2018-11-08T14:09:39-06:00 2017-12-31 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2017-01-01 840591617 KAISER FOUNDATION HEALTH PLAN OF COLORADO % CHIEF ACCOUNTING OFFICER KAIS 5102716611 ONE KAISER PLAZA SUITE 15L OAKLAND CA 94612 ALFONSE UPSHAW svp, cc and cao 5102716611 2018-10-19 robert w friz P00438748 2673303000 155.201.188.33 23522320183125000034 2018-11-08 P 82EF70885BAE644EF1B1FCEB45264405E14EF6B4 6CFBC1E470B119DB9F0B0C745D98B714AAF1A9A1 2017 2018-06-14 16:35:46Z R ROLAND LYON ONE KAISER PLAZA SUITE 15L OAKLAND CA 94612 4632392328 false X WWW.KP.ORG X 1969 CO TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE. 14 13 8454 890 2162511 1297578 8794705 9761397 3760201713 3941911513 36684621 65117219 99679 43163 3805780718 4016833292 2435665 2153159 0 0 740434816 747488942 0 0 0 3039186197 3319227713 3782056678 4068869814 23724040 -52036522 1782906624 1797185853 1058630481 1202010104 724276143 595175749 X TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE. false false 3583553617 1623538 3845153597 member health care services and medical training for care improvement Kaiser Foundation Health Plan of Colorado (KFHP of Colorado) provides medical and surgical care, including urgent care services, extended care and home health care, for its members without regards to age, sex, race, religion or national origin or the ability to pay. KFHP of Colorado educates and trains medical students and other health care professionals and promotes scientific and nursing education in order to improve care. 161577732 0 84643689 Medicaid and Other Government Sponsored Programs Kaiser Foundation Health Plan of Colorado (KFHP-CO) is committed to improving medical care for beneficiaries of Medicaid and other government sponsored programs, not only for KFHP-CO members, but also within the communities we serve. At the end of 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. 28616039 0 1158907 Charity 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. 26155153 529621 10955320 SCH. O, COMMUNITY BENEFIT REPORT 26155153 529621 10955320 3799902541 true true false true false false false false false false true false false false true false false true false false false false false false false false false true false true false false false false false false false false false false false false false true true true false false true 747 0 true 8454 true true true false false false false false false false false false X 14 13 false false true false true true true true true false false true true true true true true true true false X X CHIEF ACCOUNTING OFFICER 5102716611 ONE KAISER PLAZA 15L OAKLAND CA 94612 X Ramon F Baez Director 0.25 4.75 X 0 216956 0 David Barger Director 0.5 6.5 X 0 129258 0 Regina M Benjamin MD MBA Director 0.5 8.0 X 0 195085 0 Jeffery E Epstein Director 0.5 8.0 X 0 209793 0 Leslie S Heisz Director 0.25 4.75 X 0 221011 0 David F Hoffmeister Director 0.25 9.25 X 0 228956 0 Judith A Johansen JD Director 0.5 8.5 X 0 245223 0 Kim J Kaiser Director 0.4 7.6 X 0 229212 0 Edward Y W Pei Director 0.25 7.25 X 0 227488 18000 Margaret E Porfido JD Director 1.0 5.0 X 0 273015 0 Richard Shannon MD Director 0.5 5.0 X 0 190000 18000 Cynthia A Telles PHD Director 0.5 