2011-11-10T19:19:42-06:00 2010-12-31 KPMG LLP 55 SECOND STREET SAN FRANCISCO CA 94105 990 2010-01-01 930798039 KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST KAIS 5102716611 ONE KAISER PLAZA 15L OAKLAND CA 94612 KATHRYN LANCASTER 2011-10-31 4159635100 2010 2016-02-24 21:20:13Z ANDREW R MUCULLOCH ONE KAISER PLAZA 15L OAKLAND CA 94612 3064231479 false X N/A X 1984 OR To provide high-quality, affordable health care services to improve the health of our members and the communities we serve. 14 12 7796 89 1259102 0 0 56498 2573087902 2682950846 27845955 29927694 17454082 13216018 2618387939 2726151056 472273 338109 0 0 603491060 661685670 0 0 0 1990874462 2042758098 2594837795 2704781877 23550144 21369179 1015109362 1024197650 866422827 941102794 148686535 83094856 X TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE. false false 2500661294 72049 2660667147 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. ADDITIONAL INFORMATION ABOUT NORTHWEST HEALTH PLAN'S CHARITABLE ACTIVITIES CAN BE FOUND IN SCHEDULE O. 60452789 0 21024597 Participation in Medicaid and Other Government Sponsored Programs Northwest Health Plan is committed to improving the way Medicaid beneficiaries receive care, not only in our facilities, but also in the communities we serve. In 2010, Northwest Health Plan participated in a number of government programs. Medicaid Managed Care - providing comprehensive care for more than 7,679 managed care members, Medicaid Fee for Service and the State Children's Health Initiative - providing comprehensive health benefits, including dental and vision care to more than 7,654 patients. 25375034 0 0 Charitable Care (Medical Financial Assistance and Charitable Coverage) Health Plan provides charity care to low-income vulnerable patients through the Medical Financial Assistance (MFA) and Charitable Health Coverage (CHC) Programs. MFA - Health Plan offers financial assistance to help families and individuals that are unable to pay for all or part of the cost of urgent or emergent care provided in Kaiser Permanente facility. CHC - these programs are available to low income adults and children who are not eligible for other public or privately sponsored coverage. More than 5,428 patients received comprehensive care for up to four years through these programs. 1287708 266060 0 SEE SCHEDULE O COMMUNITY BENEFIT REPORT 1287708 266060 0 2587776825 true true false true 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 true false false false false false true true true true false false true 4106 0 true 7796 true true true false false false false false false false false false X 14 12 true false false false true true true true true false false true true true true true true true true false OR WA X VP - NATIONAL TAX COMPLIANCE 5102716385 ONE KAISER PLAZA 15L OAKLAND CA 94612 X CHRISTINE K CASSEL MD 0.5 X 0 172625 0 THOMAS W CHAPMAN EDD 1.0 X 0 185427 59810 DANIEL P GARCIA 2.0 X 0 1280238 73787 WILLIAM R GRABER 1.0 X 0 232123 0 J EUGENE GRIGSBY III PHD 1.0 X 0 193743 0 GEORGE C HALVORSON 5.0 X X 0 7667335 76092 JUDITH A JOHANSEN 0.5 X 0 184560 0 KIM J KAISER 0.5 X 0 122875 0 PHILIP A MARINEAU 0.5 X 0 193623 0 JENNY J MING 0.3 X 0 182748 0 EDWARD PEI 0.5 X 0 168250 16500 J NEAL PURCELL 0.5 X 0 219738 0 CYNTHIA A TELLES PHD 0.5 X 0 182647 0 SANDRA P THOMPKINS 0.5 X 0 166951 0 JENNIFER M GARDNER 4.0 X 0 103247 54938 KATHRYN LANCASTER 4.0 X 0 1558076 296474 ANDREW R McCULLOCH 25.0 X 0 813153 207622 THOMAS R MEIER 3.0 X 0 647785 107439 DONALD ORNDOFF 5.0 X 0 508058 70932 ARTHUR M SOUTHAM MD 5.0 X 0 2020299 353928 DEBORAH STOKES 4.0 X 0 622642 123860 BERNARD J TYSON 5.0 X 0 1942514 359961 WILLIAM N WIECHMANN 50.0 X 0 365887 75641 STEVEN ZATKIN 5.0 X 0 1247253 97716 VICTORIA ZATKIN 4.0 X 0 311369 83647 MARK ZEMELMAN 4.0 X 0 806199 150636 MARK CHARPENTIER 30.0 X 0 377568 77720 MARK ENGER 30.0 X 0 533013 103085 SUSAN HENNESSY 30.0 X 0 648615 294661 SUSAN MULLANEY 30.0 X 0 329000 29037 KAREN SCHARTMAN 30.0 X 0 402595 86708 MARK BURMESTER 30.0 X 0 363986 65405 MARY DURHAM 30.0 X 0 336692 102067 MICHAEL THOMAS GRANT 30.0 X 0 318518 68593 MICHAEL KINARD 30.0 X 314803 0 77039 RICHIE SMITH 30.0 X 0 301337 58604 CHRISTINE MALCOLM 0.0 X 0 568721 12021 314803 26279410 3183923 696 true true false NORTHWEST PERMANENTE PC 500 NE MULTNOMAH STREET PORTLAND OR 97232 MEDICAL SERVICES 417542110 PERMANENTE DENTAL ASSOCIATES 500 NE MULTNOMAH STREET PORTLAND OR 97232 DENTAL SERVICES 36926427 ST JOHN MEDICAL CENTER 1615 DELAWARE ST LONGVIEW WA 98632 HOSPITAL