2013-11-12T12:41:14-06:00 2012-12-31 PRICEWATERHOUSECOOPERS LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2012-01-01 840591617 KAISER FDN HEALTH PLAN OF COLORADO % VP - NATIONAL TAX COMPLIANCE KAIS 5102716611 ONE KAISER PLAZA SUITE 15L Suite OAKLAND CA 94612 DEBORAH STOKES 2013-11-06 2673303000 2012 2016-02-25 16:41:14Z DONNA LYNNE ONE KAISER PLAZA SUITE 15L OAKLAND CA 94612 3271598760 false X N/A X 1969 CO TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE 15 12 6478 1008 1335940 14549684 16404939 2850877885 2982890216 26046278 29986705 31381 112424 2891505228 3029394284 5805600 8542100 0 0 607324341 648286246 0 0 0 2224868677 2317499253 2837998618 2974327599 53506610 55066685 1454050830 1536345871 1104155026 1156054316 349895804 380291555 X TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE false false 2675218312 0 2957927124 member health care services and medical training for care improvement Kaiser Foundation Health Plan of Colorado (KFHP of Colorado) provides medical and surgical care, including urgent care services, extended care and home health care, for its members without regards to age, sex, race, religion or national origin or the ability to pay. KFHP of Colorado educates and trains medical students and other health care professionals and promotes scientific and nursing education in order to improve care. Additional information about Colorado Health Plan's charitable activities can be found in Schedule O, Community Benefit Report. 22123395 0 389664 Charitable Care (Medical Financial Assistance and Charitable Health Coverage) Colorado Health Plan provides charity care to low-income vulnerable patients through the Medical Financial Assistance (MFA) and Charitable Health Coverage (CHC) Programs. Colorado Health Plan offers financial assistance through our MFA program to help families and individuals that are unable to pay for all or part of the cost of urgent or emergent care provided in Kaiser Permanente facilities. In 2012, this program assisted more than 4,100 qualifying applicants, providing over 9,700 prescriptions and more than 18,200 outpatient office visits. The CHC program is available to low income families who are not eligible for other public or privately sponsored coverage. More than 1,200 patients were receiving comprehensive care through this program at the end of 2012. 55162389 0 24573428 Medicaid and Other Government Sponsored Programs Colorado Health Plan is committed to improving the way beneficiaries of our Medicaid and other government sponsored programs receive care, not only in our facilities, but also in the communities we serve. In 2012, Colorado Health Plan participated in the Medicaid and Children's Health Insurance Plan (CHIP) programs to support the provision of primary and specialty care to residents of the state of Colorado. At the end of 2012, over 18,000 individuals were receiving the benefits of full membership in Colorado Health Plan's managed care programs in the state of Colorado. More than 6,200 children were receiving similar benefits under the Children's Health Insurance Plan (CHIP). 22333530 8542100 0 SCH. O, COMMUNITY BENEFIT REPORT 22333530 8542100 0 2774837626 true true false true false false false false false false true false false false true false true true false false false false false false false false false true true true false false false false false false false false false false false false true true true true false false true 6604 0 true 6478 true true true false false false false false false false false false X 15 12 false false true false true true true true true false false true true true true true true true true false CO X X VP - NATIONAL TAX COMPLIANCE 5102716385 ONE KAISER PLAZA 15L OAKLAND CA 94612 X Christine Cassel 1.0 10.0 X 0 203500 0 Thomas Chapman 1.0 12.0 X 0 214108 17000 Daniel P garcia 2.0 48.0 X X 0 1424272 83764 William Graber 1.0 6.5 X 0 240823 0 Eugene Grisby III 1.0 7.5 X 0 221000 0 George C Halvorson 5.0 45.0 X X 0 9800351 86158 Judith Johansen 0.5 5.8 X 0 207146 0 Kim J Kaiser 0.5 8.0 X 0 228500 0 Philip Marineau 0.58 6.34 X 0 225618 0 Jenny Ming 0.3 4.8 X 0 214323 0 Edward Pei 0.5 7.5 X 0 206641 17000 J Neal Purcell 0.5 8.5 X 0 251464 0 Cynthia Telles 0.5 6.6 X 0 226717 0 Bernard J Tyson 5.0 45.0 X X 0 4087093 624945 Margaret