2016-11-09T17:55:49-06:00 2015-12-31 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2015-01-01 930798039 KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST % SVP CC AND CAO KAIS 5102716611 ONE KAISER PLAZA 15L OAKLAND CA 94612 ALFONSE L UPSHAW svp, cc and cao 2016-10-19 ROBERT W FRIZ P00438748 2673303000 2016-10-11 2015 2017-02-10 21:41:12Z ANDREW R MCCULLOCH ONE KAISER PLAZA 15L OAKLAND CA 94612 4124009508 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. 16 14 8236 442 5412140 105012 13725 3321357419 3526336068 22626802 17958222 341724 364133 3344430957 3544672148 204055 165780 0 0 799747251 856996875 0 0 0 2520290867 2658428557 3320242173 3515591212 24188784 29080936 1376085384 1562415738 1191917215 1101722342 184168169 460693396 X TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE. false false 3107857894 165780 3440104797 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. 24235742 0 48499 4b - 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 2015, this program assisted more than 15,000 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 3,800 individuals were receiving comprehensive health care through this program at the end of 2015. 151709450 0 86182772 4c - 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 2015, more than 29,000 individuals were receiving the benefits of full membership in KFHP-NWs Medicaid managed care program. Approximately 12,300 more individuals were members of the Childrens 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. 2169721 0 0 SEE SCHEDULE O COMMUNITY BENEFIT REPORT 2169721 0 0 3285972807 true false 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 true true true true false false true 3248 0 true 8236 true true true false false false false false false false false false X 16 14 false false true 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 Regina M Benjamin MD Director 0.5 7.5 X 0 111068 0 Thomas W Chapman EdD Director 1.0 14.0 X 0 227466 18000 Jeffrey E Epstein Director 0.5 7.0 X 0 214672 0 Daniel Garcia SVP, Chief Compliance Officer 2.0 48.0 X 0 1530525 100746 William R Graber Director 0.5 7.0 X 0 255742 0 J Eugene Grigsby III PhD Director 1.0 7.0 X 0 226900 0 Leslie S Heisz Director 0.5 5.5 X 0 214281 0 David Hoffmeister Director 0.25 7.0 X 0 205066 0 Judith Johansen Director 0.5 8.0 X 0 242558 0 Kim J Kaiser Director 1.0 6.5 X 0 226996 0 Philip A Marineau Director 0.58 5.86 X 0 226213 0 Edward YW Pei Director 0.25 6.75 X 0 230964 18000 Margaret E Porfido Director 0.5 6.0 X 0 255935 0 Richard Shannon Director 0.5 5.0 X 0 226500 0 Cynthia A Telles PhD Director 0.5 7.0 X 0 251566 0 Bernard Tyson Chairman & CEO 6.0 44.0 X X 0 5863794 176229 Maryann Bodayle Assistant Secretary 1.0 49.0 X 0 168202 19335 Kathryn Lancaster EVP & CFO 4.0 46.0 X 0 2591094 217751 Donna Lynne EVP, GP & Region Pres - CO 4.0 46.0 X 0 1560663 965782 Andrew McCulloch Region President - Northwest 25.0 25.0 X 0 1168149 438831 Thomas Meier SVP, Corporate Treasurer 2.0 48.0 X 0 1016347 73599 Donald Orndoff SVP, NFS 5.0 45.0 X 0 1197707 190253 Jacqueline Sellers Assistant Secretary 6.0 44.0 X 0 277974 50096 Arthur Southam EVP, Health Plan Operations 5.0 45.0 X 0 2839616 98493 Deborah Stokes SVP, Controller & CAO 4.0 46.0 X 0 862251 64249 William Wiechmann Assistant Secretary 50.0 0.0 X 0 425248 108443 Victoria Zatkin VP, Off of Brd & Corp Gov Svcs 5.0 45.0 X 0 457349 83732 Mark Zemelman SVP, General Counsel & Secy 1.0 49.0 X 0 1599287 159419 Mark Charpentier VP, Mktg/Sls/Bus Dev/Comm - NW 50.0 0.0 X 0 203880 22878 Keith Forrester VP, MSBD - Northwest 50.0 0.0 X 0 296544 84119 David Lake VP, Strategy & Health Plan Ops 50.0 0.0 X 0 328613 94150 Susan Mullaney VP, COO - NW 50.0 0.0 X 0 424442 102854 Karen Schartman VP & CFO 50.0 0.0 X 0 499139 104996 Stephen Shawn Barton Exec Dir, Revenue Cycle - NW 50.0 0.0 X 0 367529 54577 Mary L Durham VP, The Center Health Research 50.0 0.0 X 0 516906 73047 Adam Nemer Exec Dir, Claims Memb & Ben 50.0 0.0 X 0 321068 45296 Wendy N