2025-11-17T11:36:33-06:00 2024-12-31 PwC US Tax LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2024-01-01 910511770 KAISER FOUNDATION HEALTH PLAN OF WASHINGTON % CHIEF TAX OFFICER KAIS 5102716611 C/O KP Tax One Kaiser Plz FL 26 OAKLAND CA 94612 MICHAEL P WALTON CHIEF TAX OFFICER 5102716611 2025-10-22 true ROBERT W FRIZ P00438748 2673303000 2025-10-20 2024 2025-03-06 01:10:19Z CYNTHIA DOLD C/O KP Tax One Kaiser Plz FL OAKLAND CA 94612 6630719647 false X WWW.KP.ORG X 1945 WA TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE. 10 7 9151 336 10622272 0 72602436 43308264 4131619695 4264915608 -6795004 57598216 462505 533462 4197889632 4366355550 16241084 12611058 0 0 840406430 895380368 0 0 0 3679416082 3666157560 4536063596 4574148986 -338173964 -207793436 3561924176 3160639857 2865413564 2664105072 696510612 496534785 X TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE. false false 4151384459 9104766 4198125471 MEMBER HEALTH CARE SERVICES AND MEDICAL TRAINING FOR CARE IMPROVEMENT KAISER FOUNDATION HEALTH PLAN OF WASHINGTON, INC. (KFHP-WA) PROVIDES MEDICAL AND SURGICAL CARE, INCLUDING URGENT CARE SERVICES, EXTENDED CARE AND HOME HEALTH CARE, FOR ITS MEMBERS WITHOUT REGARDS TO AGE, SEX, RACE, RELIGION OR NATIONAL ORIGIN OR THE ABILITY TO PAY. KFHP-WA EDUCATES AND TRAINS MEDICAL STUDENTS AND OTHER HEALTH CARE PROFESSIONALS AND PROMOTES SCIENTIFIC AND NURSING EDUCATION IN ORDER TO IMPROVE CARE FOR OUR MEMBERS AND OUR COMMUNITY. KFHP-WA DIRECTLY INVESTS IN IMPROVEMENTS IN COMMUNITY HEALTH BY WORKING TO INCREASE ACCESS TO HEALTH CARE, IMPROVING THE CONDITIONS FOR HEALTH AND EQUITY AND PROVIDING HEALTH EDUCATION. 59271288 0 18749493 MEDICAID AND OTHER GOVERNMENT SPONSORED PROGRAMS KAISER FOUNDATION HEALTH PLAN OF WASHINGTON (KFHP-WA) IS COMMITTED TO IMPROVING MEDICAL CARE FOR BENEFICIARIES OF MEDICAID AND OTHER GOVERNMENT SPONSORED PROGRAMS, NOT ONLY FOR KFHP-WA MEMBERS, BUT ALSO, WITHIN THE COMMUNITIES WE SERVE. AT THE END OF 2024, OVER 12,000 PEOPLE WERE RECEIVING BENEFITS THROUGH KFHP-WA'S MEDICAID MANAGED CARE CONTRACTS. 40941016 0 0 CHARITY CARE (MEDICAL FINANCIAL ASSISTANCE) KAISER FOUNDATION HEALTH PLAN OF WASHINGTON (KFHP-WA) PROVIDES CHARITY CARE TO LOW INCOME VULNERABLE PATIENTS THROUGH THE MEDICAL FINANCIAL ASSISTANCE (MFA) PROGRAM. KFHP-WA 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 2024, THIS PROGRAM ASSISTED OVER 37,000 PEOPLE THROUGH FINANCIAL ASSISTANCE. 77300169 3506292 48040644 SEE EXEMPT PURPOSE ACHIEVEMENTS IN SCH O 77300169 3506292 48040644 4328896932 true true false true false false false false false false true false false false true false false false false false false true false false false false true true true false true false false false false false false true false false false false false true true true true false false true 7121 0 true 9151 true true true false false false false false false false false false true false X 10 7 false false false false true true true true true false false true true true true true true true true true true CA X CHIEF TAX OFFICER 5102716611 C/O KP TAX ONE KAISER PLZ FL 26 OAKLAND CA 94612 X Gregory Adams Chairman & CEO 4.0 46.0 X 0 12789811 186239 Kimberly Horn EVP, Group President, MOC 0.0 50.0 X 0 5678798 795510 Janet Liang EVP, Group President & COO 3.5 46.5 X 0 4322020 689685 Kathryn Lancaster EVP & CFO 3.5 46.5 X 0 4850102 153985 Brandon Cuevas EVP, Health Plan 3.8 46.2 X 0 3512002 842876 Vanessa Benavides EVP,Chief Legal Officer & Secy 1.0 49.0 X 0 2137057 486134 Andrew Bindman EVP, Chief Medical Officer 1.0 49.0 X 0 1545417 1048791 Angela Dowling Region President - WA 48.8 1.2 X 0 1544352 936757 David Thomason SVP,Corporate Controller & CAO 3.5 46.5 X 0 1720465 90610 Thomas Meier SVP, Corporate Treasurer 1.5 48.5 X 0 1502528 138446 Alfonse Upshaw SVP, CFO - NCAL 0.0 50.0 X 0 1240525 220778 Rebecca Williams Interim CFO 0.0 50.0 X 0 824068 309410 Arthur Southam EVP, Health Plan Ops & CGO 0.0 0.0 X 0 1120683 0 Mark Zemelman SVP, General Counsel & Secy 0.0 0.0 X 0 257774 799702 Pamela Warren VP, HPSA - WA 50.0 0.0 X 0 742041 189953 Christine Lindsey VP, FP&A 50.0 0.0 X 0 946357 -31221 Ryan Jenson Interim Corp Controller & CAO 3.5 46.5 X 0 763515 133533 Jocelynne McAdory VP, Human Resources -WA Market 50.0 0.0 X 0 610565 149460 Rita Mangione-Smith VP,Resch/Healthcare Innovation 50.0 0.0 X 0 602803 127130 Todd Hesse VP, Sales & Acct Mgmt 10.0 40.0 X 0 550129 167885 Christina Lockwood Assistant Secretary 1.5 48.5 X 0 562627 135339 Shawna Sweeney Assistant Secretary 49.8 0.2 X 0 577096 117395 John Bry VP, CFO - Washington 49.9 0.1 X 0 576716 89577 Ian Gordon COO, Health Plan 50.0 0.0 X 0 549259 95294 Ann Allen VP, COO 0.0 0.0 X 0 615575 0 Alacia Broussard VP, Contracting Strategy 50.0 0.0 X 0 464843 100839 Donald Orndoff SVP, NFS 0.0 0.0 X 0 549210 0 Julie Lindberg VP, Care and Utilization Mgmt 50.0 0.0 X 0 462592 86590 Justin Evander VP, Hospital & Ancillary Svcs 50.0 0.0 X 0 435277 110495 April Coiteux VP, MSBD 50.0 0.0 X 0 392832 86493 Jennifer Keosky VP, Consumer Experience 50.0 0.0 X 0 294524 79847 Judith A Johansen JD Director 1.0 8.6 X 18000 297000 40485 Hong-Sze Yu VP, Brd & Corp Gov & Asst Secy 3.0 47.0 X 0 307089 8143 Ramon F Baez Director 0.83 2.31 X 17000 262143 30645 Maryann Bodayle Assistant Secretary 1.0 49.0 X 0 205630 51360 Laurie Guariglia VP, Business Info Officer - WA 0.0 0.0 X 0 158978 0 Margaret E Porfido JD Director 1.0 0.5 X 18000 42444 0 Kim J Kaiser Director 1.0 0.0 X 35445 0 0 Michael D Wilson Director 1.25 0.0 X 26165 0 0 Constance W Rice Director 4.0 0.0 X 26165 0 0 Susan Viscon Director 1.5 0.0 X 6000 0 0 Karen Schartman VP, CFO & Strategy - WA 0.0 0.0 X 0 105189 -124919 0 50142285 7873268 2530 true true false Washington Permanente Medical Group 1300 SW 27th St RENTON WA 98057 MEDICAL SERVICES 547529264 ST JOSEPH MEDICAL CENTER 1717 S J ST TACOMA WA 98405 Medical Services 99810633 OVERLAKE HOSPITAL MEDICAL CENTER PO BOX 34224 SEATTLE WA 98124 Medical Services 96310788 PEACEHEALTH 2901 SQUALICUM PARKWAY BELLINGHAM WA 98225 Medical Services 80115129 MULTICARE HEALTH SYSTEM PO BOX 5299 TACOMA WA 98415 Medical Services 79606571 710 36625698 6682566 43308264 MEMBERS HEALTH DUES 621491 2097844073 2097844073 MEDICARE 621491 1210922554 1210922554 COPAYS, DEDUCTIBLES, FEES 621491 391341023 391341023 NON-PLAN & INDUSTRIAL 621491 53973702 43351430 10622272 OTHER PROGRAM SERVICE 621491 510834256 510834256 4264915608 70279565 70279565 0 0 135717 135717 0 135717 135717 2202061714 49621034 2224213490 40150607 -22151776 9470427 -12681349 -12681349 0 0 0 0 0 0 0 0 0 MISCELLANEOUS REVENUE 900099 397745 397745 397745 4366355550 4254293336 10622272 58131678 12568069 12568069 0 42989 42989 0 146775 146775 127980 127980 709654300 651042844 58611456 0 55013672 55013672 76365443 54514327 21851116 54072198 54072198 0 180805 180805 815689 815689 145200 145200 0 1123922 1123922 0 6659987 4065514 2594473 24102624 23148023 954601 190239748 151987608 38252140 0 29654307 29654307 3628334 3439906 188428 0 687749 687749 50894096 50894096 0 68508799 68508799 16325312 16325312 PURCHASED MEDICAL SVC 1590249378 1590249378 SUPPLIES - PHARMACY, OFFICE 831303488 793440019 37863469 BASIC CONTRACTUAL PAYMENTS 555162314 555162314 NON-MEDICAL PURCHASED SVC 125949992 123796128 2153864 170525816 90971429 79554387 4574148986 4328896932 245252054 0 X 0 0 295265076 14857637 0 0 159324024 217984521 0 0 0 0 0 0 32748226 36465787 28328232 95828945 1606491887 509168363 1079613333 1097323524 1492488656 1198430373 10910023 10205994 0 0 352588331 340546194 110658275 148996882 3561924176 3160639857 557598413 520343447 0 0 23754928 30523536 0 0 0 0 0 0 0 0 0 0 2284060223 2113238089 2865413564 2664105072 X 0 0 1863450546 1863426417 -1166939934 -1366891632 696510612 496534785 3561924176 3160639857 X -207793436 -68081904 75899513 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false true 220258 false true 169866 false 390124 false false SCHEDULE C, PART II-B, LINE 1A THROUGH 1I LOBBYING ACTIVITY BY NONELECTING PUBLIC CHARITIES THE ORGANIZATION, KAISER FOUNDATION HEALTH PLAN OF WASHINGTON (KFHP WA), IS A MEMBER OF THE KAISER PERMANENTE MEDICAL CARE PROGRAM (KP) 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), KFHP WA HAS A POLICY PROHIBITING ANY OF KFHP WA'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. KFHP WA 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. KFHP WA EMPLOYS INDIVIDUALS, INCLUDING ONE OR MORE REGISTERED LOBBYISTS AND/OR MAY RETAIN ONE OR MORE PROFESSIONAL CONSULTANTS TO REPRESENT KFHP WA'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 KFHP WA'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 KP, 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 KFHP WA 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 KFHP WA. INDIVIDUALS APPEARING AT SUCH HEARINGS AND MEETINGS FOR AND ON BEHALF OF KFHP WA OFTEN ARE REPRESENTING THE INTERESTS OF COMMON INTEREST GROUPS AS WELL AS THE INTERESTS OF THE MEMBERS AND PATIENTS OF KFHP WA. 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. 217314294 217314294 751493182 242340724 509152458 49927384 29271114 20656270 258677103 189564365 69112738 329079924 47992160 281087764 1097323524 0 DUE TO AFFILIATED ORGANIZATION 390761543 PROFESSIONAL & OTHER INSURED LIAB. 94617036 OPERATING LEASE LIABILITIES 23648814 SUBORDINATED DEBT 1255000000 PREMIUM DEFICIENCY RESERVES 211785000 LOANS PAYABLE TO EXTERNAL ENTITIES 3426639 OTHER CURRENT LIABILITIES 111470663 OTHER LONG-TERM LIABILITIES 22528394 2113238089 Schedule D, Part X, LINE 2 ASC 740 Footnote THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE UNDER ASC 740. true Europe (Including Iceland and Greenland) 0 0 Program Services CONFERENCE / SEMINARS 18148 North America 0 0 Grantmaking GRANTMAKING 42989 0 0 0 0 61137 61137 North America Research Subrecipient 38655 2 0 false false false false false false true true X true X true X true true true false true true 40941016 0 40941016 0.00900 59271288 18749493 40521795 0.00890 0 0 0 0.00000 100212304 18749493 81462811 0.01790 4622044 1450974 3171070 0.00070 9722258 774729 8947528 0.00200 0 0 0 0.00000 59449576 45814941 13634635 0.00300 3506292 0 3506292 0.00080 77300170 48040644 29259525 0.00650 177512474 66790137 110722336 0.02440 true 0 0 825734 789424 36310 X true true 1 1 KAISER PERMANENTE CENTRAL HOSPITAL 201 16TH AVE E SEATTLE WA 981125260 https://wa.kaiserpermanente.org/ HAC.FS.00000020 X X KAISER PERMANENTE CENTRAL HOSPITAL 1 false false true X X X X X X X X X 22 true true true true X HTTP://WWW.KP.ORG/CHNA X true 22 true HTTP://WWW.KP.ORG/CHNA false true X 200. 