SERVICES 19316356 OREGON HEALTH SCIENCE UNIVERSITY 3181 SW SAM JACKSON PARK RD PORTLAND OR 97239 HOSPITAL SERVICES 26062917 KAISER FOUNDATION HOSPITALS 500 NE MULTNOMAH STREET PORTLAND OR 97232 HOSPITAL SERVICES 621811957 278 56498 56498 MBR HLTH CARE PREM 621400 1909112446 1909112446 SUPPL CHARGE/PHARM 621400 137469644 136210542 1259102 NON-PLAN & IND REV 621400 7929555 7929555 OTHER PRGRM SERV 621400 26628751 26628751 MEDICARE 621400 601810450 601810450 2682950846 21957911 21957911 0 0 629781 497387 132394 132394 132394 342817793 2735025 334632348 2950688 8185445 -215663 7969783 7969783 0 0 0 MISC REVENUE 900099 13083624 13083624 13083624 2726151056 2681691744 1259102 43143712 338109 338109 0 0 0 314803 311655 3148 0 416334272 385984661 30349611 56125255 56125255 155866007 139697306 16168701 33045333 33045333 0 6582 6582 1214238 1214238 262103 262103 0 430659 430659 318556280 305025351 13530929 19626582 1082486 18544096 6902591 6329128 573463 131298023 113257338 18040685 0 19699540 19673188 26352 3086718 2779383 307335 0 209820 209820 5635356 5635356 0 32096014 32096014 10212868 10212868 BASIC CONTRACT PAYMENTS 1054664317 1054664317 SUPPLIES 312498729 303087142 9411587 INTER-REGIONAL CHARGES 58414156 55407124 3007032 BUSINESS LICENSE & TAXES 17964617 17964562 55 EQUIPMENT RENTAL & MAINT 8167184 8155590 11594 41811721 36904659 4907062 2704781877 2587776825 117005052 0 4588886 5377638 52888817 55396885 22759780 23191438 3606060 4963066 553076446 306791999 237791967 246284447 688984555 686306705 4489297 2677471 1015109362 1024197650 153035241 142589262 23792954 26266333 689594632 772247199 866422827 941102794 X 4712722 4712722 143973813 78382134 148686535 83094856 1015109362 1024197650 X 21369179 -86960858 X false true true X false X 56498 56498 2151214826 2346496968 2461397785 2573087902 2682950846 12215148327 2151214826 2346496968 2461397785 2573087902 2683007344 12215204825 12215204825 30951565 31794233 30524341 26785941 22587692 142643772 30951565 31794233 30524341 26785941 22587692 142643772 2182166391 2378291201 2491922126 2599873843 2705595036 12357848597 0.98846 0.98681 0.01154 0.01320 X The amounts reported on line 10a for 2008 and 2009 have been restated to include the amount of gross revenue from interest, dividends and similar sources. The form 990 as originally filed overstated the amount. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false true false false false false true 193184 true 28409 true 40510 262103 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 and benefited from lobbying activities conducted at the regional and national level for the benefit of its enrolled members and for the health care industry as a whole. As an organization generally exempt from income tax under Internal Revenue Code Section 501(c)(3), Health Plan has a policy prohibiting internal involvement in any political campaigns. This policy is closely monitored for compliance. During the year this Organization may have made comments or statements concerning legislation which may affect the health care industry. Health Plan may have engaged in telephone conversations and/or written letters 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 has several employees and/or may retain a professional consultant to represent Health Plan's interests in various legislative and regulatory bodies and from time-to-time to keep informed of 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 Interest of Health Plan and its members by performing the following activities: (i) 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 in a cost effective environment. (ii) Providing appropriate informational materials to legislators and to their staffs that pertain to matters of common interest in the health care community and in the not-for-profit community. (iii) Also by preparing written and oral testimony, these individuals appear at legislative hearings, monitor legislative proceedings and meet with legislators and/or their staffs regarding issues pertinent to the mission of Health Plan. Those 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 of Health Plan. (iv) 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. 