Watson VP, Regl Prof Services 50.0 0.0 X 0 310203 66248 Kenneth R Wright VP, Dental Care Svcs - NW 50.0 0.0 X 0 369083 124296 Erin Downing Special Assistant to the Board 0.0 50.0 X 0 134369 17572 Steven Zatkin SVP, General Counsel & Secy 0.0 0.0 X 0 261259 0 0 28707168 3572991 1249 true true false KAISER FOUNDATION HOSPITALS 500 NE MULTNOMAH STREET PORTLAND OR 97232 MEDICAL SERVICES 884498141 NORTHWEST PERMANENTE PC 500 NE MULTNOMAH ST 15TH FLOOR PORTLAND OR 97232 MEDICAL SERVICES 561885850 OREGON HEALTH SCIENCE UNIVERSITY PO BOX 3181 SW SAM JACKSON PARK RD PORTLAND OR 97201 MEDICAL SERVICES 54280312 PERMANENTE DENTAL ASSOCIATES 500 NE MULTNOMAH ST 16TH FLOOR PORTLAND OR 97232 DENTAL SERVICES 47606865 LEGACY SALMON CREEK HOSPITAL PO BOX 2077 PORTLAND OR 97208 MEDICAL SERVICES 46654234 158 13725 13725 MBR HLTH CARE PREM 900099 2378923514 2378923514 MEDICARE 900099 799867806 799867806 SUPPL CHARGE/PHARM 900099 148839372 143433388 5405984 NON-PLAN & IND REV 900099 9739462 9739462 OTHER PRGRM SERV 900099 188965914 188965914 3526336068 17737515 17737515 0 0 402153 38020 364133 0 364133 6156 357977 578879703 640344 577795154 1504186 1084549 -863842 220707 220707 0 0 0 0 3544672148 3520930084 5412140 18316199 165780 165780 0 0 0 0 0 546521087 511537419 34983668 103309145 103387706 -78561 162759076 144769551 17989525 44407567 44209004 198563 0 1530239 1530239 1299169 1299169 0 0 847708 847708 324856107 296707621 28148486 4832128 612996 4219132 10864842 9675297 1189545 181184019 140335323 40848696 0 14126496 14126496 2746969 2324659 422310 0 1379021 1379021 0 350834 350834 0 36844237 36820681 23556 16241679 16241590 89 MEDICAL SERVICE PAYMENTS 1482519478 1482519478 SUPPLIES 455430604 414307091 41123513 INTER-REGIONAL CHARGES 35149093 29590063 5559030 HIGH-RISK INSURANCE POOL COSTS 6642572 6642572 81583362 31648646 49934716 3515591212 3285972807 229618405 0 X 3479900 3919950 0 0 0 0 86937418 105843518 0 0 0 0 0 0 35338140 35761814 4563840 5500144 707601457 419757408 281919951 287844049 904788892 1063694804 0 0 0 0 0 0 59057243 59851459 1376085384 1562415738 206048458 307208177 0 0 32407106 35783439 0 0 0 0 0 0 0 0 0 0 953461651 758730726 1191917215 1101722342 X 4712722 179712721 0 0 179455447 280980675 184168169 460693396 1376085384 1562415738 X 29080936 -2678219 250122510 X false true X true false X 34240 55792 90559 105012 13725 299328 2817773409 2980226987 3143279380 3315037313 3520930084 15777247173 0 0 0 2817807649 2980282779 3143369939 3315142325 3520943809 15777546501 0 0 0 15777546501 19185497 16369318 14364423 14526894 18139668 82585800 0 0 0 0 0 0 19185497 16369318 14364423 14526894 18139668 82585800 0 0 2836993146 2996652097 3157734362 3329669219 3539083477 15860132301 0.99479 0.99421 0.00521 0.00579 X false false true false false false true 7643 true 64749 true 22041 true 92731 187164 false Schedule C, Part II-B, Lines 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. 31047254 31047254 457258144 278103027 179155117 29562187 19345433 10216754 157057700 111861867 45195833 32676172 10447081 22229091 287844049 0 SELF-INSURED RISK - PPL 19381600 SELF-INSURED RISK - WORKERS CO 57313641 SELF-INSURED RISK - AUTO & UNE 400000 POST RETIREMENT BENEFIT-LT 672579466 OTHER LIABILITIES 9056019 758730726 Schedule D, Part X, Line 2 ASC 740 Footnote: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE UNDER ASC 740. true All Hands Raised (Portland Schools Foundation) 2069 NE Hoyt St Portland OR 97232 931149789 501(c)(3) 11600 Portland Roast;Principal for Almost a Day American Heart Association 4383 SW Macadam Ave Portland OR 97239 135613797 501(c)(3) 31740 WorkplaceWellness Summit;Go Red for Women Lunchon Bicycle Transportation Alliance 233 NE 5th Ave Portland OR 97207 931057956 501(c)(3) 6850 Oregon Active Summit Catlin Gabel School 8825 SW Barnes Rd Portland OR 97225 930386804 501(c)(3) 10000 Track Event March of Dimes PO Box 5037 Portland OR 97205 131846366 501(c)(3) 11600 March for Babies;Nurse of the Year Virginia Garcia Memorial