7.0 X 0 233956 0 Bernard Tyson Chairman & CEO 4.0 46.0 X X 0 10709503 5373250 Eugene Washington MD Director 0.25 6.75 X 0 193495 0 Gregory Adams EVP, Group President 4.0 46.0 X 0 3042495 3546643 Kristin Bear Assistant Secretary 4.0 46.0 X 0 346012 142273 Maryann Bodayle Assistant Secretary 1.0 49.0 X 0 172364 48189 Bernice Gould Assistant Secretary 1.0 49.0 X 0 211923 119722 Kathryn Lancaster EVP & CFO 3.5 46.5 X 0 2834247 889086 R Roland Lyon Regional President - Colorado 45.0 5.0 X 0 891176 364965 Thomas Meier SVP, Corporate Treasurer 1.5 48.5 X 0 1125095 191167 Donald Orndoff SVP, NFS 4.0 46.0 X 0 974157 230435 Rochelle Roth Assistant Secretary 4.0 46.0 X 0 235364 200790 Jacqueline Sellers Assistant Secretary 1.0 49.0 X 0 287588 171076 Arthur Southam EVP, Health Plan Operations 4.0 46.0 X 0 3230890 776312 Alfonse Upshaw SVP,Corporate Controller & CAO 3.5 46.5 X 0 839199 168061 Matthew Weber Assistant Secretary 45.0 5.0 X 0 429187 154638 Hong-Sze Yu VP, Brd & Corp Gov & Asst Secy 3.5 46.5 X 0 330937 179627 Mark Zemelman SVP, General Counsel & Secy 2.0 48.0 X 0 2447915 221897 Suzanne Anest VP, MSBD - Colorado 50.0 0.0 X 0 568138 156616 Laura English VP, CFO - CO 50.0 0.0 X 0 349053 83880 Shawn J Mehta VP, HPSA - Colorado 50.0 0.0 X 0 493052 173679 Denise Mckenna VP, HPSA - CO 50.0 0.0 X 0 386048 18661 Jandel T Allen-Davis VP, Govt & External Relations 50.0 0.0 X 0 460080 170729 Justin C Chang VP, Quality & Innovation 50.0 0.0 X 0 469667 148368 Jerry F Hartbarger VP, HR - Colorado 50.0 0.0 X 0 411798 129699 Jennifer L Misajet VP, Care Del Ops-External Svcs 50.0 0.0 X 0 333460 234928 Jason M Tacha VP, Care Delivery - Ambulatory 50.0 0.0 X 0 316924 178639 George Halvorson Chairman 0.0 0.0 X 0 28956 25716 J Neal Purcell Director 0.0 0.0 X 0 48745 0 Vanessa Benavides SVP, Chief Comp & Priv Officer 0.0 50.0 X 0 923294 190921 Daniel Garcia SVP, Chief Compliance Officer 0.0 0.0 X 0 593429 0 Deborah Stokes SVP,Corporate Controller & CAO 0.0 0.0 X 0 165396 0 Paul Swenson SVP & Chief Strategy Officer 0.0 50.0 X 0 1472354 284884 Nancy Wollen SVP, Chief Operating Officer 0.0 0.0 X 0 449497 89911 Victoria Zatkin VP, Off of Brd & Corp Gov Svcs 0.0 0.0 X 0 105278 0 Keith Evans VP, MSBD - CO 0.0 50.0 X 0 579745 140770 Jeffrey Hahn Senior Program Manager 50.0 0.0 X 0 183969 123621 James Newsome VP, Finance 0.0 0.0 X 0 127790 68938 0 39368173 15034091 1579 true true false COLORADO PERMANENTE MEDICAL GROUP 10350 E DAKOTA AVE DENVER CO 80231 MEDICAL SERVICES 708589869 Saint Joseph Hospital 2480 W 26th ave b-200 DENVER CO 80211 MEDICAL SERVICES 246855178 HCA HEALTHONE LLC PO BOX 403171 ATLANTA GA 30384 MEDICAL SERVICES 221047120 GOOD SAMARITAN MED CENTER PO BOX 912593 DENVER CO 80291 MEDICAL SERVICES 145541130 CHILDREN'S HOSPITAL COLORADO 13123 E 16TH AVE AURORA CO 80045 MEDICAL SERVICES 54289729 71 X 836509 4066908 4857980 9761397 MEMBERS HEALTH DUES 900099 2545420745 2545420745 MEDICARE 900099 1046987986 1046987986 SUPPLY CHARGE/PHARM 900099 244667345 244667345 NON-PLAN & INDUSTRIAL 900099 5037766 2875255 2162511 OTHER PROGRAM SERV 900099 99797671 99797671 3941911513 49638756 0 0 49638756 0 0 43163 43163 0 43163 43163 630980926 56573 615538081 20955 15442845 35618 15478463 15478463 