39283592 39283592 373977714 227160635 146817079 130079829 78645140 51434689 9735311 986224 8749087 246284447 0 RESERVE FOR SELF INSURED RISKS 2183200 RESERVE FOR PROF & PUBLIC LIAB 0 RESERVE FOR WORKERS COMP RISK 4313472 POST RETIREMENT BENEFIT-LT 743143018 POST RETIREMENT BENEFIT-CURRT 8259130 OTHER LIABILITIES & DEPOSITS 14348379 772247199 2726151056 2704781877 21369179 -6332067 -80628792 -86960859 -65591680 2700917290 14553612 14553612 2686363678 39787378 39787378 2726151056 2766508970 6332067 85119110 91451177 2675057793 29724084 29724084 2704781877 Schedule D, Part XI, Line 8 CHANGE IN OTHER COMPREHENSIVE INCOME $ (40,035,935) DIVIDENDS PAID (40,000,000) Gain on sale of investments - book 9,470,437 Gain on sale of investments - tax (8,185,445) see "note 1" (1,877,849) $ (80,628,792) note 1: other than temporary impairment ("OTTI") of investment recognized for financial statement purposes, which will be tax-reported when realized Schedule D, Part XII, Line 2d Gain on sale of investments - book $ 9,470,437 rental expense reclass 497,387 Interentity revenue reclass 4,341,159 loss on fixed assets reclass 244,629 total $ 14,553,612 Schedule D, Part XII, Line 4b Bad Debt expense reclass $ 10,574,925 Gain on sale of investments - tax 8,185,445 SEE PART XI, LINE 8, NOTE 1 1,877,849 INVESTMENT MANAGEMENT EXP RECLASS 430,659 Misc revenue reclass 18,718,500 total $ 39,787,378 Schedule D, Part XIII, Line 2d CHANGE IN OTHER COMPREHENSIVE INCOME $ 40,035,936 DIVIDENDS PAID 40,000,000 rental expense reclass 497,387 Interentity revenue reclass 4,341,159 loss on fixed assets reclass 244,629 total $ 85,119,110 Schedule D, Part XIII, Line 4b Bad Debt expense reclass $ 10,574,925 INVESTMENT MANAGEMENT EXP RECLASS 430,659 Misc revenue reclass 18,718,500 total $ 29,724,084 Schedule D, Part X, QUESTION 2 NOT REQUIRED true American Heart Association 1200 NW Naito Parkway Portland OR 97209 135613797 501(c)(3) 26820 Start! Greater Portland Heart & Stroke Walk 2010 Canby School Distirct 1130 S Ivy St Canby OR 97013 936000230 GOVT ENTITY 30000 Canby Dental Health for Children and Youth Project Chemeketa Community College Foundation PO Box 14007 Salem OR 97309 936097106 GOVT ENTITY 50000 Circle of Smiles Campaign City of Hillsboro 150 East Main St Hillsboro OR 97124 GOVT ENTITY 7825 Celebrate Hillsboro 2010 Coalition for a Livable Future 107 SE Washington 239 Portland OR 97214 931278845 501(c)(3) 9125 Regional Livability Summit 2010 Free Clinic of SW Washington 4100 Plomondon Street Vancouver WA 98661 911707542 501(c)(3) 40000 Adult Dental Program Oregon Center for Nursing 5000 N Willamette Blvd Portland OR 972035798 743052430 501(c)(3) 11500 Leadership at the Point of Care: The Critical Role Portland Schools Foundation 2069 NE Hoyt St Portland OR 97232 931149789 501(c)(3) 9600 2010 Portland Roast Festival Susan G Komen for the Cure Oregon & SW Washington 1500 SW 1st Ave 270 Portland OR 97201 931068897 501(c)(3) 14950 Race for the Cure 2010 United Way of the Columbia Willamette 619 SW 11th Ave Portland OR 97205 930582124 501(c)(3) 7500 Creston Children's Dental Center Upstream Public Health 240 North Broadway Portland OR 972145748 421579435 501(c)(3) 20000 Community Water Fluoridation Community Engagement 11 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 MARK BURMESTER 0 229906 0 104860 0 29220 0 51865 0 13540 0 429391 0 0 CHRISTINE K CASSEL MD 0 172625 0 0 0 0 0 0 0 0 0 172625 0 0 THOMAS W CHAPMAN EDD 0 185427 0 0 0 0 0 59810 0 0 0 245237 0 0 MARK CHARPENTIER 0 236937 0 107855 0 32776 0 65062 0 12658 0 455288 0 0 MARY DURHAM 0 206955 0 95203 0 34534 0 89073 0 12994 0 438759 0 0 MARK ENGER 0 335545 0 159659 0 37809 0 90091 0 12994 0 636098 0 0 DANIEL P GARCIA 0 517930 0 585000 0 177308 0 62481 0 11306 0 1354025 0 151518 JENNIFER M GARDNER 0 95718 0 6040 0 1489 0 41870 0 13068 0 158185 0 0 WILLIAM R GRABER 0 232123 0 0 0 0 0 0 0 0 0 232123 0 0 MICHAEL THOMAS GRANT 0 201403 0 96930 0 20185 0 55053 0 13540 0 387111 0 0 J EUGENE GRIGSBY III PHD 0 193743 0 0 0 0 0 0 0 0 0 193743 0 0 GEORGE C HALVORSON 0 1177487 0 5155125 0 1334723 0 62481 0 13611 0 7743427 0 0 SUSAN HENNESSY 0 273460 0 166537 0 208618 0 281667 0 12994 0 943276 0 99938 JUDITH A JOHANSEN 0 184560 0 0 0 0 0 0 0 0 0 184560 0 0 MICHAEL KINARD 233490 0 76568 0 4745 0 64045 0 12994 0 391842 0 0 0 KATHRYN LANCASTER 0 615090 0 919900 0 23086 0 283406 0 13068 0 1854550 0 0 CHRISTINE MALCOLM 0 0 0 0 0 568721 0 0 0 12021 0 580742 0 0 PHILIP A MARINEAU 0 193623 0 0 0 0 0 0 0 0 0 193623 0 0 ANDREW R McCULLOCH 0 392037 0 353325 0 67791 0 194628 0 12994 0 1020775 0 0 THOMAS R MEIER 0 316076 0 297094 0 34615 0 94371 0 13068 0 755224 0 0 JENNY J MING 0 182748 0 0 0 0 0 0 0 0 0 182748 0 0 SUSAN MULLANEY 0 239047 0 86475 0 3478 0 15497 0 13540 0 358037 0 0 DONALD ORNDOFF 0 333479 0 0 0 174579 0 57212 0 13720 0 578990 0 0 