| Form 990, PART III, LINE 4A-D |
2016 Community Benefit Report Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Colorados Commitment to the Community Kaiser Foundation Health Plan of Colorado (Colorado Health Plan or KFHP-CO) 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-CO 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. Colorado 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 Colorado are committed to improving the health of communities beyond enrolled membership. Annual investments in a range of Community Benefit programs are a fundamental embodiment of the organizations ongoing commitment to improve the general wellbeing within the broader community. These investments result in intentional, planned, measurable, and accountable benefits intended to address many of the health challenges faced at the individual, local, state, and national levels. In 2007, Kaiser Foundation Health Plan Inc.s board of directors refined the focus of the organizations Community Benefit programs and established the following four priority areas which have come to be known as "Streams of Work": A. Care and Coverage for Low-Income People Creates and supports programs that lower the financial barriers for the under- and uninsured. B. Community Health Initiatives (CHI) Seeks to measurably improve the health of the communities we serve. Designs, delivers, and sustains long-term programs that engage communities in work to improve conditions in their neighborhoods. C. Safety Net Partnerships Builds partnerships with community clinics, local health departments, and public hospitals. Provides funding, technical assistance, dissemination of care management, and quality improvements technology to help improve care and expand treatment capacity for vulnerable populations. D. Developing and Disseminating Knowledge Improves health care by sharing our knowledge educating practitioners, advancing research, empowering consumers, and informing policymakers about evidence-based care and health. In addition to the streams of work noted above, KFHP-CO 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-COs 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 Colorado: In 2016, Colorado Health Plan served over 663,000 members and expended approximately $116.3 million (at cost, net of $90 million of related revenues) to support Community Benefit activities. The following summarizes many of the signature Community Benefit programs and services grouped according to the national Streams of Work. A. Care and Coverage for Low-Income People Improving health care access for those with limited incomes and resources is fundamental to Kaiser Foundation Health Plan of Colorados mission. In 2016, Colorado Health Plan expended $95.4 million (at cost, net of $81 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) Colorado Health Plan provides charity care to low-income vulnerable populations through the Medical Financial Assistance (MFA) and Charitable Health Coverage (CHC) programs. In 2016, the Colorado Health Plan spent approximately $26.2 million (at cost, net of $1.8 million in related revenues) to support under- and uninsured patients. A.1.1. Medical Financial Assistance (MFA) Program The Colorado 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 2016, KFHP-CO provided $25.2 million (at cost, net of $0 related revenues) to under- and uninsured patients. At KFHP-CO, 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 KPs high medical expense criteria. In Colorado, the MFA programs eligibility criteria allows patients falling at or below 300% of the Federal Poverty Guidelines (FPG) to receive full (100%) write off of patient out-of-pocket costs. In 2016, KFHP-COs MFA program assisted more than 10,000 qualifying applicants, and served more than 1,800 patients who were not otherwise covered by a health care plan offered by Kaiser Foundation Health Plan of Colorado. This population received full forgiveness for over 105,000 outpatient visits and over 98,000 prescriptions. A.1.1.1. Community Medical Financial Assistance (CMFA) The MFA program also includes support for community-based initiatives, known as Community Medical Financial Assistance (CMFA). CMFA programs are designed to broaden access to health care within the community and help KFHP-CO fulfill its objectives to reduce the financial barriers that limit access to care for qualified low income populations. Current CMFA programs include the following two offerings sponsored by KFHP of Colorado. A.1.1.1.1. Safety Net Specialty Care Program KFHP of Colorado began allowing primary care providers from three health care Safety Net Systems (Metro Community Provider Network or MCPN, Clinica Family Health Services or Clinica and Salud Family Health Centers or Salud) to electronically request advice (e-consult) with select KFHP of Colorado employed specialists. KFHP-CO also offered direct care services to Safety Net patients, as well as opportunities for medical education. This program responds to a significant community need for access to specialty care for uninsured patients who are ineligible for coverage options. By and large, the health care Safety Net is a source of primary care for the underserved and when a patient requires specialty care, these services are often unavailable to them. This can result in overuse of emergency rooms, overuse of the primary care system and people living with uncontrolled chronic conditions, often causing financial strain on their families. |