Health Center PO Box 486 Cornelius OR 97113 912077840 501(c)(3) 5500 Health Care Symposium;40th Anniversary Gala 6 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. false true false false false false false true false Stephen Shawn Barton Exec Dir, Revenue Cycle - NW 0 223288 0 139599 0 4642 0 0 0 0 0 367529 0 0 Maryann Bodayle Assistant Secretary 0 146552 0 19482 0 2168 0 0 0 0 0 168202 0 0 Thomas W Chapman EdD Director 0 206000 0 0 0 21466 0 0 0 0 0 227466 0 0 Mark Charpentier VP, Mktg/Sls/Bus Dev/Comm - NW 0 15436 0 182162 0 6282 0 0 0 0 0 203880 0 0 Erin Downing Special Assistant to the Board 0 100247 0 16564 0 17558 0 0 0 0 0 134369 0 0 Mary L Durham VP, The Center Health Research 0 214879 0 120102 0 181925 0 0 0 0 0 516906 0 108905 Jeffrey E Epstein Director 0 199000 0 0 0 15672 0 0 0 0 0 214672 0 0 Keith Forrester VP, MSBD - Northwest 0 217729 0 30689 0 48126 0 0 0 0 0 296544 0 0 Daniel Garcia SVP, Chief Compliance Officer 0 586604 0 889894 0 54027 0 0 0 0 0 1530525 0 0 William R Graber Director 0 244000 0 0 0 11742 0 0 0 0 0 255742 0 0 J Eugene Grigsby III PhD Director 0 226500 0 0 0 400 0 0 0 0 0 226900 0 0 Leslie S Heisz Director 199000 0 15281 0 0 214281 0 David Hoffmeister Director 194000 0 11066 0 0 205066 0 Judith Johansen Director 231500 0 11058 0 0 242558 0 Kim J Kaiser Director 221500 0 5496 0 0 226996 0 David Lake VP, Strategy & Health Plan Ops 206941 104022 17650 66682 27468 422763 0 Kathryn Lancaster EVP & CFO 779351 1512879 298864 199848 17903 2808845 233 Donna Lynne EVP, GP & Region Pres - CO 626191 887469 47003 932987 32795 2526445 0 Philip A Marineau Director 219000 0 7213 0 0 226213 0 Andrew McCulloch Region President - Northwest 443383 489607 235159 411791 27040 1606980 148793 Thomas Meier SVP, Corporate Treasurer 366589 535310 114448 46053 27546 1089946 19340 Susan Mullaney VP, COO - NW 304749 103147 16546 74002 28852 527296 0 Adam Nemer Exec Dir, Claims Memb & Ben 195578 122465 3025 19552 25744 366364 0 Donald Orndoff SVP, NFS 410384 523171 264152 160685 29568 1387960 182662 Edward YW Pei Director 218500 0 12464 18000 0 248964 0 Margaret E Porfido Director 239000 0 16935 0 0 255935 0 Karen Schartman VP & CFO 293586 188890 16663 91996 13000 604135 0 Jacqueline Sellers Assistant Secretary 191615 80592 5767 38315 11781 328070 0 Richard Shannon Director 226500 0 0 0 0 226500 0 Arthur Southam EVP, Health Plan Operations 818213 1665914 355489 72330 26163 2938109 14170 Deborah Stokes SVP, Controller & CAO 353904 429013 79334 42538 21711 926500 0 Cynthia A Telles PhD Director 240500 0 11066 0 0 251566 0 Bernard Tyson Chairman & CEO 1209932 3631595 1022267 142327 33902 6040023 0 Wendy N Watson VP, Regl Prof Services 224112 76743 9348 42323 23925 376451 0 William Wiechmann Assistant Secretary 246784 161773 16691 82418 26025 533691 0 Kenneth R Wright VP, Dental Care Svcs - NW 216269 114369 38445 94048 30248 493379 0 Victoria Zatkin VP, Off of Brd & Corp Gov Svcs 206699 110698 139952 78627 5105 541081 85167 Steven Zatkin SVP, General Counsel & Secy 0 0 261259 0 0 261259 256468 Mark Zemelman SVP, General Counsel & Secy 528915 844658 225714 126479 32940 1758706 0 Schedule J, Part I, line 3 METHODS USED TO ESTABLISH COMPENSATION OF CEO/EXECUTIVE DIRECTOR: THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS DESCRIBED BELOW TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF A RELATED ORGANIZATION. Schedule J, Part I, Line 4b SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENT: Mary L. Durham $142,834 Kathryn Lancaster 253,372 Andrew McCulloch 190,209 Thomas Meier 75,379 Donald Orndoff 238,394 Arthur Southam 309,647 Deborah Stokes 55,994 Bernard Tyson 635,105 Steven Zatkin 256,468 Victoria Zatkin 103,806 Mark Zemelman 179,473 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 individuals who comprise the board of directors of KFHP also serve as THE directors of KFHP COLORADO, NORTHWEST AND MID-ATLANTIC STATES. 