300. X true true X X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X true X false X X X X true X false false Part V, Line 5 Kaiser Permanente's approach to CHNA considers both primary and secondary data to inform the prioritization of health needs. Each Kaiser Permanente service area collected primary data through key informant interviews with individuals and groups of individuals. To identify issues that most impact the health of the community, hospitals reached out to local public health experts, community leaders with expertise on local health needs, and individuals with knowledge and/or lived experience of racial health disparities. If available, insights from community partners' data collection were also considered in the assessment of needs. Kaiser Permanente also developed a free, web-based data platform. The data platform provides access to a core set of approximately 85 publicly available indicators to understand health using the county health rankings population health framework, which emphasizes social and environmental determinants of health. Part V, Line 6a King County Hospitals for a Healthier Community: Evergreen Health, MultiCare, Navos, Overlake Medical Center & Clinics, Seattle Cancer Care Alliance, Seattle Children's, Swedish, UW Medicine, Virginia Mason Franciscan Health. Part V, Line 6b Public Health-Seattle & King County, Washington State Hospital Association Part V, Line 11 Significant needs identified in Kaiser Foundation Health Plan of Washington's hospital facilities' most recently conducted CHNAs. HEALTH NEED: ACCESS TO CARE - Medical Financial Assistance: Provide temporary financial assistance to low-income individuals who receive care at KP facilities and can't afford medical expenses and/or cost sharing - Medicaid and Children's Health Insurance Plan (CHIP): Provide high-quality medical care services to low-income populations who would otherwise struggle to access care. - Charitable Health Coverage: Provide access to comprehensive health care and to coverage for low-income individuals and families who do not have access to public or private health coverage - Provide operating support to safety net organizations to strengthen their clinical, financial, and operational capacity to meet evolving needs of their patients - Support organizations that build capacity, provide information about coverage options, assist with eligibility screening, application and enrollment, and advocate for increasing coverage options for low-income individuals - Support partnerships with local, regional, or national organizations to grow networks of community-based organizations that address social health needs and coordinate care HEALTH NEED: MENTAL AND BEHAVIORAL HEALTH - Increase access to behavioral health care services for low-income and vulnerable populations - Extend school and district adoption and integration of Kaiser Permanente Thriving Schools initiatives, tools, and resources - Provide core support to safety net organizations, allowing these organizations to implement initiatives appropriate for the needs of their population (e.g., expansion of mental and behavior health care services, providing more virtual care for nonsurgical specialties such as counseling and behavioral health therapies) HEALTH NEED: INCOME & EMPLOYMENT - Support organizations that provide culturally and linguistically relevant training and technical assistance to small businesses and entrepreneurs of color - Improve individual financial health by supporting housing, workforce development, or other organizations that embed or enhance financial coaching services HEALTH NEED: HOUSING - Provide resources for preserving or enhancing the supply of affordable housing - Support expansion of housing-related legal support for at-risk tenants - Support evidence-based housing stabilization assistance - Support system-level approaches to reducing homelessness (e.g., achieving quality data) HEALTH NEED: FOOD INSECURITY - Support organizations that increase enrollment in programs that extend food dollars such as in the Supplemental Nutrition Assistance Program (SNAP), Special Supplemental Nutrition Program for Women, Infants and Children (WIC), and federal school meal programs - Support organizations that distribute food such as medically tailored meals, prepared food, produce, or other food and meals to school children, families, and those in underserved communities - Support local and state policy, research, and advocacy organizations leading efforts that have a direct impact on community food security strategies HEALTH NEED: STRUCTURAL RACISM - Support grassroots and advocacy organizations and initiatives - Support Black, Indigenous, People of Color (BIPOC)-led organizations Part V, Line 13a The hospital provides free care (100% discount) on the patient cost for eligible services to all charity eligible patients with a household income of up to 200% or less of the federal poverty guidelines (FPG). Eligible patients with a household income greater than 200% and less than or equal to 300% of the FPG receive discounted care on the patient cost for eligible services as follows: - Eligible patients with a household income greater than 200% and less than or equal to 250% of the FPG receive a 75% discount. - Eligible patients with a household income greater than 250% and less than or equal to 300% of the FPG receive a 50% discount. Part V, Line 13h A patient of any household income level with incurred out-of-pocket medical and pharmacy expenses for eligible services over a 12-month period greater than or equal to 10% of their annual household income is eligible for free care. Part V, Line 16a-j The FAP program materials are available by navigating to the KP website kp.org/mfa and selecting the KP market you are interested in. 45 Seattle-Capitol Hill Medical Center 201 16th Ave E Seattle WA 98112 Medical Center Bellevue Medical Center 11511 NE 10th Street Bellevue WA 98004 Medical Center Olympia Medical Center 700 Lilly Rd NE Olympia WA 98506 Medical Center Tacoma Medical Center 209 Martin Luther King Jr Way Tacoma WA 98405 Medical Center Everett Medical Center 2930 Maple St Everett WA 98201 Medical Center Seattle - Northgate Medical Center 9800 4th Ave NE Seattle WA 98115 Medical Center Spokane - Riverfront Medical Center 322 W North River Drive Spokane WA 99201 Medical Center Silverdale Medical Center 10452 Silverdale Way NW Silverdale WA 98383 Medical Center Federal Way Medical Center 301 S 320th St Federal Way WA 98003 Medical Center Puyallup Medical Center 1007 39th Ave SE Puyallup WA 38374 Medical Center Renton Medical Center 275 Bronson Way NE Renton WA 98056 Medical Center Lynnwood Medical Center 20200 54th Ave W Lynnwood WA 98036 Medical Center Bellevue - Factoria Medical Center 13451 SE 36th St Bellevue WA 98006 Medical Center Burien Medical Center 140 SW 146th St Seattle WA 98166 Medical Center Tacoma South Medical Center 9505 Steele St S Tacoma WA 98444 Medical Center Port Orchard Medical Center 1400 Pottery Ave Port Orchard WA 98366 Medical Center Redmond Medical Center 15809 Bear Creek Pkwy Ste 100 Redmond WA 98052 Medical Center Spokane - Lidgerwood Medical Center 6002 N Lidgerwood Spokane WA 99207 Medical Center Bothell - Northshore Medical Center 11913 NE 195th St Bothell WA 98011 Medical Center Spokane - Veradale Medical Center 14402 E Sprague Ave Spokane WA 99216 Medical Center Kent Medical Center 26004 104th Ave SE Kent WA 98031 Medical Center Smokey Point 2335 172nd St NE Marysville WA 98271 Medical Clinic Seattle - Rainier Medical Center 5316 Rainier Ave S Seattle WA 98118 Medical Center West Olympia 1200 Cooper Point Rd SW Ste 100 Olympia WA 98502 Medical Clinic Seattle - Northgate South Building 9720 4th Ave NE Seattle WA 98115 Vision Center Poulsbo Medical Center 19379 7th Ave NE Poulsbo WA 98370 Medical Center Ballard Medical Center 1401 NW 46th St 5th Floor Seattle WA 98107 Clinical Spokane - South Hill Medical Center 4102 S Regal St Ste 101 Spokane WA 99223 Medical Center Tacoma Hear Center & Eye Care 5821 S Sprague Court Tacoma WA 98409 Audiology & Vision Center Renton Campus Glacier Building 1200 SW 27th Street Renton WA 98057 Vaccination Clinic Gig Harbor Clinic 5216 Point Fosdick Dr Gig Harbor WA 98335 Medical Clinic Kendall Yards Medical Office 546 N Jefferson St Spokane WA 99260 Medical Clinic Renton Campus Adams Building 2921 Naches Avenue SW Renton WA 98057 Telehealth South Lake Union Medical Office 210 9th Ave N Seattle WA 98109 Medical Clinic Franklin High School 3013 S Mount Baker Boulevard Seattle WA 98144 Teen Medical Clinic Nathan Hale High School 10750 30th Avenue NE Seattle WA 98125 Teen Medical Clinic Aki Kurose School 3928 S Graham Street Seattle WA 98122 Teen Medical Clinic Washington Middle School 2101 S Jackson Street Seattle WA 98144 Teen Medical Clinic Interagency Academy at Columbia School 3528 S Ferdinand Street Seattle WA 98118 Teen Medical Clinic Bremerton Behavioral Health Services 555 Pacific Ave Ste 202 Bremerton WA 98337 Behavioral Health Clinic Renton Campus Rainier Building 2715 Naches Avenue SW Renton WA 98057 Vaccination Clinic Northpointe Medical Offices 9631 N Nevada St Ste 100/200 Spokane WA 99218 Clinical Tacoma Behavioral Health Services 4301 S Pine St Tacoma WA 98409 Behavioral Health Clinic Seattle - Metropolitan Park East 1730 Minor Avenue Seattle WA 98101 Research Facility Seattle - Downtown Medical Center 1420 5th Ave Suite 375 Seattle WA 98101 Medical Center PART I, LINE 3c There are two distinct eligibility criteria for free and discounted care under KP's Medical Financial Assistance Policy; (1) high medical expenses and (2) situations where the patient has been prequalified under presumptive eligibility. - High medical expenses: A patient of any household income level with incurred out-of-pocket medical and pharmacy expenses for eligible services over a 12-month period greater than or equal 