0 0 0 0 0 0 0 0 0 0 4016833292 3939749002 2162511 65160382 2153159 2153159 0 0 0 0 0 514829663 476125969 38703694 72369904 72369904 119017601 102036062 16981539 41271774 41271774 0 -39419 -39419 626319 626319 0 0 759468 759468 0 12244114 1728405 10515709 9055782 8351599 704183 213648801 161742568 51906233 0 21357958 21357958 3221969 2844310 377659 0 1083642 1083642 3649915 3649915 0 45945813 45945813 10660505 10660505 CONTRACT PAYMENTS 1424656079 1424656079 PURCHASED MED SVC - OUTSIDE 737544261 737544261 PURCHASED SVC - NON-MEDICAL 90492947 45279971 45212976 SUPPLIES 530114429 477188129 52926300 214205130 164996160 49208970 4068869814 3799902541 268967273 0 X 7376180 13328347 0 0 0 0 134370592 105863539 0 0 0 0 0 0 67669603 44881559 16779461 27671512 910597315 534958938 343385744 375638377 1157112877 1159035819 0 0 0 0 0 0 56212167 70766700 1782906624 1797185853 501893250 644789374 0 0 43326297 41962960 0 0 0 0 0 0 0 0 0 0 513410934 515257770 1058630481 1202010104 X 0 0 20702 20702 724255441 595155047 724276143 595175749 1782906624 1797185853 X -52036522 16097802 -93161674 X false true X true true true X 15721147 6768197 1198103 8794705 9761397 42243549 3122130913 3412772584 3509863549 3757972263 3939749002 17742488311 0 0 0 3137852060 3419540781 3511061652 3766766968 3949510399 17784731860 0 0 0 17784731860 42455192 47679687 38733737 35298724 49681919 213849259 115085 905828 856401 1877314 42455192 47679687 38848822 36204552 50538320 215726573 0 0 3180307252 3467220468 3549910474 3802971520 4000048719 18000458433 0.98801 0.98861 0.01199 0.01139 X false true false false false false true 114000 false true 28566 142566 false SCHEDULE C, PART II-B, LINE 1A THROUGH 1I LOBBYING 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. 43623457 43623457 546306022 331352566 214953456 30377194 23285172 7092022 199771841 153630768 46141073 90518801 26690432 63828369 375638377 0 OTHER LIABILITIES 21771773 PPL & OTHER INSURED LIABILITIES 56391693 POST RETIREMENT LIABILITIES 432008379 BROKER PAYABLE 5085925 515257770 Schedule D, Part X, LINE 2 ASC 740 Footnote: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE UNDER ASC 740. true Civic Canopy 3532 Franklin St Ste H Denver CO 80205 262319042 501(c)(3) 100000 Project Support Colorado Department of Education 1580 Logan St Suite 200 Denver CO 80203 980256500 Government 169712 Project Support CO FDN for Public Health & Environment 1385 S Colorado Blvd Denver CO 80222 841267213 501(c)(3) 20000 Challenge Grant Community Shares of Colorado 795 Sherman St Suite 230 Denver CO 80203 742401941 501(c)(3) 529621 EMPLOYEE SPONSORED\Matching Gift Cultivando 7290 Magnolia St Commerce City CO 80022 841499624 501(c)(3) 150500 Project Support Denver Botanic Garden Inc 909 York Street Denver CO 80206 840440359 501(c)(3) 27510 Project Support Denver Public Schools Foundation 1860 Lincoln St 9th Floor Denver CO 80203 841224325 501(c)(3) 216016 Project Support Doctors Care 609 WLittleton Blvd Littleton CO 80120 841150815 501(c)(3) 49100 Project Support Eagle River Youth Coalition Inc PO Box 4613 Edwards CO 81632 841593859 501(c)(3) 34293 Project Support Friends of Longmont Youth 1050 Lashley St Longmont CO 80504 841572377 501(c)(3) 50786 Project