| A.1.1.1.2. Hospital Surgical Services |
The CMFA program also provides access to hospital based and clinical follow up care services for patients who are under or uninsured and already deemed eligible for MFA by a partner agency. In partnership with three community hospital partners, SCL Healths Saint Joseph Hospital, SCL Healths Good Samaritan Medical Center, and HealthONEs Swedish Medical Center, patients are provided access to important and medically necessary specialty services and the necessary follow up care. 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 a potentially costly emergency room visit or hospitalization. This allows Colorado Health Plan to invest in the longer term health of patients and the community. KFHP-COs CHC programs have a long history of making a real difference in the lives of persons who might otherwise have no permanent medical home. During 2016, KFHP-CO invested approximately $1 million (at cost, net of $1.8 million 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 sharing obligations do not become a barrier to care, a Medical Financial Assistance award is provided to CHC members at the time of enrollment in the CHC program. Recertification takes place about every two years to confirm that members remain eligible to participate. Prospective members are invited to apply during limited annual enrollment periods and after experiencing triggering events. A.1.2.1. Bridge Program KFHP of Colorados Bridge Program is designed to help those who are uninsured, with no access to other health coverage, obtain coverage under a standard Kaiser Permanente Individuals and Families (KPIF) plan (KP CO Gold 0/20). The Colorado Bridge Program also includes an award issued under the Medical Financial Assistance program sponsored by KFHP-CO. Medical Financial Assistance eliminates out-of-pocket costs for most services provided at KFHP medical offices. Participants in the Bridge Program must have income at or below 300 percent of the Federal Poverty Level (FPL) and must be under the age of 35 years at time of enrollment. They also must not have access to any other public or private health coverage. The plan benefits include all essential health benefits, including primary and specialty care office visits, preventive services, lab procedures, outpatient surgeries, inpatient hospital care, mental health visits, emergency room visits, and urgent care visits. The coverage period lasts up to 24 months with an opportunity to renew. Over 400 members were enrolled in KFHP-COs Bridge Program at the end of 2016. A.2. Participation in Medicaid and Other Government-Sponsored Programs Kaiser Foundation Health Plan of Colorado has a long history of providing access to low- and moderate-income individuals as a nonprofit organization. KFHP-CO participates in Medicaid and other government-sponsored programs depending on the State of Colorados structure of these benefits. In 2016, Colorado Health Plan provided care and services valued at $69.2 million (at cost, net of $79.1 million of related revenues) for members and nonmembers in programs sponsored by the federal and state governments. As of December 2016, Medicaid participants, including members of Child Health Plan Plus, whose health care needs had been assigned to Colorado Health Plan surpassed 62,000. The Affordable Care Act has had a far-reaching impact on the landscape of government-sponsored programs, as these options have become a key source of health coverage for a significant portion of the American population. KFHP-CO has responded to this challenge by developing organizational strategies to enable individuals whose coverage is changing due to personal or financial circumstances continue to obtain medical care at a KFHP-CO facility. Realized and anticipated growth in the organizations Medicaid offerings closely aligns with and supports Colorado Health Plans core mission, tax exempt status, credibility in state and federal policy arenas, and community health needs focusing on access to care. To better cope with the expansion of KFHP-COs Medicaid program, a Medicaid Assistance Center (MAC) was opened for operation in 2014. With an emphasis on delivering bilingual support, the representatives in this center provide specialized enrollment services by assisting callers in understanding Medicaid eligibility in their state and the qualifications to enroll in Medicaid with KFHP-CO. A proactive follow-up process has been implemented to nurture a good foundational relationship with those prospects that elect to receive communications. A.2.1. Assignment of Medicaid Participants Improving access to care for vulnerable populations is fundamental to KFHP-COs social mission to improve the health of the communities served, and is consistent with the obligations of a tax exempt organization. As a participant in Colorados Medicaid program, Colorado Health Plan provides primary and specialty care to