EDWARD PEI 0 168250 0 0 0 0 0 16500 0 0 0 184750 0 0 J NEAL PURCELL 0 219738 0 0 0 0 0 0 0 0 0 219738 0 0 KAREN SCHARTMAN 0 271324 0 115476 0 15795 0 73640 0 13068 0 489303 0 0 RICHIE SMITH 0 251555 0 26560 0 23222 0 45401 0 13203 0 359941 0 0 ARTHUR M SOUTHAM MD 0 735252 0 1241861 0 43186 0 342622 0 11306 0 2374227 0 0 DEBORAH STOKES 0 313713 0 249552 0 59377 0 110792 0 13068 0 746502 0 40338 CYNTHIA A TELLES PHD 0 182647 0 0 0 0 0 0 0 0 0 182647 0 0 SANDRA P THOMPKINS 0 166951 0 0 0 0 0 0 0 0 0 166951 0 0 BERNARD J TYSON 0 737887 0 1180500 0 24127 0 346893 0 13068 0 2302475 0 0 WILLIAM N WIECHMANN 0 225300 0 124878 0 15709 0 62647 0 12994 0 441528 0 0 STEVEN ZATKIN 0 283028 0 932500 0 31725 0 86239 0 11477 0 1344969 0 0 VICTORIA ZATKIN 0 196570 0 80174 0 34625 0 81763 0 1884 0 395016 0 0 MARK ZEMELMAN 0 342852 0 224105 0 239242 0 137956 0 12680 0 956835 0 57187 Schedule J, 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, line 4a Christine Malcolm $ 568,515 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, Line 4b George Halvorson $ 1,237,500 Mark Zemelman 218,741 Daniel Garcia 151,518 Susan Hennessy 99,938 Deborah Stokes 40,338 Steven Zatkin 5,463 Thomas Meier 609 Kathryn Lancaster 368 total $ 1,754,475 Some of the listed persons participated in nonqualified supplemental retirement plans. Under these plans, the organization makes annual contributions to accounts held in the name of individual participants. Contributions vary by position level and pay, and vest over time based on age and/or service. Participant accounts are credited with actual investment returns from up to four mutual funds and/or with a fixed rate of interest or a combination thereof. Unvested amounts are subject to risk of forfeiture. Schedule J, Line 7 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. MARK MALCOLM KFHP INC EMPLOYEE 96476 COMPENSATION false Form 990, Part III, Lines 4a - 4d 2010 COMMUNITY BENEFIT REPORT KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST Kaiser Foundation Health Plan of the Northwest or "Northwest Health Plan" is a tax-exempt subsidiary health plan of Kaiser Foundation Health Plan, Inc. (KFHP). Northwest Health Plan, as well as Kaiser Foundation Hospitals (KFH) are nonprofit corporations that are part of the integrated health care delivery system known as the Kaiser Permanente Medical Care Program or "Kaiser Permanente." In 2010, the Northwest Health Plan served 476,345 medical members and another 181,673 dental members through 109 Permanente dentists and 8,346 full-time clinical, administrative and technical personnel. Kaiser Permanente is an integrated health care delivery system that combines the provision and financing of health care services. People who elect to enroll in a Kaiser Permanente health plan receive a full range of prepaid health care services, including hospital care, professional care in hospitals and physicians' offices, x-ray and laboratory services, physical therapy, emergency, ambulance transportation, preventive services, health education, and certain prescribed drugs. More comprehensive drug coverage is also provided through a separate coverage rider. Northwest Health Plan provides and arranges comprehensive health care services for members on a predominantly prepaid basis and fulfills its contractual obligations to group and individual members by contracting with KFH, and a Permanente Medical Group to provide required health care services. Membership in KFHP and its health plan subsidiaries is available without regard to sex, race, religion, ethnic background, sexual orientation, occupational status, or income level. Health Plan members are broadly representative of the various ages, social, and income groups within the areas served. Once enrolled, a member is free to maintain membership regardless of age, health status or employment. KAISER PERMANENTE'S COMMITMENT TO THE COMMUNITY Kaiser Permanente believes its Direct Community Benefit Investment (DCBI), is fundamental to being a nonprofit organization. It embodies the organization's commitment to improve the health of communities beyond services to Health Plan members. It is more than traditional corporate citizenship or corporate philanthropy. It is an intentional, planned, budgeted, measurable, accountable creation for better health in our communities. It is done in collaboration with, not in isolation from, the community. DCBI serves to fulfill Kaiser Permanente's social purpose, justify its tax-exempt status, and differentiate