Support Front Range Economic Development Center 2501 E 48th Ave Denver CO 80216 260019190 501(c)(3) 100000 Project Support GoFarm 1301 Arapahoe StSuite 105 Golden CO 80401 472823438 501(c)(3) 48114 Project Support Huerfano County Hospital District 129 Kansas Walsenburg CO 81089 846027322 Government 100000 Project Support Metro Caring PO Box 300459 Denver CO 80203 846116951 501(c)(3) 19500 Project Support Mountain Resource Center Inc PO Box 425 Conifer CO 80433 841178699 501(c)(3) 39426 Project Support National Jewish Health 1400 Jackson Street Denver CO 80206 742044647 501(c)(3) 212034 Project Support Northern Colorado Food Cluster PO Box 1545 Fort Collins CO 80522 200348200 501(c)(3) 38740 Project Support ReVision 3800 Morrison Road Denver CO 80219 261204343 501(c)(3) 46729 Project Support S E T of Colorado Springs Inc 2420 W 26th Ave Denver CO 80211 841183335 501(c)(3) 46879 Project Support TESSA 435 Gold Pass Heights CO Springs CO 80906 840746803 501(c)(3) 30021 Project Support The Children's Hospital Association 13123 E 16th Ave Box 045 Aurora CO 80045 840166760 501(c)(3) 38372 Project Support Tri Lakes Cares PO Box 1301 Monument CO 80132 742501356 501(c)(3) 19706 Project Support University of Colorado 1800 Grant St Ste 800 Denver CO 80203 846000555 501(c)(3) 56800 Scholarship Support 23 SCHEDULE I, PART I, QUESTION 2 PROCEDURES FOR MONITORING THE USE OF GRANTS At the end of their funding cycle, grantees are required to submit a final report which delineates accomplishments related to stated objectives. Larger grants (typically over $100K) may require quarterly progress reports. true true false false false false false true false Gregory Adams EVP, Group President 0 1049401 0 1616205 0 376889 0 3517776 0 28867 0 6589138 0 0 Jandel T Allen-Davis VP, Govt & External Relations 0 261320 0 136544 0 62216 0 148074 0 22655 0 630809 0 34453 Suzanne Anest VP, MSBD - Colorado 0 220938 0 115478 0 231722 0 131085 0 25531 0 724754 0 0 Ramon F Baez Director 0 204500 0 0 0 12456 0 0 0 0 0 216956 0 0 Kristin Bear Assistant Secretary 0 224693 0 116173 0 5146 0 124717 0 17556 0 488285 0 0 Vanessa Benavides SVP, Chief Comp & Priv Officer 0 391760 0 437497 0 94037 0 172275 0 18646 0 1114215 0 86809 Regina M Benjamin MD MBA Director 0 187000 0 0 0 8085 0 0 0 0 0 195085 0 0 Maryann Bodayle Assistant Secretary 0 151515 0 18654 0 2195 0 38051 0 10138 0 220553 0 0 Justin C Chang VP, Quality & Innovation 0 268304 0 166624 0 34739 0 121306 0 27062 0 618035 0 0 Laura English VP, CFO - CO 0 248693 0 66419 0 33941 0 57707 0 26173 0 432933 0 0 Jeffery E Epstein Director 0 202000 0 0 0 7793 0 0 0 0 0 209793 0 0 Keith Evans VP, MSBD - CO 0 232244 0 195794 0 151707 0 117000 0 23770 0 720515 0 0 Daniel Garcia SVP, Chief Compliance Officer 0 0 0 537870 0 55559 0 0 0 0 0 593429 0 45739 Bernice Gould Assistant Secretary 0 175937 0 33715 0 2271 0 109987 0 9735 0 331645 0 0 Jeffrey Hahn Senior Program Manager 0 149377 0 15509 0 19083 0 94017 0 29604 0 307590 0 0 George Halvorson Chairman 0 0 0 0 0 28956 0 25716 0 0 0 54672 0 17874 Jerry F Hartbarger VP, HR - Colorado 0 251203 0 144389 0 16206 0 103020 0 26679 0 541497 0 0 Leslie S Heisz Director 0 204500 0 0 0 16511 0 0 0 0 0 221011 0 0 David