Accountable Care Collective (ACC) Medicaid beneficiaries who have been assigned to KFHP-CO as their primary care provider. Beneficiaries have access to both primary and specialty care in Colorado Health Plan facilities as well as pharmacy. In 2016, Colorado Health Plan provided access to care and services to more than 53,000 beneficiaries at a net loss of $57.2 million (at cost, net of $64.8 million of related revenues). Effective in June 2016, Medicaid in Colorado became "Health First Colorado". This represents Colorados fresh approach to public health care coverage. In addition to the states new name for its Medicaid Program, KFHP of Colorado launched a new Medicaid Program to be called Access KP, with enrollment beginning in July 2016. Access KP is a KFHP of Colorado Medicaid program run in partnership with the State of Colorado Department of Health Care Policy and Financing (HCPF) and the Regional Care Coordination Organization, Colorado Access. A.2.2. Medicaid Fee-for-Service Program KFHP-CO also provided health care services on a fee-for-service basis for Medicaid beneficiaries who have not been assigned to KFHP-CO as their primary care provider. Approximately $5.2 million of health care services (at cost, net of $0 in related revenues) was incurred on behalf of this population during 2016. A.2.3. Child Health Plan Plus (CHP+) Colorado Health Plan serves approximately 9,100 beneficiaries under this fully capitated HMO arrangement. CHP+ serves children under age 19 and pregnant women age 19 and over who are permanent legal residents with household income below 260% of federal poverty guidelines. Eligibility includes proof of household income and permanent legal residency. Applicants who are eligible for Medicaid do not qualify for this state program. The health services covered by the Child Health Plan Plus include regular checkups, immunizations, prescriptions, hospital services, eyeglasses, hearing aids, and dental exams and cleanings. In 2016, KFHP-CO recognized losses of $6.7 million (at cost, net of $14.2 million of related revenues) related to this program. A.2.4. Contribution to Knowledge KFHP of Colorado actively participates in Colorado Health Care Policy and Financings Benefits Collaborative, which was established in 2008 in an effort to define the services that Medicaid covers. The Benefits Collaborative seeks to ensure that the benefits covered under Colorados Medicaid program are cost effective, based on clinical evidence and best practices, and promote good health among Medicaid clients. |
| A.3. Care and Coverage Investments in the Community |
In 2016, the following initiative was funded through investments in the Care and Coverage Stream of Work: A.3.1. Rocky Mountain Youth Medical & Nursing Consultants In 2016, KFHP-CO continued its support of Rocky Mountain Youth Medical and Nursing Consultants, Inc. by awarding over $140,000 from a multi-year commitment of $205,000. This grant supports the care of youth who suffer from chronic conditions in an evidence-based integrated care management plan that improves their health and increases their chances of academic success. The care management team models their intervention on the family, not just the student. Results to date include the AthenaHealth Electronic Health Records (EHR) system launched in October 2016, by the Rocky Mountain Youth Clinic (RMYC). RMYC identified 335 unduplicated Kids Clinic patients with asthma or obesity as of December 31, 2016. Of these, 136 were identified as obese and 199 were identified as having asthma, and were referred either to Childrens Hospital Colorados Shape Down program and/or Aurora Public Schools Mend 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. Research supports the central premise that excellent medical care alone is insufficient to create healthy people in 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 Colorado, 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. Two of the primary programs supported within the CHI Stream of Work include: Healthy Eating, Active Living (HEAL) and obesity prevention Healthy eating, active living has been and continues to be a compelling focus for Kaiser Foundation Health Plan of Colorados work, as obesity continues to be a significant and pervasive public health problem. Despite encouraging signs of obesity rates leveling off in recent years, substantial racial and ethnic disparities continue to exist. Also, through a focus on healthy eating and active living, Colorado Health Plan can have a marked impact on a wide range of health conditions including pre-diabetes, diabetes, cardiovascular disease and several cancers that are affected by these behaviors. Finally, a focus on nutrition, physical activity and weight management are highly aligned with Colorado Health Plans clinical expertise in this area, including a prevention orientation and a number of existing programs and partnerships. Wherever possible, KFHP-CO supports a concentration of multiple strategies that enable sustainable change towards healthy eating and active living lifestyles. These include policies and practices to reduce the availability and consumption of sugar-sweetened beverages, encourage the