Porfido 1.0 8.5 X 0 237779 0 Kathryn Lancaster 4.0 46.0 X 0 2779989 332894 Donna Lynne 16.0 34.0 X 0 1109779 224081 Thomas R Meier 2.0 48.0 X 0 816082 129748 Donald H Orndoff 5.0 45.0 X 0 766341 160171 Arthur M Southam 4.0 46.0 X 0 3350376 379989 Deborah Stokes 4.0 46.0 X 0 690493 143269 Matthew George Weber 30.0 20.0 X 0 296800 63727 Victoria B Zatkin 4.0 46.0 X 0 339271 86546 Mark S Zemelman 3.0 47.0 X 0 1019066 229497 Keith J Evans 30.0 20.0 X 0 313569 63852 Anne E McDow 30.0 20.0 X 0 360395 88954 James Newsome 30.0 20.0 X 0 413880 91005 Elizabeth M Reimann 30.0 20.0 X 160000 0 37799 Nancy L Wollen 30.0 20.0 X 0 446053 99455 Jandel T Allen-Davis 30.0 20.0 X 0 316856 79790 Regina S Berman 30.0 20.0 X 0 377549 71167 Richard Roland Lyon 30.0 20.0 X 0 350699 78543 Virginia M McLain 30.0 20.0 X 0 410022 105414 Robin Sadler 30.0 20.0 X 0 367096 85027 Steven R Zatkin 0.0 0.0 X 0 323501 81586 Rochelle M Roth 0.0 0.0 X 0 245044 47186 Jeffrey Hahn 0.0 0.0 X 204001 0 51833 364001 33082196 3560400 1016 true true false COLORADO PERMANENTE MEDICAL GROUP PO BOX 373030 DENVER CO 80237 MEDICAL SERVICES 477131409 SAINT JOSEPH HOSPITAL 1835 FRANKLIN STREET DENVER CO 80218 MEDICAL SERVICES 287848738 COLUMBIA-HEALTHONE LLC PO Box 403838 ATLANTA GA 30384 medical services 143671710 EXEMPLA INC 8300 W 38TH AVENUE WHEAT RIDGE CO 80033 medical services 147853517 COLORADO LAB SERVICES PO BOX 910506 DENVER CO 80291 medical services 72332239 86 14667772 819165 918002 16404939 MEMBERS HEALTH DUES 621400 1950955954 1950955954 SUPPL CHARGE/PHARM 621400 142599621 142599621 NON-PLAN & INDUSTRIAL 621400 3495062 2159122 1335940 OTHER PROGRAM SERV 621400 64601134 64601134 MEDICARE 621400 821238445 821238445 2982890216 28730104 28730104 0 0 112424 112424 0 112424 112424 243294835 166242 241094573 1109903 2200262 -943661 1256601 1256601 0 0 0 0 3029394284 2981554276 1335940 30099129 8507800 8507800 34300 34300 0 0 197799 197799 0 416506877 383070141 33436736 0 67974033 67974033 130416901 130242998 173903 33190636 11189403 22001233 0 475795 475795 1571375 1571375 354779 354779 0 683168 683168 0 11507605 1541954 9965651 8585381 7147301 1438080 137617450 117479192 20138258 0 12355786 12355786 2661088 2288171 372917 0 584188 584188 0 0 42078943 42078943 11795568 11795568 CONTRACT PAYMENTS 997201395 997201395 PURCHASED MED SVC- OUTSIDE 534760529 534492144 268385 SUPPLIES 336819541 316231007 20588534 PURCHASED SVC - NON-MEDICAL 74856138 40667201 34188937 143590524 90540289 53050235 2974327599 2774837626 199489973 0 5290515 6533224 0 0 0 0 96053815 104973465 0 0 0 0 0 0 26196168 32748965 23361803 21853892 726217024 374676597 339442504 351540427 925177783 979497908 0 0 0 0 0 0 38528242 39197990 1454050830 1536345871 398532876 364688422 0 0 26234276 31432883 0 0 0 0 0 0 0 0 0 0 679387874 759933011 1104155026 1156054316 X 2410 2310 0 0 349893394 380289245 349895804 380291555 1454050830 1536345871 X 55066685 37168627 -61839561 X false true X true true true X 9807549 8613103 10958451 14549684 16404939 60333726 2271435768 2340697699 2587673738 2850877885 2982890216 13033575306 0 0 0 2281243317 2349310802 2598632189 2865427569 2999295155 13093909032 0 0 0 13093909032 29515635 26091143 22888156 22406248 28842528 129743710 0 29515635 26091143 22888156 22406248 28842528 129743710 0 0 2310758952 2375401945 2621520345 2887833817 3028137683 13223652742 0.99019 0.99109 0.00981 0.00891 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 295454 true true 59325 354779 false LOBBYING ACTIVITY BY NONELECTING PUBLIC CHARITIES SCHEDULE C, PART II-B, LINE 1A THROUGH 1I The Organization is a member of the Kaiser Permanente Medical Care Program and participated in and benefited from lobbying activities conducted at the regional and national levels for the benefit of its enrolled members 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 internal involvement in any political campaigns. This policy is closely monitored for compliance. During the year this Organization may have made comments or statements concerning legislation which may affect the health care industry. Health Plan may have engaged in conversations with and/or written communications to various Federal, state, and local officials regarding matters which affected the healthcare industry as a whole. The amount of time and