| FORM 990, PART VI, LINE 6 |
KAISER FOUNDATION HEALTH PLAN, INC. IS THE SOLE MEMBER. Upon dissolution, remaining assets shall be distributed to a 501(c)(3) organization. |
| FORM 990, PART VI, LINE 7A |
- Elect Members of The Governing Body - Kaiser Foundation Health Plan, Inc. appoints the Board of Directors (and fills vacancies and has authority to remove Directors). |
| FORM 990, PART VI, LINE 7B |
Approval of Certain Governance Decisions The following actions of the corporation require the approval of the member. Typically the member (KFHP, Inc.) would approve actions requiring member approval and the Board of Directors of KFHP-GA also would approve or ratify the action: 1. Removal of the Chairman of the Board, CEO, or any President. The compensation of any President and other executive officers of the corporation shall be approved by the member's Compensation Committee; 2. The sale, lease, exchange, or other disposition of, the mortgage, pledge or dedication to the repayment of indebtedness (whether with or without recourse), 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 shall require the approval of the member; 3. Capital expenditures that exceed $25 million shall require the approval of the member; 4. The issuance of tax-exempt bonds; 5. Articles C (Member), D (Directors) and H (Amendment and Effect of Bylaws) of the Bylaws may be amended only by the member. |
| 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 BENEFITS, TREASURY, GOVERNMENT RELATIONS, AND LEGAL. 2. COMMUNITY BENEFITS DETAILS ARE PRESENTED TO THE COMMUNITY BENEFIT COMMITTEE OF THE BOARD FOR REVIEW. 3. PRIOR TO FINALIZATION, THE RETURN IS REVIEWED BY AN EXTERNAL TAX ADVISOR. 4. ONCE SIGNED BY AN EXTERNAL TAX ADVISOR, THE RETURN AND UNDERLYING DATA ARE REVIEWED BY AN OFFICER OR A MEMBER OF MANAGEMENT DESIGNATED BY AN OFFICER FOR SIGNATURE AND FILING. 5. COPIES ARE THEN PROVIDED TO BOARD MEMBERS PRIOR TO FILING. |
| Form 990, Part VI, 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: A1. THE KAISER PERMANENTE COMPLIANCE HOTLINE IS AVAILABLE TO ALL EMPLOYEES AND VENDORS TO REPORT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. ALL CALLS ARE ANSWERED BY A THIRD PARTY AND PROVIDED TO KAISER PERMANENTE'S NATIONAL COMPLIANCE OFFICE FOR REVIEW AND APPROPRIATE ACTION. EMPLOYEES CAN REPORT ANONYMOUSLY. RETALIATION IS PROHIBITED. REPORTS OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST ARE GENERATED AND INVESTIGATIONS ARE CONDUCTED AS REQUIRED AND INFORMATION IS TRACKED AND TRENDED TO DETERMINE IF ADDITIONAL GUIDANCE IS REQUIRED TO AVOID OR MANAGE CONFLICTS OF INTEREST. COMPLIANCE HOTLINE REPORTS ARE PROVIDED FOR REVIEW AND ACTION TO THE KAISER FOUNDATION HEALTH PLAN/HOSPITALS BOARDS OF DIRECTORS ANNUALLY. A2. THE NATIONAL COMPLIANCE OFFICE AND INTERNAL AUDIT SERVICES ANNUALLY REVIEW THE DIRECTORS', OFFICERS', KEY EMPLOYEES', AND EXECUTIVES' ANNUAL CONFLICTS OF INTEREST QUESTIONNAIRE DISCLOSURES AND PROVIDE DIRECTION ON ANY INVESTIGATIONS REQUIRED. INVESTIGATIONS ARE DOCUMENTED, TRACKED AND TRENDED TO DETERMINE IF ADDITIONAL CONTROLS OR EDUCATION IS REQUIRED. IN ADDITION, CONFLICTS OF INTEREST QUESTIONNAIRE REPORTS ARE PROVIDED FOR REVIEW AND ACTION TO THE KAISER FOUNDATION HEALTH PLAN/HOSPITALS BOARDS OF DIRECTORS ANNUALLY; AND A3. ANNUALLY, AS A COMPONENT OF THE EXTERNAL AUDIT, AN OUTSIDE CERTIFIED PUBLIC ACCOUNTING FIRM REVIEWS THE ANNUAL CONFLICTS OF INTEREST QUESTIONNAIRES PROCESS COMPLETED BY DIRECTORS, OFFICERS, KEY EMPLOYEES, AND EXECUTIVES, AND ACTIONS TAKEN AS A RESULT OF THE DISCLOSURES. THE RESULTS OF THE ANNUAL AUDIT, INCLUDING ANY FINDINGS IN THIS AREA ARE PRESENTED TO THE KAISER FOUNDATION HEALTH PLAN/HOSPITALS AUDIT AND COMPLIANCE COMMITTEE. B. REGULARLY AND CONSISTENTLY ENFORCES COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY - TO ENSURE CONSISTENCY IN THE ENFORCEMENT OF THE POLICY KAISER PERMANENTE USES THE FOLLOWING STEPS AS A GENERAL GUIDELINE: B1. REPRESENTED EMPLOYEES ARE SUBJECT TO ANY CORRECTIVE/DISCIPLINARY ACTION PROVISIONS DESCRIBED IN SPECIFIC REGIONAL/NATIONAL COLLECTIVE BARGAINING AGREEMENTS AND/OR ORGANIZATIONAL POLICIES AND PRACTICES. B2. KAISER PERMANENTE NOTIFIES EMPLOYEES OF THE NATIONAL HUMAN RESOURCES POLICY NO. 14. CORRECTIVE/DISCIPLINARY ACTION POLICY DURING NEW EMPLOYEE ORIENTATION AND IN ANNUAL COMPLIANCE TRAINING. B3. IN THE EVENT THAT IT IS NECESSARY TO DISCIPLINE ANY EMPLOYEE BECAUSE OF, BUT NOT LIMITED TO, FAILURE TO COMPLY WITH APPLICABLE LEGAL/REGULATORY REQUIREMENTS, KAISER PERMANENTE POLICIES AND PROCEDURES,OR THE PRINCIPLES OF RESPONSIBILITY, OR FOR UNSATISFACTORY PERFORMANCE OR MISCONDUCT, COACHING/COUNSELING AND/OR CORRECTIVE/DISCIPLINARY ACTION MAY INCLUDE, BUT IS NOT LIMITED TO: - ORAL DISCUSSION AND/OR WARNING BY THE EMPLOYEE'S IMMEDIATE SUPERVISOR OR HIGHER LEVEL MANAGER TO CORRECT THE PROBLEM; - WRITTEN NOTICE, WITH OR WITHOUT FINAL WARNING; - PAID OR UNPAID SUSPENSION, WITH OR WITHOUT FINAL WARNING; - TERMINATION OF EMPLOYMENT. |
