$307,590$0$0
George Halvorson
Chairman$0$0$0$0$0$28,956$0$25,716$0$0$0$54,672$0$17,874
Jerry F Hartbarger
VP, HR - Colorado$0$251,203$0$144,389$0$16,206$0$103,020$0$26,679$0$541,497$0$0
Leslie S Heisz
Director$0$204,500$0$0$0$16,511$0$0$0$0$0$221,011$0$0
David F Hoffmeister
Director$0$217,000$0$0$0$11,956$0$0$0$0$0$228,956$0$0
Shawn J Mehta
VP, HPSA - Colorado$0$267,281$0$170,257$0$55,514$0$143,410$0$30,269$0$666,731$0$0
Judith A Johansen JD
Director$0$230,667$0$0$0$14,556$0$0$0$0$0$245,223$0$0
Kim J Kaiser
Director$0$216,667$0$0$0$12,545$0$0$0$0$0$229,212$0$0
Kathryn Lancaster
EVP & CFO$0$896,255$0$1,578,456$0$359,536$0$868,611$0$20,475$0$3,723,333$0$0
R Roland Lyon
Regional President - Colorado$0$486,619$0$306,884$0$97,673$0$337,370$0$27,595$0$1,256,141$0$49,723
Denise Mckenna
VP, HPSA - CO$0$42,722$0$165,900$0$177,426$0$3,070$0$15,591$0$404,709$0$0
Thomas Meier
SVP, Corporate Treasurer$0$415,802$0$569,121$0$140,172$0$161,620$0$29,547$0$1,316,262$0$32,787
Jennifer L Misajet
VP, Care Del Ops-External Svcs$0$247,143$0$70,000$0$16,317$0$214,363$0$20,565$0$568,388$0$0
James Newsome
VP, Finance$0$0$0$0$0$127,790$0$63,942$0$4,996$0$196,728$0$35,907
Donald Orndoff
SVP, NFS$0$425,896$0$521,871$0$26,390$0$198,216$0$32,219$0$1,204,592$0$0
Edward Y W Pei
Director$0$214,000$0$0$0$13,488$0$18,000$0$0$0$245,488$0$0
Margaret E Porfido JD
Director$0$254,167$0$0$0$18,848$0$0$0$0$0$273,015$0$0
J Neal Purcell
Director$0$11,000$0$0$0$37,745$0$0$0$0$0$48,745$0$20,937
Rochelle Roth
Assistant Secretary$0$130,910$0$81,317$0$23,137$0$186,070$0$14,720$0$436,154$0$0
Jacqueline Sellers
Assistant Secretary$0$185,684$0$74,361$0$27,543$0$157,570$0$13,506$0$458,664$0$0
Richard Shannon MD
Director$0$190,000$0$0$0$0$0$18,000$0$0$0$208,000$0$0
Arthur Southam
EVP, Health Plan Operations$0$922,115$0$1,690,487$0$618,288$0$742,216$0$34,096$0$4,007,202$0$245,168
Deborah Stokes
SVP,Corporate Controller & CAO$0$0$0$156,115$0$9,281$0$0$0$0$0$165,396$0$0
Paul Swenson
SVP & Chief Strategy Officer$0$598,720$0$582,757$0$290,877$0$256,387$0$28,497$0$1,757,238$0$166,466
Jason M Tacha
VP, Care Delivery - Ambulatory$0$221,007$0$79,583$0$16,334$0$150,284$0$28,355$0$495,563$0$0
Cynthia A Telles PHD
Director$0$222,000$0$0$0$11,956$0$0$0$0$0$233,956$0$0
Bernard Tyson
Chairman & CEO$0$1,436,935$0$7,978,527$0$1,294,041$0$5,335,702$0$37,548$0$16,082,753$0$0
Alfonse Upshaw
SVP,Corporate Controller & CAO$0$378,040$0$311,757$0$149,402$0$141,409$0$26,652$0$1,007,260$0$98,416
Eugene Washington MD
Director$0$193,000$0$0$0$495$0$0$0$0$0$193,495$0$0
Matthew Weber
Assistant Secretary$0$259,088$0$153,745$0$16,354$0$124,385$0$30,253$0$583,825$0$0
Nancy Wollen
SVP, Chief Operating Officer$0$0$0$76,648$0$372,849$0$54,789$0$35,122$0$539,408$0$0
Hong-Sze Yu
VP, Brd & Corp Gov & Asst Secy$0$225,517$0$88,592$0$16,828$0$155,892$0$23,735$0$510,564$0$0
Victoria Zatkin
VP, Off of Brd & Corp Gov Svcs$0$0$0$20,815$0$84,463$0$0$0$0$0$105,278$0$81,430
Mark Zemelman
SVP, General Counsel & Secy$0$577,508$0$1,031,758$0$838,649$0$190,188$0$31,709$0$2,669,812$0$556,159

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 - Denise Mckenna $ 155,225 James Newsome 88,215 Nancy Wollen 338,460 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 4BSUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENT: Gregory Adams $ 325,791 Jandel T Allen-Davis 43,934 Kathryn Lancaster 309,860 R. Roland Lyon 74,917 Thomas Meier 97,965 Arthur Southam 568,315 Paul Swenson 243,792 Bernard Tyson 789,552 Alfonse Upshaw 129,022 Victoria Zatkin 81,430 Mark Zemelman 773,564 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 INCENTIVE PLANS, BASED ON ATTAINMENT OF ORGANIZATIONAL PERFORMANCE GOALS AND INDIVIDUAL PERFORMANCE, DESIGNED TO SUPPORT THE ORGANIZATION'S MISSION TO PROVIDE HIGH-QUALITY, AFFORDABLE CARE AND IMPROVE THE HEALTH OF ITS MEMBERS AND THE COMMUNITIES IT SERVES.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, PART III, LINE 4A-D2017 Community Benefit Report Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Colorados Commitment to the Community Kaiser Foundation Health Plan of Colorado (Colorado Health Plan or KFHP-CO) provides and arranges comprehensive health care services for members on a predominantly prepaid basis. Its contractual obligations to group and individual members are fulfilled by contracting with local hospitals and Permanente Medical Group physicians to provide health care services for its members. KFHP-CO strives for excellence in serving its members through market-leading performance in quality and service. As a subsidiary of Kaiser Foundation Health Plan, Inc. (KFHP, Inc.), membership is available without regard to age, sex, race, religion, or national origin, or to the individuals ability to pay. Colorado Health Plan members are broadly representative of the communities served. Once enrolled, a member may maintain membership regardless of health or employment status. As related nonprofit organizations, Kaiser Foundation Health Plan, Inc. and Kaiser Foundation Health Plan of Colorado are committed to improving the health of communities beyond enrolled membership. Annual investments in a range of Community Benefit programs are a fundamental embodiment of the organizations ongoing commitment to improve the general wellbeing within the broader community. These investments result in intentional, planned, measurable, and accountable benefits intended to address many of the health challenges faced at the individual, local, state, and national levels. In 2007, Kaiser Foundation Health Plan Inc.s board of directors refined the focus of the organizations Community Benefit programs and established the following four priority areas which have come to be known as "Streams of Work": A. Care and Coverage for Low-Income People Creates and supports programs that lower the financial barriers for the under- and uninsured. B. Community Health Initiatives (CHI) Seeks to measurably improve the health of the communities we serve. Designs, delivers, and sustains long-term programs that engage communities in work to improve conditions in their neighborhoods. C. Safety Net Partnerships Builds partnerships with community clinics, local health departments, and public hospitals. Provides funding, technical assistance, dissemination of care management, and quality improvements technology to help improve care and expand treatment capacity for vulnerable populations. D. Developing and Disseminating Knowledge Improves health care by sharing our knowledge educating practitioners, advancing research, empowering consumers, and informing policymakers about evidence-based care and health. In addition to the streams of work noted above, KFHP-CO also made contributions to benefit the communities served in the following areas: E. Other Community Benefit Investments - Support Community Benefit activities and programs beyond the national streams of work, including the administrative expenses of regional Community Benefit departments dedicated to supporting the organizations Community Benefit programs and services and coordinating related initiatives. F. Environmental Stewardship - Protecting and improving the natural environment is a key component of KFHP-COs mission to improve the health of the community it serves. Although costs associated with this initiative are not included in the dollars reported as Community Benefit investments, efforts in this area contribute to advancing a broader vision emphasizing healthy people and healthy environments while also improving health care quality and affordability. The following are details of the Community Benefit activities provided by Kaiser Foundation Health Plan of Colorado: In 2017, Colorado Health Plan served over 663,000 members and expended approximately $119.6 million (at cost, net of $96.8 million of related revenues) to support Community Benefit activities. The following summarizes many of the signature Community Benefit programs and services grouped according to the national Streams of Work. A. Care and Coverage for Low-Income People Improving health care access for those with limited incomes and resources is fundamental to Kaiser Foundation Health Plan of Colorados mission. In 2017, Colorado Health Plan expended $104.4 million (at cost, net of $86 million of related revenues) to address the financing and delivery of health care for populations vulnerable due to socio-economic status, illness, ethnicity, age, or other factors. Program beneficiaries (under- and uninsured) received free or discounted care in a Kaiser Permanente facility or by a Permanente provider. A.1. Charitable Care (Medical Financial Assistance and Charitable Health Coverage Programs) Colorado Health Plan provides charity care to low-income vulnerable populations through the Medical Financial Assistance (MFA) and Charitable Health Coverage (CHC) programs. In 2017, the Colorado Health Plan spent approximately $27.5 million (at cost, net of $1.2 million in related revenues) to support under- and uninsured patients. A.1.1. Medical Financial Assistance (MFA) Program The Colorado Health Plans Medical Financial Assistance program provides financial assistance for emergency and medically necessary services, medications, and supplies to patients with a demonstrated financial need. Patients must receive health care services at facilities operated by Kaiser Permanente and/or from a Kaiser