F Hoffmeister Director 0 217000 0 0 0 11956 0 0 0 0 0 228956 0 0 Shawn J Mehta VP, HPSA - Colorado 0 267281 0 170257 0 55514 0 143410 0 30269 0 666731 0 0 Judith A Johansen JD Director 0 230667 0 0 0 14556 0 0 0 0 0 245223 0 0 Kim J Kaiser Director 0 216667 0 0 0 12545 0 0 0 0 0 229212 0 0 Kathryn Lancaster EVP & CFO 0 896255 0 1578456 0 359536 0 868611 0 20475 0 3723333 0 0 R Roland Lyon Regional President - Colorado 0 486619 0 306884 0 97673 0 337370 0 27595 0 1256141 0 49723 Denise Mckenna VP, HPSA - CO 0 42722 0 165900 0 177426 0 3070 0 15591 0 404709 0 0 Thomas Meier SVP, Corporate Treasurer 0 415802 0 569121 0 140172 0 161620 0 29547 0 1316262 0 32787 Jennifer L Misajet VP, Care Del Ops-External Svcs 0 247143 0 70000 0 16317 0 214363 0 20565 0 568388 0 0 James Newsome VP, Finance 0 0 0 0 0 127790 0 63942 0 4996 0 196728 0 35907 Donald Orndoff SVP, NFS 0 425896 0 521871 0 26390 0 198216 0 32219 0 1204592 0 0 Edward Y W Pei Director 0 214000 0 0 0 13488 0 18000 0 0 0 245488 0 0 Margaret E Porfido JD Director 0 254167 0 0 0 18848 0 0 0 0 0 273015 0 0 J Neal Purcell Director 0 11000 0 0 0 37745 0 0 0 0 0 48745 0 20937 Rochelle Roth Assistant Secretary 0 130910 0 81317 0 23137 0 186070 0 14720 0 436154 0 0 Jacqueline Sellers Assistant Secretary 0 185684 0 74361 0 27543 0 157570 0 13506 0 458664 0 0 Richard Shannon MD Director 0 190000 0 0 0 0 0 18000 0 0 0 208000 0 0 Arthur Southam EVP, Health Plan Operations 0 922115 0 1690487 0 618288 0 742216 0 34096 0 4007202 0 245168 Deborah Stokes SVP,Corporate Controller & CAO 0 0 0 156115 0 9281 0 0 0 0 0 165396 0 0 Paul Swenson SVP & Chief Strategy Officer 0 598720 0 582757 0 290877 0 256387 0 28497 0 1757238 0 166466 Jason M Tacha VP, Care Delivery - Ambulatory 0 221007 0 79583 0 16334 0 150284 0 28355 0 495563 0 0 Cynthia A Telles PHD Director 0 222000 0 0 0 11956 0 0 0 0 0 233956 0 0 Bernard Tyson Chairman & CEO 0 1436935 0 7978527 0 1294041 0 5335702 0 37548 0 16082753 0 0 Alfonse Upshaw SVP,Corporate Controller & CAO 0 378040 0 311757 0 149402 0 141409 0 26652 0 1007260 0 98416 Eugene Washington MD Director 0 193000 0 0 0 495 0 0 0 0 0 193495 0 0 Matthew Weber Assistant Secretary 0 259088 0 153745 0 16354 0 124385 0 30253 0 583825 0 0 Nancy Wollen SVP, Chief Operating Officer 0 0 0 76648 0 372849 0 54789 0 35122 0 539408 0 0 Hong-Sze Yu VP, Brd & Corp Gov & Asst Secy 0 225517 0 88592 0 16828 0 155892 0 23735 0 510564 0 0 Victoria Zatkin VP, Off of Brd & Corp Gov Svcs 0 0 0 20815 0 84463 0 0 0 0 0 105278 0 81430 Mark Zemelman SVP, General Counsel & Secy 0 577508 0 1031758 0 838649 0 190188 0 31709 0 2669812 0 556159 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 4B SUPPLEMENTAL 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. Form 990, PART III, LINE 4A-D 2017 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) Program Charitable 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 Initiatives The 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 Partnerships Kaiser 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 Bank The 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 investments During 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 6 Kaiser 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 