| Form 990, Part VI, 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, BENEFIT & HUMAN RESOURCE CONSULTING FIRM. THE COMPENSATION PROGRAM FOCUSES ON OBJECTIVES IN THE AREAS OF QUALITY OF MEMBER CARE AND SERVICE, MEMBERSHIP GROWTH, FINANCIAL SOUNDNESS, AND THE COMMUNITY AND SOCIAL MISSION OF THE ORGANIZATION. |
| Form 990, Part VI, Line 18 |
Form 990 is available on www.guidestar.org. |
| Form 990, Part VI, Line 19 |
- Public Inspection - Governing documents, conflict of interest policy are available upon request as disclosed to other regulatory bodies. Financial Statements - are on file with state insurance agency on a statutory basis (stand alone entity). Combined data is published for Kaiser Foundation Health Plan Inc. and subsidiaries and Kaiser Foundation Hospitals and Subsidiaries with Independent Auditors' Report. To request copies contact: Vice President, Government Relations Kaiser Foundation Health Plan and Hospitals One Kaiser Plaza, 18th Floor Oakland, CA 94612 |
| Form 990, Part VII, Section A, Column B |
- Hours for Related 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 PENSION AND OTHER RETIREMENT LIABILITIES $ 3,058,540 WRITE-OFF OF RESTRICTED DONATIONS (375,917) GAIN/LOSS ON INVESTMENTS - TAX (41,164) GAIN/LOSS ON INVESTMENTS - BOOK 153,128 OTHER THAN TEMPORARY IMPAIRMENTS (1,303,600) ------------ TOTAL 1,490,987 |
| Form 990, Part III, Line 4A-4D |
2015 Community Benefit Report Kaiser Foundation Health Plan of Georgia, Inc. Kaiser Foundation Health Plan of Georgia, Inc.'s Commitment to the Community Kaiser Foundation Health Plan of Georgia, Inc. (Georgia Health Plan or KFHP-GA) provides and arranges comprehensive health care services for members on a predominantly prepaid basis. Its contractual obligations to group and individual members are fulfilled by contracting with local hospitals and Permanente Medical Group physicians to provide health care services for its members. KFHP-GA strives for excellence in serving its members through market-leading performance in quality and service. As a subsidiary of Kaiser Foundation Health Plan, Inc., (KFHP, Inc.), membership is available without regard to age, sex, race, religion, or national origin, or to the individuals ability to pay. Georgia Health Plan members are broadly representative of the communities served. Once enrolled, a member may maintain membership regardless of health or employment status. As related nonprofit organizations, Kaiser Foundation Health Plan, Inc. and Kaiser Foundation Health Plan of Georgia, Inc. are committed to improving the health of communities beyond enrolled membership. Annual investments in a range of Community Benefit programs are a fundamental embodiment of the organizations ongoing commitment to improve the general well-being of the broader community. These investments result in intentional, planned, measurable, and accountable benefits intended to address many of the health challenges faced at the individual, local, state, and national levels. In 2007, Kaiser Foundation Health Plan, Inc.s board of directors refined the focus of the organizations Community Benefit programs and established the following four priority areas which have come to be known as "Streams of Work": A. Care and Coverage for Low-Income People Creates and supports programs that lower the financial barriers for the under- and uninsured. B. Community Health Initiatives (CHI) Seeks to measurably improve the health of the communities we serve. Designs, delivers, and sustains long-term programs that engage communities in work to improve conditions in their neighborhoods. C. Safety Net Partnerships Builds partnerships with community clinics, local health departments, and public hospitals. Provides funding, technical assistance, dissemination of care management, and quality improvements technology to help improve care and expand treatment capacity for vulnerable populations. D. Developing and Disseminating Knowledge Improves health care by sharing our knowledge educating practitioners, advancing research, empowering consumers, and informing policymakers about evidence-based care and health. In addition to the streams of work above, KFHP-GA also made contributions to benefit the communities served in the following areas: E. Other Community Benefit Investments Support Community Benefit activities and programs beyond the national streams of work, including the administrative expenses of regional Community Benefit departments dedicated to supporting the organizations Community Benefit programs and services and coordinating related initiatives. F. Environmental Stewardship Protecting and improving the natural environment is a key component of KFHP-GAs mission to improve the health of the community it serves. Although costs associated with this initiative are not included in the dollars reported as Community