Permanente provider. Eligibility is based upon prescribed levels of income to patients who have exhausted other private and public sources of support. In 2017, KFHP-CO provided $24.9 million (at cost, net of $0 related revenues) to under- and uninsured patients. At KFHP-CO, patients who are eligible for medical financial assistance, but do not receive an MFA award, are not charged more than amounts generally billed. Contracted collection agency practices are aligned with the organizations social values and IRC section 501(r). Additionally, any patient experiencing financial hardship due to high medical expenses relative to their income level may qualify for the program under KPs high medical expense criteria. In Colorado, the MFA programs eligibility criteria allows patients falling at or below 300% of the Federal Poverty Guidelines (FPG) to receive full (100%) write off of patient out-of-pocket costs. In 2017, KFHP-COs MFA program assisted more than 14,000 qualifying applicants, and served more than 2,800 patients who were not otherwise covered by a health care plan offered by Kaiser Foundation Health Plan of Colorado. This population received full forgiveness for nearly 76,000 outpatient visits and over 153,000 prescriptions. A.1.1.1. Community Medical Financial Assistance (CMFA) The MFA program also includes support for community-based initiatives, known as Community Medical Financial Assistance (CMFA). CMFA programs are designed to broaden access to health care within the community and help KFHP-CO fulfill its objectives to reduce the financial barriers that limit access to care for qualified low income populations. Current CMFA programs include the following two offerings sponsored by KFHP of Colorado. A.1.1.1.1. Safety Net Specialty Care Program KFHP of Colorado began allowing primary care providers from three health care Safety Net Systems (Metro Community Provider Network or MCPN, Clinica Family Health Services or Clinica and Salud Family Health Centers or Salud) to electronically request advice (e-consult) with select KFHP of Colorado employed specialists. KFHP-CO also offered direct care services to Safety Net patients, as well as opportunities for medical education. This program responds to a significant community need for access to specialty care for uninsured patients who are ineligible for coverage options. By and large, the health care Safety Net is a source of primary care for the underserved and when a patient requires specialty care, these services are often unavailable to them. This can result in overuse of emergency rooms, overuse of the primary care system and people living with uncontrolled chronic conditions, often causing financial strain on their families. A.1.1.1.2. Hospital Surgical Services The CMFA program also provides access to hospital based and clinical follow up care services for patients who are under or uninsured and already deemed eligible for MFA by a partner agency. In partnership with three community hospital partners, SCL Healths Saint Joseph Hospital, SCL Healths Good Samaritan Medical Center, and HealthONEs Swedish Medical Center, patients are provided access to important and medically necessary specialty services and the necessary follow up care.
A.1.2. Charitable Health Coverage (CHC) ProgramCharitable Health Coverage is a unique approach to caring for low-income uninsured persons in the community. Eligible participants receive a regular Kaiser Permanente Health Plan membership card and access to the full range of services and providers a much better alternative to a potentially costly emergency room visit or hospitalization. This allows Colorado Health Plan to invest in the longer term health of patients and the community. KFHP-COs CHC programs have a long history of making a real difference in the lives of persons who might otherwise have no permanent medical home. During 2017, KFHP-CO invested approximately $2.5 million (at cost, net of $1.2 million of related revenues) to support the CHC program. The CHC program includes a separately administered premium subsidy that CHC members use for the purchase of a standard off-exchange Kaiser Permanente Individual/Family (KPIF) gold level plan. To ensure that patient cost sharing obligations do not become a barrier to care, a Medical Financial Assistance award is provided to CHC members at the time of enrollment in the CHC program. Recertification takes place about every two years to confirm that members remain eligible to participate. Prospective members are invited to apply during limited annual enrollment periods and after experiencing triggering events. A.1.2.1. Bridge Program KFHP of Colorados Bridge Program is designed to help those who are uninsured, with no access to other health coverage, obtain coverage under a standard Kaiser Permanente Individuals and Families (KPIF) plan (KP CO Gold 0/20). The Colorado Bridge Program also includes an award issued under the Medical Financial Assistance program sponsored by KFHP-CO. Medical Financial Assistance eliminates out-of-pocket costs for most services provided at KFHP medical offices. Participants in the Bridge Program must have income at or below 300 percent of the Federal Poverty Level (FPL) and must be under the age of 35 years at time of enrollment. They also must not have access to any other public or private health coverage. The plan benefits include all essential health benefits, including primary and specialty care office visits, preventive services, lab procedures, outpatient surgeries, inpatient hospital care, mental health visits, emergency room visits, and urgent care visits. The coverage period lasts up to 24 months with an opportunity to renew. Over 500 members were enrolled in KFHP-COs Bridge Program at the end of 2017. A.2. Participation in Medicaid and Other Government-Sponsored Programs Kaiser Foundation Health Plan of Colorado has a long history of providing access to low- and moderate-income individuals as a nonprofit organization. KFHP-CO participates in Medicaid and other government-sponsored programs depending on the State of Colorados structure of these benefits. In 2017, Colorado Health Plan provided care and services valued at $76.9 million (at cost, net of $84.6 million of related revenues) for members and nonmembers in programs sponsored by the federal and state governments. As of December 2017, Medicaid participants, including members of Child Health Plan Plus, whose health care needs had been assigned to Colorado Health Plan surpassed 62,000. 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 American population. KFHP-CO has responded to this challenge by developing organizational strategies to enable individuals whose coverage is changing due to personal or financial circumstances continue to obtain medical care at a KFHP-CO facility. Realized and anticipated growth in the organizations Medicaid offerings closely aligns with and supports Colorado Health Plans core mission, tax exempt status, credibility in state and federal policy arenas, and community health needs focusing on access to care. To better support the KFHP-COs Medicaid program, a Medicaid Assistance Center (MAC) was opened for operation in 2014. With an emphasis on delivering bilingual support, the representatives in this center provide specialized enrollment services by assisting callers in understanding Medicaid eligibility in their state and the qualifications to enroll in Medicaid with KFHP-CO. A proactive follow-up process has been implemented to nurture a good foundational relationship with those prospects that elect to receive communications. A.2.1. Assignment of Medicaid Participants Improving access to care for vulnerable populations is fundamental to KFHP-COs social mission to improve the health of the communities served, and is consistent with the obligations of a tax exempt organization. As a participant in Colorados Medicaid program, Colorado Health Plan provides primary and specialty care to Accountable Care Collaborative (ACC) Medicaid beneficiaries who have been assigned to KFHP-CO as their primary care provider. Beneficiaries have access to both primary and specialty care in Colorado Health Plan facilities as well as pharmacy. In 2017, Colorado Health Plan provided access to care and services to nearly 51,000 beneficiaries at a net loss of $64.2 million (at cost, net of $64.1 million of related revenues). Effective in June 2016, Medicaid in Colorado became "Health First Colorado". This represents Colorados fresh approach to public health care coverage. In addition to the states new name for its Medicaid Program, KFHP of Colorado partnered with the State to launch a Medicaid pilot, Access KP, from July 2016 June 2017. Access KP was a pilot to explore transferrable opportunities to improve the overall health and wellness of the Medicaid population through a partially capitated Primary Care product. KFHP of Colorado Medicaid pilot ran in partnership with the State of Colorado Department of Health Care Policy and Financing (HCPF) and the Regional Care Coordination Organization, Colorado Access. A.2.2. Medicaid Fee-for-Service Program KFHP-CO also provided health care services on a fee-for-service basis for Medicaid beneficiaries who have not been assigned to KFHP-CO as their primary care provider. Approximately $5.2 million of health care services (at cost, net