establishment of safe spaces, promote active transportation policies that support equitable public transit, and create connections between health clinics and community resources. Thriving Schools Thriving Schools is an initiative to improve healthy eating, physical activity, and social and emotional wellness in K-12 schools within Kaiser Foundation Health Plan of Colorados geographic service areas. Thriving Schools efforts focus on policy, systems, and environmental changes that make the healthy choice the easy choice. Interventions aim to create a culture of health on school campuses to spur individual behavior change targeting students, teachers, and staff. In 2016, Colorado Health Plan spent approximately $2.6 million to support Community Health Initiatives that addressed needs underscored by recent Community Health Needs Assessments. B.1. CHI Programs and Services Colorado 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. In Colorado, the Community Health Initiative (CHI) strategy is informed by the Community Health Needs Assessment (CHNA) and Implementation Strategy (IS) which identified the following six broad community health needs: - Economic stability and vitality - Healthy eating active living (HEAL) - Mental health - Access to primary and specialty care - Climate change - Substance use. In 2016, CHIs primary focus was on HEAL and mental health, with other Community Benefit activities and resources focused on access to primary and specialty care and economic stability and vitality. In 2014, KFHP of Colorado invested $4.85 million over three years in LiveWell Colorado (LWC). LWC is a place-based initiative, in 23 communities throughout the KFHP of Colorado service area. In 2016, LiveWell Colorado adopted a new strategic direction that left seven (7) LiveWell Colorado communities in the fourth or fifth years of project implementation and unable to continue their work after 2016. KFHP of Colorado in collaboration with The Colorado Health Foundation is providing funding to allow these seven LiveWell Colorado communities to complete the implementation phase of the projects they have already started, and to work toward achieving long-term sustainability of these community coalition efforts. KFHP of Colorados investment of $1.6 million is to support continued efforts to create sustainable HEAL behaviors among the populations of these communities. B.2. CHI Investments in the Community B.2.1. Summer Food Service Program In 2016, Colorado Health Plan invested $42 thousand to support Cultivando with the purpose to increase participation in the Summer Food Service Program. During the first summer the program was implemented, Cultivando provided approximately 20,000 free meals to individuals and families in Colorado in the summer of 2016. This was a substantial increase from the previous summer in which approximately 2,500 meals were served. B.2.2. Supplemental Nutrition Assistance Program (SNAP) In 2016, KFHP CO invested approximately $40 thousand to increase enrollment in SNAP benefits facilitated through the SET Family Clinic in Southern Colorado. The goal is to increase enrollment in SNAP in a collaborative effort with other organizations by linking 1,590 members of their community to SNAP education, application assistance and enrollment. The SET Family Clinic, in its first 8 months of program implementation, screened approximately 733 Coloradans for food insecurity and assisted 101 families in applying for SNAP. The number of households they assist has steadily increased each quarter. B.3. Prior Year Contributions for CHI Investments In prior years, KFHP-CO made contributions to donor advised funds under the direction of a foundation operating in our local community. 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 foundation based upon recommendations informed by KFHP-CO's expertise. B.3.1. Thriving Schools 16 School Districts In 2016, the Thriving Schools initiative received over $450,000 in connection with a 2-year grant totaling $968 thousand to increase physical activity before, during, and after school to be in compliance with Colorado House Bill 1069 which requires they offer physical activities at least 30 minutes per day. In year one, 85 individual schools participated with 76% of districts reporting they provided at least 30 minutes a day of physical activity. This program also found 36% of districts provided enough physical activity opportunities for children and adolescents to meet public health recommendations of 60 minutes per day. |
| C. Safety Net Partnerships |