Benefit investments, efforts in this area contribute to advancing a broader vision emphasizing healthy people and healthy environments while also improving health care quality and affordability. The following are details of the Community Benefit activities provided by Kaiser Foundation Health Plan of Georgia, Inc.: In 2015, Georgia Health Plan expended approximately $42.6 million (at cost, net of $4.6 million of related revenues) to support Community Benefit activities. Over 267,000 members as well as more than 27,000 Medicaid participants assigned to KFHP-GA under contract with third-party insurers were served. The following summarizes many of the signature Community Benefit programs and services grouped according to the national Streams of Work. A. Care and Coverage for Low-Income People Improving health care access for those with limited incomes and resources is fundamental to Kaiser Foundation Health Plan of Georgia, Inc.s mission. In 2015, Georgia Health Plan expended approximately $29.7 million (at cost, net of $3.6 million of related revenues) to address the financing and delivery of health care for populations vulnerable due to socio-economic status, illness, ethnicity, age, or other factors. Program beneficiaries (under- and uninsured) received free or discounted care in a Kaiser Permanente facility or by a Permanente provider. A.1. Charitable Care (Medical Financial Assistance and Charitable Health Coverage Programs) Georgia Health Plan provides charity care to low-income vulnerable populations through the Medical Financial Assistance (MFA) and Charitable Health Coverage (CHC) Programs. In 2015, Georgia Health Plan spent approximately $19.7 million (at cost, net of $396 thousand of related revenues) to support under-and uninsured patients. A.1.1. Medical Financial Assistance (MFA) Program Georgia Health Plans Medical Financial Assistance program provides financial assistance for emergency and medically necessary services, medications, and supplies to patients with a demonstrated financial need. Patients must receive health care services at facilities operated by Kaiser Permanente and/or from a Kaiser Permanente provider. Eligibility is based upon prescribed levels of income to patients who have exhausted other private and public sources of support. In 2015, KFHP-GA provided $10.7 million (at cost, net of related revenues of $0) of services under this program. At KFHP-GA, uninsured patients receive a discount on hospital and professional charges for emergency or other medically necessary care without application and regardless of income level. The discount is provided to ensure that an uninsured individual is not charged more for emergency or other medically necessary services than the amounts generally billed to insured individuals receiving equivalent care. Contracted collection agency practices are aligned with the organizations social values and IRC section 501(r). Additionally, any patient experiencing financial hardship due to high medical expenses relative to their income level may qualify for the program under special circumstances. In Georgia, the MFA Programs eligibility criteria allow patients falling at or below 400% of the Federal Poverty Guidelines (FPG) to receive full (100%) write off of patient out-of-pocket costs. In 2015, more than 3,000 qualifying applicants benefited from this program, receiving full or partial forgiveness for nearly 39,000 outpatient visits and more than 2,200 prescriptions. A.1.2. Charitable Health Coverage (CHC) Program Charitable Health Coverage is a unique approach to caring for low-income uninsured persons in the community. Eligible participants receive a regular Kaiser Permanente Health Plan membership card and access to the full range of services and providers a much better alternative to potentially costly emergency room visits or hospitalization. This allows Georgia Health Plan to invest in the longer term health of patients and the community. KFHP-GAs CHC programs have a long history of making a real difference in the lives of low-income people who might otherwise have no permanent health care coverage. During 2015, KFHP-GA invested approximately $9.0 million (at cost, net of $396 thousand of related revenues) to support the CHC program. The CHC program includes a separately administered premium subsidy that CHC members use for the purchase of a standard off-exchange Kaiser Permanente Individual/Family (KPIF) gold level plan. To ensure that patient cost share obligations do not become a barrier to care, a Medical Financial Assistance award is provided to CHC members at the time of enrollment in the CHC program. Prospective members are invited to apply during limited annual enrollment periods and after experiencing triggering events. |
| A.1.2.1. Bridge Program |
