2015-11-11T15:47:20-06:00 2014-12-31 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2014-01-01 930798039 KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST % SVP CC AND CAO KAIS 5102716611 ONE KAISER PLAZA 15L OAKLAND CA 94612 DEBORAH STOKES VP, TAX SERVICES 2673303000 2015-11-10 true ROBERT W FRIZ P00438748 2673303000 2014 2016-02-25 16:41:14Z ANDREW R MCCULLOCH ONE KAISER PLAZA 15L OAKLAND CA 94612 3829096178 false X www.kp.org X 1984 OR TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE. 15 13 7804 89 6326261 90559 105012 3143279380 3321357419 18066444 22626802 25188579 341724 3186624962 3344430957 280075 204055 0 0 795598531 799747251 0 0 0 2363425456 2520290867 3159304062 3320242173 27320900 24188784 1333718570 1376085384 911194558 1191917215 422524012 184168169 X TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE. false false 2947214134 204055 3254906242 MEMBER HEALTH CARE SERVICES AND MEDICAL TRAINING FOR CARE IMPROVEMENT KAISER FOUNDATION HEALTH PLAN OF NORTHWEST (KFHP OF NORTHWEST) PROVIDES HOSPITAL, 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 NORTHWEST EDUCATES AND TRAINS MEDICAL STUDENTS AND OTHER HEALTH CARE PROFESSIONALS AND PROMOTES SCIENTIFIC AND NURSING EDUCATION IN ORDER TO IMPROVE CARE. 116844807 0 65773396 Medicaid and Other Government Sponsored Programs Kaiser Foundation Health Plan of the Northwest (KFHP-NW) is committed to improving medical care for beneficiaries of Medicaid and other government sponsored programs, not only for KFHP-NW members, but also within the communities we serve. At the end of 2014, more than 22,000 individuals were receiving the benefits of full membership in KFHP-NW's Medicaid managed care program. Approximately 7,700 more individuals were members of the Children's Health Insurance Program (CHIP). In addition, KFHP-NW provided health care on a fee-for-service basis for Medicaid beneficiaries who were not enrolled as KFHP-NW members. 24183959 0 677780 Charity Care (Medical Financial Assistance and Charitable Health Coverage) Kaiser Foundation Health Plan of the Northwest (KFHP-NW) provides charity care to low-income vulnerable patients through the Medical Financial Assistance (MFA) and Charitable Health Coverage (CHC) Programs. KFHP-NW 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 2014, this program assisted more than 13,000 qualifying applicants. 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. More than 3,700 individuals were receiving comprehensive health care through this program at the end of 2014. 1888778 0 0 SEE SCHEDULE O COMMUNITY BENEFIT REPORT 1888778 0 0 3090131678 true true false true false false false false false false true false false false true false true 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 true true true true false false true 3568 0 true 7804 true true true false false false false false false false false false X 15 13 false false false false true true true true true false false true true true true true true true true false OR WA X X SVP CC AND CAO 5102716385 ONE KAISER PLAZA 15L OAKLAND CA 94612 X Christine K Cassel Director 1.0 13.0 X 0 173500 0 Thomas W Chapman Director 1.0 13.0 X 0 261807 17500 Jeffrey E Epstein Director 0.5 7.0 X 0 197467 0 Daniel P Garcia SVP, Chief Compliance Officer 2.0 48.0 X X 0 1357344 175853 William R Graber Director 0.5 7.0 X 0 231434 0 J Eugene Grigsby III Director 1.0 7.0 X 0 207925 0 David Hoffmeister Director 0.25 7.0 X 0 31577 0 Judith Johansen Director 0.5 7.0 X 0 222508 0 Kim J Kaiser Director 1.0 6.5 X 0 212852 0 Philip Marineau Director 0.58 5.86 X 0 214967 0 Jenny J Ming Director 0.25 2.5 X 0 48477 0 Edward YW Pei Director 0.25 6.75 X 0 217904 17500 Margaret E Porfido Director 0.5 6.0 X 0 232533 0 Richard Shannon MD Director 0.5 6.0 X 0 83501 0 Cynthia A Telles Director 0.5 7.0 X 0 211956 0 Bernard J Tyson Chairman, CEO & President 6.0 44.0 X X 0 4687312 624702 Maryann M Bodayle Assistant Secretary 1.0 49.0 X 0 158433 17837 Kathryn Lancaster EVP & CFO 4.0 46.0 X 0 2244260 698565 Donna Lynne EVP, GP & Region President Col 4.0 46.0 X 0 1592097 379695 Andrew R McCulloch Region President - Northwest 25.0 25.0 X 0 935306 608763 Thomas R Meier SVP, Corporate