10% of annual household income is eligible to receive free or discounted care through the high medical expense criteria. - Prequalification/presumptive eligibility: A patient is presumed to meet the program eligibility criteria and is not required to provide personal, financial, and other information to verify financial status when the patient: 1. Is enrolled in a community program to which patients have been referred and prequalified through (1) federal, state, or local government, (2) a partnering community-based organization, or (3) at a Kaiser Foundation Health Plan of Washington (KFHP WA) sponsored community health event, or 2. Is enrolled in a KP community benefit program designed to support access to care for low-income patients and prequalified by designated KFHP WA personnel, or 3. Is enrolled in a credible means-tested health coverage program (e.g., Medicare low-income subsidy program, subsidized coverage available on the Health Benefit Exchange, etc.), or 4. Is enrolled in a credible government-sponsored public assistance program (e.g., Women, Infants and Children programs, Supplemental Nutrition and Assistance programs, Low-income household energy assistance programs, free or reduced cost lunch programs) 5. Was granted a prior medical financial assistance award within the last 30 days. PART I, LINE 7, PERCENT OF TOTAL EXPENSE The losses attributed to providing charity care (medical financial assistance and charitable health coverage) and participation in select government or community sponsored health coverage programs are calculated using a cost-based methodology for patients in those programs. The financial impact of the programs is determined using KFHP WA's standard reporting systems, consistent with methodologies applied to assess market segments across commercial business lines. PART III, LINE 9B, COLLECTION POLICY When a patient/guarantor indicates an inability to pay (Charity Care), the patient/guarantor will be evaluated for charity care in accordance with established criteria outlined in the medical financial assistance (MFA) program. In addition, outside collection agencies will cancel and return on a retrospective basis any accounts that either would have qualified or now qualify for charity care according to the criteria outlined in the MFA program. PART VI, LINE 2, NEEDS ASSESSMENT KFHP WA hospital is required to conduct a community needs assessment every three years. The assessments may be conducted individually by each hospital or in collaboration with other hospitals, community-based agencies, and public service organizations. Each needs assessment provides a summary of the needs assessment process undertaken including the methodologies and data sources utilized, individuals and organizations consulted, a complete listing of the needs identified, and description of the method used to prioritize needs. The most recent needs assessments were completed in 2022. PART VI, LINE 3, PATIENT EDUCATION FOR ELIGIBILITY FOR ASSISTANCE Information regarding assistance is available throughout the facilities to all patients. Information regarding the availability of Kaiser Permanente's Medical Financial Assistance Program (MFAP) is posted in the emergency departments and admitting areas of all Kaiser Permanente hospitals. The posted information contains contact information for further assistance. Kaiser Permanente admission and discharge staff are also a source of information for patients that express financial hardship or request medical financial assistance. The staff can provide a copy of the financial assistance policy summary, program application, or connect a patient with a financial counselor who can assist patients in determining eligibility for government programs or the MFAP. Patient discharge packets also include a copy of the MFAP policy summary. All patient billing statements include information that financial assistance is available as well as where to get additional information or assistance. The MFAP policy plain language summary is also included with the first hospital billing statement to all patients. Additionally, if patients are referred to bad debt collections, prior to performing extraordinary collections actions, the patient receives notification that financial assistance is available. The program policy, policy plain language summary, and application are available without charge in English as well as all the languages that meet the limited English proficiency population criteria (lesser of 1,000 individuals or 5% of the community). Languages supported include, but are not limited to Spanish, Chinese, Japanese, Korean, Laotian, Tagalog, Russian, Farsi and Vietnamese. Additionally, MFAP information, including the policy, policy plain language summary and application, can be found on the publicly accessible KP medical financial assistance website, kp.org/mfa. PART VI, LINE 4, COMMUNITY INFORMATION KFHP WA serves communities in Washington. The communities we serve include both less populous and densely populated cities and counties. Our communities are diverse in many ways including income, rate of uninsured, high school graduation and limited English proficiency. Our facilities and the people who work within them are located within and are part of our communities. Kaiser Foundation Health Plan of Washington owns and operates Central Hospital located in the city of Seattle. Total population in area (mil)***; 5.3 Median Household Income*; $99,336 Below 100% FPL*; 8.5% w/o public or private health ins*; 5.5% Limited English Proficiency*; 4.0% On-time High school graduation rate**; 84.3% Unemployment Rate (%)***; 3.6% * US Census Bureau, American Community Survey: 2017-2021 ** US Department of Education 2019-2020 *** ESRI via Kaiser Permanente Utility for Care Data Analysis, 2022 As the nation's largest nonprofit integrated health care organization, Kaiser Permanente is mission driven to improve the health and well-being of the communities we serve and is committed to shaping the future of health care. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. KFHP WA is committed to improving the health of our members and communities through community investments and partnerships. We go beyond traditional corporate philanthropy or grant-making to leverage financial resources with medical research, physician expertise, and clinical practices. We focus our investments to address critical health issues in our communities. For many years, we have worked collaboratively with other organizations to address public health issues, improve conditions for health in our communities, and drive affordability. We conduct Community Health Needs Assessments (CHNA) to better understand each community's unique needs and resources. The CHNA process informs our community investments and helps us develop strategies aimed at making long-term, sustainable change, and it allows us to deepen the strong relationships we have with other organizations that are working to improve community health. The KFHP WA board has a standing community health committee of the boards of directors to oversee the community benefit program. Kaiser Permanente also has a national executive of KFHP WA to lead Kaiser Permanente's community benefit program. PART VI, LINE 5, PROMOTION OF COMMUNITY HEALTH KFHP WA's principal purpose is to provide hospital, medical, and surgical care, including emergency services, extended care and home health care to members of the public without regard to age, sex, race, religion or national origin, or to the individual's ability to pay. KFHP WA shares the Kaiser Permanente mission of providing affordable high-quality health care to our members, and improving the health of our members and the communities we serve. KFHP WA's general community benefits include: - Care provided to all patients - Hospital care is provided to individuals with health care coverage from any private or government-sponsored health plan, insured and uninsured referrals from safety net and other public health partnerships, and uninsured patients admitted through the emergency department. - Open medical staff privileges - Staff privileges in the hospitals are available to community practitioners who are not affiliated with a Permanente Medical Group. - Reinvestment of Surplus Revenues - KFHP pays KFHP WA for hospital services and surplus revenues are reinvested in the furtherance of the exempt purpose, for capital replacement or expansion of facilities and equipment, debt amortization, improvement in patient care and services, and other community benefit services including charity care, medical education, and research. KFHP WA believes it is our responsibility as a health care provider to minimize our environmental impact. We know one way to improve the health of the people who live in the communities we serve is by improving their environmental conditions. We prioritize partnerships with others to develop policies and systems that strengthen community health and protect the environment. Through innovations in energy use, construction and building strategies, supply chain, food systems, finance, and clinical practice that promote community health, we are leading the health care sector in reducing environmental contributors to disease and illness. We prioritize reducing greenhouse gas emissions to lower our carbon footprint and lower the climate impact on the health of the communities we serve. Kaiser Permanente's mission reflects our belief that where and how people live have a meaningful impact on their health and wellbeing. We will continue to work to improve the conditions for health in the communities we serve by addressing the root causes of health, such as economic opportunity, affordable housing, health and wellness in schools and a healthy environment. We do this by listening to our communities, ensuring access to care, shaping policy, making systems change and advancing the future of community health through innovation. PART VI, LINE 6, AFFILIATED HEALTH CARE SYSTEM Kaiser Permanente is recognized as one of America's leading health care providers and not-for-profit health plans, comprised of three main entities-Kaiser Foundation Health Plan, Kaiser Foundation Hospitals, and