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 PRESIDENT, THE GROUP PRESIDENT OR REGIONAL PRESIDENT; B) AMENDMENT OF ARTICLE D, SECTION D-4 OF THE BYLAWS - ELECTION AND TERM OF OFFICE. 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 benefit reporting details are presented to the community benefit committee of the board for review. 3. Prior to finalization, the return is reviewed by an external tax advisor. 4. 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. 5. Copies are then provided to board members 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, 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, QUESTION 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 RESOURCE 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, QUESTION 18 Forms 990 are available on www.guidestar.org. Form 990, PART VI, QUESTION 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, Government Relations 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 CHANGE IN CAPITAL $ 175,000,000 CHANGE IN pension and other retirement liabilities 79,456,419 BOOK-TO-TAX DIFFERENCE ON SALE OF INVESTMENTS 1,103,741 OTHER THAN TEMPORARY IMPAIRMENT LOSS (5,437,650) ---------------- TOTAL 250,122,510 FORM 990, PART III, LINES 4A - 4D 2015 Community Benefit Report Kaiser Foundation Health Plan of the Northwest Kaiser Foundation Health Plan of the Northwests 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 individuals 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. In addition to the streams of work above, KFHP-NW 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-NWs 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 the Northwest: In 2015, Northwest Health Plan served nearly 529,000 members and expended approximately $91.9 million (at cost, net of $86.2 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 Northwests mission. In 2015, Northwest Health Plan spent approximately $89.7 million (at cost, net of $86.2 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 2015, Northwest Health Plan spent approximately $24.2 million (at cost, net of $48 thousand of related revenues) on under- and uninsured patients. A.1.1. Medical Financial Assistance (MFA) Program Northwest 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 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 2015, KFHP-NW provided approximately $12.4 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 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 special circumstances. Northwest Health Plans MFA eligibility criteria allows insured patients falling at or below 300% of the Federal Poverty Guidelines (FPG) and uninsured patients falling at or below 350% of FPG to receive full (100%) 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 2015, the MFA program assisted more than 15,000 qualified applicants, including nearly 2,300 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 114,000 outpatient visits. 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-NWs CHC programs have a long history of making a real difference in the lives of low-income people who might otherwise have no permanent health care coverage. During 2015, KFHP-NW invested approximately $11.8 million (at cost, net of $48 thousand of related revenues) to support the CHC program. The CHC program included a separately administered premium subsidy that CHC members used 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. A.1.2.1. Child Health Program Plus 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 2015, more than 3,800 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 2015, the Northwest Health Plan provided coverage and services valued at $65.5 million (at cost, net of $86.2 million of related revenues) for members and nonmembers in programs sponsored by the federal and state governments. As of December 2015, KFHP-NWs membership in Medicaid programs exceeded 29,000. This represents an increase of almost 7,000 or 30% from year-end 2014. The Affordable Care Act is having a continuing 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 organizations Medicaid offerings closely aligns with and supports KFHP-NWs 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-NWs Medicaid program, a Medicaid Assistance Center (MAC) was opened for operation in 2014. 