of $2.2 million in related revenues) was incurred on behalf of this population during 2017. A.2.3. Child Health Plan Plus (CHP+) KFHP CO also participates in the State CHP+ program as an HMO in seven counties. KFHP CO manages the health and wellness of this population of children ages 0-18. The KPHP-CO plan experienced a >20% increase in enrollment in 2017 in the CHP+ LOB. Colorado Health Plan serves approximately 11,200 beneficiaries under this fully capitated HMO arrangement. In 2017, KFHP-CO recognized losses of $7.6 million (at cost, net of $18.3 million of related revenues) related to this program. A.2.4. Contribution to Knowledge KFHP of Colorado actively participates in Colorado Health Care Policy and Financings Benefits Collaborative, which was established in 2008 in an effort to define the services that Medicaid covers. The Benefits Collaborative seeks to ensure that the benefits covered under Colorados Medicaid program are cost effective, based on clinical evidence and best practices, and promote good health among Medicaid clients. A.3. Care and Coverage Investments in the Community In prior years, KFHP-CO made contributions to two donor-advised funds under the direction of The Denver Foundation, a community foundation. These funds were intended to identify and support nonprofit organizations that meet community needs in the area of care and coverage. In 2017, the following initiative was funded through disbursements issued by the community foundation based upon recommendations informed by KFHP-CO's expertise: A.3.1. Saint Joseph Hospital Foundation In 2017, KFHP CO continued its three-year commitment to support the Saint Joseph Hospital Foundation by making final year installment payments totalling $14 million. This grant supports charity care and coverage for uninsured patients who seek care at St. Joseph Hospital, one of KFPH CO contract hospitals. The grant also supports graduate medical education in three safety net out-patient clinics associated with St. Joseph Hospital. For 2017, the three safety net clinics met or exceeded 11 out of 13 clinical quality benchmarks in the three clinics; the remaining two benchmarks were nearly met.
B. Community Health InitiativesThe Community Health Initiatives (CHI) strategy aims to improve the health of individuals, families, and communities by addressing the social, economic, and environmental determinants of health. Research supports the central premise that excellent medical care alone is insufficient to create healthy people in healthy communities. Evidence underscores the importance of changing community environments as a critical community health strategy. Guided by this evidence, Kaiser Foundation Health Plan of Colorado, Inc. supports comprehensive initiatives that focus on policy and environmental changes to promote healthy eating and active living (HEAL), community safety, economic stability, and social and emotional wellness. Two of the primary programs supported within the CHI Stream of Work include: Healthy Eating, Active Living (HEAL) and obesity prevention Healthy eating, active living has been and continues to be a compelling focus for Kaiser Foundation Health Plan of Colorados work, as obesity continues to be a significant and pervasive public health problem. Despite encouraging signs of obesity rates leveling off in recent years, substantial racial and ethnic disparities continue to exist. Also, through a focus on healthy eating and active living, Colorado Health Plan can have a marked impact on a wide range of health conditions including pre-diabetes, diabetes, cardiovascular disease and several cancers that are affected by these behaviors. Finally, a focus on nutrition, physical activity and weight management are highly aligned with Colorado Health Plans clinical expertise in this area, including a prevention orientation and a number of existing programs and partnerships. Wherever possible, KFHP-CO supports a concentration of multiple strategies that enable sustainable change towards healthy eating and active living lifestyles. These include policies and practices to reduce the availability and consumption of sugar-sweetened beverages, encourage the establishment of safe spaces, promote active transportation policies that support equitable public transit, and create connections between health clinics and community resources. Thriving Schools Thriving Schools is an initiative to improve healthy eating, physical activity, and social and emotional wellness in K-12 schools within Kaiser Foundation Health Plan of Colorados geographic service areas. Thriving Schools efforts focus on policy, systems, and environmental changes that make the healthy choice the easy choice. Interventions aim to create a culture of health on school campuses to spur individual behavior change targeting students, teachers, and staff. B.1. CHI Programs and Services Colorado Health Plan works with community-based organizations to design, deliver, and sustain long-term efforts that improve the conditions of neighborhoods, workplaces, schools, and other settings. In some cases, the community health initiatives programs have also addressed community economic development, neighborhood safety, and other key drivers of healthy communities. In Colorado, the Community Health Initiative (CHI) strategy is informed by the Community Health Needs Assessment (CHNA) and Implementation Strategy (IS) which identified the following six broad community health needs: - Economic stability and vitality - Healthy eating active living (HEAL) - Mental health - Access to primary and specialty care - Climate change - Substance use. B.2. CHI Investments in the Community B.2.1. Summer Food Service Program In 2017, Colorado Health Plan invested a total of $135.5 thousand to support three organizations to increase participation in the Summer Food Service Program, as follows: $51 thousand to Cultivando; $51 thousand to Friends of Longmont Youth; and $34 thousand to InteGreat-Eagle River Youth Coalition. In summer of 2017, these organizations provided approximately 47,003 free meals to individuals and families in Colorado. B.2.2. Supplemental Nutrition Assistance Program (SNAP) In 2017, KFHP CO invested approximately $377 thousand in ten organizations to increase enrollment in SNAP benefits as follows: $38 thousand to Childrens Hospital Colorado; $49 thousand to Doctors Care; $48 thousand to GoFarm; $39 thousand to Northern Colorado Food Cluster; $47 thousand to Re:Vision; $47 thousand to SET Family Clinics; $30 thousand to TESSA; $19 thousand to Tri Lakes Cares; $39 thousand to Mountain Resource Center; and $39 thousand to Metro Caring . This goal to increase enrollment in SNAP is a collaborative effort with other organizations by linking 1,590 members of their community to SNAP education, application assistance and enrollment. The ten organizations screened approximately 6,859 Coloradans for food insecurity in 2017 and assisted 2,523 families in applying for SNAP. B.2.3. HEAL Cities and Towns In 2017, KFHP CO invested $165,000 in LiveWell Colorado to support the HEAL Cities and Towns Campaign, a health policy initiative to that educates city officials about the role of the physical environment in promoting healthy habits, works with municipalities to assess how their existing policies affect the communitys health, and provides them with technical assistance to adopt and implement policies that make it easier for residents and city employees to engage in healthy behaviors. B.2.4. Sustainable HEAL Behaviors In 2017, KFHP invested approximately $400 thousand in four organizations to continue implementing evidence-based or evidence-informed strategies that support healthy eating and active living as follows: $100 thousand to Civic Canopy; $100 thousand to Globeville Elyria Swansea Coalition; $100 thousand to LiveWell Huerfano County; and $100 thousand to Cultivando. These 2017 payments are installments in two-year grants to these organizations, a total investment of $1.4 million over the two years (2016 2018). B.2.5. Healthier Learner Model North Central & Pikes Peak Regions In 2017, The Colorado Department of Education (CDE) received a final installment of $170 thousand on a multi-year grant of $509 thousand to support the Healthier Learner Model (HLM). This model places a school nurse into eight regions of Colorado to support school nurses to implement skills learned during a school-based asthma curriculum developed with funds from this grant. Accomplishments for 2017 include the training of over 100 school nurses in the use of standardized asthma. To meet continued high demand and increase sustainability, a 4-hour interactive, online version of the training was developed and deployed. B.2.6. Prior Year Contributions for CHI Investments In prior years, KFHP-CO made contributions to two advised funds under the direction of The Denver Foundation, a community foundation. These funds were intended to identify and support nonprofit organizations that meet community needs in the area of community health initiatives. In 2017, the following initiative was funded through disbursements issued by the community foundations based upon recommendations informed by KFHP-CO's expertise. B.2.6.1. Thriving Schools Social/Emotional Wellness KFHP-CO awarded five school districts three-year grants to advance social/emotional wellness and behavioral health in schools. The funding supports teachers and staff to promote social/emotional wellness and address behavioral health within school districts to improve learning outcomes for every student. The awards totaled $1.4 million, with a total of $488 thousand in 2017 payments made as follows: $99 thousand to Boulder Valley School District; $97 thousand to Cheery Creek School District; $98 thousand to Fountain Fort Carson School District; $98 thousand to Summit School District; and $96 thousand to Thompson School District. Grants period began in August 2017, and first progress report is due August 2018. B.2.6.2. Public Health Infrastructure In 2017, KFHP CO provided a $100 thousand contribution to Colorado Health Institute (CHI) to support its general operations. CHI provides evidence-based data and information to inform policy, advance health, promote collaboration and support better access to care for all Coloradans. CHI supports Colorados health care community with research, strategic evaluation, analysis, and subject matter expertise.