Treasurer 2.0 48.0 X 0 864149 183340 Donald H Orndoff SVP, NFS 5.0 45.0 X 0 863698 167586 Jacqueline Sellers Senior Counsel/Asst Secretary 6.0 44.0 X 0 252345 191723 Arthur M Southam EVP, Health Plan Operations 5.0 45.0 X 0 2501640 595175 Deborah Stokes svp, cc & cao 4.0 46.0 X 0 762279 294052 William N Wiechmann Assistant Secretary 50.0 0.0 X 0 430240 184971 Victoria B Zatkin VP, Off of Brd & Corp Gov Svcs 5.0 45.0 X 0 347803 242808 Mark S Zemelman SVP, Gen Counsel & Secretary 2.0 48.0 X 0 1511815 433272 Mark A Charpentier VP, Mktg, Sls, Bus Dev & Comm 30.0 20.0 X 0 457092 153465 Susan M Hennessy VP, Strategic Planning & Hlth 30.0 20.0 X 0 287671 212706 David Lake VP, Strategy & Health Plan Ops 50.0 0.0 X 0 288064 94425 Susan E Mullaney VP, Hospital Operations 30.0 20.0 X 0 400940 135972 Karen L Schartman VP & CFO 30.0 20.0 X 0 540805 259191 Mary L Durham VP, The Center Health Research 30.0 20.0 X 0 438758 186808 Eleanor Godfrey VP, Quality & Service 50.0 0.0 X 0 395742 521678 Michael E Kinard VP, Ambulatory Care Svc 30.0 20.0 X 0 381520 325650 Richie E Smith VP, HR - NW 30.0 20.0 X 0 405917 121666 Kenneth R Wright VP, Dental Care Svcs - NW 50.0 0.0 X 0 367906 131474 George C Halvorson Chairman 0.0 0.0 X 0 10399970 46427 Erin M Downing Assistant Secretary 0.0 50.0 X 0 103235 29742 MARK M ENGER VP, Chief Operations Officer 0.0 0.0 X 0 124207 26441 0 35648956 7078987 1174 true true false KAISER FOUNDATION HOSPITALS 500 NE MULTNOMAH STREET PORTLAND OR 97232 MEDICAL SERVICES 840355840 NORTHWEST PERMANENTE PC 500 NE MULTNOMAH ST 15TH FLOOR PORTLAND OR 97232 MEDICAL SERVICES 512247679 PERMANENTE DENTAL ASSOCIATES 500 NE MULTNOMAH STREET 16th floor PORTLAND OR 97232 DENTAL SERVICES 45807068 OREGON HEALTH SCIENCE university PO BOX 3181 SW SAM JACKSON PARK RD PORTLAND OR 97201 MEDICAL SERVICES 19871646 PEACEHEALTH SOUTHWEST MEDICAL CENTE PO BOX 1600 VANCOUVER WA 98668 MEDICAL SERVICES 14404325 112 X 105012 105012 MBR HLTH CARE PREM 621400 2282479328 2282479328 SUPPL CHARGE/PHARM 621400 162044057 155723952 6320105 NON-PLAN & IND REV 621400 12177063 12177063 OTHER PRGRM SERV 621400 140008924 140008924 MEDICARE 621400 724648047 724648047 3321357419 14138316 14138316 0 0 388578 46854 341724 0 341724 6156 335568 476949161 16157692 474494122 10124245 2455039 6033447 8488486 8488486 0 0 0 0 3344430957 3315037314 6326261 22962370 X 204055 204055 0 0 0 0 0 532263257 497603550 34659707 77679154 77679154 146747058 130162343 16584715 43057782 43057782 0 1261472 1261472 1260010 1260010 0 0 596494 596494 357707095 330352129 27354966 5923942 318814 5605128 8301615 6876923 1424692 161933600 113602319 48331281 0 13765518 13762150 3368 2206343 1856927 349416 0 1825499 1825499 153018 153018 0 35276843 35249195 27648 17917396 17917316 80 MEDICAL SERVICE PAYMENTS 1388318794 1388318794 SUPPLIES 400478288 357532161 42946127 INTER-REGIONAL CHARGES 29683590 29683590 HIGH-RISK INSURANCE POOL COSTS 9733596 9733596 83947754 36067862 47879892 3320242173 3090131678 230110495 0 X 4967406 3479900 0 0 0 0 74349559 86937418 0 0 0 0 0 0 29645461 35338140 5804290 4563840 683995552 402075601 275899033 281919951 867947473 904788892 0 0 0 0 0 0 75105348 59057243 1333718570 1376085384 167404966 206048458 0 0 30230560 32407106 0 0 0 0 0 0 0 0 0 0 713559032 953461651 911194558 1191917215 X 4712722 4712722 0 0 417811290 179455447 422524012 184168169 1333718570 1376085384 X 24188784 -2581453 -259963174 X false true X true false X 56498 34240 55792 90559 105012 342101 2682950846 2817773409 2980226987 3143279380 3315037313 14939267935 0 0 0 2683007344 2817807649 2980282779 3143369939 3315142325 14939610036 0 0 0 14939610036 22587692 19185497 16369318 14364423 14526894 87033824 0 22587692 19185497 16369318 14364423 14526894 87033824 0 0 2705595036 2836993146 2996652097 3157734362 3329669219 15026643860 0.99421 0.99306 0.00579 0.00694 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false true false false false true 9000 true 70028 true 23133 true 84632 186793 false Schedule C, Part II-B, Lines 1a through 1i LOBBYING ACTIVITY BY NONELECTING PUBLIC CHARITIES THE ORGANIZATION 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 TIME AND 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. 