the Permanente Medical Groups. These organizations work together to deliver comprehensive health care services. Founded in 1945, Kaiser Permanente has a mission to provide high-quality, affordable health care services and to improve the health of its members and the communities it serves. It currently serves members in 8 states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists, and team of caregivers. Kaiser Permanente's expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery, and world-class chronic disease management. Kaiser Permanente is also dedicated to care innovations, clinical research, health education, and the support of community health. In 2023, Kaiser Foundation Hospitals created Risant Health, a nonprofit organization with a transformative vision to improve the health of millions of people by increasing access to value-based care and coverage. Risant Health is dedicated to bringing together like-minded, nonprofit community-based health systems from across the country to deliver better health outcomes through value-based care approaches. Risant Health's value-based platform will support its health systems with a set of technology, services, and capabilities designed to deliver superior health outcomes and a lower total cost of care in diverse business models. In 2024, Geisinger and Cone Health became a part of Risant Health through acquisition. KFHP WA has an exclusive contract with Washington Permanente Medical Group (WPMG) a group practice with more than 1,400 physicians, physician assistants, optometrists, midwives and psychologists in Washington state. WPMG is not under common governance or control with KFHP WA, but the two organizations collaborate to serve the community. Both KFHP WA and WPMG staff participate as faculty and preceptors for residency and health professionals training programs. In addition to the operation of a family practice residency program (for which WPMG clinicians serve as faculty) and an optometry residency in 2 medical center locations, KFHP WA and WPMG participate in the training of over a dozen medical specialties and an additional 20+ mid-level and non-physician training programs, including those for critical shortage professions such as nursing, physical therapy and pharmacy. The residency program includes clinical training and the provision of medical care for homeless youth as well as for some of the free clinics in King County. In addition to the above-mentioned programs in Washington state, in 2024, KFHP WA and WPMG clinicians and staff volunteered medical services to homeless shelters, community clinics and other relief efforts in the U.S. and around the world. Physician and non-physician leaders at WPMG also contribute to the dissemination and community-wide practice of evidence-based medicine and outcomes improvement by sharing clinical guidelines, quality improvement efforts and protocols related to shared decision-making and other patient engagement tools, lean process improvements in clinical care, the medical home team-based care model, the chronic care model, and other care innovations. PART VI, LINE 7, STATE FILING OF COMMUNITY BENEFIT REPORT Kaiser Permanente submits quarterly and annual reporting to the Washington State Department of Health in compliance with House Bill 1272. true Alight Hlth Mkt Ins Aon Foundation 200 E Randolph St Chicago IL 60601 363337340 501(c)(3) 16275 Project Support Alliance For A Healthier Generation Inc 1028 Se Water Av 215 Portland OR 97214 272028308 501(c)(3) 132000 Achieving A Healthier Generation Through Thriving Apic Spokane 25 W Main Ave 404 Spokane WA 99201 872478304 501(c)(3) 158136 Spokane Asians/Asian Americans (A/Aa) Community Ca Baylor Research Institute 301 N Washington Ave Dallas TX 75246 751921898 501(c)(3) 40145 Research Subrecipient Beth Israel Deaconess Medical Center Inc 330 Brookline Ave Boston MA 02215 042103881 501(c)(3) 21939 Research Subrecipient Bethel School District 403 516 176th St E Spanaway WA 98387 910832829 Government 38400 Breaking Down Barriers To Food Access Board Of Regents Univ Of Wisconsin 1 Fen Oak Ct Madison WI 53718 391946077 501(c)(3) 91300 Research Subrecipient Boston Medical Center Corporation 960 Massachusetts Ave Boston MA 02118 043314093 501(c)(3) 97882 Research Subrecipient Brandeis University Po Box 549110 Ms035 Waltham MA 02454 042103552 501(c)(3) 66887 Research Subrecipient Childrens Hospital Medical Center 3333 Burnet Ave Cincinnati OH 45229 310833936 501(c)(3) 44014 Research Subrecipient City Year Inc 287 Columbus Ave Boston MA 02116 222882549 501(c)(3) 15000 Project Support Common Future 2323 Broadway Oakland CA 94612 201544255 501(c)(3) 90000 Equitable And Affordable Lending Programs To Build Essentia Institute Of Rural Health 502 E 2nd Street Duluth MN 55805 271291124 501(c)(3) 37389 Research Subrecipient Familyworks Po Box 85420 Seattle WA 98145 911757277 501(c)(3) 122991 School-based Family Resource Centers At Seattle Pu Feeding Feasible Feasts 1509 97th Avenue Ct E Edgewood WA 98371 853289326 501(c)(3) 105168 Breaking Down Barriers To Food Access Franklin Pierce School District No 402 315 129th St S Tacoma WA 98444 916014726 Government 110900 Farming Land, Self, And Community At The Farm At F Fred Hutchinson Cancer Center 1100 Fairview Ave N Seattle WA 98109 237156071 501(c)(3) 55563 Research Subrecipient Gapps 19009 33rd Ave W 200 Lynnwood WA 98036 814625437 501(c)(3) 103068 Research Subrecipient Georgia State University PO Box 3999 Atlanta GA 30302 581845423 Government 19688 Research Subrecipient Global To Local Health Initiative 2800 S 192nd St 104 Seatac WA 98188 273133200 501(c)(3) 10000 Food Access Through Heart Bucks Harvard Pilgrim Health Care Inc 401 Park Drive 401 Boston MA 02215 042452600 501(c)(3) 48003 Research Subrecipient Healthpartners Institute 8170 33rd Avenue S Minneapolis MN 55425 411670163 501(c)(3) 198111 Research Subrecipient Henry Ford Health System One Ford Place Detroit MI 48202 381357020 501(c)(3) 43443 Research Subrecipient Hmh Hospitals Corporation 40 Prospect Ave Rm 212 Hackensack NJ 07601 010649794 501(c)(3) 36959 Research Subrecipient Ica Group Inc 136 West St 1 Northampton MA 01060 042628399 501(c)(3) 10000 Project Support Icahn School Of Medicine At Mount Sinai 1 Gustave L Levy Pl New York NY 10029 136171197 501(c)(3) 23973 Research Subrecipient Indiana University 720 Eskenazi F2 621 Indianapolis IN 46202 356001673 Government 658983 Research Subrecipient Institute For Accountable Care 2001 L St Nw 500 Washington DC 20036 822461803 501(c)(3) 28857 Research Subrecipient Institute For Family Health 2006 Madison Ave New York NY 10035 133273402 501(c)(3) 422352 Research Subrecipient Local Initiatives Support Corp 28 Liberty St Fl 34 New York NY 10005 133030229 501(c)(3) 150000 Skyway And Casino Road Inclusive Economic Developm March Of Dimes Inc Po Box 18819 Atlanta GA 31126 131846366 501(c)(3) 10000 Project Support Marshfield Clinic Inc 1000 N Oak Ave Marshfield WI 54449 461495343 501(c)(3) 135352 Research Subrecipient Mary Hitchcock Memorial Hospital 1 Medical Center Dr Lebanon NH 03756 020222140 501(c)(3) 26436 Research Subrecipient Medical University Of South Carolina Fdn 18 Bee Street Charleston SC 29425 576028985 501(c)(3) 9644 Research Subrecipient Montana State University Po Box 172470 Bozeman MT 59717 816010045 Government 10738 Research Subrecipient Nat'l Alliance on Medical Illness of WA 1107 Ne 45th 330 Seattle WA 98105 911689067 501(c)(3) 214901 Advancing Mental Health Education For And About Yo Nationwide Children's Hospital 700 Childrens Dr Columbus OH 43205 010782751 501(c)(3) 8429 Research Subrecipient Northeastern University 360 Huntington Ave Boston MA 02115 041679980 501(c)(3) 313480 Research Subrecipient Palo Alto Medical Foundation Po Box 255448 Sacramento CA 95865 941156581 501(c)(3) 48856 Research Subrecipient Panorama Global 2101 4th Ave 2100 Seattle WA 98121 814204119 501(c)(3) 20000 Behavioral Health Catalyst (Bh Catalyst) Pierce County Project Access 4301 S Pine St 455 Tacoma WA 98409 271185895 501(c)(3) 50000 Project Support Project Access Northwest 200 Broadway 202 Seattle WA 98122 204377921 501(c)(3) 280000 Specialty Care Coordination Rand Corporation 1776 Main Street Santa Monica CA 90407 951958142 501(c)(3) 213162 Research Subrecipient Regents of the University of Michigan 3003 S State St Ann Arbor MI 48109 386006309 501(c)(3) 52314 Research Subrecipient Regents Of The University Of California 550 16th St 4fl San Francisco CA 94143 952226406 501(c)(3) 1163537 Research Subrecipient Regents Of The University Of Colorado 1800 N Grant St 400 Denver CO 80203 846000555 501(c)(3) 55063 Research Subrecipient Seattle Childrens Hospital Po Box 5371 ms S219a Seattle WA 98145 910564748 501(c)(3) 1136491 Research Subrecipient Seattle School District 2445 3rd Ave S Seattle WA 98134 916001541 Government 76266 School-based Family Resource Centers At Seattle Pu Seiu Healthcare 1199nw 15 S Grady Way 321 Renton WA 98057 800377196 501(c)(3) 283795 Healthcare Career Pathway Expansion And Sustainabi Southcentral Foundation 7033 E Tudor Rd Anchorage AK 99507 920086076 501(c)(3) 131419 Research Subrecipient Spokane Regional Health District 1101 W College Ave Spokane WA 99201 911527532 Government 15000 2025 Spokane County Quality Of Life Survey Sutter West Bay Hospitals 2200 River Plaza Dr Sacramento CA 95833 940562680 501(c)(3) 496923 Research Subrecipient Swedish Health Services Po Box 35143 Seattle WA 98124 910433740 501(c)(3) 96683 Research Subrecipient Trustees Of Boston University 881 Commonwealth Ave Boston MA 02215 042103547 501(c)(3) 26648 Research Subrecipient Trustees Of Columbia Univ - NY 651 W 131st St 8741 New York NY 10027 911859360 501(c)(3) 97593 Research Subrecipient Trustees Of Purdue University 23510 Network Pl Chicago IL 60673 852621478 501(c)(3) 128788 Research Subrecipient Tufts Medical Center Inc 800 Washington St Unit 453 Boston MA 02111 270440772 501(c)(3) 25100 Research Subrecipient Univ Of Vermont & St Agricultural College Po Box 1389 Williston NY 05495 451556038 501(c)(3) 17624 Research Subrecipient University of Pittsburgh 4200 Fifth Ave Pittsburgh PA 15260 250965591 Government 8833 Research Subrecipient University of Washington 1410 NE Campus