Georgia Health Plans Bridge Program is a Charitable Health Coverage program that provides low-income individuals and families with access to health coverage. This program targets adults enrolled in job-based training or community college programs and participants must meet certain eligibility requirements. Total household income must be below 100% of the Federal Poverty Level (FPL) and applicants are required to be between 19 to 64 years of age. Additionally, participants must not have access to other forms of health coverage. Once eligibility requirements are met, KFHP-GA Bridge members receive a KP premium subsidy that helps pay for enrollment in a standard off-exchange KP individual and family product (Gold level). These members are also provided with medical financial assistance that covers the cost sharing for medically necessary services provided at facilities operated by KFHP-GA. Over 1,900 members were enrolled in KFHP-GAs Bridge program at the end of 2015. A.2. Participation in Medicaid and Other Government-Sponsored Programs Georgia Health Plan has a long history of participating in publicly financed health programs as a nonprofit organization. KFHP-GA participates in Medicaid and other government-sponsored programs depending on the State of Georgias structure of these programs. In 2015, KFHP-GA provided care and services valued at $10 million (at cost, net of $3.2 million of related revenues) for participants in programs sponsored by the federal and state governments. The Affordable Care Act is having a continuting far-reaching impact on the landscape of government-sponsored programs, as these options are poised to become the key source of health coverage for a significant portion of the American population. KFHP-GA has responded to this challenge by developing organizational strategies to enable individuals whose coverage is changing due to personal or financial circumstances to receive medical care at a KFHP-GA facility. Realized and anticipated growth in the organizations Medicaid offerings closely aligns with and supports Georgia Health Plans core mission, tax exempt status, credibility in state and federal policy arenas, and community health needs focusing on access to care. A.2.1. Assignment of Medicaid Participants Georgia Health Plan participates in the federal Medicaid program as a provider of pediatric primary and specialty care through contracts with Amerigroup Community Care, Peach State Health Plan, and WellCare Health Plans. At the end of 2015, KFHP-GA was caring for more than 27,000 pediatric patients whose care has been assigned to the organization by these other Medicaid plans. This represents an increase of 8,000 participants or approximately 40% since 2014. The agreement yielded $8.9 million of losses in 2015 (at cost, net of $2.7 million of related revenues). A.2.2. Child Health Insurance Program (CHIP) In Georgia, KFHP-GA participates as a provider in the states Child Health Insurance Program. The program provides health insurance to children whose family income meets certain income eligibility requirements, and who do not qualify for Medicaid. During 2015, KFHP-GA invested approximately $1.1 million (at cost, net of $426 thousand of related revenues) to support the CHIP program. B. Community Health Initiatives The Community Health Initiatives (CHI) strategy aims to improve the health of individuals, families, and communities by addressing the social, economic, and environmental determinants of health. The role of the community is vital to creating the conditions of health as well as the importance of non-medical resources in communities that promote well-being and prevent disease. The central premise of this approach is that excellent medical care alone is not sufficient to create healthy communities. Evidence underscores the importance of changing community environments as a critical community health strategy. Guided by this evidence, Kaiser Foundation Health Plan of Georgia, Inc. supports comprehensive initiatives that focus on policy and environmental changes to promote healthy eating and active living (HEAL), community safety, economic stability, and social and emotional wellness. In 2015, Georgia Health Plan spent approximately $6.9 million to support Community Health Initiatives as poverty and obesity continue to be significant and pervasive barriers to health in counties served by KFHP-GA. Over one third of children are obese or overweight, over one fourth of adults are obese, and one third of the community live below 200% of federal poverty line. B.1. CHI Programs and Services Georgia Health Plan works with community-based organizations to design, deliver, and sustain long-term efforts that improve the conditions of neighborhoods, workplaces, schools, and other settings. In some cases, the community health initiatives programs have also addressed community economic development, neighborhood safety, and other key drivers of healthy communities. To reach a broader audience, Georgia Health Plan primarily focuses