C. Safety Net PartnershipsKaiser Foundation Health Plan of Colorado is committed to building partnerships with the institutions that serve on the front lines of health care for the uninsured and underserved. By providing support to community health centers, public hospitals, and local health departments, KFHP-CO helps them deliver care and treatment to the most vulnerable in our communities. KFHP-CO is dedicated to investing in communities and promoting good health for the communities served. As such, Safety Net Partnership (SNP) initiatives aim to strengthen the system of community clinics, public hospitals, and health departments to promote access to high quality care for the uninsured and underserved vulnerable populations. Colorado Health Plan also focuses on improving access to health services and the transformation of care delivery to meet the challenges of the ever evolving performance expectations and revenue design. Efforts to improve access and transform care include work on: increasing access to specialty care services; increasing the utility of health information technology in safety net settings; addressing mental health and wellness, improving population outcomes and eliminating health disparities. KFHP-CO also supports innovative efforts to bring both health care and support services closer to underserved populations through partnerships with school based health centers and community clinics. Investments in Safety Net Partnerships target the following strategic focus areas: I. Quality Improvement II. Capacity Building III. Clinic-Community Integration IV. Knowledge Dissemination V. Improving Access to Care VI. Total Health C.1. Safety Net Partnerships (SNP) Investments in the Community The following are examples of initiatives funded in accordance with the objectives of the Safety Net Partnerships Stream of Work during the year. C.1.1. Comprehensive Respiratory Care clinic (CRCC) In 2017 KFHP CO provided a $212 thousand installment on a $1 million grant for the National Jewish Health organization in support of the Comprehensive Respiratory Care Clinic (CRCC). The CRCCs focus is on patients of safety net clinics who do not have access to specialty respiratory care. During 2017, the third year of a three-year grant, National Jewish completed 1251 patient encounters, an increase over 2016 when 386 encounters were completed. C.2. Prior Year Contributions for Safety Net Partnerships In prior years, KFHP-CO made contributions to two donor-advised funds under the direction of The Denver Foundation, a community foundation. These funds were intended to identify and support nonprofit organizations that meet community needs in the area of safety net partnerships. In 2017, the following initiatives were funded through disbursements issued by the community foundations based upon recommendations informed by KFHP-CO's expertise. C.2.1. Community Safety Net Clinic Transformation Essentials In 2017, KFHP-CO made payment of $33 thousand to Center for Health Progress as installment on a two-year grant to support quality improvement coaching for six safety net clinics to align clinic needs with available practice transformation resources to enhance patient experience. In 2017, 6 of 6 clinics integrated practice transformation as part of team work, and 100% of participating clinics increased their clinic Health Clinic Assessment scores from 5.44 to 8 out of possible score of 10. C.2.2. Safety Net Infrastructure Support In 2017, KFHP-CO provided a $50 thousand contribution to Colorado Community Health Network (CHHN) to support its general operations. CCHN is the primary care association for federally-qualified health centers, providing services to its members such as educating policy makers and about needs of Community Health Centers (CHC) and their patients, providing resources to ensure CHCs are strong organizations, and supporting CHCs in maintaining highest quality care. D. Developing and Disseminating Knowledge The Developing and Disseminating Knowledge Stream of Work supports activities that improve health care by sharing knowledge, educating practitioners, advancing research, empowering consumers and informing policymakers about evidence-based care and health. Kaiser Foundation Health Plan of Colorado spent approximately $7.2 million in 2017 (at cost, net of $11 million of related revenues) to support programs and services associated with the development and dissemination of knowledge. D.1. Medical Research Programs As the largest nonprofit integrated health system in the United States, Kaiser Permanente has a long history of conducting health research related to both prevention and treatment of disease that benefits both Kaiser Foundation Health Plan members and the communities that are served. Colorado Health Plans research efforts are core to the collective organizations mission to improve population health, and promote continued learning. Researchers study critical health issues including: cancer, cardiovascular conditions, diabetes, behavioral and mental health, and health care delivery improvement while remaining broadly centered upon the following 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 do research due to its rich, longitudinal, electronic clinical databases that capture virtually complete health care delivery, payment, decision-making and behavioral data in detail to support primary, secondary and tertiary clinical care across inpatient, outpatient and emergency department settings for more than 10 million geographically and demographically diverse members. D.1.1. National Research Program Colorados Institute for Health Research is one of eight regional centers. Kaiser Permanente Research also includes the Kaiser Foundation Research Institute (KFRI) which is a national program established to administer and support research at Kaiser Permanente. Research projects conducted by this collaborative team have yielded findings that affect not only the practice of medicine within the area served by KFHP-MAS, but also for society-at-large. The following are descriptions of the entities providing support at the national level. D.1.1.1 Kaiser Foundation Research Institute (KFRI) The Kaiser Foundation Research Institute (KFRI) is a national program established in 1958 to administer and support research at Kaiser Permanente. KFRIs responsibilities include: overseeing and maintaining Kaiser Permanente's relationship with federal granting agencies, including ensuring financial compliance, providing contract negotiation services for all regions, overseeing Kaiser Permanente 's Human Research Participant Protection Program Research through the National Compliance in Research Support Program, and which promotes responsible research conduct; and partnering with clinical trials stakeholders across Kaiser Permanente to ensure quality and compliance through the clinical trials program. D.1.1.2 The Center for Effectiveness and Safety Research (CESR) The Center for Effectiveness & Safety Research enhances opportunities to answer questions about which interventions work best for whom across all of KPs regional centers by investing in the ongoing development of a common data model, convening researchers and organizational leaders at an annual meeting and via webinars, and by conducting research. The center routinely partners with investigators in KPs regional research centers and with selected operational analytical groups. D.1.1.3 The Utility for Care Data Analysis (UCDA) The Utility for Care Data Analysis (UCDA) was created to ensure that analysts and researchers throughout Kaiser Permanente can fully realize the analytical potential of Kaiser Permanente's electronic medical record systems, HealthConnect (KPHC) and other Kaiser Permanente enterprise-wide information systems. This allows experts to compile and compare clinical and utilization data from across KP regions, to assess patterns in health, health care delivery, and clinical quality, among other uses. UCDA has developed tools for using geographic information systems and conducting geospatial analysis, enrichment of data for research, support for a variety of Program-level analytic activities, and analytic support for Community Benefit including the Community Health Needs Assessments.