Parkway Seattle WA 98195 916001537 Government 3716508 Research Subrecipient University Of Arkansas Fayetteville 535 W Research Ctr Fayetteville AR 72701 470872543 Government 21103 Research Subrecipient University Of Arkansas For Medical Sciences 4301 W Markham S560 Little Rock AR 72205 716046242 501(c)(3) 89539 Research Subrecipient University Of Chicago 6054 S Drexel 300 Chicago IL 60637 362177139 501(c)(3) 24958 Research Subrecipient University Of Maryland Baltimore 201 W Preston St Fl 5 Baltimore MD 21201 526002033 Government 138827 Research Subrecipient University Of New Mexico 1 University N Mexico Albuquerque NM 87131 850275408 Government 12356 Research Subrecipient University Of Pennsylvania 3451 Walnut St Philadelphia PA 19104 231352685 501(c)(3) 160891 Research Subrecipient Washington Poison Center 155 Ne 100th St 100 Seattle WA 98125 943214597 501(c)(3) 6000 Providing Equal Healthcare Access Washington School-based Health Alliance Po Box 16035 Seattle WA 98116 450937382 501(c)(3) 24999 Expanding And Improving School-based Health Care I Weill Medical College Of Cornell Po Box 22371 New York NY 10087 131623978 for-profit 83086 Research Subrecipient 68 1 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANTS Grantees submit reports using Kaiser Permanente's online grants management system. Grantees are required to report on grant outcomes and performance metrics bi-annually or annually based on the grant term and grant amount. Grantees may be requested to participate in interviews or focus groups as part of KP's evaluation activities. true true false false false false false true false Gregory Adams Chairman & CEO 0 2195616 0 9348865 0 1245330 0 152508 0 33731 0 12976050 0 0 Kimberly Horn EVP, Group President, MOC 0 26092 0 2984810 0 2667896 0 793971 0 1539 0 6474308 0 0 Janet Liang EVP, Group President & COO 0 1312190 0 2487529 0 522301 0 643461 0 46224 0 5011705 0 0 Kathryn Lancaster EVP & CFO 0 1322140 0 2987353 0 540609 0 132955 0 21030 0 5004087 0 0 Brandon Cuevas EVP, Health Plan 0 1314589 0 345958 0 1851455 0 807302 0 35574 0 4354878 0 0 Vanessa Benavides EVP,Chief Legal Officer & Secy 0 741798 0 1068967 0 326292 0 463381 0 22753 0 2623191 0 197032 Andrew Bindman EVP, Chief Medical Officer 0 780529 0 728079 0 36809 0 1019704 0 29087 0 2594208 0 0 Angela Dowling Region President - WA 0 861551 0 306092 0 376709 0 891661 0 45096 0 2481109 0 268333 David Thomason SVP,Corporate Controller & CAO 0 477195 0 232034 0 1011236 0 75665 0 14945 0 1811075 0 0 Thomas Meier SVP, Corporate Treasurer 0 607868 0 766177 0 128483 0 112281 0 26165 0 1640974 0 0 Alfonse Upshaw SVP, CFO - NCAL 0 550885 0 644452 0 45188 0 183201 0 37577 0 1461303 0 0 Rebecca Williams Interim CFO 0 441731 0 347155 0 35182 0 276882 0 32528 0 1133478 0 0 Arthur Southam EVP, Health Plan Ops & CGO 0 0 0 1110796 0 9887 0 0 0 0 0 1120683 0 0 Mark Zemelman SVP, General Counsel & Secy 0 0 0 0 0 257774 0 799702 0 0 0 1057476 0 0 Pamela Warren VP, HPSA - WA 0 188194 0 146732 0 407115 0 177890 0 12063 0 931994 0 158740 Christine Lindsey VP, FP&A 0 35694 0 125935 0 784728 0 -35010 0 3789 0 915136 0 105330 Ryan Jenson Interim Corp Controller & CAO 0 366261 0 317919 0 79335 0 99350 0 34183 0 897048 0 46820 Jocelynne McAdory VP, Human Resources -WA Market 0 317576 0 200903 0 92086 0 128901 0 20559 0 760025 0 0 Rita Mangione-Smith VP,Resch/Healthcare Innovation 0 404865 0 176117 0 21821 0 102941 0 24189 0 729933 0 0 Todd Hesse VP, Sales & Acct Mgmt 0 333444 0 155894 0 60791 0 142490 0 25395 0 718014 0 0 Christina Lockwood Assistant Secretary 0 346992 0 174554 0 41081 0 107957 0 27382 0 697966 0 0 Shawna Sweeney Assistant Secretary 0 332383 0 224102 0 20611 0 83286 0 34109 0 694491 0 0 John Bry VP, CFO - Washington 0 384142 0 21758 0 170816 0 55359 0 34218 0 666293 0 0 Ian Gordon COO, Health Plan 0 430636 0 66435 0 52188 0 75792 0 19502 0 644553 0 0 Ann Allen VP, COO 0 0 0 185689 0 429886 0 0 0 0 0 615575 0 16483 Alacia Broussard VP, Contracting Strategy 0 346673 0 100303 0 17867 0 63369 0 37470 0 565682 0 0 Donald Orndoff SVP, NFS 0 0 0 235980 0 313230 0 0 0 0 0 549210 0 0 Julie Lindberg VP, Care and Utilization Mgmt 0 330962 0 65264 0 66366 0 63327 0 23263 0 549182 0 0 Justin Evander VP, Hospital & Ancillary Svcs 0 356957 0 61276 0 17044 0 82002 0 28493 0 545772 0 0 April Coiteux VP, MSBD 0 291300 0 53344 0 48188 0 56829 0 29664 0 479325 0 0 Jennifer Keosky VP, Consumer Experience 0 219823 0 35271 0 39430 0 59293 0 20554 0 374371 0 0 Judith A Johansen JD Director 18000 297000 0 0 0 0 0 40485 0 0 18000 337485 0 0 Hong-Sze Yu VP, Brd & Corp Gov & Asst Secy 0 46282 0 198720 0 62087 0 2338 0 5805 0 315232 0 44787 Ramon F Baez Director 17000 245000 0 0 0 17143 0 30645 0 0 17000 292788 0 0 Maryann Bodayle Assistant Secretary 0 185512 0 17770 0 2348 0 38740 0 12620 0 256990 0 0 Laurie Guariglia VP, Business Info Officer - WA 0 0 0 46873 0 112105 0 0 0 0 0 158978 0 105840 Karen Schartman VP, CFO & Strategy - WA 0 0 0 100704 0 4485 0 -124919 0 0 0 -19730 0 0 SCHEDULE J, PART I, LINE 3 THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS DESCRIBED BELOW TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF A RELATED ORGANIZATION. SCHEDULE J, PART I, LINE 4A Kimberly Horn $1,757,734 Mark Zemelman $ 244,000 Pamela Warren $ 215,274 Christine Lindsey $ 463,683 Ann Allen $ 413,149 Donald Orndoff $ 313,141 LISTED PERSONS PARTICIPATED IN SEPARATION ARRANGEMENTS. DEPENDING ON POSITION LEVEL, TENURE, AND SEPARATION REASON, 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, BENEFITS PAYABLE INCLUDE PRORATED INCENTIVE AWARDS FOR PERFORMANCE PERIODS NOT YET ENDED. NONE OF THE LISTED PERSONS PARTICIPATED IN ARRANGEMENTS ENTITLING THEM TO CHANGE-OF-CONTROL PAYMENTS. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENT Gregory Adams $1,053,099 Kimberly Horn $ 402,922 Janet Liang $ 468,410 Kathryn Lancaster $ 476,638 Vanessa Benavides $ 269,030 Thomas Meier $ 87,285 Pamela Warren $ 179,566 Christine Lindsey $ 212,878 Ryan Jenson $ 62,699 Hong-Sze Yu $ 56,362 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 DISCRETIONARY BONUS PROGRAMS AND 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. THE PLANS' ORGANIZATIONAL PERFORMANCE GOALS INCLUDED: QUALITY OF CARE AND SERVICE, MEMBERSHIP GROWTH, OPERATING INCOME, PER MEMBER EXPENSE TREND, AND COMMUNITY BENEFIT. PLAN DESIGNS, PERFORMANCE, AND PAYOUT LEVELS, AS WELL AS INDIVIDUAL PAYMENTS TO CERTAIN PERSONS, WERE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, COMPRISED OF INDEPENDENT DIRECTORS. SCHEDULE J, PART II, COLUMN F AMOUNTS INCLUDED IN SCHEDULE J, PART II, COLUMN F INCLUDE AMOUNTS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION, AS WELL AS DISTRIBUTIONS FROM A 457(B) PLAN THAT WERE PREVIOUSLY REPORTED AS REPORTABLE COMPENSATION IN ACCORDANCE WITH FORM 990 INSTRUCTIONS. SCHEDULE J, PART II, COLUMN B(iii) A PORTION OF THE SEVERANCE PAYMENTS INCLUDED AS REPORTABLE COMPENSATION IN SCHEDULE J, PART II, COLUMN B(iii) WAS NOT PREVIOUSLY DISCLOSED IN SCHEDULE J, PART II, COLUMN C IN THE YEAR OF SEPARATION. ALL RELATED SEVERANCE AMOUNTS PREVIOUSLY PAID WERE PROPERLY REPORTED IN PRIOR YEAR'S SCHEDULE J AND FORM 990, PART VII. THERESA DIEMOND FAMILY MEMBER OF OFFICER 127980 COMPENSATION false FORM 990, PART III, LINE 4A-D EXEMPT PURPOSE ACHIEVEMENTS I. Introduction A. About Kaiser Permanente Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America's leading health care providers and not-for-profit health plans. Founded in 1945, Kaiser Permanente has a mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve 12.4 million members in 8 states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists, and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery, and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education, and the support of community health. B. Kaiser Permanente's Approach to Community Health At Kaiser Permanente, we recognize that where we live, work, learn, and play has a big impact on our health and well-being. We are driven by our mission to improve the health of our members and the communities we serve. We invest in our communities to help improve health, health equity, and well-being. This means addressing all the factors that affect health, such as having a safe place to live, enough money to pay the bills, and access to healthy meals. Kaiser Permanente community investments and partnerships address the factors that impact health and well-being. Addressing these challenges requires prioritization of interventions that measurably reduce health disparities focused on changes at the individual, community, and systems levels. C. Kaiser Permanente's Total Contribution Kaiser Permanente provided $4 billion in 2024 to improve the health of our communities. The amount attributable to Kaiser Foundation Health Plan of Washington is $110.7 million as follows: - Financial Assistance at cost - $41M - Medicaid - $40.5M - Community health improvement services and community benefit operations- $3.2M - Health Professions Education - $9M - Research - $13.6M - Cash and in-kind contributions from community benefit - $4M In addition to our direct spend, we also leverage assets from across Kaiser Permanente to help us achieve our mission to improve the health of communities. II.Health Access for Individuals Ensuring health access means serving those most in need of health care through Medicaid, medical financial assistance, charitable health coverage, and other forms of subsidized care and coverage. For many low-income people without access to health care coverage, or for those who lose their jobs and can't maintain health care coverage, an emergency room is often the only place they receive care. At Kaiser Permanente, we are working to change that with programs that lower financial barriers by providing subsidized health coverage and medical financial assistance for care. We also provide information about how to access and qualify for public programs such as Medicaid and financial assistance through the marketplace to individuals who may be eligible. Kaiser Foundation Health Plan of Washington supports the health access needs of our communities through a combination of coverage and care programs. We provide coverage to low-income populations through