money involved in the activities is detailed on lines a through i. Health Plan employs individuals, including one or more registered lobbyists and/or may retain one or more professional consultants to represent Health Plan's interests in various legislative and regulatory bodies and from time-to-time to keep informed about Federal and state legislation having an impact on Health Plan's charitable activities as an exempt Health Maintenance Organization. These individuals attempt to ensure that proposed legislation and enacted laws are compatible with the interests of Health Plan and its members by performing the following activities: (I) Collecting, analyzing and distributing within the Organization, public and private policy recommendations regarding proposed legislation that affect the operation of Health Plan and its ability to provide quality health and medical care services to its members in a cost effective environment. (II) Providing appropriate informational materials to legislators and to their staffs that pertain to matters of common interest in the health care community and in the not-for-profit community. (III) Also by preparing written and oral testimony, these individuals appear at legislative hearings, monitor legislative proceedings and meet with legislators and/or their staffs regarding issues pertinent to the mission of Health Plan. Those individuals appearing at such hearings and meetings for and on behalf of Health Plan often are representing the interests of common interest groups as well as the interests of the members of Health Plan. (IV) Other employees and officers perform services by delivering speeches at various public and private functions and in serving as faculty in healthcare related educational programs throughout the community. 42324916 42324916 439423756 214182185 225241571 26371748 15434895 10936853 174217046 123831334 50385712 43879558 21228183 22651375 351540427 0 RESERVE FOR WORKERS COMP RISKS 4028339 OTHER LIABILITIES 20131731 PROF & PUBLIC LIABILITIES 45230952 POST RETIREMENT LIABILITIES 690541989 759933011 3070566913 37168627 5094361 42262988 3028303925 1090359 1090359 3029394284 3040171064 68382860 68382860 2971788204 683168 1856227 2539395 2974327599 Schedule D, Part X, LINE 2 FIN 48 Footnote The organization's financial statements do not include a footnote under FIN 48. Schedule D, Part XI Reconciliation of Revenue LINE 2D: BAD DEBT EXPENSES - RECLASS <$1,856,227> GAIN/LOSS ON INVESTMENTS - BOOK 2,364,918 INTER-ENTITY REVENUE - RECLASS 6,447,859 Investment management fees - reclass <683,168> OTTI (See Note 1) < 1,179,021> TOTAL $5,094,361 Note 1: other than temporary impairment (OTTI) of investment recognized for financial statement purposes, which will be tax reported when realized. LINE4B: FIXED ASSETS LOSS - RECLASS <$1,109,903> GAIN/LOSS ON INVESTMENTS - TAX 2,200,262 TOTAL $1,090,359 Schedule D, Part XII Reconciliation of Expenses LINE 2D: FIXED ASSET LOSS - RECLASS $ 1,109,903 INTER-ENTITY REVENUE - RECLASS 6,447,859 DECREASE IN OTHER COMPREHENSIVE INCOME 60,825,098 Total $ 68,382,860 Line 4a: investment management fees - reclass $ 683,168 LINE 4b: BAD DEBT EXPENSES - RECLASS $ 1,856,227 true The Denver Foundation 55 Madison St 8th FL Denver CO 80206 846048381 501(c)(3) 8500000 Donor Contribution 1 0 Scholarships 17 34300 CASH AMOUNT PROCEDURES FOR MONITORING THE USE OF GRANTS SCHEDULE I, PART I, LINE 2 At the end of their funding cycle, grantees are required to submit a final report which delineates accomplishments related to stated objectives. Larger grants (typically over $100K) may require quarterly progress reports. false true false false false false false true false Jandel T Allen-Davis 0 214020 0 86923 0 15913 0 66312 0 13478 0 396646 0 0 Christine Cassel 0 203500 0 0 0 0 0 0 0 0 0 203500 0 0 Thomas Chapman 0 214108 0 0 0 0 0 17000 0 0 0 231108 0 0 Keith J Evans 0 212068 0 69000 0 32501 0 48454 0 15398 0 377421 0 0 Daniel P garcia 0 577139 0 815322 0 31811 0 66865 0 16899 0 1508036 0 0 William Graber 0 240823 0 0 0 0 0 0 0 0 0 240823 0 0 Eugene Grisby III 0 221000 0 0 0 0 0 0 0 0 0 221000 0 0 Regina S Berman 0 229183 0 0 0 148366 0 54767 0 16400 0 448716 0 0 George C Halvorson 0 1242168 0 6949670 0 1608513 0 66865 0 19293 0 9886509 0 0 Judith Johansen 0 207146 0 0 0 0 