D.1.1.4 The Kaiser Permanente Research BankThe Kaiser Permanente Research Bank is a research resource designed to help the organization better understand how peoples health is affected by their genes, behaviors and the environment. It allows researchers to use DNA and other health information voluntarily provided by a diverse cross-section of KP members to study how genetic and environmental factors affect health, and look for new ways to diagnose, treat and prevent certain diseases. KP has set a goal to collect data from a total of 500,000 participants from all eight regions, which would make it one of the worlds largest and most diverse repositories of genetic, environmental and health data. To date, more than 300,000 members from seven geographic regions have participated in biobanking efforts. D.1.2. Regional Research Center D.1.2.1. Colorados Research Program The principal research activities conducted in Colorado take place at the following regional research center: D.1.2.1.1. The Institute for Health Research Established in 1992, the Kaiser Permanente Colorado (KPCO) Institute for Health Research (IHR) is an integrated department that conducts, publishes, and disseminates epidemiologic, behavioral, health services, implementation and clinical research. The IHR also hosts a clinical trials program, and a robust community evaluation team. The IHR has a specific focus on conducting research that can be translated into clinical practice, health promotion, and policies to influence the health of individuals and populations. Our close affiliation with the KPCO delivery system, which serves approximately 665,000 health plan members in the state of Colorado, allows us to conduct studies with patients and health care professionals in clinical settings. In addition, we cultivate strong partnerships with academic institutions, community organizations, the seven other regional Kaiser Permanente research centers (Northern California, Southern California, Northwest/Oregon, Hawaii, Washington, Mid-Atlantic/Washington DC, and Georgia) and other health systems across the country. The IHR has full-time and affiliate MD, PhD, and PharmD Investigators, supported by research staff including project managers, research specialists, research assistants, statisticians, analysts, programmers, tumor registrars, finance and administrative staff. Our investigators collaborate on major national research projects including: - Vaccine Safety Datalink (CDC) - Health Care Systems Research Network (HCSRN) - PORTAL Clinical Data Research Network (PCORI) - Mental Health Research Network (NIMH) - Cancer Research Network (NCI) - Community Oncology Research Program (NCI) - Sentinel Active Medical Product Surveillance Program (FDA) - Addiction Research Network (NIDA) Top research areas: - Cancer Screening and Treatment (colorectal, lung, breast) - Vaccine Safety and Adherence - Behavioral Health - Opioid Addiction - Multiple Chronic Conditions - Community Health and Evaluation - Social Determinants of Health Key Statistics: Number of investigators: 11 Number of support staff: 111 Number of journal publications in 2017: 77 Number of clinical trials in 2017: 159 Number of active studies (clinical trials and non-clinical trials) in 2017: 30 Number of proposals submitted: 74 Colorado Health Plan provided approximately $3.2 million (at cost, net of $11 million of related revenues) for medical research projects in 2017. D.1.2.1.2. Major Areas of Funded Research The following are examples of research projects conducted by investigators at the Institute for Health Research in Colorado in 2017: D.1.2.1.2.1. Effects of vaccination on developing non-vaccine targeted infections. A study led by KP Colorado assessed the risk of developing non-vaccine targeted infections in children exposed to multiple vaccines through the first 23 months of age. The study was designed as a nested case-control study that included 193 cases with nonvaccine-targeted infections and 751 controls without nonvaccine-targeted infections. The estimated mean cumulative antigen exposure from birth through age 23 months was 240.6 for cases and 242.9 for controls, a difference that was not statistically significant. Among children from 24 through 47 months of age with nonvaccine-targeted infections, compared with children without such infections, there was no significant difference in estimated cumulative vaccine antigen exposure through the first 23 months of life. This study therefore confirms that multiple vaccine exposure is not associated with an increased risk for nontargeted infectious diseases. Primary Funding Provided By: Centers for Disease Control D.1.2.1.2.2. Improving Care and Outcomes by Addressing Social Needs A study in KP Colorado assessed food insecurity in 50,097 older adult KP CO members using Medicare Annual Wellness Visit surveys. Food insecurity was present in 5.6% of these individuals, lower than the national average of 9.2%. Older KPCO members with food insecurity were more likely to be members of racial/ethnic minorities, had less than high school education, Medicaid insurance, and had poor health status, depression or anxiety, impairments of daily activities, markers of poor nutrition, and were socially isolated. This information helped us identify a high-risk subgroup of members who may benefit from referral to community food resources. Primary Funding Provided By: KP National Community Benefit D.1.2.1.2.3. Bringing Behavioral Activation to Pregnant Women with Depression Behavioral Activation (BA) was offered to pregnant women with depressive symptoms through a pragmatic intervention trial that included KP Colorado. Pregnant women with depression were randomized to BA or usual care. BA is non-pharmacological alternative for depression care that includes guided activation to help individuals stay active and solve problems. Compared to usual care, BA showed significantly lower depressive symptoms, higher remission, and high satisfaction. BA is effective for pregnant women, offering significant depression, anxiety, and stress related benefits, with mediation analyses supporting the importance of putative targets of activation and environmental reward. Primary Funding Provided By: National Institute of Mental Health D.2 Educational Theatre Programs (ETP) Confronted with an urgent need for preventive health information in the communities we serve, the Educational Theatre Program (ETP) was created to inspire children, teens and adults to make informed decisions about their health and to build stronger, healthier communities. The Educational Theatre Program uses live theatre, music, comedy, and drama and these educational programs were developed with the advice of teachers, parents, students, health educators, medical professionals, and professional theatre artists. Performances are delivered by professional actors who are also trained as peer health educators, and are performed free of charge for the community. ETP also provides schools and organizations with supplementary educational materials, such as workbooks, parent and teacher guides, and student wallet cards to reinforce the messages presented on stage. In order to more accurately capture the breadth of work being done, KFHP of Colorado has changed ETPs name to Arts Integrated Resources (AIR). In 2017, KFHP Colorado invested approximately $1.9 million to educate and entertain nearly 94,000 people across Colorado who enjoyed the opportunity to view or participate in the performances, workshops and other educational interactions offered during 2017.