our participation in government programs like Medicaid and the Children's Health Insurance Programs (CHIP). Similarly, we provide care to low-income populations through our treatment of Medicaid and CHIP enrollees, and second, via the Medical Financial Assistance (MFA) program, which is Kaiser Permanente's traditional charity care or financial assistance program (FAP). For Kaiser Foundation Health Plan, Inc. and all of its subsidiary health plans, the main way to address health access challenges is by absorbing the cost of the coverage and care programs described above. A. Medicaid, CHIP and other government programs Having health coverage means consistent access to comprehensive and continuous medical and preventative services for people to get and stay healthy, a much better alternative to episodic care at emergency departments. KP is committed to removing disparities in access to coverage and health outcomes. Kaiser Permanente's organizational strategies enable individuals with low incomes to obtain and/or retain health coverage through Medicaid, CHIP or other government programs. At the end of 2024, Kaiser Foundation Health Plan of Washington was providing care to over 26,000 people through its Medicaid Managed Care contracts with other health plans. Kaiser Permanente also provides a wide range of health care services to individuals enrolled in Medicaid, CHIP and other government programs, regardless of whether they are assigned to Kaiser Permanente or not. In addition to the individuals who received health coverage in 2024 due to Kaiser Permanente's participation in these government programs, Kaiser Foundation Health Plan of Washington also subsidized care to people who are enrolled in these programs but not formally assigned to Kaiser Foundation Health Plan. B. Medical Financial Assistance (MFA) KP's Medical Financial Assistance program (MFA) improves health care access for people with limited incomes and resources and is fundamental to Kaiser Permanente's mission. Our MFA program helps low-income, uninsured, and underinsured patients receive access to care. The program provides temporary financial assistance or free care to patients who receive health care services from our providers, regardless of whether they have health coverage or are uninsured. Eligibility for financial assistance is based on financial need. In general, patients whose household income is at or below 300%, and in some regions up to 400%, of the federal poverty limit are eligible for the MFA program. Patients who are experiencing high medical expenses as compared to their income may be eligible under high medical expenses criteria, regardless of household income. The MFA program covers emergency and medically necessary health care services, pharmacy services and products, and medical supplies provided at Kaiser Permanente facilities (such as hospitals, medical centers, and medical office buildings), at Kaiser Permanente outpatient pharmacies, or by Kaiser Permanente providers. Over the course of 2024, Kaiser Foundation Health Plan of Washington subsidized care for over 37,000 people through the MFA program. C. Safety-Net Partnerships Kaiser Permanente improves quality and expands access, particularly through collective capacity building, by establishing safety net partnerships. Safety net providers are a mix of public hospitals, community-based organizations such as federally qualified health centers, and other health care organizations. Safety-net health care providers provide care for patients who have low incomes and/or are uninsured regardless of their ability to pay. In Kaiser Permanente service areas, federally qualified health centers serve the uninsured, Medicaid, and other vulnerable populations. Strengthening the safety net advances our mission to improve the conditions for health in the community. Our communities' most vulnerable populations rely on the safety net for their health care needs. Our support ensures that communities have access to a strong safety net that can equitably meet patients' needs and improve health outcomes for low-income patients including people experiencing homelessness. Kaiser Foundation Health Plan of Washington continued its partnership with Project Access Northwest (PANW) to support the organization's specialty care coordination program, which serves individuals in King, Kitsap, and Snohomish counties of Washington state who live at or below 300% of the federal poverty level. This partnership will support a network of pro-bono counselors to serve individuals and families with anxiety, depression, and trauma, and other mental-emotional challenges, providing talk therapy at no cost to the client. III.Community Conditions for Health At Kaiser Permanente, we are working to improve the conditions for health in communities by addressing the root causes of health, such as affordable housing, safe and supportive schools, and a healthy environment. These improvements grow from our collaboration with each community to co-design and co-create solutions that make a positive impact. A. Economic Opportunity Inclusive economic growth is critical to both individual and community health. When there is a lack of economic opportunity in communities, the prospects for upward social mobility are diminished, often resulting in poorer health and higher mortality rates for people living in those communities. By contrast, economic growth and opportunity provides individuals with jobs, income, a sense of purpose, and opportunities to improve their circumstances overtime directly impacting their health outcomes. Kaiser Permanente recognizes that we can support economic opportunity in local communities through how we hire, purchase, build our facilities and provide grant support to partner organizations. Some ways that we are helping revitalize and grow our communities by strengthening economic opportunity include: - Providing good jobs to individuals facing barriers to employment through high impact hiring and workforce pipeline efforts. - Pursuing a social impact investment strategy that provides capital to support inclusive economic development and affordable housing projects. - Purchasing goods and services from local small businesses. - Building new facilities with an emphasis on positive local community impact, including neighborhood revitalization, and deep community engagement. - Partnering with community organizations to build capacity of local small businesses. In addition, Kaiser Permanente is working to expand access to career pathways in health care, especially for people who have historically faced gaps in income and earning potential. We support programs and initiatives that provide exposure, education, experience and employment opportunities in health care careers, with an emphasis on mental health. This includes helping professionals graduate into allied health careers, public health fellowship opportunities, and support for higher education and job training programs. Kaiser Foundation Health Plan of Washington partnered with Local Initiatives Support Corporation (LISC) as part of its continuous effort to support Small Business Growth in two communities in Washington: Skyway (Seattle) and Casino Road (Everrett). LISC is working with local community-based organizations to build neighborhood resilience through direct individual interventions and/or systems-level interventions by supporting entrepreneurs to launch, sustain, and grow small businesses. This collaboration addresses critical service gaps, supports community-identified priorities, and empowers underserved populations whose priorities include food sovereignty, affordable housing, and the creation of a community resource center. Kaiser Foundation Health Plan of Washington also collaborated with SEIU 1199NW Multi-Employer Training and Education Fund to collaborate with cross-sector stakeholders to expand promising and innovative work-based learning and apprenticeship opportunities. This partnership will support efforts to expand and enhance two career pathways programs to prepare underrepresented minorities and underserved communities for careers in healthcare. These efforts will be in partnership with the Seattle Jobs Initiative and Workforce Development Councils in Pierce, King, and Snohomish counties. The programs will create access to entry-level occupations and support career advancement, while embedding financial literacy and coaching to promote upward mobility and financial security for participants. B. Housing Without a safe place to call home, it's nearly impossible to focus on basic health and medical needs. For years, Kaiser Permanente has led efforts to end homelessness and preserve affordable housing. We do this by investing in solutions, helping shape public policy, and forming innovative partnerships. Inadequate housing contributes to several health problems, including chronic diseases, injuries, and poor mental health. Housing security is a crucial health issue for disadvantaged populations, such as low-income communities. Kaiser Permanente is working to bridge the unique strengths of the health and housing sectors to solve housing insecurity and thereby improve equitable conditions for health in communities where Kaiser Permanente provides care. C.Thriving Schools At Kaiser Permanente, we are committed to not only delivering great health care but also creating communities where people can be healthy in all the places they live, learn, work, and play. Thriving Schools brings together Kaiser Permanente's extensive health care expertise and our partnerships with nationally recognized and trusted organizations working to support K-12 school systems to be a beacon of health in their community. Thriving Schools takes an integrated approach to school health, curating the best thinking and guidance on how to keep students, staff, teachers, and families healthy across four dimensions of health: physical health, mental health, and social health. Kaiser Foundation Health Plan of Washington continued its partnership with NAMI Washington to support school districts in under-resourced communities with improving the health and well-being of students, staff, teachers, and families. This partnership