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 2015, KFHP-NW expended approximately $58.9 million (at cost, net of $86.2 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-capitated state program managed by the Washington State Health Care Authority (HCA). Northwest Health Plan provides services to eligible participants who reside in either Clark or Cowlitz counties through a subcontract with Molina Healthcare. A.2.1.2. Medicaid Fee-for-Service Northwest Health Plan contributed $3.3 million (at cost, net of $3.3 million of related revenues) in subsidized care to Medicaid Fee-for-Service patients during 2015. These patients have no formal membership affiliation with KFHP-NW. When a Medicaid nonmember receives services from Kaiser Permanente providers at hospitals or outpatient services as a result of hospital visit follow-up, these expenses are captured as professional and non-professional losses under the Medicaid nonmember program. A.2.1.3. Child Health Insurance Program (CHIP) In both Oregon and Washington, KFHP-NW participates as a provider in the states Child Health Insurance Program. The program provides health insurance to children whose family income is between 200 percent and 300 percent of the federal poverty level, and who are not eligible for Medicaid. Subsidies are provided on a sliding scale based on income. In both states, the program is governed by the Medicaid contract, and offers the same benefits. Northwest Health Plan incurred net losses of $9.7 million (at cost, net of $11.3 million of related revenues) under this program in 2015. A.2.2. Other Government Programs The Oregon Transitional Reinsurance Program supplements the federal program by helping to pay for high claims costs associated with individuals in previous high risk programs. The Washington Medical Insurance Pool provides coverage to individuals who were enrolled in the prior insurance pool program. Legislation allows the states to spread a portion of the expenses for enrollees across the pools of individuals who are insured wholly or in-part by all health insurers, re-insurers, and stop-loss carriers licensed in each state. Northwest Health Plan incurred net losses of $6.6 million (at cost, net of $0 million of related revenues) under these programs in 2015. E. Other Community Benefit Investments During 2015, Northwest Health Plan spent $2.2 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 organizations 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. F.1. Performance Metrics During 2015, key performance indicators for Kaiser Foundation Health Plan of the Northwest included: F.1.1. In Oregon and Washington: F.1.1.1 Medical product categories for which at least 99% of purchased products were free of harmful polyvinyl chloride (PVC) and bis(2-ethylhexyl) phthalate (DEHP) chemicals included: 1. Breast pumps; 2. Enteral nutrition products; 3. Exam gloves; and 4. Vascular catheters. F.1.1.2 Purchased 7.7 million kilowatt-hours of Clean Wind renewable power, thus reducing our organizations annual greenhouse gas emissions by over 2,900 metric tons of CO2-equivalent. F.1.1.3 Improved our energy use intensity (kBtu/rentable square foot) by 4% compared to our 2010 baseline year. F.1.1.4 Increased our spending on "sustainable food" (as defined by the Green Guide to Health Care) to approximately 16% of our overall spending on food. F.1.1.5 Responsibly reused, recycled or composted over 1,700 tons of materials. PART VI, LINE 4 THE BYLAWS OF THE CORPORATION WERE AMENDED IN 2015 WITH THE FOLLOWING SIGNIFICANT CHANGE: ON MARCH 12, 2015, ARTICLE D, DIRECTORS, SECTION D-2, NUMBER WAS AMENDED TO CHANGE THE NUMBER OF DIRECTORS FROM "UP TO 15" TO "A RANGE OF 13 TO 17". 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