D.2.1. Arts Integrated Resources (AIR)AIR integrates the arts with multi-media technology and public health knowledge to improve community health. All programs and services provided by AIR are rooted in the philosophy and best practices of Positive Youth Development (PYD), a strength-based approach that sees all people as bearers of solutions rather than problems to be fixed. Through the years, over three million people in Colorado have been reached by AIRs free programs in the following areas: D.2.1.1. Youth Engagement Youth Engagement builds partnerships and coordinates initiatives that allow Youth to create and implement solutions to community and school health challenges. Youth are mentored to work side-by-side with adults to influence policy and create programs that promote health - where people live, work and earn. D.2.1.2. Experiential Learning Experiential Learning creates open dialogue for groups to navigate social issues through story-telling, improvisation techniques, and interactive exercises. Audiences come away with new perspectives and a greater understanding of health challenges and needs in their communities D.2.1.3. Community Impact Community Impact seeks innovative ways to employ the arts to improve and strengthen communities. This is done through a variety of different mechanisms, including investments in programs and organizations. D.3. Health Professional Training and Education Kaiser Foundation Health Plan of Colorado has a long standing commitment to medical education. By continuing to strategically develop and expand the residency programs, the organization will help address societys needs. KFHP of Colorado is uniquely positioned to do this work because of its high quality, accountable care model, and commitment to community health for training future physicians. KFHP of Colorados plan is to focus on shortage specialties and help to fill the need for a more diverse workforce. Approximately $1.9 million was spent in 2017 on programs dedicated to promoting the education of healthcare professionals. The following are examples of initiatives funded under this program: D.3.1. Graduate Medical Education Colorado Health Plan continued to sponsor a Graduate Medical Education (GME) fellowship/resident program in collaboration with the University of Colorado and Rocky Vista University. The resident and student rotations are provided through inpatient hospital rotations in partnership with Saint Joseph Hospital and with teams of physicians serving as teachers. The Colorado Health Plans GME program allows medical residents to provide clinical guidance to a wide variety of patients, with racial, cultural, gender, sexual orientation, and socioeconomic diversity. When medical residents graduate from the KFHP rotations they, therefore, have a breadth of experience to bring to their clinical practice. D.3.2. Health Professional Education Colorado Health Plan supported training programs for physician assistants, pharmacy residents, technicians, social work, behavioral health counseling, physical therapy, and other non-physician health professionals. During 2017, Colorado Health Plan contributed resources dedicated to the training and education of students, interns and externs pursuing a career or working in the health care profession. D.3.2.1. Pharmacy Training and education opportunities were offered in connection with the specialty of pharmacy. These programs provide experiential paid and unpaid training opportunities for pharmacy students from Colorado and other states. Students spend time in outpatient pharmacies or specialty areas. During these rotations, students are able to gain "hands-on" learning by providing care to members. D.3.2.2. Nursing-Related Fields Colorado Health Plan supports very strong nurse practitioner physician assistant, laboratory and imaging professional training programs. KFHP Colorado nursing departments support local nursing Licensed Practical Nurse, Registered Nurse, Nurse Practitioner, Masters in Nursing, and Doctor of Nurse Practice programs by providing clinical rotations for students. Students from universities and community colleges work with KFHP-COs providers and state-of-the-art computer systems and equipment to gain knowledge and expertise in their chosen field of advanced practice. D.4. Self-Sufficiency Programs Colorado Health Plan provided community-based programs and services to low-income residents and students through work study, scholarships, and paid internship programs. In 2017, Colorado Health Plan spent approximately $281 thousand to support minority and underserved students pursuing careers related to health care. The following are descriptions of activities supported under this program. D.4.1. Undergraduate Pre-Health Program (UPP) The Office of Diversity Equity and Inclusion (ODEI) partners with the University of Colorado Anschutz Medical Campus Office of Inclusion & Outreach to provide summer fellowships for undergraduate students interested in pursuing professional level careers within health care. Under this program, students develop the skills and knowledge to be competitive, marketable candidates for professional schools. Fellows in UPP commit to a 13-month program, which includes a 12-week full-time obligation during the summer, and year-round workshops. The program provides a paid project-based fellowship and incorporates education and training regarding health equity, promoting healthy communities, experiential research, and work opportunities in a simulation medical lab. D.4.2. Arrup Jesuit High School Corporate Work Study Program (CWSP) Arrup Jesuit High School is an educational, college preparatory, grade 9 through 12 high school serving economically disadvantaged students from Denvers inner-city neighborhoods. By enhancing the human, intellectual, and spiritual capacities through a rigorous, innovative, and affordable college preparatory education, Arrup offers hope for a brighter future to some of Denvers disadvantaged youth. The goal is to empower graduates who will continue their education and return as leaders in their communities. The Corporate Work Study Program (CWSP) provides career skills for students in partnership with local corporations. D.4.3. Rocky Mountain INROADS Program Rocky Mountain INROADS Program develops and places talented underserved youth in business and industry roles to prepare them for corporate and community leadership. The student worked for 12 weeks over the summer building specific health care business skills in both human resources and revenue cycle services. D.4.4. Diversity and Inclusion Health Care Scholarship Program (Diversity Scholarship Program) The Diversity Scholarship Program was created as a community outreach effort to financially support ethnically diverse students pursuing an education for any health career. The objectives are to address the shortage of diverse health care and public health professionals and ensure the future of medical care is culturally responsive.
E. Other Community Benefit investmentsDuring 2017, the Colorado Health Plan spent approximately $7.4 million to support Community Benefit activities and programs beyond national streams of work. This included the administrative expenses of a Community Benefit department dedicated to supporting regional Community Benefit programs, providing technical assistance services to the community, and coordination of related initiatives. Programmatically, the following are examples of additional activities funded within this area. E.1. Tumor Board and Cancer Registry Included in the other Community Benefit spending reported above is approximately $612 thousand in expenses related to the State of Colorados Tumor Board and Cancer Registry. Colorado Health Plan collects specific cancer patient data to be sent to the state at particular intervals after diagnosis. Each patient is followed on an annual basis for the remainder of his or her life. E.2. Other Community Benefit Investments in the Community In 2017, Kaiser Foundation Health Plan in Colorado awarded approximately $530 thousand in support of Community Benefit activities and programs beyond the national streams of work. The following is an example of a program funded in this area. E.2.1 Community Shares of Colorado KHFP-CO manages a workplace campaign for charity that has a matching component for employees gifts made through Community Shares of Colorado. Over 300 Colorado nonprofit organizations are screened to ensure that they are in compliance and good standing with the IRS. Employees gifts to these organizations are eligible for an employer matching gift. An employee's gift is fully matched, and there is a $50 minimum requirement which has been established by management. During the 2016-2017 employee giving campaign, 552 employees participated and gave 1,411 donations, representing over $527,000 in total employee donations with a KPHP-CO match of $489,848. KFHP-CO provided a donation of $77,409 to offset administrative fees. F. Environmental Stewardship Poor environmental quality contributes to disease, illness and economic insecurity. Kaiser Foundation Health Plan of Colorado has therefore committed itself to protecting and improving the natural environment as a key component of our social mission to improve the health of the communities we serve. To fulfill the commitment, KFHP-CO maintains a governance structure for environmental stewardship that enables the organization to continually improve its environmental performance. This structure includes clearly defined roles, responsibilities, plans and routines, and has resulted in five organization-wide focus areas that have been selected based on their ability to have the most impact on the environmental forces that shape environmental and human health: - Responding to climate change - Promoting sustainable farming and food choices - Reducing, reusing, and recycling to eliminate waste - Finding safe alternatives to harmful industrial chemicals - Conserving water In each of these focus areas, KFHP-CO has established ambitious goals (including a 2025 target to remove more greenhouse gases from the atmosphere than we emit); implemented initiatives; achieved measurable improvements; and regularly reported progress to our Board of Directors, our staff, and the communities we serve. F.1. Performance Metrics During 2017, key performance indicators for Kaiser Foundation Health Plan of Colorado included: F.1.1 Reduced our annual greenhouse gas (GHG) emissions by purchasing and retiring 2,678 metric tons of GHG offset credits from the Larimer County Landfill Gas Project (2012 and 2013 vintages). The offset credits were issued by the Climate Action Reserve following a rigorous registration process used to ensure the originating offset project contributes to real and additional emission reductions. F.1.2 Improved our energy use intensity (kBtu/rentable square foot) by 5% compared to our 2010 baseline. F.1.3. Responsibly reused, recycled or composted over 1,700 tons of materials. FORM 990, PART VI, LINE 1a The Executive Committee, composed of the Directors that are the chairs of the Boards 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, QUESTION 4 THE BYLAWS OF THE CORPORATION WERE AMENDED IN 2017 AS FOLLOWS: On March 17, 2017, Article E, Sections E-7 and E-9 were amended to reflect that the Executive Vice President and Group President instead of the Executive Vice President and Chief Financial Officer shall perform the duties of the President in the absence or disability of the President.