31797596 31797596 444896223 269108862 175787361 27304749 17101915 10202834 156093188 106044850 50048338 23903796 9819974 14083822 281919951 0 SELF-INSURED RISK - PPL 69392052 SELF-INSURED RISK - AUTO & UNE 410000 SELF-INSURED RISK - WORKERS CO 4377367 POST RETIREMENT BENEFIT-LT 850422919 POST RETIREMENT BENEFIT-CURRT 9796654 OTHER LIABILITIES 19062659 953461651 3075347682 -2581453 -257461282 -260042735 3335390417 596494 8444046 9040540 3344430957 3313703526 46854 46854 3313656672 596494 5989007 6585501 3320242173 Schedule D, Part X, Line 2 FIN 48 Footnote: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE UNDER FIN 48. Schedule D, Part XI, Line 2d Change in other comprehensive income $ (258,638,883) Gain/loss on investments - book 3,359,600 OTTI Losses (see note 1) (2,228,853) Rental Revenue reclass 46,854 ---------------------------------------------------------------- Total (257,461,282) note 1: other than temporary impairment (otti) of investment recognized for financial statement purposes, which will be tax reported when realized. Schedule D, Part XI, Line 4b Gain/loss on investments - tax $ 2,455,039 Net Interest reclass 11,483 bad debt expense reclass 5,977,524 ----------------------------------------------------------------- Total 8,444,046 Schedule D, Part XII, Line 2d Rental Expense reclass 46,854 Schedule D, Part XII, Line 4b bad debt expense reclass $ 5,977,524 interest expense reclass 11,483 ------------------------------------------------------------------- total 5,989,007 true American Heart Association 4380 SW Macadam Ave Suite 480 Portland OR 97239 135673797 501(c)(3) 69640 Fundraising Basic Rights Education Fund PO B0x 40625 Portland OR 97240 931266631 501(c)(3) 8850 Fundraising Bicycle Transportation Alliance 618 NW Glisan Suite 401 Portland OR 97209 931057956 501(c)(3) 7500 Fundraising March of Dimes Foundation 1220 SW Morrison St Suite 150 Portland OR 97205 131846366 501(c)(3) 14000 Fundraising Portland Schools Foundation (All Hands ) 2069 NE Hoyt Portland OR 97232 931149789 501(c)(3) 9600 Fundraising Salem Keizer Education Foundation SKEF 233 Commercial St NE Salem OR 97301 930831467 501(c)(3) 10000 Fundraising Susan G Komen for the Cure - OR & SW WA 1500 SW First Ave Suite 270 Portland OR 97201 931068897 501(c)(3) 24100 Fundraising Salem World Beat Festival 7 0 Schedule I, Part I, Question 2 At the end of their funding cycle grantees are required to submit a final REPORT WHICH DELINEATES ACCOMPLISHMENTS RELATED TO STATED OBJECTIVES. LARGE GRANTS (TYPICALLY OVER $100,000) MAY REQUIRE QUARTERLY PROGRESS REPORTS. true true false false false false false true false Maryann M Bodayle Assistant Secretary 0 142083 0 15000 0 1350 0 9356 0 8481 0 176270 0 0 Christine K Cassel Director 0 173500 0 0 0 0 0 0 0 0 0 173500 0 0 Thomas W Chapman Director 0 243148 0 0 0 18659 0 17500 0 0 0 279307 0 53148 Mark A Charpentier VP, Mktg, Sls, Bus Dev & Comm 0 245608 0 175747 0 35737 0 131548 0 21917 0 610557 0 0 Erin M Downing Assistant Secretary 0 94097 0 7718 0 1420 0 21551 0 8191 0 132977 0 0 Mary L Durham VP, The Center Health Research 0 211496 0 111889 0 115373 0 163031 0 23777 0 625566 0 58460 MARK M ENGER VP, Chief Operations Officer 0 0 0 66279 0 57928 0 24121 0 2320 0 150648 0 0 Jeffrey E Epstein Director 0 190000 0 0 0 7467 0 0 0 0 0 197467 0 0 Daniel P Garcia SVP, Chief Compliance Officer 0 575436 0 732710 0 49198 0 143894 0 31959 0 1533197 0 0 Eleanor Godfrey VP, Quality & Service 0 198277 0 91179 0 106286 0 507952 0 13726 0 917420 0 52382 William R Graber Director 0 220000 0 0 0 11434 0 0 0 0 0 231434 0 0 J Eugene Grigsby III Director 0 207500 0 0 0 425 0 0 0 0 0 207925 0 0 George C Halvorson Chairman 0 0 0 10372909 0 27061 0 46427 0 0 0 10446397 0 0 Susan M Hennessy VP, Strategic Planning & Hlth 0 86816 0 192452 0 8403 0 205494 0 7212 0 500377 0 0 Judith Johansen Director 0 211000 0 0 0 11508 0 0 0 0 0 222508 0 0 Kim J Kaiser Director 0 207500 0 0 0 5352 0 0 0 0 0 212852 0 0 Michael E Kinard VP, Ambulatory Care Svc 0 264425 0 98555 0 18540 0 304281 0 21369 0 707170 0 0 David Lake VP, Strategy & Health Plan Ops 0 199683 0 71283 0 17098 0 66658 0 27767 0 382489 0 0 Kathryn