Kaiser Foundation Health Plan of Colorado 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, KFHP-CO helps them deliver care and treatment to the most vulnerable in our communities. KFHP-CO is dedicated to investing in communities and promoting good health for the communities served. As such, Safety Net Partnership (SNP) initiatives aim to strengthen the system of community clinics, public hospitals, and health departments to promote access to high quality care for the uninsured and underserved vulnerable populations. Colorado Health Plan also focuses on improving access to health services and the transformation of care delivery to meet the challenges of the ever evolving performance expectations and revenue design. Efforts to improve access and transform care include work on: increasing access to specialty care services; increasing the utility of health information technology in safety net settings; addressing mental health and wellness, improving population outcomes and eliminating health disparities. KFHP-CO also supports innovative efforts to bring both health care and support services closer to underserved populations through partnerships with school based health centers and community clinics. Investments in Safety Net Partnerships target the following strategic focus areas: I. Quality Improvement II. Capacity Building III. Clinic-Community Integration IV. Knowledge Dissemination V. Improving Access to Care VI. Total Health C.1. Safety Net Partnership Programs and Services Kaiser Foundation Health Plan of Colorado, Inc. did not recognize significant financial contributions in Safety Net Partnerships Stream of Work in 2016, but it invested considerable effort towards advancing development of the safety net through deploying technical assistance and clinical support. Below are examples of programs under SNP that addressed the targeted focus areas: C.1.1. Capacity Building KFHP of Colorado and the Institute for Healthcare Improvement (IHI) have a long-standing partnership. IHI, an independent not-for-profit organization based in Cambridge, Massachusetts, is a leading innovator in health and health care improvement worldwide. At their core is the belief that everyone should get the best health care possible. In support of the health care Safety Net, KFHP of Colorado grants conference fee scholarships and accompanying travel support to Safety Net leaders for trainings and learning opportunities, made possible by an endowment established in partnership with IHI in 2004. In 2016, 66 scholarships were awarded to Safety Net staff to attend IHI convenings. Additionally, scholarships were awarded to 4 safety net clinics to attend and present at the Center for Care Innovations Safety Net Innovation Network twice in 2016. C.1.2. Community to Clinic Integration In 2016, KFHP of Colorado awarded 13 grants to work on decreasing food insecurity specifically 10 to increase enrollment in Supplemental Nutrition Program (SNAP) and 3 to increase participation in the Summer Food Service Program (SFSP). Grants began in March 2016 and will continue through March 2018. In addition to an internal evaluation team, KFHP worked to secure four other technical assistance providers that are available to the cohort. C.2. Safety Net Investments in the Community The following are examples of initiatives funded in accordance with the objectives of the Safety Net Partnerships Stream of Work during the year. C.2.1. Comprehensive Respiratory Care clinic (CRCC) In 2016 KFHP-CO extended over $175,000 in connection with a $1 million grant for the National Jewish Health organization in support of the Comprehensive Respiratory Care Clinic (CRCC). The CRCCs focus is on the underserved and towards the development of the Colorado Respiratory Toolkit (CRT). Used as a web-based and in-person intervention tool, the CRT teaches evidence-based care for asthma and chronic obstructive pulmonary disease in Federally Qualified Heath Centers and Colorado Health Medical Group clinics in the northern Front Range. Select results to date include training on the CRT for 76 Rocky Mountain Youth clinic providers and staff. Hiring is underway for the development of the initial infrastructure necessary to implement the outpatient clinic model for care between primary care/medical home and specialty care for low-income and homeless adults with lung disease. C.2.2. Healthier Learner Model North Central & Pikes Peak Regions The Colorado Department of Education (CDE) received an installment of over $166,000 from a cumulative grant in excess of $509 thousand in 2016 to support the Healthier Learner Model (HLM) for a three-year term. This model places a nurse into eight regions of Colorado. Each regional nurse is accountable for creating a learning environment for their nurses to learn and implement the latest evidence based nursing practices related to chronic conditions management, and building a stronger primary care community referral program. Accomplishments for 2016 include the training of over 70 school nurses in the use of standardized asthma tools at a School Nurse Orientation program in July, 2016. Based on evaluation feedback from the original 4-hour HLM workshop conducted by the CDE, a school-based asthma management toolkit was developed and delivered along with an additional 2-hour information technology (IT) workshop in August and September of 2016 for 28 nurses. C.2.3. Nursing Workforce Ethnic Diversity & Institute of Medicine Recommendations In 2016 the Colorado Center for Nursing Excellence received a grant for $47.5 thousand to support specific activities in four areas including increasing the ethnic diversity of the nursing workforce, and implementing three Institute of Medicine (IOM) recommendations. The focus of the three IOM recommendations is concentrated on increasing nursing academic preparation, expanding