on the following areas through community coalitions, health activism, and community investments: - Healthy food access - Active transportation (walking and biking) - School health - Community-clinic integration B.1.1. CHI Investments in the Community Kaiser Foundation Hospitals investments in the CHI Stream of Work during 2015 included the following: B.1.1.1. Atlanta Beltline Partnership Westside Trail KFHP of Georgia supported construction of the Atlanta BeltLine Partnerships Westside Trail, a three-mile corridor on Atlantas southwest side. The trail will create a bicycle-and pedestrian-safe corridor with connections to schools and parks, offering zero-cost or low-cost physical activity options. KFHP of Georgia was instrumental in forming a leadership group with representation from twelve neighborhoods adjacent to the BeltLines Westside trail, so that the residents along the Westside Trail determined health improvement programming for its neighborhood. The group meets quarterly to collect information, decide on programming, and provide insights on the community. As part of a multi-year grant, the Atlanta Beltline Partnership received $1.25 million from KFHP of Georgia in 2015. B.1.1.2. Thriving Schools The 2015 CHI program continued its commitment to implementing the "Thriving Schools" initiative, which is KFHP GAs effort to improve healthy eating, physical activity, and school climate in K-12 schools. The initiative supported interventions that targeted individual behavior change and family engagement to help create a culture of health in school communities through complementary efforts targeting both teacher/staff wellness and student health. B.1.1.3 Atlanta Regional Collaborative for Health Improvement In 2015, Kaiser Foundation Health Plan of Georgia deepened its engagement with the Atlanta Regional Collaborative for Health Improvement (ARCHI). ARCHI is a public-private coalition formed to improve metro Atlantas health by aligning the regions health and economic interests, investments, and incentives. The collaborative worked to implement the groups chosen strategies of Encouraging Healthy Behaviors, Expanding Insurance, Coordinating Care, and Capturing and Reinvesting savings realized from health improvement. To date, the collaborative has selected three metro areas to focus its health improvement efforts College Park, Hapeville, and East Point all of which are located in a high-need portion of a county within KFHP of Georgias service area. |
| B.1.1.4 Contribution to Community Foundation |
A significant share of the total investments under this program consisted of a single contribution of $1.4 million to The Community Foundation for Greater Atlanta, Inc. for the Kaiser Permanente Fund for Community Benefit. These funds will support health-focused strategies that impact the links between health and the communitys well-being. B.1.1.5. Prior Year Contributions In prior years, KFHP-GA made contributions to several donor advised funds under the direction of various foundations operating in our local communities. These funds were intended to identify and support nonprofit organizations that meet community needs in the area of community health initiatives. In 2015, the following initiative was funded through disbursements issued by the community foundations based upon recommendations informed by KFHP-GA's expertise. B.1.1.5.1. At-Risk Youth Clayton County Juvenile Justice Fund received $85,000 from a prior year contribution to a community foundation donor advised fund in support of implementing evidenced based approaches to reduce youth involvement in the juvenile justice system. Program funding will provide school discipline alternatives that keep students engaged in school, with intervention options that focus on dropout prevention, and offer mentoring to a cohort of 50 middle school students. C. Safety Net Partnerships Kaiser Foundation Health Plan of Georgia, Inc. is committed to building partnerships with the institutions that serve on the front lines of health care for the uninsured and underserved. By providing support to community health centers, public hospitals, and local health departments, Georgia Health Plan helps them deliver care and treatment to the most vulnerable in our communities. Georgia Health Plan spent approximately $1 million in charitable contributions associated with safety net priorities in 2015 as over 30% of the population served by the Georgia Health Plan live under 200% FPL. C.1. Safety Net Partnerships (SNP) Investments in the Community Approximately 15 community partners received grants from Georgia Health Plans 2015 grant cycle to address community health need priorities. KFHP-GAs investments in the SNP Stream of Work during 2015 included the following: C.1.1. Mental Health and Primary Care Integration A Federally Qualified Health Center, Good Samaritan Health Center, Inc., received a grant of $75,000 for initiating a center-wide patient depression screen in primary care practice. C.1.2. Diabetes Hands of Hope Clinic, Inc., a community clinic, received a grant of approximately $36,000 to continue its Diabetes Self-Care Program for underserved diabetic patients. C.2. Access to Specialty Care Georgia Health Plan helped safety net clinics extend their capacity to serve patients through a program called, "TSPMG Cares," in which The Southeast Permanente Medical Group physicians treated uninsured patients in the Georgia Health Plan clinics and facilities. D. Developing and Disseminating Knowledge The Developing and Disseminating Knowledge Stream of Work supports activities that improve health care by sharing knowledge, educating practitioners, advancing research, empowering consumers and informing policymakers about evidence-based care and health. Kaiser Foundation Health Plan of Georgia, Inc. spent approximately $2.7 million in 2015 to support programs and services associated with the development and dissemination of knowledge. D.1. Medical Research Programs At Georgia Health Plan, research is an essential part of what it means to be a learning organization. Achievements realized under this program are made possible through a dedicated group of researchers, the comprehensive nature of KFHP, Inc.s electronic medical record system, and access to the health data of over 10 million Kaiser Foundation Health Plan, Inc. members. Through studies conducted at regional and national research centers, researchers address critical issues like cancer, cardiovascular conditions, diabetes, behavioral and mental health, and health care delivery improvements by leveraging the organizations research expertise, rich data sources, and delivery system environment. Georgia Health Plan provided approximately $1.2 million (at cost, net of $1.0 million of related revenues) for medical research projects in 2015. In 2015, Kaiser Foundation Health Plan, Inc. and its subsidiaries continued to expand its national biobank, the KP Research Bank, a research resource that will strengthen the ability to conduct cutting-edge studies. With this development, KFHP GA members benefit from being part of a biobank that will be one of the largest non-governmental biobanks in the United States to examine the genetic and environmental factors that influence common diseases such as heart disease, cancer, diabetes, high blood pressure, Alzheimer's disease, asthma and many others. D.1.1. National Research Program Kaiser Foundation Health Plan, Inc. has a long history of conducting health services and medical research that addresses health care policy, quality of care, and quality of life. The results have yielded findings that affect not just the practice of medicine within the organization and its subsidiaries, but also for society-at-large. D.1.1.1. Kaiser Foundation Research Institute (KFRI) The Kaiser Foundation Research Institute provides administrative leadership and support for federally funded medical research conducted at regional research centers located in Georgia and several other states. KFRI personnel are designated as the Authorized Organizational Official for all federally funded research performed by both Kaiser Foundation Hospitals and Kaiser Foundation Health Plan, Inc., and its subsidiaries. In this capacity, KFRI submits applications for grants and executes contracts and sub-contracts for all federally funded research on behalf of the regional research programs described below. KFRI also manages invoicing and accounts receivable related to federally funded research, and distributes grant proceeds to the appropriate regional program. Additionally, KFRI supports the regional research centers on issues related to human participant protection and clinical trials research quality and compliance. The Center for Effectiveness and Safety Research (CESR) The Center for Effectiveness and Safety Research is a national research center that leverages the expertise of Kaiser Permanentes seven regional research centers to answer important comparative effectiveness and safety questions that affect health care delivery questions by relying on collaborations within the network. D.1.2. Georgias Research Program The principal research activities conducted in Georgia take place at the following regional research center: D.1.2.1. The Center for Clinical and Outcomes Research (Georgia region) Research at the Center for Clinical and Outcomes Research (CCOR), formerly known as the Center for Health Research Southeast, focuses on clinical trials, primarily in HIV and Diabetes and now substantially augmented to include oncology trials. CCOR carries out a variety of additional studies that are aligned to improve the health of the communities it serves. Top Research Areas: - Chronic Diseases - Obesity - Cardiovascular and Diabetes - Cancer - Behavioral Health - Infectious Diseases