Lancaster EVP & CFO 0 704458 0 1248561 0 291241 0 681278 0 17287 0 2942825 0 189 Donna Lynne EVP, GP & Region President Col 0 552267 0 770984 0 268846 0 348771 0 30924 0 1971792 0 171108 Philip Marineau Director 0 207500 0 0 0 7467 0 0 0 0 0 214967 0 0 Andrew R McCulloch Region President - Northwest 0 417306 0 475517 0 42483 0 583821 0 24942 0 1544069 0 0 Thomas R Meier SVP, Corporate Treasurer 0 326884 0 440788 0 96477 0 150921 0 32419 0 1047489 0 1478 Susan E Mullaney VP, Hospital Operations 0 275063 0 109859 0 16018 0 107238 0 28734 0 536912 0 0 Donald H Orndoff SVP, NFS 0 403330 0 437678 0 22690 0 139375 0 28211 0 1031284 0 0 Edward YW Pei Director 0 205000 0 0 0 12904 0 17500 0 0 0 235404 0 0 Margaret E Porfido Director 0 215000 0 0 0 17533 0 0 0 0 0 232533 0 0 Karen L Schartman VP & CFO 0 288220 0 184855 0 67730 0 246977 0 12214 0 799996 0 39061 Jacqueline Sellers Senior Counsel/Asst Secretary 0 188039 0 58756 0 5550 0 179755 0 11968 0 444068 0 0 Richie E Smith VP, HR - NW 0 264582 0 124703 0 16632 0 94291 0 27375 0 527583 0 0 Arthur M Southam EVP, Health Plan Operations 0 780801 0 1384773 0 336066 0 571937 0 23238 0 3096815 0 7255 Deborah Stokes svp, cc & cao 0 348937 0 336625 0 76717 0 272898 0 21154 0 1056331 0 0 Cynthia A Telles Director 0 205000 0 0 0 6956 0 0 0 0 0 211956 0 0 Bernard J Tyson Chairman, CEO & President 0 1191890 0 2757589 0 737833 0 593465 0 31237 0 5312014 0 0 William N Wiechmann Assistant Secretary 0 240268 0 126173 0 63799 0 158376 0 26595 0 615211 0 36921 Kenneth R Wright VP, Dental Care Svcs - NW 0 229651 0 118483 0 19772 0 100876 0 30598 0 499380 0 0 Victoria B Zatkin VP, Off of Brd & Corp Gov Svcs 0 201172 0 108856 0 37775 0 237758 0 5050 0 590611 0 2368 Mark S Zemelman SVP, Gen Counsel & Secretary 0 505424 0 697669 0 308722 0 403607 0 29665 0 1945087 0 108241 Schedule J, Part I, line 3 Kaiser foundation health plan of the northwest relied on kaiser foundation health plan, inc. 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. Schedule J, Part I, Line 4a severance payments: Mark M. Enger $ 57,903 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: MARY L. DURHAM $ 77,108 ELEANOR GODFREY 69,765 KATHRYN LANCASTER 248,666 DONNA LYNNE 225,342 THOMAS R. MEIER 59,750 KAREN L. SCHARTMAN 51,350 ARTHUR M. SOUTHAM 292,904 DEBORAH STOKES 55,423 BERNARD J. TYSON 568,604 WILLIAM N. WIECHMANN 47,365 VICTORIA B. ZATKIN 2,368 MARK S. ZEMELMAN 265,554 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 vi, question 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, QUESTION 7A KFHP, INC. appoints the directors (and fills vacancies and has authority to remove directors). The same 15 individuals who comprise the board of directors of KFHP also serve as the 15 directors of KFHP-CO, NW, MAS. Form 990, PART VI, QUESTION 7B THE FOLLOWING ACTIONS OF THE CORPORATION REQUIRE APPROVAL OF THE SOLE MEMBER: A) REMOVAL OF THE CHAIRMAN OF THE BOARD OR ANY PRESIDENT; B) Amendment of article d, section d-4 of the bylaws - election and term of office of directors. Form, PART VI, QUESTION 11B form 990 review process 1. Key information necessary for the preparation of the tax return is obtained and/or confirmed with internal sources including regional finance, executive compensation, community benefits, treasury, government relations, and legal. 2. Community benefits details are presented to the community benefit committee of the board for review. 3. The complete tax return is reviewed and signed by a Pricewaterhousecoopers LLP tax advisor. 4. The complete tax return is reviewed and signed by an officer or a member of management designated by an officer. 5. A copy of the return is provided to each board member prior to filing. Form 990, PART VI, QUESTIONS 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, KPMG reviews the Annual Conflicts of Interest Questionnaires 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, QUESTION 15A/B Compensation Determination: The executive compensation program 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). 