7A KFHP, INC. appoints the directors (and fills vacancies and has authority to remove directors). The same individuals who comprise the board of directors of KFHP also serve as THE directors of KFHP COLORADO, NORTHWEST, MID-ATLANTIC STATES AND KFHPW HOLDINGS. Form 990, PART VI, LINE 7B THE FOLLOWING ACTIONS OF THE CORPORATION REQUIRE APPROVAL OF THE SOLE MEMBER: A) REMOVAL OF THE CHAIRMAN OF THE BOARD OR THE PRESIDENT, THE GROUP PRESIDENT OR REGIONAL PRESIDENT; B) AMENDMENT OF ARTICLE D, SECTION D-4 OF THE BYLAWS - ELECTION AND TERM OF OFFICE. Form 990, PART VI, LINE 11B Form 990 Review Process: 1. Key information necessary for the preparation of the tax return is obtained and/or confirmed 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 12C COMPLIANCE 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/B COMPENSATION DETERMINATION THE EXECUTIVE COMPENSATION PROGRAM AS ADMINISTERED BY KAISER FOUNDATION HEALTH PLAN, INC. IS DESIGNED TO RECRUIT, RETAIN AND MOTIVATE QUALIFIED SENIOR MANAGEMENT PERSONNEL. SENIOR MANAGEMENT PERSONNEL HAVE A SIGNIFICANT IMPACT ON THE STRATEGIC AND POLICY DIRECTION AND RESULTS OF THE ORGANIZATION. THEREFORE, THE EXECUTIVE COMPENSATION PROGRAM IS, TO A SIGNIFICANT DEGREE, PERFORMANCE-BASED. THE COMPENSATION PROGRAM IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE MANAGEMENT COMMITTEE ON COMPENSATION. PRIOR TO PAYMENT, ALL PROGRAMS AND PAYMENTS TO THE CEO, EXECUTIVE DIRECTOR, AND TOP MANAGEMENT OFFICIALS (EXECUTIVES) ARE REVIEWED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE MANAGEMENT COMMITTEE ON COMPENSATION. BASE PAY FOR EXECUTIVE POSITIONS IS ESTABLISHED AT A LEVEL COMPARABLE TO THE RELEVANT MARKET. IN ADDITION, OTHER COMPONENTS OF THE COMPENSATION PROGRAM BEAR 'AT-RISK' FEATURES DESIGNED TO FOCUS ON STRATEGICALLY IMPORTANT PERFORMANCE GOALS AND TO ASSIST IN ATTRACTING AND RETAINING TOP PERFORMERS. THE EXECUTIVE COMPENSATION PROGRAM IS TARGETED TO BE COMPETITIVE TO THE COMPARABLE EXTERNAL MARKET IN WHICH THE ORGANIZATION COMPETES FOR EXECUTIVE LEADERSHIP. EVALUATION OF COMPARABLE PAY DATA IS PERFORMED BY AN INDEPENDENT COMPENSATION, 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 18 Forms 990 are available on www.guidestar.org. Form 990, PART VI, LINE 19 Public 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 B Hours 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 9 other 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) KAISER FOUNDATION HOSPITALS ONE KAISER PLAZA 15L OAKLAND CA 94612 941105628 HEALTH CARE CA 501(c)(3) 3 NA false KAISER FOUNDATION HEALTH PLAN INC ONE KAISER PLAZA 15L OAKLAND CA 94612 941340523 HEALTH CARE CA 501(c)(3) 10 NA false KAISER FOUNDATION HEALTH PLAN OF GA INC ONE KAISER PLAZA 15L OAKLAND CA 94612 581592076 HEALTH CARE GA 501(c)(3) 10 KFHP INC true KAISER FOUNDATION HEALTH PLAN OF THE MAS ONE KAISER PLAZA 15L OAKLAND CA 94612 520954463 HEALTH CARE MD 501(c)(3) 10 KFHP INC true KAISER FOUNDATION HEALTH PLAN OF THE NW ONE KAISER PLAZA 15L OAKLAND CA 94612 930798039 HEALTH CARE OR 501(c)(3) 10 KFHP INC true KAISER FDN HEALTH PLAN OF WASHINGTON ONE KAISER PLAZA 15L OAKLAND CA 94612 910511770 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