Epidemiology - Health Services Key Statistics: - Number of clinical trials in 2015: 15 - Number of active studies (clinical and non-clinical trials) in: 85 - Number of research papers published in journals in 2014: 11 - Number of investigators: 1 - Number of support staff: 15 D.1.2.2. Major Areas of Funded Research The following is an example of a research project upon which the Center for Health Research collaborated during 2015: D.1.2.2.1. HIV Quality Improvement and Performance Program - Research Area: Health Care Delivery and Comparative Health Systems - Collaborating Kaiser Permanente sites: Mid-Atlantic States, Colorado, Northwest, Hawaii, Southern California, and Northern California regions. This study is focused on determining quantitative measures of HIV care and outcomes in Kaiser Permanente. Researchers seek to initiate quality improvement programs where they determine there are opportunities for improvement. Primary Funding Provided By: The Care Management Institute, The Permanente Federation, and Kaiser Foundation Health Plan, Inc. |
| D.2. Educational Theatre Programs (ETP) |
Confronted with an urgent need for preventive health information in the communities we serve, the Educational Theatre Programs (ETP) was to inspire children, teens and adults to make informed decisions about their health and to build stronger, healthier communities. Georgia Health Plan spent approximately $1.0 million in 2015 to support the Educational Theatre Programs (ETP) in Georgia. ETP is committed to working with schools and nonprofit organizations to pinpoint issues and customize services that are designed to meet specific health related goals. By interacting closely with the audience during live dramatic performances, character appearances, or workshops, educational information is offered to schools and communities free of charge. Programs that are designed to improve the health of Georgia communities are developed by theatre professionals in collaboration with health educators, community advisory committees, health care providers, and physicians. Georgia Health Plans ETP events engage audiences in learning vital health messages through two unique teams that offer a range of compelling programs. The Educational Outreach Team offers long-term residency programs where intensive workshops are held throughout a 9- to 12- month period for residents of high-risk communities. Short term workshops that explore content pertinent to high-risk communities are also offered. The performance company continues the tradition of teaching health messages in high-quality theatre performances for schools, child care facilities, faith-based communities, and community groups. Topics addressed by the teams range from stress management, healthy eating and active living (HEAL), senior wellness, early childhood prevention of accidental injury and death, as well as grief management. In 2015, ETP held over 900 performances for a total audience of nearly 98,000 adults and children. For example, in 2015, the Educational Outreach Team partnered with High Tower Elementary, an at-risk school in Dekalb, GA, to focus on increasing soft skills in pre-school aged children for becoming ready for school. Teachers, Counselors, and the Principal of Hightower Elementary identified the following soft skills as highest need for their student population: communication, team work, critical thinking, empathy for others, and positive outlook. The Educational Outreach Team worked with the pre-school children for one hour, two times a month, throughout the school year. A random sampling of children were assessed to determine growth in the area of soft skills throughout the year. Results showed a 90% improvement in school readiness soft skills from the first day of class up to the final lesson. Teacher input supported findings showing a higher-than-usual improvement compared to previous classes they had taught. D.3. Health Professional Training and Education Since 1985, the training of physicians, nurses, and allied health professionals has played a vital role in Georgia Health Plans efforts to serve the health care needs of its members and communities. KFHP-GAs Community Health Needs Assessment in 2013 reported that this continues to be a need with over 43% of the community living in a health professional shortage area. KFHP Georgia also identified the need to increase linguistic and cultural diversity in the health care workforce. With serious physician and nurse shortages looming in the face of an expected expansion in Americans access to health care, the need to encourage and train a high-quality, diverse, and culturally competent health care workforce is critical, and KFHP-GA is responding in multiple ways. Georgia Health Plan spent approximately $370 thousand in 2015 to support the training for health professionals. D.3.1. Pharmacy Residency Program Georgia Health Plan currently has two