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 Resource Consulting firm. The compensation program focuses on objectives in the areas of quality of member care and service, financial soundness, and the community and social mission of the organization. Form 990, PART VI, QUESTION 18 Available on Guidestar.org website Form 990, PART VI, QUESTION 19 Public Inspection Copy: Governing documents - are available from the Department of Insurance and maintained on the state agency website or upon request. Conflict of interest policy is available on KP website under vendor Principles of Responsibility or upon request. 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 audit opinion by KPMG and is available upon request. To request copies contact: Vice President - Tax Services Kaiser Foundation Health Plan and Hospitals One Kaiser Plaza, Suite 15L 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 Change in Other comprehensive income $ (258,638,883) Gain/loss on sale of investments per tax (2,455,039) Gain/loss on sale of investments per book 3,359,600 Other than temporary impairment loss (2,228,853) --------------------------------------------------------------------- Total (259,963,175) FORM 990, PART III, LINES 4A - 4D 2014 Community Benefit Report Kaiser Foundation Health Plan of the Northwest Kaiser Foundation Health Plan of the Northwest's Commitment to the Community Kaiser Foundation Health Plan of the Northwest (Northwest Health Plan or KFHP-NW) 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 Kaiser Foundation Hospitals (KFH) and Permanente Medical Group physicians to provide health care services for its members. KFHP-NW 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 individual's ability to pay. Northwest 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 the Northwest 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. The following are details of the Community Benefit activities provided by Kaiser Foundation Health Plan of the Northwest: In 2014, Northwest Health Plan served over 504,000 members and expended approximately 76.5 million (at cost, net of $66.5 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 the Northwest's mission. In 2014, Northwest Health Plan spent approximately $74.6 million (at cost, net of $66.5 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) In Oregon and Washington, Northwest Health Plan provides charity care to low-income vulnerable populations through the Medical Financial Assistance (MFA) and Charitable Health Coverage (CHC) programs. In 2014, Northwest Health Plan spent approximately $23.5 million (at cost, net of $678 thousand of related revenues) on under- and uninsured patients. A.1.1. Medical Financial Assistance (MFA) Program Northwest Health Plan's 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 a Kaiser Permanente facility 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 2014, KFHP-NW provided approximately $17.0 million (at cost, net of related revenues of $0) of services under this program. At KFHP-NW, uninsured patients receive a discount on hospital and professional charges for emergency or other medically necessary care without an application and regardless of income level. The discount is provided to ensure that an uninsured individual is not charged more for emergency or other medically necessary services than the amounts generally billed to insured individuals receiving equivalent care. Contracted collection agency practices are already aligned with the organization's social values and IRC section 501(r). This legislation was finalized in December 2014 and is fully effective for the 2016 tax year. Additionally, any patient experiencing financial hardship due to high medical expenses relative to their income level may qualify for the program under special circumstances. Northwest Health Plan's MFA eligibility criteria allows insured patients falling below 300% of the Federal Poverty Guidelines (FPG) and uninsured patients falling below 350% of FPG to receive full write off of medical charges. In Oregon and Washington, the MFA program also covers full or partial expenses for dental services if applicants meet qualifying guidelines. In 2014, the MFA program assisted more than 13,000 qualified applicants, including more than 2,200 patients who were not otherwise covered by a health care plan offered by Kaiser Foundation Health Plan of the Northwest. This population received full or partial forgiveness for 103,000 outpatient visits and over 70,000 prescriptions. 