it from other health care organizations. This tradition of community benefit dates from the earliest days of the Program, when charitable care to non-employees, and later, nonmembers, was initiated. That heritage has continued through the years in Kaiser Permanente's early participation in publicly financed programs such as Medicaid and Medicare, establishment of residency training and medical research programs, and later, in the development of the Educational Theatre Programs, Safety Net Partnerships, Community Health Initiatives and Charitable Health Coverage Programs. In 2007, the KFHP/H Board of Directors refined the focus of the organization's Community Benefit Program and established the following four priority areas which have come to be known as "streams of work": - Care and Coverage for Low-Income People - Creates and supports programs that lower the financial barriers for the under- and uninsured. - Community Health Initiatives - Designs, delivers, and sustains long-term programs that engage communities in work to improve conditions in their neighborhoods. - 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. - Developing and Disseminating Knowledge - Improves health care by sharing our knowledge- educating practitioners, advancing research, empowering consumers and informing policymakers about the evidence base for care and health. The Board elaborated that at least 75% of total community benefit funding will be directed to program priorities within the four streams of work and the remaining 25% of funding will be directed by local regions to respond to local community benefit needs and opportunities that may or may not be within the four priority areas. . THE COMMUNITY BENEFIT PROGRAM IN THE NORTHWEST REGION In 2010, Northwest Health Plan expended $66 million for Community Benefit investments. The following identifies many of the signature community benefit programs and services grouped according to the national streams of work funded by Northwest Health Plan in Oregon and Washington. CARE AND COVERAGE FOR LOW-INCOME PEOPLE There are roughly 46 million Americans without access to health care or coverage. Uninsured, low-income individuals and families who are not eligible for public programs often have to rely on traditional charity care. Frequently, individuals in this situation may wait to seek medical care until their conditions become critical, and end up in hospital emergency rooms for treatment of conditions that are preventable or easily treated in earlier stages. In 2010, Health Plan in the Northwest spent $66 million 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. Charitable Care (Financial Assistance Program and Charitable Health Coverage) In Oregon and Washington, Northwest Health Plan provided charity care to low-income vulnerable populations through the Financial Assistance and Charitable Health Coverage Programs. In 2010, the Northwest Health Plan spent $25 million on approximately 5,400 under- and uninsured residents in Oregon and Washington. Financial Assistance Program This program helps pay the medical and dental expenses of patients, both member and nonmember, who meet qualifying guidelines by paying for services at facilities owned and/or operated by the Northwest Health Plan. The length of financial assistance is based on individual need. At the end of the financial assistance award period, the patient may apply for an extension. Kaiser Permanente's charity care program also includes discounted charges for uninsured patients below 400% of the federal poverty guidelines. In 2010, Northwest Health Plan spent $8.9 million and served 7,726 applicants who qualified for medical assistance or the uninsured discount. Charitable Coverage Program Charitable Health Coverage (CHC) is a unique approach to caring for low-income uninsured persons in the community. Participants receive a regular Kaiser Permanente membership card and access to the full range of our service and providers-a much better alternative to a brief and costly emergency room visit or hospitalization. This allows us to invest in the longer term health of patients and the community. Since inception in the early 1980s, CHC programs have made a real difference in the lives of persons who might otherwise have no other source of care. The Northwest Health Plan provided coverage and services valued at $16.5 million to provide subsidized coverage to 5,400 low-income adults and children who are not eligible for standard Medicaid or