0 0 0 0 0 207146 0 0 Kim J Kaiser 0 228500 0 0 0 0 0 0 0 0 0 228500 0 0 Kathryn Lancaster 0 650287 0 1297450 0 832252 0 319606 0 13288 0 3112883 0 790044 Donna Lynne 0 491921 0 576975 0 40883 0 209812 0 14269 0 1333860 0 0 Richard Roland Lyon 0 245030 0 90013 0 15656 0 65083 0 13460 0 429242 0 0 Philip Marineau 0 225618 0 0 0 0 0 0 0 0 0 225618 0 0 Anne E McDow 0 216914 0 108408 0 35073 0 75556 0 13398 0 449349 0 0 Virginia M McLain 0 210096 0 102371 0 97555 0 93016 0 12398 0 515436 0 59654 Thomas R Meier 0 318951 0 459975 0 37156 0 113460 0 16288 0 945830 0 0 Jenny Ming 0 214323 0 0 0 0 0 0 0 0 0 214323 0 0 James Newsome 0 244862 0 133704 0 35314 0 78156 0 12849 0 504885 0 0 Donald H Orndoff 0 390840 0 352750 0 22751 0 143756 0 16415 0 926512 0 0 Edward Pei 0 206641 0 0 0 0 0 17000 0 0 0 223641 0 0 J Neal Purcell 0 251464 0 0 0 0 0 0 0 0 0 251464 0 0 Elizabeth M Reimann 131358 0 15052 0 13590 0 25232 0 12567 0 197799 0 0 0 Robin Sadler 0 194493 0 81027 0 91576 0 72629 0 12398 0 452123 0 60518 Arthur M Southam 0 755588 0 1530102 0 1064686 0 364423 0 15566 0 3730365 0 1019527 Deborah Stokes 0 347253 0 278496 0 64744 0 129981 0 13288 0 833762 0 43578 Cynthia Telles 0 226717 0 0 0 0 0 0 0 0 0 226717 0 0 Bernard J Tyson 0 932699 0 2087352 0 1067042 0 605550 0 19395 0 4712038 0 1036741 Matthew George Weber 0 220075 0 44100 0 32625 0 46830 0 16897 0 360527 0 0 Nancy L Wollen 0 302043 0 125797 0 18213 0 86606 0 12849 0 545508 0 0 Steven R Zatkin 0 9900 0 288225 0 25376 0 67392 0 14194 0 405087 0 0 Victoria B Zatkin 0 196294 0 106133 0 36844 0 84275 0 2271 0 425817 0 0 Mark S Zemelman 0 465119 0 387152 0 166795 0 214482 0 15015 0 1248563 0 124315 Margaret Porfido 0 237779 0 0 0 0 0 0 0 0 0 237779 0 0 Rochelle M Roth 0 167060 0 32120 0 45864 0 34254 0 12932 0 292230 0 47186 Jeffrey Hahn 136754 0 59176 0 8071 0 37635 0 14198 0 255834 0 0 0 Schedule J, Part I, Line 3 Top Management Officials' Compensation Kaiser Foundation Health Plan of Colorado relied on Kaiser Foundation Health Plan, Inc. that used one or more of the methods described below to establish the top management officials' compensation: - Compensation committee - Independent compensation consultant - Form 990 of other organizations - Written employment contract - Compensation survey or study, and - Approval by the board or compensation committee. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN GEORGE HALVORSON 1,500,000 KATHRYN LANCASTER 790,314 THOMAS MEIER 858 ARTHUR M SOUTHAM 1,019,527 DEBORAH STOKES 43,578 BERNARD J TYSON 1,036,741 STEVEN ZATKIN 5,087 MARK ZEMELMAN 126,344 VIRGINIA MCLAIN 59,654 ROBIN SADLER 60,518 Some of the listed persons participated in nonqualified supplemental retirement plans. Under these plans, the organization makes annual contributions to accounts held in the name of individual participants. Contributions vary by position level and pay, and vest over time based on age and/or service. Participant accounts are credited with actual investment returns from up to four mutual funds and/or with a fixed rate of interest or a combination thereof. Unvested amounts are subject to risk of forfeiture. SCHEDULE J, 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. Schedule J, Part II Bernard Tyson - Board of Directors effective 12/06/2012. J Neil Purcell - Board of Directors to 12/31/2012. Steven Zatkin - General Counsel to 6/30/2010; consultant 3/4/2011 to present. Form 990, Part I, Line 7b Net Unrelated Business Taxable Income from Form 990-T, Line 34 TOTAL UBI (FORM 990-T, LINE 30) $ 60,216 NET OPERATING LOSS (NOL) APPLIED <$ 60,216> __________ UBTI WITH NOL (FORM 990-T, LINE 34) NONE Form 990, Part VI, Line 4 Changes to governing documents The Articles of Incorporation of the Corporation were amended in 2012 as follows: Articles Four and Seven were amended to: (a) set forth a broad statement of the corporation's primary purposes that reflects current case law; (b) revise the nondiscrimination language to be consistent with current legal standards; and (c) expressly state that the corporation is prohibited from engaging in activities not permitted by Section 501(c)(3) of the Internal Revenue Code and to specifically state that the corporation shall not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office; and the articles were fully