Colorados capacity to educate new nurses, developing the role of nurses to be more effective community and clinical leaders, and working to reduce scope of practice barriers. This project directly impacts at least 150 nurses and nursing students. Highlights of 2016 results include 37 mentors and 38 mentees were matched to support the diversification of the nursing workforce via the Mentor Training Institute curriculum, a highly structure mentoring program for racially, ethically, culturally, and economically diverse nursing students. Another project known as grown your own was developed to provide stipends to nurses living and working in rural communities to go back to school to become nurse practitioners and fill an access to care gap in their communities. C.3. Prior Year Contributions for Safety Net Partnerships In prior years, KFHP-CO made contributions to donor advised funds under the direction of a foundation operating in our local community. These funds were intended to identify and support nonprofit organizations that meet community needs in the area of safety net partnerships. In 2016, the following initiatives were funded through disbursements issued by the community foundation based upon recommendations informed by KFHP-CO's expertise. C.3.1. Grants for Safety Net Partnership Initiatives In 2016, KFHP-CO continued its commitment to LAUNCH Together by awarding $200,000 from a multi-year commitment. This project represents a unique opportunity for Kaiser Permanente to partner with 7 other health foundations pooling funds towards a $1 million multi-year grant awarded to the Rose Community Foundation. This grant supports the foundation in its efforts to scale a federal program designed to fuel community collaboration for improved early childhood mental health and development programs and systems to benefit higher risk children prenatally through age eight and their families. Among the projects many accomplishments, for 2016, a kick-off event was held in January 2016 to celebrate the Phase I Planning grants as part of a two-day partner retreat. A LAUNCH Together learning community concept was also developed; tying together components including online tools and resources, and peer-to-peer support. |
| C.3.2. Servicios de la Raza Behavioral Health/Substance Abuse |
In 2016, Servicios de la Raza received over $49,000 from a total commitment expected to reach over $99,000. This grant supports the revitalization of Servicios de la Razas substance abuse program and to fill a void in culturally competent substance abuse providers. The program includes outpatient services to a minimum of 85 clients. Select results to date include 18 students at Justice High School and 12 students at Escuela Tlatelolco who completed a 10-week substance abuse treatment program. Twenty-one of sixty-six Individuals enrolled in Servicios substance abuse program have a co-occurring mental health diagnosis. Approximately 40% of these clients reported abstinence from alcohol and drug use within a 30-day period. 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 Colorado spent approximately $10.3 million in 2016 (at cost, net of $9.1 million of related revenues) to support programs and services associated with the development and dissemination of knowledge. D.1. Medical Research Programs As the largest nonprofit integrated health system in the United States, Kaiser Permanente has a long history of conducting health research related to both prevention and treatment of disease that benefits both Kaiser Foundation Health Plan members and the communities that are served. Colorado Health Plans research efforts are core to the collective organizations mission to improve population health, and promote continued learning. Researchers study critical health issues including: cancer, cardiovascular conditions, diabetes, behavioral and mental health, and health care delivery improvement while remaining broadly centered upon the following 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 do research due to its rich, longitudinal, electronic clinical databases that capture virtually complete health care delivery, payment, decision-making and behavioral data in detail to support primary, secondary and tertiary clinical care across inpatient, outpatient and emergency department settings for more than 10 million geographically and demographically diverse members. D.1.1. National Research Program Colorados Institute for Health Research is one of seven regional centers overseen and administered by the Kaiser Foundation Research Institute (KFRI) and three national research infrastructure support centers. Research projects conducted by this collaborative team have yielded findings that affect not only the practice of medicine within the area served by KFHP-CO, but also for society-at-large. The following are descriptions of the entities providing support at the national level. D.1.1.1 Kaiser Foundation Research Institute (KFRI) The Kaiser Foundation Research Institute (KFRI) is a national program established in 1958 to administer and support research at Kaiser Permanente. KFRIs responsibilities include: overseeing and maintaining Kaiser Permanente's relationship with federal