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 potentially costly emergency room visits or hospitalization. This allows Northwest Health Plan to invest in the longer term health of patients and the community. KFHP-NW's CHC programs have a long history of making a real difference in the lives of low-income people who might otherwise have no permanent medical home. During 2014, KFHP-NW invested approximately $6.5 million (at cost, net of $678 thousand of related revenues) to support the CHC program. In order to meet the requirements of the Affordable Care Act, Kaiser Foundation Health Plan of the Northwest's CHC program was redesigned in 2014. The new 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 share 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. Child Health Plan The Child Health Program Plus targets eligible students. This program is open to children of low-income families who reside in one of six school districts and who do not have access to other health insurance options. The program provides comprehensive medical, dental and prescription coverage to children between kindergarten and 12th grade, and these children must come from a household with income up to 350% of the Federal Poverty Guidelines. At the end of 2014, more than 3,700 children were covered by membership in this program. A.2. Participation in Medicaid and Other Government-Sponsored Programs Kaiser Foundation Health Plan of the Northwest has a long history of participating in publicly financed health programs as a nonprofit organization. KFHP-NW participates in Medicaid and other government-sponsored programs under a variety of models, depending on the structure of these programs in each state. In 2014, the Northwest Health Plan provided coverage and services valued at $41.3 million (at cost, net of $65.8 million of related revenues) for members and nonmembers in programs sponsored by the federal and state governments. As of December 2014, KFHP-NW's membership in Medicaid programs exceeded 22,000. This represents an increase of 8,100 or 57% from year-end 2013. The Affordable Care Act is expected to have a far-reaching impact on the landscape of government-sponsored programs, as these options are poised to become the key source of health coverage for a significant portion of the American population. KFHP-NW has responded to this challenge by developing organizational strategies to enable individuals whose coverage is changing - due to personal or financial circumstances - to enroll in a Medicaid program offered by KFHP-NW. Realized and anticipated growth in the organization's Medicaid offerings closely aligns with and supports KFHP-NW's core mission, tax exempt status, credibility in state and federal policy arenas, and community health needs focusing on access to care. To better cope with the expansion of KFHP-NW's Medicaid program, a new Medicaid Assistance Center (MAC) was opened for operation in early November. Center representatives provide specialized enrollment services by assisting callers in understanding Medicaid in their state and the qualifications to enroll in Medicaid with KFHP NW, with an emphasis on availability of bilingual support. 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. Medicaid Programs Northwest Health Plan participated in three Medicaid managed care programs in Oregon and Washington as well as a fee-for-service provider for patients who have no formal affiliation with KFHP-NW. In 2014, KFHP-NW expended approximately $36.2 million (at cost, net of $59.6 million of related revenues) to subsidize care under Medicaid. The following describe the programs and target populations. A.2.1.1. Medicaid Managed Care Programs A.2.1.1.1. Oregon Health Plan Northwest Health Plan is a direct contractor with the Oregon Health Plan under a Provider Care Organization contract to deliver primary and specialty care paid by the state. All reporting, analysis, auditing, and member administration is performed by KFHP-NW as a