privately funded coverage. The Charitable Health Coverage Program consists of Transitions, Child Health Plan, and Washington Basic Health. - Transitions - This program is a fully subsidized health insurance program for eligible low-income families. Eight college campuses currently participate within the Portland Metropolitan area. Students must be enrolled in a participating school, meet the financial criterion, and can not be enrolled in another private or pubic health care plan. Graduates are eligible for an additional six months coverage or until the employer-paid coverage is activated. - Child Health Plan - Northwest Health Plan offers full subsidy health insurance for eligible low-income students. Currently, 180 schools within the Multnomah Education Service District, Salem-Keizer School District and Hillsboro School District participate in this program. Students must be enrolled in a participating school, meet the financial criterion, and can not be enrolled in another private or pubic health care plan. The participating school districts act as the administrator for the program and are responsible for outreach and enrollment. - Washington Basic Health Plan - This program offers quality low-cost health coverage to eligible people who live in Washington State and managed by Washington Health Care Authority (HCA). The Northwest Health Plan provides services to eligible participants who reside in Clark or Cowlitz counties. . Participation in Medicaid and Other Government-Sponsored Programs The Northwest Health Plan provided coverage and services valued at $39 million (in excess of reimbursement) for members and nonmembers in government-sponsored programs. Medicaid Member Programs The Northwest Health Plan participated in three Medicaid programs in Oregon and Washington. The following describe the programs and target populations. - Oregon Health Plan - Northwest Health Plan receives monthly capitated premiums from the Division of Medical Assistance Program (DMAP). Members are enrolled based on eligibility criteria. Health Plan provides services to eligible participants who reside in Clackamas, Multnomah, Polk, and Marion counties. - Washington Basic Health Plus (BH-Plus) - This is Washington's Medicaid program for children under age of 19 who live in households that meet the eligibility guidelines for Medicaid. The Maternity Benefits Program is a Medicaid program for pregnant women. The Department of Social and Health Services (DSHS) determines eligibility for BH-Plus. Northwest Health Plan provides services to eligible participants who reside in Clark and Cowlitz counties. Medicaid to Nonmembers Northwest Health Plan contributed $1.2 million in subsidized care to Medicaid Fee-for-Service patients. When a Medicaid nonmember receives services from Kaiser Permanente providers at contract hospitals or outpatient services as a result of hospital visit follow-up, or in-patient services for Medicaid members in Oregon, these expenses are recorded as non-capitated services and are reported as professional and non-professional losses for Medicaid nonmembers. Other Government Programs The Oregon and Washington Medical Insurance Pools are high-risk insurance pools for the State of Oregon and Washington. Legislation allows the states to spread a portion of the program expenses for enrollees across the individuals who are insured wholly or in part by all health insurers, re-insurers and stop-loss carriers licensed in the state. Assessments fund less than half of the program expenditures. The Oregon Medical Insurance Pool distributes the responsibility for paying the assessment among the health insurers based on the total number of Oregonians that each insures. The Northwest Health Plan contributed $16.2 million to these programs. COMMUNITY HEALTH INITIATIVES As an innovator in health, Kaiser Permanente designs, delivers and sustains long-term programs that engage communities in work to improve conditions in their neighborhoods, workplaces and schools to support good health, particularly Healthy Eating, Active Living (HEAL). In 2010 the Northwest Health Plan provided human and in-kind support to more than 19 nonprofit organizations SAFETY NET PARTNERSHIPS Through funding, technical assistance, public policy advocacy, training and volunteering, dissemination of care-management and quality improvement technologies, Kaiser Permanente helps these vital health care providers improve care and expand treatment capacity for the communities and vulnerable