will focus on reducing stigma around mental health for youth and young adults, increasing awareness and the ability of adults to identify and respond to mental health conditions, and enhancing mental health support in school communities by integrating NAMI and Thriving Schools resources. Kaiser Foundation Health Plan of Washington also worked closely with Alliance for a Healthier Generation, Inc. to support school districts in under-resourced communities across Washington with implementing policy, systems, and environmental changes that will improve the health and well-being of students, staff, teachers, and families. This partnership supports improved overall health and wellbeing of teachers and staff, inclusive of reduced stress and burn out and improved physical health, improved connectedness, engagement, and relationships among students, teachers, staff, families, and community. Also, Alliance for a Healthier Generation, Inc. will help to increase skills related to social-emotional and physical well-being among teachers, staff, students, and families. D. Food and Nutrition Security Kaiser Permanente's comprehensive approach to food and nutrition security includes transforming the economic, social, and policy environments connected to food so that people across the nation can access and afford healthy food. To help address the food needs of its communities, Kaiser Permanente has invested in the improvement of food and nutrition security and helped with applications for federal nutrition programs like Supplemental Nutrition Assistance Program (SNAP) and Women, Infants, and Children (WIC). Kaiser Permanente continues to work with community partners to provide free, nutritious meals in low-income communities. We also joined health and nutrition experts from around the country to share results and best practices about Food is Medicine programs to advance the evidence base for food and nutrition programs in health care and establish food-based interventions as standard health care practices. We launched the Kaiser Permanente Food Is Medicine Center of Excellence in 2024 to further integrate our evidence-based food and nutrition interventions into our care model. Kaiser Foundation Health Plan of Washington partnered with community-based organizations and school districts statewide to enhance food security in underserved communities. This collaboration aims to create sustainable food access solutions for families in under-resourced areas. Program support includes individualized enrollment for food assistance programs such as SNAP and WIC, equitable access to afterschool and summer food distribution sites, and the integration of fresh, culturally appropriate foods into district meal patterns reimbursable by the USDA. E. Healthcare Workforce Development Our health professions education programs include both physician training programs like Graduate Medical Education (GME) and non-physician training programs (i.e., residency programs). Our GME program provides training and education for medical residents and interns in the interest of educating the next generation of physicians. Residents are offered the opportunity to serve a large, culturally diverse member and patient base in a setting with sophisticated technology and information systems, established clinical guidelines and an emphasis on preventive and primary care. The majority of medical residents are studying within the primary care medicine areas of family practice, internal medicine, ob/gyn, pediatrics, preventive medicine, and psychiatry. In addition to GME, we provide a range of training and education programs for nurse practitioners, nurses, radiology and sonography technicians, physical therapists, post-graduate psychology and social work students, pharmacists, and other non-physician health professionals. IV.Advancing Public Health Systems Through Kaiser Foundation Health Plan of Washington's ongoing partnerships with community organizations, municipal leaders, and public health champions, we are working to incorporate health. Since 2018, we have partnered with the de Beaumont Foundation, a leader in public health philanthropy, to help U.S. cities thrive through the CityHealth initiative. CityHealth tracks and reports on proven policy solutions and works with cities to advance policies that achieve community health priorities. Through this relationship, Kaiser Foundation Health Plan of Washington leverages its deep expertise in health policy, government relations, and community-based prevention to accelerate cities' efforts to improve people's health and quality of life. The policy menu includes affordable housing trusts, complete streets, earned sick leave, eco-friendly purchasing, flavored tobacco restrictions, greenspace, healthy food purchasing, healthy rental housing, high-quality and accessible pre-K, legal support for renters, safer alcohol sales, and smoke free indoor air. For Kaiser Foundation Health Plan of Washington, this partnership complements the organization's established approach to community health - bringing together health leaders, clinicians and community partners to help solve the social, economic and environmental health challenges facing the residents who live in the communities it serves. Kaiser Permanente established the Kaiser Permanente Center for Gun Violence Research and Education in 2022, in recognition of increasing gun violence and its devastating effects on the health of communities across the U.S. As part of the launch, the center awarded a series of grants to organizations focused on reducing the incidence and impact of gun violence in the U.S., laying the groundwork for the center's future collaborative work. The center supports subsequent expansion of the center is part of Kaiser Permanente's longstanding commitment to addressing violence as a public health issue. Through the center, we will continue to support research into the causes of and interventions for firearm injuries with the same rigor and clinical expertise that we use to study and prevent strokes, cancer, heart disease, and other leading causes of death. Kaiser Permanente is also committed to strengthening our public health system and ensuring the U.S. health system is well-equipped to respond to future public health emergencies. In collaboration with key partners, Kaiser Permanente is striving to build a more resilient public health system by improving the connections between public health, health care, and community-based organizations, and by establishing a public health research agenda. Creating a strong healthcare ecosystem that works effectively with the nation's public health system is a key mechanism for improving community health. Everyone has a role to play in supporting and enhancing public health in the U.S. Kaiser Permanente is proud to rally for public health with partners across industries through investments, engagement, and coalition building. A. Climate and Health At Kaiser Permanente, we believe it is our responsibility to improve the health of the people who live in the communities we serve, protect the environment, and to minimize our environmental impact. This includes how we operate our facilities, support the health of communities, and invest in our communities. We have set ambitious goals to drive both internal and private sector action. Through innovations in energy use, construction and building strategies, supply chain, food systems, finance, and clinical practice that promote community health, we are leading the health care sector in reducing environmental contributors to disease and illness. We prioritize reducing greenhouse gas emissions to lower our carbon footprint and lower the environmental impact on the health of the communities Kaiser Permanente serves. In 2024, we dedicated 35.58% of overall spending on products to items that met our Environmentally Preferable Purchasing standards and ensured 100% of our overall operations were powered by onsite and offsite renewable electricity. B. Research Kaiser Permanente's research efforts are core to the organization's mission to improve population health, and its commitment to continued learning. Kaiser Permanente researchers study critical health issues such as cancer, cardiovascular conditions, diabetes, behavioral and mental health, and health care delivery improvement. Kaiser Permanente's research is broadly focused on three themes: understanding health risks; addressing patients' needs and improving health outcomes; and informing policy and practice to facilitate the use of evidence-based care. Kaiser Permanente is uniquely positioned to conduct research due to its rich, longitudinal, electronic clinical databases that capture virtually complete health care delivery, payment, decision-making and behavioral data across inpatient, outpatient, and emergency department settings. In 2024, Kaiser Permanente's research programs engaged in almost 296 active studies (including 21 clinical trials) and published 284 journal articles. Our Community Benefit investments supported the following research: The Kaiser Permanente Washington Health Research Institute (KPWHRI) was established in 1983 and prioritizes studies on health and health care on addictions, aging and geriatrics, cancer prevention, screening, and treatment, child and adolescent health, chronic disease management, medication use and patient safety, mental health, social determinants of health, vaccines, and infectious diseases. In 2024, the Kaiser Permanente Washington Health Research Institute published several research studies, a summary of one publication includes: Adapting clinical care decisions for patient-reported social risks is essential to patient-centered care. Most research in this area focuses on awareness and assistance (social-needs-targeted care), such as screening and referral to food, financial, and other resources. There is limited evidence for social risk-informed care - adapting care for social risks. In a study published in the Permanente Journal, researchers describe a process to build a novel, adjustment-focused continuing medical education course. Existing evidence on contextualized care and shared decision making informed a general framework for