restated to incorporate into one document all of the provisions of the articles, as amended. Amended and Restated Articles of Incorporation of the Corporation were filed April 6, 2012. The Bylaws of the Corporation were amended in 2012 as follows: On December 6, 2012, Article D, Directors and Article E, Officers were amended to provide for up to fifteen directors and up to three inside directors, and the possibility of the Chairman of the Board and the Chief Executive Officer not being the same person. Form 990, Part VI, Line 6 Members or Stockholders KAISER FOUNDATION HEALTH PLAN, INC. IS THE SOLE MEMBER. Upon dissolution, remaining assets shall be distributed to a 501(c)(3) organization. Form 990, Part VI, Line 7a Elect members of the governing body Kaiser Foundation Health Plan, Inc. (KFHP) appoints the Directors (and fills vacancies and has authority to remove Directors). The same 15 individuals who comprise the Board of Directors of KFHP also serve as the 15 Directors of KFHP Colorado, Ohio, Northwest and Mid-Atlantic States. Form 990, Part VI, Line 7b Member's approval The following actions of the corporation require approval of the sole member: a. removal of the Chairman of the Board or the Regional President; b. amendment of Article D, Section D-4 of the Bylaws - Election and Term of Office of Directors. Form 990, Part VI, Line 11b Review process 1. Key information necessary for the preparation of the tax return is obtained and/or confirmed with internal sources including regional finance, executive compensation, community benefits, treasury, government relations, and legal. 2. Community benefits details are presented to the community benefit committee of the board for review. 3. Executive compensation details are presented to the compensation committee of the board for review. 4. The complete tax return is reviewed and signed by a PRICEWATERHOUSECOOPERs LLP tax advisor. 5. The complete tax return is reviewed and signed by an officer or a member of management designated by an officer. 6. A copy of the return is provided to each board member prior to filing. Form 990, Part VI, Line 12c Compliance enforcement A. Regularly and Consistently Monitors Compliance with the Conflicts of Interest Policy - Kaiser Permanente regularly monitors compliance with the Conflicts of Interest Policy in 3 key ways: 1. The Kaiser Permanente Compliance Hotline is available to all employees and vendors to report actual or potential conflicts of interest. All calls are answered by a third party and provided to Kaiser Permanente's National Compliance Office for review and appropriate action. Employees can report anonymously. 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. 2. 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, 3. Annually, as a component of the external audit, KPMG LLP 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: 1. Represented employees are subject to any corrective/disciplinary action provisions described in specific regional/national collective bargaining agreements and/or organizational policies and practices. 2. Kaiser Permanente informs employees of the National Human Resources Policy No. 14. Corrective/Disciplinary Action Policy during new employee orientation and in annual compliance training. 3. 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, Line 15a/b Compensation determination The executive compensation program is designed to recruit, retain and motivate qualified senior management personnel. Senior management personnel have a significant impact on the strategic and policy direction and results of the organization. Therefore, the executive compensation program is, to a significant degree, performance-based. The compensation program is reviewed annually by the Compensation Committee of the Board of Directors which evaluates and approves, prior to payment, all programs and payments to CEO, Executive Director and top management officials (executives). Base pay for executive positions is established at a level comparable to the relevant market. In addition, other components of the compensation program bear 'at-risk' features designed to focus on strategically important performance goals and to assist in attracting and retaining top performers. The executive compensation program is targeted at the