people they serve. During 2010, Northwest Health Plan provided staff and in-kind support to more than 31 nonprofit safety net organizations in Oregon and Washington. OTHER COMMUNITY BENEFITS The Northwest Health Plan expended more than $119 thousand on community benefits activities and programs beyond the national streams of work. The following are examples: The Northwest Health Plan provided $60,000 in grant funding to the Dental Solutions for Children program that operates under the Salem Keizer School District. The program coordinates vital services to 64 schools by collaborating with multiple community partners, providing a safety net dental care program for low income, uninsured children in acute pain. Another Health Plan grant example is a $50,000 award to Chemeketa Community College Foundation. Chemeketa's Health Science Complex, opening in 2011, will include a community & teaching dental clinic that will provide low-cost or no-fee dental care to underserved populations. Students in Chemeketa's Dental Hygiene and Dental Assisting programs, under the supervision of a dentist, will provide care while receiving excellent hands-on experience. . 2010 COMMUNITY BENEFIT INVESTMENT - NORTHWEST HEALTH PLAN The following chart summarizes 2010 Community Benefit investments in Oregon and Washington States Health Plan. The investments in the community reflected in the chart are unaudited. CARE AND COVERAGE Charitable Care and Coverage Programs $ 25,375,034 Government-Sponsored Programs 39,428,192 CB Operations for Care & Coverage 1,210,495 Subtotal: $ 66,013,721 COMMUNITY HEALTH INITIATIVES CB Operations for Community Health Initiatives $ 57,943 SAFETY NET PARTNERSHIPS Grants & Donations for Safety Net Partnerships $ 147,500 KNOWLEDGE DISSEMINATION CB Operations for Knowledge Dissemination $ 19,270 OTHER COMMUNITY BENEFITS Other CB Grants & Donations $ 118,560 TOTAL $ 66,356,994 Form 990, Part VI, Question 2 Family affiliations reported steven r zatkin - spouse: officer of kfhp inc., kfh and subsidiaries victoria zatkin - spouse: senior vp, general counsel and officer of kfh, kfhp inc. and regional health plans Form 990, Part VI, Question 6 Kaiser foundation health plan, inc is the sole member. Form 990, Part VI, Questions 7a KFHP appoints the directors (and fills vacancies and has authority to remove directors). The same 14 individuals who comprise the board of directors of KFHP also serve as the 14 directors of KFHP-CO, OH, 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 THE REGIONAL PRESIDENT; B) Amendment of article d, section d-4 of the bylaws - election and term of office of directors Form 990, 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. Executive compensation details are presented to the compensation committee of the board for review. 4. The complete tax return is reviewed and signed by a KPMG tax advisor. 5. The complete tax return is reviewed and signed by an officer or a member of management designated by an officer. 6. The tax return is discussed with the full board of directors. A copy of the return is provided to each board member in electronic format prior to filing. Form 990, Part VI, Questions 12c 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: 1. 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 and without fear of retaliation. 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 conflicts of interest. Compliance Hotline Reports are provided for review and action to the Kaiser Foundation Health Plan/ Hospitals Boards of Directors annually. 2. The Chief Compliance Officer and the VP of 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 3. 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. 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: A. Represented employees are subject to any corrective/disciplinary action provisions described in specific regional/national collective bargaining agreements and/or organizational policies and practices. B. 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. C. 