Form 990, Part VI, Line 6Kaiser foundation health plan, inc. is the sole member. Upon dissolution, remaining assets shall be distributed to a 501(c)(3) organization.
Form 990, PART VI, LINE 7AKFHP, 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 7BTHE 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) AMENDMENT OF ARTICLE D, SECTION D-4 OF THE BYLAWS - ELECTION AND TERM OF OFFICE.
Form 990, PART VI, LINE 11BForm 990 Review Process: 1. Key information necessary for the preparation of the tax return is obtained and/or confirmed by 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 12CCOMPLIANCE ENFORCEMENT A. REGULARLY AND CONSISTENTLY MONITORS COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY - KAISER PERMANENTE REGULARLY MONITORS COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY IN 3 KEY WAYS: A1. THE KAISER PERMANENTE COMPLIANCE HOTLINE IS AVAILABLE TO ALL EMPLOYEES AND VENDORS TO REPORT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. ALL CALLS ARE ANSWERED BY A THIRD PARTY AND PROVIDED TO KAISER PERMANENTE'S NATIONAL COMPLIANCE OFFICE FOR REVIEW AND APPROPRIATE ACTION. EMPLOYEES CAN REPORT ANONYMOUSLY. RETALIATION IS PROHIBITED. REPORTS OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST ARE GENERATED AND INVESTIGATIONS ARE CONDUCTED AS REQUIRED AND INFORMATION IS TRACKED AND TRENDED TO DETERMINE IF ADDITIONAL GUIDANCE IS REQUIRED TO AVOID OR MANAGE CONFLICTS OF INTEREST. COMPLIANCE HOTLINE REPORTS ARE PROVIDED FOR REVIEW AND ACTION TO THE KAISER FOUNDATION HEALTH PLAN/HOSPITALS BOARDS OF DIRECTORS ANNUALLY. A2. THE NATIONAL COMPLIANCE OFFICE AND INTERNAL AUDIT SERVICES ANNUALLY REVIEW THE DIRECTORS', OFFICERS', KEY EMPLOYEES', AND EXECUTIVES' ANNUAL CONFLICTS OF INTEREST QUESTIONNAIRE DISCLOSURES AND PROVIDE DIRECTION ON ANY INVESTIGATIONS REQUIRED. INVESTIGATIONS ARE DOCUMENTED, TRACKED AND TRENDED TO DETERMINE IF ADDITIONAL CONTROLS OR EDUCATION IS REQUIRED. IN ADDITION, CONFLICTS OF INTEREST QUESTIONNAIRE REPORTS ARE PROVIDED FOR REVIEW AND ACTION TO THE KAISER FOUNDATION HEALTH PLAN/HOSPITALS BOARDS OF DIRECTORS ANNUALLY; AND A3. ANNUALLY, AS A COMPONENT OF THE EXTERNAL AUDIT, AN OUTSIDE CERTIFIED PUBLIC ACCOUNTING FIRM REVIEWS THE ANNUAL CONFLICTS OF INTEREST QUESTIONNAIRES PROCESS COMPLETED BY DIRECTORS, OFFICERS, KEY EMPLOYEES, AND EXECUTIVES, AND ACTIONS TAKEN AS A RESULT OF THE DISCLOSURES. THE RESULTS OF THE ANNUAL AUDIT, INCLUDING ANY FINDINGS IN THIS AREA ARE PRESENTED TO THE KAISER FOUNDATION HEALTH PLAN/HOSPITALS AUDIT AND COMPLIANCE COMMITTEE. B. REGULARLY AND CONSISTENTLY ENFORCES COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY - TO ENSURE CONSISTENCY IN THE ENFORCEMENT OF THE POLICY KAISER PERMANENTE USES THE FOLLOWING STEPS AS A GENERAL GUIDELINE: B1. REPRESENTED EMPLOYEES ARE SUBJECT TO ANY CORRECTIVE/DISCIPLINARY ACTION PROVISIONS DESCRIBED IN SPECIFIC REGIONAL/NATIONAL COLLECTIVE BARGAINING AGREEMENTS AND/OR ORGANIZATIONAL POLICIES AND PRACTICES. B2. KAISER PERMANENTE NOTIFIES EMPLOYEES OF THE NATIONAL HUMAN RESOURCES POLICY NO. 14. CORRECTIVE/DISCIPLINARY ACTION POLICY DURING NEW EMPLOYEE ORIENTATION AND IN ANNUAL COMPLIANCE TRAINING. B3. IN THE EVENT THAT IT IS NECESSARY TO DISCIPLINE ANY EMPLOYEE BECAUSE OF, BUT NOT LIMITED TO, FAILURE TO COMPLY WITH APPLICABLE LEGAL/REGULATORY REQUIREMENTS, KAISER PERMANENTE POLICIES AND PROCEDURES, OR THE PRINCIPLES OF RESPONSIBILITY, OR FOR UNSATISFACTORY PERFORMANCE OR MISCONDUCT, COACHING/COUNSELING AND/OR CORRECTIVE/DISCIPLINARY ACTION MAY INCLUDE, BUT IS NOT LIMITED TO: - ORAL DISCUSSION AND/OR WARNING BY THE EMPLOYEE'S IMMEDIATE SUPERVISOR OR HIGHER LEVEL MANAGER TO CORRECT THE PROBLEM; - WRITTEN NOTICE, WITH OR WITHOUT FINAL WARNING; - PAID OR UNPAID SUSPENSION, WITH OR WITHOUT FINAL WARNING; - TERMINATION OF EMPLOYMENT.
Form 990, PART VI, LINEs 15A/BCOMPENSATION 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, BENEFIT & 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 18Forms 990 are available on www.guidestar.org.