median of the comparable external market in which the organization competes for executive leadership. Evaluation of comparable pay data is performed by an Independent Compensation, Benefit & Human Resource Consulting firm. The compensation program focuses on objectives in the areas of quality of member care and service, financial soundness, and the community and social mission of the organization. Form 990, Part VI, Line 18 Available on GuideStar.org website Form 990, Part VI, Line 19 Public Inspection Copy Governing documents - are available from the Department of Insurance and maintained on the state agency website or upon request. Conflict of Interest is available on KP website under vendor Principles of Responsibility or upon request. Financial Statements are on file with state insurance agency on a statutory basis (stand alone entity). Combined data is published for Kaiser Foundation Health Plan Inc. and subsidiaries and Kaiser Foundation Hospitals and Subsidiaries with audit opinion by KPMG LLP and is available upon request. To request copies contact: Vice President - National Tax Compliance Kaiser Foundation Health Plan and Hospitals One Kaiser Plaza, Suite 15L Oakland, CA 94612 Form 990, Part VII, Section A, Column B Hours for related 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 Capital Stock <$ 100> Change in Other Comprehensive Inc. < 60,825,098> Gain/Loss on Investments - Tax < 2,200,262> Gain/Loss on Investments - Book 2,364,918 OTTI Loss < 1,179,019> ______________ Total Other Changes in Net Assets <$ 61,839,561> Form 990, Part III, Line 4a-d 2012 COMMUNITY BENEFIT REPORT KAISER FOUNDATION HEALTH PLAN OF COLORADO KAISER FOUNDATION HEALTH PLAN'S COMMITMENT TO THE COMMUNITY IN 2007, KAISER FOUNDATION HEALTH PLAN'S BOARD OF DIRECTORS REFINED THE FOCUS OF THE ORGANIZATION'S COMMUNITY BENEFIT PROGRAM AND ESTABLISHED THE FOLLOWING FOUR PRIORITY AREAS WHICH HAVE COME TO BE KNOWN AS "STREAMS OF WORK": 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 THE EVIDENCE BASE FOR CARE AND HEALTH. THE FOLLOWING ARE DETAILS OF COMMUNITY BENEFIT ACTIVITIES PROVIDED BY KAISER FOUNDATION HEALTH PLAN OF COLORADO: IN 2012, COLORADO HEALTH PLAN SERVED 541,222 MEMBERS AND EXPENDED $92.0 MILLION (AT COST, NET OF $25.0 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 IN 2012, THE COLORADO HEALTH PLAN EXPENDED $52.3 MILLION (AT COST, NET OF $25.0 MILLION OF RELATED REVENUE) 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 KAISER PERMANENTE PROVIDER. 1. CHARITABLE CARE (MEDICAL FINANCIAL ASSISTANCE AND CHARITABLE HEALTH COVERAGE PROGRAMS) IN COLORADO, HEALTH PLAN PROVIDES CHARITY CARE TO LOW-INCOME VULNERABLE POPULATIONS THROUGH THE MEDICAL FINANCIAL ASSISTANCE AND CHARITABLE HEALTH COVERAGE PROGRAMS. IN 2012, THE COLORADO HEALTH PLAN SPENT APPROXIMATELY $21.7 MILLION (AT COST, NET OF $390 THOUSAND IN RELATED REVENUES) ON UNDER- AND UNINSURED PATIENTS. 1) MEDICAL FINANCIAL ASSISTANCE PROGRAM THIS PROGRAM ASSISTS PATIENTS IN NEED BY SUBSIDIZING ALL OR A PORTION OF THEIR KAISER PERMANENTE MEDICAL EXPENSES. ELIGIBILITY IS BASED ON PRESCRIBED LEVELS OF INCOME, EXPENSES AND ASSETS. THIS CHARITY CARE PROGRAM ALSO INCLUDES DISCOUNTED CHARGES FOR UNINSURED PATIENTS BELOW 400% OF THE FEDERAL POVERTY GUIDELINES AND CONTRACTED COLLECTION AGENCY PRACTICES WHICH ALIGN WITH KAISER PERMANENTE SOCIAL VALUES. IN 2012, MORE THAN 4,100 PATIENTS QUALIFIED FOR BENEFITS UNDER THIS PROGRAM. ADDITIONAL CHARITY CARE IS PROVIDED THROUGH EXEMPLA, ONE OF OUR PARTNER HOSPITALS. KAISER PERMANENTE PROVIDERS PROVIDE CARE IN THE EMERGENCY ROOM, IN SURGERY SETTINGS, AS ROUNDING HOSPITALISTS, AND IN VARIOUS OTHER MEDICAL SETTINGS ON THE EXEMPLA CAMPUS. ANY ADDITIONAL FOLLOW-UP CARE IS PROVIDED IN COLORADO HEALTH PLAN'S MEDICAL OFFICES. 