post-graduate pharmacy residency programs: a postgraduate year one (PGY1) managed care pharmacy residency and a post-graduate year two (PGY2) ambulatory care pharmacy residency program. The programs are designed to develop accountability; practice patterns; habits; and expert knowledge, skills, attitudes, and abilities in the respective area of pharmacy practice. During 2015, a total of four residents participated in the post-graduate pharmacy programs - two postgraduate year one (PGY1) and two postgraduate year two (PGY2) residents. These residents completed projects that contributed to meeting financial and quality goals within the pharmacy department. They also disseminate the purpose and benefits of residency training by participating in various pharmacy school student meetings about the program and providing didactic lessons at one of the local pharmacy schools. D.4. INROADS Leadership Development The INROADS program seeks to increase business career opportunities and knowledge for highly qualified diverse students while giving corporations the opportunity to develop diverse managerial talent. INROADS identifies interested and capable high school, college, and university students who are placed within Georgia Health Plan facilities for two to five summers with the goal of permanent placement upon graduation. In 2015, Georgia Health Plan Georgia Health Plan spent approximately $135 thousand in support of this program, employing eight INROADS interns. D.5. Grants and Donations for the Development and Dissemination of Knowledge Georgia Health Plan supports physician education as a means by which to meet the organizations mission to create healthier communities, teach medicine in an integrated healthcare setting, and support the need for culturally responsive and patient-centered care. The Community Benefit Program supports residency and fellowship programs, nursing education and allied healthcare career programs, student scholarships, and community medicine fellowship primarily by awarding grants and donations to selected qualifying learning institutions. In 2015, Georgia Health Plan awarded contributions to several health profession programs. Scholarship programs were funded at 6 nursing programs, 2 pharmacy schools and a medical school, which in turn awarded 42 scholarships. E. Other Community Benefit Investments During 2015, Georgia Health Plan spent $2.3 million to support Community Benefit activities and programs beyond the national streams of work. This included the administrative expenses of a Community Benefit department dedicated to supporting regional Community Benefit programs and services and coordinating related initiatives. F. Environmental Stewardship Poor environmental quality contributes to disease and economic insecurity. Kaiser Foundation Health Plan of Georgia, Inc. has committed itself to protecting and improving the natural environment as a key component of its mission to improve the health of the community it serves. Although costs associated with this initiative are not included in the dollars reported as Community Benefit investments, efforts in this area contribute to advancing a broader vision emphasizing healthy people and healthy environments while also improving health care quality and affordability. To fulfill the organizations commitment to the natural environment, KFHP-GA maintains a governance structure for environmental stewardship that enables the organization to continually improve its environmental performance. This structure includes clearly defined roles, responsibilities, plans and routines, and has resulted in the following five organizational focus areas. These have been selected based on their ability to result in the greatest impact on the environmental forces that shape environmental and human health. - Finding safe alternatives to harmful industrial chemicals - Responding to climate change - Promoting sustainable farming and food choices - Reducing, reusing, and recycling to eliminate waste - Conserving water In each of these focus areas, KFHP-GA has established ambitious goals (including a target to reduce total greenhouse gas emissions by 30% by 2020, compared to a 2008 baseline), implemented initiatives, achieved measurable improvements, and regularly reported progress to the board of directors, staff, and the general public. F.1. Performance Metrics During 2015, key performance indicators for Kaiser Foundation Health Plan of Georgia, Inc. included: F.1.1. In Georgia: F.1.1.1 Improved our energy use intensity (kBtu/rentable square foot) by 2% compared to our 2010 baseline year. F.1.1.2 Responsibly reused or recycled over 1,200 tons of materials. |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:PURCHASED MEDICAL SERVICES TOTAL FEES:XXX-XX-XXXX |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:PURCHASED NON-MEDICAL SERVICES TOTAL FEES:34908208 |
Attach to Form 990 or 990-EZ.