granting agencies, providing contract negotiation services for all regional centers, promoting responsible research conduct; and partnering with clinical trials stakeholders across Kaiser Permanente to ensure quality and compliance through the clinical trials program. D.1.1.2 The Center for Effectiveness and Safety Research (CESR) The Center for Effectiveness & Safety Research enhances opportunities to answer questions about which interventions work best for whom across all of KPs regional centers by investing in the ongoing development of a common data model, convening researchers and organizational leaders at an annual meeting and via webinars, and by conducting research. The center routinely partners with investigators in KPs regional research centers and with selected operational analytical groups. D.1.1.3 The Utility for Care Data Analysis (UCDA) The Utility for Care Data Analysis (UCDA) was created to ensure that analysts and researchers throughout Kaiser Permanente are able to fully realize the analytical potential of Kaiser Permanentes enterprise-wide information systems. This allows experts to compile and compare clinical and utilization data from across Kaiser Permanente in order to assess patterns in health, health care delivery, and clinical quality. UCDA has developed tools for using geographic information systems and providing analytic support for Community Benefit, including the Community Health Needs Assessments. D.1.1.4 The Kaiser Permanente Research Bank The Kaiser Permanente Research Bank is a research resource designed to help the organization better understand how peoples health is affected by their genes, behaviors and the environment. It allows researchers to use DNA and other health information voluntarily provided by a diverse cross-section of KP members to study how genetic and environmental factors affect health, and look for new ways to diagnose, treat and prevent certain diseases. KP has set a goal to collect data from a total of 500,000 participants from all seven regional centers, which would make it one of the worlds largest and most diverse repositories of genetic, environmental and health data. To date, more than 250,000 members from four geographic regions have participated in bio-banking efforts. D.1.2. Regional Research Center D.1.2.1. Colorado's Research Program The principal research activities conducted in Colorado take place at the following regional research center: D.1.2.1.1. The Institute for Health Research The Institute for Health Research was established in 1990. The institute partners with members, clinicians, fellow researchers, and local and national organizations and aims to improve quality of life and reduce health disparities through patient, community, and policy centered research. The institute's researchers study innovative technologies to enhance the impact and sustainability of evidence based health care. The institute conducts research to address the Institute of Medicine's goals for a reformed health care system that is safe, effective, timely, efficient, equitable, affordable, and patient-centered. Colorado Health Plan provided approximately $2.5 million (at cost, net of $9.1 million of related revenues) for medical research projects in 2016. |
| Key Statistics: |
Number of research papers published in journals in 2016: 75 Number of investigators: 14 Number of support staff: 69 Number of clinical trials in 2016: 53 Number of active studies (clinical and non clinical trials) in 2016: 200 Top Research Areas: - Epidemiology - Behavioral Health Research - Health Services D.1.2.1.2. Major Areas of Funded Research The following are examples of research projects conducted by investigators at the Institute for Health Research in Colorado in 2016: D.1.2.1.2.1. The Association Between Molecular markers in Colorectal Sessile Serrated Polyps and Colorectal Cancer Risk Research Area: Cancer The primary objective of this research is to identify histologic characteristics and molecular markers associated with an increased risk of colorectal cancer in patients with sessile serrated polyps. Primary Funding Provided By: US Department of Defense D.1.2.1.2.2. Using Values Affirmation to reduce the Effects of Perceived Discrimination on Hypertension disparities. Research Area: Cardiovascular Conditions The aims of this project are to (1) compare the effects of the values-affirmation exercise with a control exercise on antihypertensive medication adherence in African American patients across three clinical settings; (2) compare the effects of the values-affirmation exercise in African American patients with its effects in white patients with similar socioeconomic and clinical characteristics; and (3) assess the suitability of the intervention for widespread dissemination using the RE-AIM (Reach, Effectiveness, Adoption, Implementation and Maintenance) framework. Primary Funding Provided By: National Institutes of Health/National Heart Lung and Blood Institute through University of Colorado Denver D.1.2.1.2.3. The Safety and Impact of Expanded Access to Naloxone in Health Systems Research Area: Behavioral Health and Mental Health In this study researchers are examining the impact and safety