2) CHARITABLE COVERAGE PROGRAM CHARITABLE HEALTH COVERAGE (CHC) IS A UNIQUE APPROACH TO CARING FOR LOW-INCOME UNINSURED PERSONS IN THE COMMUNITY. ELIGIBLE PARTICIPANTS RECEIVE A REGULAR KAISER PERMANENTE MEMBERSHIP CARD AND ACCESS TO THE FULL RANGE OF OUR SERVICES AND PROVIDERS - A MUCH BETTER ALTERNATIVE TO A BRIEF AND COSTLY EMERGENCY ROOM VISIT OR HOSPITALIZATION. THIS ALLOWS US TO INVEST IN THE LONGER TERM HEALTH OF PATIENTS AND THE COMMUNITY. SINCE INCEPTION IN THE EARLY 1980S, CHC PROGRAMS HAVE MADE A REAL DIFFERENCE IN THE LIVES OF PERSONS WHO MIGHT OTHERWISE HAVE NO OTHER SOURCE OF CARE. IN COLORADO, KPSTEP IS A CHARITABLE HEALTH COVERAGE PROGRAM THAT ALLOWS UNINSURED LOW-INCOME PATIENTS ACCESS TO HEALTH CARE VIA A SUBSIDIZED INSURANCE PRODUCT. THE PROGRAM OFFERS UP TO 24 MONTHS OF MEMBERSHIP WITH RICH BENEFITS, SUBSIDIZED PREMIUMS AND LOW COPAYMENTS. PARTICIPANTS MUST QUALIFY BASED UPON INCOME AND ASSET STANDARDS, AND CAN NOT BE ELIGIBLE FOR ANY OTHER PUBLIC OR PRIVATE GROUP HEALTH CARE COVERAGE. BASED ON INCOME, THE PLAN SUBSIDIZES UP TO 95% OF THEIR PREMIUM. REFERRALS TO KPSTEP COME FROM COMMUNITY PARTNERS AND FROM COLORADO HEALTH PLAN MEMBERS LOSING THEIR COVERAGE. THE PROGRAM IS INTENDED TO PROVIDE INDIVIDUALS WITH ACCESS TO HEALTH CARE COVERAGE AT REDUCED RATES WHEN THEY ARE EXPERIENCING TRANSITIONS SUCH AS FINANCIAL DIFFICULTIES DUE TO JOB LOSS OR INVOLUNTARY REDUCTIONS IN WORKING HOURS, OR DEATH, DIVORCE OR LEGAL SEPARATION FROM A SPOUSE. 2. PARTICIPATION IN MEDICAID AND OTHER GOVERNMENT-SPONSORED PROGRAMS IN 2012, THE COLORADO HEALTH PLAN PROVIDED COVERAGE AND SERVICES VALUED AT $30.6 MILLION (AT COST, NET OF $24.6 MILLION IN RELATED REVENUES) FOR INDIVIDUALS IN THE FOLLOWING GOVERNMENT-SPONSORED PROGRAMS. 1) MEDICAID PROGRAM AS A PARTICIPANT IN COLORADO STATE'S PRIMARY CARE PROVIDER PROGRAM, COLORADO HEALTH PLAN PROVIDES PRIMARY AND SPECIALTY CARE TO MEDICAID BENEFICIARIES THAT SELECT KAISER PERMANENTE AS THEIR PRIMARY CARE PROVIDER. BENEFICIARIES HAVE ACCESS TO BOTH PRIMARY AND SPECIALTY CARE IN HEALTH PLAN FACILITIES, AS WELL AS PHARMACY AND DURABLE MEDICAL EQUIPMENT BENEFITS. HEALTH PLAN SUBMITS CHARGES TO THE STATE FOR PAYMENT ON A FEE-FOR-SERVICE BASIS. ADDITIONAL OUTSIDE SERVICES PROVIDED ARE BILLED DIRECTLY TO THE STATE. IN 2012, COLORADO HEALTH PLAN PROVIDED CARE AND SERVICES TO MORE THAN 18,000 BENEFICIARIES. 2) CHILD HEALTH PLAN PLUS (CHP+) COLORADO HEALTH PLAN PARTICIPATES IN THIS PROGRAM, SERVING APPROXIMATELY 6,300 BENEFICIARIES IN A FULLY CAPITATED HMO ARRANGEMENT. CHP+ SERVES CHILDREN UNDER AGE 19 WHO ARE U.S. CITIZENS WITH INCOMES BELOW 250% OF FEDERAL POVERTY GUIDELINES. ELIGIBILITY INCLUDES PROOF OF US CITIZENSHIP OR PERMANENT RESIDENCY, INELIGIBILITY FOR MEDICAID OR MEDICARE AND LACK OF ACCESS TO EMPLOYER-SPONSORED INSURANCE. B. SAFETY NET PARTNERSHIPS GRANTS AND DONATIONS FOR SAFETY NET PARTNERSHIPS COLORADO HEALTH PLAN'S SAFETY NET INITIATIVE DEVELOPS PARTNERSHIPS WITH EXISTING COMMUNITY HEALTH CLINICS AND ORGANIZATIONS THAT PROVIDE LOW-COST OR FREE MEDICAL RESOURCES FOR LOW-INCOME PATIENTS. THROUGH VARIOUS PROGRAMS, KAISER PERMANENTE OF COLORADO ENABLES ITS SAFETY NET PARTNERS TO PROVIDE INCREASED ACCESS TO HEALTH CARE, IMPROVED QUALITY OF CARE TO ITS PATIENTS, AND ASSISTANCE IN BUILDING THE CAPACITY OF SAFETY NET CLINICS AND ORGANIZATIONS. THE GOAL OF THIS COMMUNITY BENEFIT INITIATIVE IS TO WORK TOWARD ACHIEVING KAISER PERMANENTE'S MISSION TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY WE SERVE. A SIGNIFICANT PART OF OUR SAFETY NET PROGRAM IS THROUGH KNOWLEDGE TRANSLATION (INCLUDING EDUCATION) AND GRANT MAKING OF STRATEGIC INITIATIVES TO FILL EXISTING GAPS IN THE COMMUNITY CLINIC SYSTEM. IN LATE 2012, COLORADO HEALTH PLAN CONTRIBUTED $8.5 MILLION TO THE DENVER FOUNDATION ON BEHALF OF THE KAISER PERMANENTE COMMUNITY HEALTH FUND. THE MISSION OF THIS CONTRIBUTION IS TO SUPPORT CHARITABLE ORGANIZATIONS COMMITTED TO IMPROVING THE HEALTH OF LOCAL COMMUNITIES. C. DEVELOPING AND DISSEMINATING KNOWLEDGE THE COLORADO HEALTH PLAN SPENT $24.4 MILLION TO SUPPORT PROGRAMS AND SERVICES FOR THE DEVELOPMENT AND DISSEMINATION OF KNOWLEDGE IN 2012. THE FOLLOWING ARE EXAMPLES OF ACTIVITIES FUNDED UNDER THIS STREAM OF WORK DURING THE YEAR. 1. CLINICAL AND HEALTH SERVICES RESEARCH IN 2012, THE COLORADO HEALTH PLAN SPENT APPROXIMATELY $17.4 MILLION TO SUPPORT COMMUNITY BENEFIT FOCUSED CLINICAL AND HEALTH SERVICES RESEARCH. MANY OF THE RESEARCH STUDIES ADDRESS CURRENT HEALTH ISSUES AND IMPROVE CARE FOR COMMON CONDITIONS WHERE TREATMENT OFTEN IS LINKED TO COMMUNITY-BASED EFFORTS, AND ARE BROADLY DISSEMINATED THROUGH ARTICLES AND PROFESSIONAL PRESENTATIONS. THE COLORADO INSTITUTE FOR HEALTH RESEARCH (IHR) CONDUCTS RESEARCH THAT TRANSLATES INTO PRACTICE AND RESULTS-IMPROVEMENTS IN CARE PROCESSES AND OUTCOMES FOR OUR MEMBERS AND THE COMMUNITY. BY WORKING CLOSELY WITH CLINICAL OPERATIONS DEPARTMENTS AND COLORADO COMMUNITY ORGANIZATIONS, THE IHR CONTRIBUTES DIRECTLY TO MAKING THE COLORADO REGION THE LEADER IN HIGH-QUALITY, COST-EFFECTIVE CARE. MUCH OF THE INTERNAL WORK OF THE IHR CONTRIBUTES TO KAISER PERMANENTE'S SOCIAL MISSION AS A NON-PROFIT HEALTH CARE ORGANIZATION. 