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: (I) Oral discussion and/or warning by the employee's immediate supervisor or higher level manager to correct the problem (II) Written notice, with or without final warning (III) Paid or unpaid suspension, with or without final warning (IV) Termination of employment Form 990, Part VI, Question 15a/b 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 which evaluates and approves, prior to payment, all programs and payments to 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 at the median of 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 19 Governing documents - are available as provided to state Dept. of Insurance and maintained on state agency website or upon request. COI 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: VP - National Tax Compliance Kaiser Foundation Health Plan and Hospitals One Kaiser Plaza, 15L Oakland, CA 94612 Form 990, Part VII, Section A, Column B 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 5 CHANGE IN OTHER COMPREHENSIVE INCOME $ (40,035,935) DISTRIBUTION TO PARENT (40,000,000) NET UNREALIZED GAIN ON INVESTMENT (6,332,067) Gain on sale of investments - book 9,470,437 Gain on sale of investments - tax (8,185,445) OTHER THAN TEMPORARY IMPAIRMENTS (1,877,849) TOTAL $ (86,960,858) HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CHRISTINE K. CASSEL, MD TITLE:DIRECTOR HOURS:7 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THOMAS W. CHAPMAN, EDD TITLE:DIRECTOR HOURS:8 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DANIEL P. GARCIA TITLE:SVP, Chief Compliance Officer HOURS:48 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILLIAM R. GRABER TITLE:DIRECTOR HOURS:7 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:J. EUGENE GRIGSBY, III, PHD TITLE:DIRECTOR HOURS:7 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GEORGE C. HALVORSON TITLE:Chairman, CEO, President HOURS:45 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JUDITH A. JOHANSEN TITLE:DIRECTOR HOURS:6 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KIM J. KAISER TITLE:DIRECTOR HOURS:8 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PHILIP A. MARINEAU TITLE:DIRECTOR HOURS:6 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JENNY J. MING TITLE:DIRECTOR HOURS:5 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:EDWARD PEI TITLE:DIRECTOR HOURS:8 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:J. NEAL PURCELL TITLE:DIRECTOR HOURS:9 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CYNTHIA A. TELLES, PHD TITLE:DIRECTOR HOURS:7 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SANDRA P. THOMPKINS TITLE:DIRECTOR HOURS:6 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JENNIFER M. GARDNER TITLE:Special Asst to BOD HOURS:46 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KATHRYN LANCASTER TITLE:EVP & CFO HOURS:46 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ANDREW R. McCULLOCH TITLE:REGIONAL PRESIDENT - NW HOURS:25 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THOMAS R. MEIER TITLE:SVP & TREASURER HOURS:47 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DONALD ORNDOFF TITLE:SVP, NFS HOURS:45 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ARTHUR M. SOUTHAM, MD TITLE:EVP - HEALTH PLAN OPERATIONS HOURS:45 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DEBORAH STOKES TITLE:SVP, CORPORATE CONTROLLER, CAO HOURS:46 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BERNARD J. TYSON TITLE:President & COO HOURS:45 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILLIAM N. WIECHMANN TITLE:VP, REGIONAL COUNSEL - NW HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:STEVEN ZATKIN TITLE:SVP, General Counsel & Secreta HOURS:45 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:VICTORIA ZATKIN TITLE:VP, Off of Brd & Corp Gov Svcs HOURS:46 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARK ZEMELMAN TITLE:SVP, General Counsel & Secreta HOURS:46 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARK CHARPENTIER TITLE:VP, Mktg, Sls & Bus Devel HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARK ENGER TITLE:VP, Chief Operations Officer HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SUSAN HENNESSY TITLE:VP HEALTH PLAN SERVICES HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SUSAN MULLANEY TITLE:HOSPITAL ADMINISTRATOR HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KAREN SCHARTMAN TITLE:VP & CFO - NW HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARK BURMESTER TITLE:VP STRATEGIC PLANNING & COMM HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARY DURHAM TITLE:VP, The Center Health Research HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL THOMAS GRANT TITLE:VP HEALTH PLAN SERVICES ADMIN HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL KINARD TITLE:Ambulatory Care Svc Leader HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RICHIE SMITH TITLE:VP, HR - 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