Managed Care Organization. As a result, KFHP-NW is engaged in policy development, program structure, and technical capabilities in partnership with the Oregon Health Plan. Members in this program are enrolled based on eligibility criteria for qualified participants who reside in Marion and Polk counties. A.2.1.1.2. Health Share of Oregon With the establishment of Coordinated Care Organizations in the State of Oregon, KFHP-NW joined other health plans as a risk-accepting entity and founding partner in the management of Medicaid managed care contracts. Currently, KFHP-NW in conjunction with Tuality Healthcare, Care Oregon, and Providence Health Services is ranked as the largest Coordinated Care Organization in the state. Health Share of Oregon serves members in Clackamas, Multnomah, and Washington counties. A.2.1.1.3. Healthy Options Healthy Options is a Medicaid program for low-income individuals that meet eligibility requirements for Medicaid. It is a fully-capit E. Other Community Benefit Investments During 2014, Northwest Health Plan spent $1.9 million to support Community Benefit activities and programs beyond the national streams of work. This included the administrative expenses of a Community Benefit department dedicated to supporting regional Community Benefit programs and services and coordinating related initiatives. F. Environmental Stewardship Poor environmental quality contributes to disease and economic insecurity. Kaiser Foundation Health Plan of the Northwest has committed itself to protecting and improving the natural environment as a key component of its 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. To fulfill the organization's commitment to the natural environment, KFHP-NW 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 the following five organizational focus areas. These have been selected based on their ability to result in the greatest impact on the environmental forces that shape environmental and human health. - Finding safe alternatives to harmful industrial chemicals - Responding to climate change - Promoting sustainable farming and food choices - Reducing, reusing, and recycling to eliminate waste - Conserving water In each of these focus areas, KFHP-NW has established ambitious goals (including a target to reduce total greenhouse gas emissions by 30% by 2020, compared to a 2008 baseline), implemented initiatives, achieved measurable improvements, and regularly reported progress to the board of directors, staff, and the general public. By replacing paper medical charts and digitizing x-ray images through an electronic medical record system, Kaiser Foundation Health Plan of the Northwest is also contributing to the avoidance of approximately 1,000 tons of paper waste and 200,000 pounds of x-ray film per year. F.1. Performance Metrics During 2014, key performance indicators for Kaiser Foundation Health Plan of the Northwest included: F.1.1. In Oregon and Washington: F.1.1.1 Reducing total greenhouse gas emissions (metric tons CO2e) by 8.5% compared to the 2008 baseline for all facilities and assets under KFHP-NW's operational control*. F.1.1.2 Reducing KFHP-NW's energy use intensity (kBtu/rentable square foot) by 2% compared to the 2010 baseline year. F.1.1.3 Increasing expenditures on "sustainable food" (as defined by the Green Guide to Health Care) to approximately 14% of overall spending on food. F.1.1.4 Responsibly recycling nearly 800 tons of confidential paper, electronic equipment, and medical devices. F.1.1.5 Purchasing medical products for which at least 99% were free of harmful PVC or DEHP chemicals in the following categories: 1) breast pumps; 2) enteral nutrition products; 3) parenteral infusion devices and sets; 4) general urological (irrigation/urology sets and solutions and urinary catheters); 5) examination gloves; and 6) vascular catheters. * Due to normal lag times in receiving and processing utility bills, performance for this indicator reflects emissions during the preceding calendar year (i.e. 2013). Performance for this indicator includes emissions avoided through cleaner energy purchasing initiatives. 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