2. TUMOR BOARD AND CANCER REGISTRY COLORADO HEALTH PLAN COLLECTS SPECIFIC CANCER PATIENT DATA TO BE SENT TO THE STATE AT PARTICULAR INTERVALS AFTER DIAGNOSIS. EACH PATIENT IS FOLLOWED ON AN ANNUAL BASIS FOR THE REMAINDER OF HIS OR HER LIFE. 3. EDUCATIONAL THEATRE PROGRAMS (ETP) FOR 26 YEARS, COLORADO'S EDUCATIONAL THEATRE PROGRAMS HAVE PROVIDED FREE, AWARD-WINNING, HEALTH EDUCATION PROGRAMS REACHING ALMOST THREE MILLION PEOPLE. IN 2012, THE EDUCATIONAL THEATRE PROGRAMS DEVOTED APPROXIMATELY $1.7 MILLION TO SERVE OVER 164,000 PEOPLE ACROSS COLORADO THROUGH A VARIETY OF OFFERINGS DELIVERING MESSAGES ABOUT ACCESS TO CARE, BULLYING PREVENTION, NUTRITION AND PHYSICAL ACTIVITY: 4. SELF-SUFFICIENCY PROGRAMS THE COLORADO HEALTH PLAN SPENT APPROXIMATELY $182 THOUSAND TO SUPPORT 20 UNDERGRADUATE PRE-HEALTH INTERNS IN 2012. THE FOLLOWING ARE DESCRIPTIONS OF TWO OF THE ACTIVITIES SUPPORTED UNDER THIS PROGRAM. - UNDERGRADUATE PRE-HEALTH PROGRAM (UPP) - UNDER THIS PROGRAM, COLORADO HEALTH PLAN OFFERS SUMMER INTERNSHIPS AND SUPPLEMENTAL EDUCATION FOR UNDERGRADUATE STUDENTS INTERESTED IN PURSUING THE HEALTH CARE PROFESSIONS OF MEDICINE, NURSING, PHARMACY AND RESEARCH. - COLORADO HEALTH PLAN ACTIVELY EMPLOYS STUDENTS FROM THE ARRUPE JESUIT HIGH SCHOOL, A COLLEGE PREP SCHOOL THAT SERVES UNDERPRIVILEGED STUDENTS OF COLOR. THE SCHOOL'S CORPORATE WORK-STUDY PROGRAM PROVIDES STUDENTS WITH REAL WORLD JOB EXPERIENCES AND EXPOSURE TO CAREERS WHILE ALLOWING THEM TO EARN 70% OF THEIR SCHOOL TUITION. 5. HEALTH PROFESSIONAL TRAINING APPROXIMATELY $5.0 MILLION WAS SPENT IN 2012 ON PROGRAMS DEDICATED TO PROMOTING THE EDUCATION OF HEALTHCARE PROFESSIONALS. THE FOLLOWING ARE EXAMPLES OF INITIATIVES FUNDED UNDER THIS PROGRAM: - THE COMMUNITY CONTINUING PROFESSIONAL DEVELOPMENT PROGRAM IS BASED UPON IDENTIFIED GAPS AND NEEDS OF OUR SAFETY NET PARTNERS. EDUCATIONAL ACTIVITIES ARE OFFERED TO PHYSICIANS AND STAFF ACROSS A SPECTRUM OF TOPICS, WITH THE INTENT OF ENHANCING THE SAFETY NET'S ABILITY TO PROVIDE ACCESS TO HIGH QUALITY CARE. - COLORADO HEALTH PLAN CONTINUTED TO SPONSOR A GRADUATE MEDICAL EDUCATION (GME) FELLOWSHIP/RESIDENT PROGRAM IN COLLABORATION WITH THE UNIVERSITY OF COLORADO. THE PROGRAM RUNS TWO TRACKS DURING THE YEAR. FROM JANUARY THROUGH JUNE, RESIDENTS ROTATE THROUGH PREVENTIVE MEDICINE, UROLOGY, AND OTOLARYNGOLOGY. FROM JULY THROUGH DECEMBER, RESIDENTS ROTATE THROUGH UROLOGY AND OTOLARYNGOLOGY. - COLORADO HEALTH PLAN SUPPORTED TRAINING PROGRAMS FOR PHYSICIAN ASSISTANTS, PHARMACY RESIDENTS, TECHNICIANS, AND OTHER NON- PHYSICIAN HEALTH PROFESSIONALS. DURING 2012, THE HEALTH PLAN CONTRIBUTED RESOURCES DEDICATED TO THE TRAINING AND EDUCATION OF STUDENTS, INTERNS AND EXTERNS PURSUING A CAREER OR WORKING IN THE HEALTH CARE FIELD. - SIX TRAINING AND EDUCATION PROGRAMS WERE OFFERED IN CONNECTION WITH THE SPECIALTY OF PHARMACY. THESE PROGRAMS PROVIDE EXPERIENTIAL PAID AND UNPAID TRAINING OPPORTUNITIES FOR PHARMACY STUDENTS FROM COLORADO AND OTHER STATES. STUDENTS SPEND TIME IN OUTPATIENT PHARMACIES OR SPECIALTY AREAS. DURING THESE ROTATIONS, STUDENTS ARE ABLE TO GAIN "HANDS-ON" LEARNING BY PROVIDING CARE TO OUR MEMBERS. - COLORADO HEALTH PLAN IS PLEASED TO SUPPORT VERY STRONG NURSE PRACTITIONER, PHYSICIAN ASSISTANT, LABORATORY AND IMAGING PROFESSIONAL TRAINING PROGRAMS. STUDENTS FROM UNIVERSITIES AND COMMUNITY COLLEGES WORK WITH OUR TALENTED PROVIDERS AND STATE-OF-THE-ART COMPUTER SYSTEMS AND EQUIPMENT TO GAIN KNOWLEDGE AND EXPERTISE IN THEIR CHOSEN FIELD OF ADVANCED PRACTICE. D. OTHER COMMUNITY BENEFIT INVESTMENTS THE COLORADO HEALTH PLAN SPENT APPROXIMATELY $6.8 MILLION ON OTHER COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS BEYOND THE NATIONAL STREAMS OF WORK. THIS INCLUDES THE ADMINISTRATIVE EXPENSES OF A DEDICATED COMMUNITY BENEFIT DEPARTMENT TO SUPPORT REGIONAL COMMUNITY BENEFIT PROGRAMS AND SERVICES AND COORDINATE RELATED INITIATIVES. 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