primary care providers to engage in awareness and adjustment activities. The authors recommend that multiple stakeholder perspectives be incorporated and conclude that education complemented by active, nuanced, flexible implementation strategies may be necessary for the successful uptake of care-delivery-based social health integration activities. FORM 990, PART VI, LINE 1A VOTING MEMBER AND GOVERNING BODY THE EXECUTIVE COMMITTEE, CONSISTING OF THREE DIRECTORS, HAS AUTHORITY TO ACT FOR THE BOARD BETWEEN MEETINGS EXCEPT IT HAS NO AUTHORITY TO: 1. ADOPT, AMEND OR REPEAL BYLAWS; 2.AMEND OR REPEAL ANY RESOLUTION OF THE BOARD WHICH BY ITS EXPRESS TERMS IS NOT SO AMENDABLE OR REPEALABLE; 3. ELECT, APPOINT OR REMOVE DIRECTORS, DESIGNATE COMMITTEES OF THE BOARD OR FILL VACANCIES IN THE BOARD OR IN ANY SUCH COMMITTEE; 4. DISSOLVE, MERGE OR CONSOLIDATE THE CORPORATION; 5. ADOPT, AMEND OR REPEAL THE ARTICLES OF INCORPORATION; 6. SELL, LEASE, PLEDGE, TRANSFER OR EXCHANGE ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OF THE CORPORATION; 7. FIX COMPENSATION OF DIRECTORS FOR SERVING ON THE BOARD OR ON ANY COMMITTEE; 8. AUTHORIZE ANY DIRECT OR INDIRECT TRANSFER OF MONEY OR OTHER PROPERTY OR INCUR ANY INDEPTEDNESS TO OR FOR THE BENEFIT OF TRANSFEREES IN LIQUIDATION (OTHER THAN CREDITORS OF THE CORPORATION); 9. TAKE ANY OTHER ACTION WHICH THE BOARD IS NOT AUTHORIZED TO TAKE OR WHICH A COMMITTEE OF THE BOARD IS NOT AUTHORIZED TO TAKE UNDER WA LAW. Form 990, PART VI, LINE 6 THE SOLE CORPORATE MEMBER OF THE CORPORATION IS KFHPW HOLDINGS, A WASHINGTON NONPROFIT CORPORATION. Form 990, PART VI, LINE 7A KFHPW HOLDINGS ELECTS THE DIRECTORS (AND FILLS VACANCIES AND HAS AUTHORITY TO REMOVE DIRECTORS). Form 990, PART VI, LINE 7B THE FOLLOWING ACTIONS OF THE CORPORATION ARE RESERVED TO OR REQUIRE APPROVAL OF THE MEMBER: A) CHANGES IN MEMBERSHIP; B) APPOINTMENT OF THE CHAIR OF THE BOARD AND THE PRESIDENT AND CEO, AND REMOVAL OF THE CHAIR OF THE BOARD, THE CEO OR ANY PRESIDENT. THE COMPENSATION OF ANY PRESIDENT AND OTHER EXECUTIVE OFFICERS OF THE CORPORATION REQUIRES APPROVAL BY THE COMPENSATION COMMITTEE OF THE ENTITY THAT SERVES AS THE OFFICIAL EMPLOYER OF RECORD FOR THE EXECUTIVE; C) SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF, THE MORTGAGE, PLEDGE OR DEDICATION TO THE REPAYMENT OF INDEBTEDNESS, OR ANY OTHER ENCUMBRANCE OF PROPERTY OF THE CORPORATION, OR THE ACQUISITION OF ASSETS,WHETHER OR NOT IN THE USUAL OR REGULAR COURSE OF THE CORPORATION'S ACTIVITIES, WHERE THE FAIR MARKET VALUE OF SUCH CORPORATE PROPERTY OR ASSETS BEING DISPOSED OF, ACQUIRED OR ENCUMBERED EXCEEDS 10% OF THE VALUE OF THE ASSETS OF THE CORPORATION AS REFLECTED IN THE MOST RECENT ANNUAL OR QUARTERLY FINANCIAL STATEMENTS THAT ARE AVAILABLE ON THE DATE IMMEDIATELY PRECEDING THE DATE OF THE RELEVANT TRANSACTION REQUIRES MEMBER APPROVAL; D) CAPITAL EXPENDITURE EXCEEDING $150 MILLION; E) ISSUANCE OF TAX-EXEMPT BONDS F) AMENDMENT OF ARTICLES C (MEMBER), D (DIRECTORS) OR H (AMENDMENT OF BYLAWS) Form 990, PART VI, LINE 11B FORM 990 REVIEW PROCESS 1. KEY INFORMATION NECESSARY FOR THE PREPARATION OF THE TAX RETURN IS OBTAINED AND/OR CONFIRMED WITH INTERNAL SOURCES INCLUDING REGIONAL FINANCE, EXECUTIVE COMPENSATION, COMMUNITY HEALTH DEPARTMENT, TREASURY, GOVERNMENT RELATIONS, AND LEGAL. 2. PRIOR TO FINALIZATION, THE RETURN IS REVIEWED BY AN EXTERNAL TAX ADVISOR. 3. ONCE SIGNED BY AN EXTERNAL TAX ADVISOR, THE RETURN AND UNDERLYING DATA ARE REVIEWED BY AN OFFICER OR A MEMBER OF MANAGEMENT DESIGNATED BY AN OFFICER FOR SIGNATURE AND FILING. 4. COPIES ARE THEN PROVIDED TO BOARD MEMBERS PRIOR TO FILING. Form 990, PART VI, LINE 12C Ethics and Compliance Ongoing Monitoring and Enforcement Activities Kaiser Permanente regularly and consistently monitors and enforces compliance with the Conflicts of Interest policy in the following ways: Reporting Conflicts of Interest Concerns - The Ethics and Compliance Hotline or Webline is available to all employees, vendors, contractors, and agents to anonymously report actual or perceived conflicts of interest. The Hotline is managed by a third party; however, reported conflicts of interest allegations are provided to Ethics and Compliance for investigation, and if required, corrective actions are taken to address the conflict of interest. Employees are prohibited from retaliating against or intimidating anyone who reports concerns in good faith or refuse to participate in wrongdoing. Executive Disclosure Process - Executives are required to fill out a disclosure form upon their hiring or promotion to this level. Any necessary actions, such as requesting additional information from the Executive, are handled in compliance with established policies and written standards. Responses and actions regarding conflicts of interest are documented within our record-keeping system for tracking and reporting purposes. Annual Disclosure Process - Annually, Directors, Officers, Key Employees, Executives, and other employees in roles with elevated risk (e.g., research investigator, managers and supervisors with funds disbursement authority, or sales consultants) are required to complete a Conflicts of Interest Disclosure form. Responses are reviewed by Ethics and Compliance, Board Services, and / or the Governance, Accountability and Nominating Committee of the Kaiser Foundation Health Plan/Hospital Board of Directors. When actions are required, they are addressed in accordance with policies and written standards. Conflicts of interest responses and actions are maintained in our system of record for tracking and reporting purposes. Ongoing Disclosure Process - In addition to the annual disclosure process and in accordance with the Conflicts of Interest policy, on an ongoing basis Ethics and Compliance receives, consults, and reports on conflicts of interest matters. External Audit Review of Disclosures - Annually, as a part of the Kaiser Permanente external audit, an outside certified public accounting firm reviews the conflicts of interest disclosure process and actions taken for Directors, Officers, Key Employees, and Executives. The results, inclusive of any findings, are presented to the Kaiser Foundation Health Plan/ Hospital Audit and Compliance Committee of the Board of Directors. Awareness and Enforcement - The following general awareness and enforcement guidelines are followed: - Interactive conflicts of interest scenarios, and the Conflicts of Interest and Corrective or Disciplinary Action policies are provided and reviewed as part of the general annual ethics and compliance training, and compliance training for new employees. - Employees who complete the training are provided learning boosters which occur 2 days, 2 weeks, and 2 months after the course to help retain and apply learning. - The Conflicts of Interest Policy is reviewed and attested to by those selected to complete the annual disclosure form. - Conflict of interest topics (e.g., how to disclose conflict of interest situations, examples of conflicts of interest, etc.) are included in annual Ethics and Compliance week's activities. - Road shows are conducted throughout the year to educate employees in elevated risk departments, such as Community Health, on conflicts of interest situations. - Represented employees are subject to corrective or disciplinary action provisions outlined in the regional or national collective bargaining agreements and applicable policies. In the event disciplinary action is required due to failure to comply with applicable legal and regulatory requirements, policies and procedures, the Code of Ethical Conduct (Principles of Responsibility), unsatisfactory performance, or misconduct disciplinary action includes, but is not limited to: * verbal discussion, coaching, and/or warning by the employee's immediate supervisor or higher-level manager to correct the problem; * written notice, with or without final warning; * suspension, with or without final warning; or * termination of employment. Form 990, PART VI, LINE 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, BENEFITS & HUMAN RESOURCES CONSULTING FIRM. THE COMPENSATION PROGRAM FOCUSES ON OBJECTIVES IN THE AREAS OF QUALITY OF MEMBER CARE AND SERVICE, MEMBERSHIP GROWTH, FINANCIAL SOUNDNESS, AND THE COMMUNITY AND SOCIAL MISSION OF THE ORGANIZATION. Form 990, PART VI, LINE 18 TO REQUEST COPIES, CONTACT: NATIONAL COMMUNICATIONS - RM OPERATIONS KAISER FOUNDATION HEALTH PLAN AND HOSPITALS ONE KAISER PLAZA, 22ND FLOOR OAKLAND, CA 94612 Form 990, PART VI, LINE 19 These documents are made available when regulatorily required. Form 990, PART VII, SECTION A, COLUMN B HOURS FOR RELATED ORGANIZATIONS INDIVIDUALS WHO ARE BOTH OFFICERS AND MEMBERS OF BOARDS OF DIRECTORS WORK FULL TIME AS EMPLOYEES AS WELL AS FULFILL THEIR BOARD ASSIGNMENT. ALL OFFICERS WORK FULL TIME IN THEIR EMPLOYEE CAPACITY. FULL TIME WORK MAY REQUIRE IN EXCESS OF THE TRADITIONAL 40 HOUR WEEK. GIVEN THE INTEGRATED NATURE OF OUR ORGANIZATION, EMPLOYEES MAY PROVIDE SUPPORT FOR VARIOUS KAISER PERMANENTE COMPANIES. THE AVERAGE HOURS PER WEEK REPORTED FOR THE FILING ORGANIZATION AND RELATED ORGANIZATIONS WAS ESTIMATED. FORM 990, PART XI, LINE 9 Other changes in net assets or fund balances CHANGE IN DONATED CAPITAL $ (24,129) CHANGE IN PENSION & RETIREMENT LIABILITIES 37,611,875 OTHER THAN TEMPORARY IMPAIRMENTS (11,408,158) GAIN/LOSS ON SALE OF INVESTMENTS - BOOK 27,568,149 GAIN/LOSS ON SALE OF INVESTMENTS - TAX 22,151,776 ------------------ $ 75,899,513 Kaiser Foundation Hospitals One Kaiser Plaza - 26th FL Oakland CA 94612 941105628 Health Care CA 501(c)(3) 3 NA false Kaiser Foundation Health Plan Inc One Kaiser Plaza - 26th FL Oakland CA 94612 941340523 Health Care CA 501(c)(3) 10 NA false Kaiser Fdn Health Plan of Colorado One Kaiser Plaza - 26th FL Oakland CA 94612 840591617 Health Care CO 501(c)(3) 10 KFHP Inc false Kaiser Fdn Health Plan of Georgia Inc One Kaiser Plaza - 26th FL Oakland CA 94612 581592076 Health Care GA 501(c)(3) 10 KFHP Inc false Kaiser Foundation Health Plan of the MAS One Kaiser Plaza - 26th FL Oakland CA 94612 520954463 Health Care MD 501(c)(3) 10 KFHP Inc false Kaiser Fdn Health Plan of the Northwest One Kaiser Plaza - 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