Form 990, PART VI, LINE 19Public Inspection Copy: 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: Vice President, Communication Kaiser Foundation Health Plan and Hospitals One Kaiser Plaza, 18th Floor Oakland, CA 94612
Form 990, PART VII, SECTION A, COLUMN BHours for Related Organization: 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 9other changes in net assets or fund balances: change in pension and other retirement liabilities $(94,711,003) Gain/ Loss on Investments - Book 19,870,717 Gain/ Loss on Investments - Tax (15,442,845) otti losses - book (2,878,543) ------------------ (93,161,674)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
KAISER FOUNDATION HOSPITALS
ONE KAISER PLAZA 15LOAKLANDCA94612941105628HEALTH CARECA501(c)(3)3NAfalse
KAISER FOUNDATION HEALTH PLAN INC
ONE KAISER PLAZA 15LOAKLANDCA94612941340523HEALTH CARECA501(c)(3)10NAfalse
KAISER FOUNDATION HEALTH PLAN OF GA INC
ONE KAISER PLAZA 15LOAKLANDCA94612581592076HEALTH CAREGA501(c)(3)10KFHP INCYes (true)
KAISER FOUNDATION HEALTH PLAN OF THE MAS
ONE KAISER PLAZA 15LOAKLANDCA94612520954463HEALTH CAREMD501(c)(3)10KFHP INCYes (true)
KAISER FOUNDATION HEALTH PLAN OF THE NW
ONE KAISER PLAZA 15LOAKLANDCA94612930798039HEALTH CAREOR501(c)(3)10KFHP INCYes (true)
KAISER FDN HEALTH PLAN OF WASHINGTON
ONE KAISER PLAZA 15LOAKLANDCA94612910511770HEALTH CAREWA501(c)(3)3KFHPW HLDINGYes (true)
KAISER HOSPITAL ASSET MANAGEMENT INC
ONE KAISER PLAZA 15LOAKLANDCA94612943299125ASSET MGMTCA501(c)(3)12-IKFHYes (true)
KAISER HEALTH PLAN ASSET MANAGEMENT INC
ONE KAISER PLAZA 15LOAKLANDCA94612943299124ASSET MGMTCA501(c)(3)12-IKFHP INCYes (true)
CAMP BOWIE SERVICE CENTER
ONE KAISER PLAZA 15LOAKLANDCA94612943299123ADMINCA501(c)(3)12-IKFHP INCYes (true)
LOKAHI ASSURANCE LTD
ONE KAISER PLAZA 15LOAKLANDCA94612912171891WC PLACEMENTHI501(c)(3)12-IKFHP INCYes (true)
1800 HARRISON FOUNDATION
ONE KAISER PLAZA 15LOAKLANDCA94612943317484FINANCINGCA501(c)(3)12-IKFHP INCYes (true)
KAISER HOSPITAL ASSISTANCE CORPORATION
ONE KAISER PLAZA 15LOAKLANDCA94612311779500FINANCINGCA501(c)(3)12-IKFHYes (true)
KAISER HEALTH ALTERNATIVES
ONE KAISER PLAZA 15LOAKLANDCA94612930954562HEALTH CAREOR501(C)(3)10KEHP INCYes (true)
KAISER PERMANENTE SCHOOL OF MEDICINEINC
ONE KAISER PLAZA 15LOAKLANDCA94612814053028MEDICAL EDUCA501(C)(3)2KFHYes (true)
KFHPW HOLDINGS
ONE KAISER PLAZA 15LOAKLANDCA94612930480268HEALTH CAREWA501(C)(3)12-IKFHP INCYes (true)
GROUP HEALTH NORTHWEST
ONE KAISER PLAZA 15LOAKLANDCA94612911216856INACTIVEWA501(C)(3)12-IKFHP OF WAYes (true)
KAISER FND FOR THE ADV OF INTEGRATED HC
ONE KAISER PLAZA 15LOAKLANDCA94612823819611ADVOCACYCA501(C)(4)N/AKFHP INCYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NXT CAP SR FD ILLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1191 N Wacker Dr 1200AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
EIN371651297EIN
Primary ActivitiesINVESTMENTPrimaryActivitiesTxt
Legal Domicile StateDELegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeN/APredominantIncomeTypeTxt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndOwnershipOwnershipPct
OAK TREE ASSURANCE LTD
ONE KAISER PLAZA 15LOAKLANDCA94612030329760INSURANCEVTNAC CORPYes (true)
KAISER PERMANENTE INSURANCE COMPANY
ONE KAISER PLAZA 15LOAKLANDCA94612943203402INSURANCECANAC CORPYes (true)
KAISER PROPERTIES SERVICES INC
ONE KAISER PLAZA 15LOAKLANDCA94612943259432REAL ESTATECANAC CORPYes (true)
KAISER COLORADO HOLDINGS
ONE KAISER PLAZA 15LOAKLANDCA94612814691154HEALTH CARECONAC CORPYes (true)1.00000
KAISER PERMANENTE INTERNATIONAL
ONE KAISER PLAZA 15LOAKLANDCA94612943245176CONSULTINGCANAC CORPYes (true)
GROUP HEALTH OF WASHINGTON
ONE KAISER PLAZA 15LOAKLANDCA94612911314907INACTIVEWANAC CORPYes (true)
GROUP HEALTH SERVICES INC
ONE KAISER PLAZA 15LOAKLANDCA94612911392222INACTIVEWANAC CORPYes (true)
KFHP OF WASHINGTON OPTIONS INC
ONE KAISER PLAZA 15LOAKLANDCA94612911467158INSURANCEWANAC CORPYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (33 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
KAISER FOUNDATION HEALTH PLAN INC
L$116,629,512PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
M$707,740PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
P$2,366,118PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
Q$44,451,672PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
R$997,136,783PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
S$31,531,224PER AGREEMENT
KAISER FOUNDATION HOSPITALS
J$7,443,456PER AGREEMENT
KAISER FOUNDATION HOSPITALS
L$213,689,921PER AGREEMENT
KAISER FOUNDATION HOSPITALS
M$715,847,265PER AGREEMENT
KAISER FOUNDATION HOSPITALS
P$1,313,390PER AGREEMENT
KAISER FOUNDATION HOSPITALS
Q$1,544,544PER AGREEMENT
CAMP BOWIE SERVICE CENTER
L$255,765PER AGREEMENT
CAMP BOWIE SERVICE CENTER
M$12,697,262PER AGREEMENT
CAMP BOWIE SERVICE CENTER
P$117,964,486PER AGREEMENT
CAMP BOWIE SERVICE CENTER
Q$99,924,544PER AGREEMENT
CAMP BOWIE SERVICE CENTER
R$13,011,913PER AGREEMENT
KAISER PERMANENTE INSURANCE COMPANY
L$18,525,302PER AGREEMENT
KAISER PERMANENTE INSURANCE COMPANY
M$9,121,968PER AGREEMENT
KAISER PERMANENTE INSURANCE COMPANY
Q$2,285,345PER AGREEMENT
LOKAHI ASSURANCE LTD
L$26,444,000PER AGREEMENT
LOKAHI ASSURANCE LTD
M$29,350,050PER AGREEMENT
LOKAHI ASSURANCE LTD
P$173,466PER AGREEMENT
LOKAHI ASSURANCE LTD
Q$189,075PER AGREEMENT
KAISER FDN HEALTH PLAN OF THE NORTHWEST
P$488,608PER AGREEMENT
KAISER FDN HEALTH PLAN OF THE NORTHWEST
Q$478,820PER AGREEMENT
KAISER FDN HEALTH PLAN OF THE NORTHWEST
S$535,645PER AGREEMENT
KFHP OF THE MID ATLANTIC STATES INC
P$53,656PER AGREEMENT
KFHP OF THE MID ATLANTIC STATES INC
Q$209,107PER AGREEMENT
KFHP OF THE MID ATLANTIC STATES INC
S$675,770PER AGREEMENT
KAISER FDN HEALTH PLAN OF GEORGIA INC
L$222,334PER AGREEMENT
KAISER FDN HEALTH PLAN OF GEORGIA INC
M$159,940PER AGREEMENT
KAISER FDN HEALTH PLAN OF GEORGIA INC
Q$763,277PER AGREEMENT
KAISER FDN HEALTH PLAN OF GEORGIA INC
S$257,950PER AGREEMENT

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