of expanded access to naloxone, an effective opioid antidote which reverses opioid overdose, for patients prescribed opioids for pain in two large and diverse health systems. Primary Funding Provided By: The National Institutes for Health/The National Institutes on Drug Abuse. D.2 Educational Theatre Programs (ETP) Confronted with an urgent need for preventive health information in the communities we serve, the Educational Theatre Program (ETP) was created to inspire children, teens and adults to make informed decisions about their health and to build stronger, healthier communities. The Educational Theatre Program uses live theatre, music, comedy, and drama and these educational programs were developed with the advice of teachers, parents, students, health educators, medical professionals, and professional theatre artists. Performances are delivered by professional actors who are also trained as peer health educators, and are performed free of charge for the community. ETP also provides schools and organizations with supplementary educational materials, such as workbooks, parent and teacher guides, and student wallet cards to reinforce the messages presented on stage. In 2015, in order to more accurately capture the breadth of work being done, KFHP of Colorado changed ETPs name to Arts Integrated Resources (AIR). In 2016, KFHP Colorado invested approximately $2.1 million to educate and entertain approximately 108,000 people across Colorado who enjoyed the opportunity to view or participate in one of the more than 800 performances, workshops and other educational interactions offered during 2016. D.2.1. Arts Integrated Resources (AIR) AIR integrates the arts with multi-media technology and public health knowledge to improve community health. All programs and services provided by AIR are rooted in the philosophy and best practices of Positive Youth Development (PYD), a strength-based approach that sees all people as bearers of solutions rather than problems to be fixed. Through the years, over three million people in Colorado have been reached by AIRs free programs in the following areas: D.2.1.1. Educational Theatre For 2016, Educational Theatre programs sponsored programming that focused on healthy eating and active living, in addition to developing new programming designed to address mental health and social emotional wellness with elementary school audiences. Offerings included Health Team 4, a play that promotes physical activity and nutrition through evidence-informed, nationally recognized 5-2-1-0 messaging. The Pressure Point and When Youre Seeing Stars focus on resiliency skills for elementary school students. Finally, People Like Vince seeks to raise understanding of mental health issues for upper elementary audiences. D.2.1.2. Experiential Learning Experiential Learning creates open dialogue for groups to navigate social issues through facilitated workshops, story-telling, improvisation techniques, and interactive exercises. Initiatives include the Care Equity Project and Confronting Conflict and Laughaceuticals workshops. Audiences come away with new perspectives and a greater understanding of health challenges and needs in their communities. D.2.1.3. Youth Engagement Youth Engagement builds partnerships and coordinates initiatives that allow high school students to create and implement solutions to community and school health challenges. Youth are mentored to work side-by-side with adults to influence policy and create programs that promote health - where people live, work and earn. In the fall of 2016, the Student Health Advisory Council (SHAC) won the youth award for the Colorado Innovation Network (COIN) by pitching their ideas via video and in-person presentations to build a social app that brings youth together to get outdoors and be physically active. D.3. Health Professional Training and Education Kaiser Foundation Health Plan of Colorado has a long standing commitment to medical education. By continuing to strategically develop and expand the residency programs, the organization will help address societys needs. KFHP of Colorado is uniquely positioned to do this work because of its high quality, accountable care model, and commitment to community health for training future physicians. KFHP of Colorados plan is to focus on shortage specialties and help to fill the need for a more diverse workforce. Approximately $5.7 million was spent in 2016 on programs dedicated to promoting the education of healthcare professionals, reaching more than 60 graduate medical students and residents, approximately 350 nurse practitioner and nursing students, and more than 550 allied health professionals in training. The following are examples of initiatives funded under this program: D.3.1. Graduate Medical Education Colorado Health Plan continued to sponsor a Graduate Medical Education (GME) fellowship/resident program in collaboration with the University of Colorado and Rocky Vista University. The resident and student rotations are provided through inpatient hospital rotations in partnership with Saint Joseph Hospital and with teams of physicians serving as teachers. The Colorado Health Plans GME program allows medical residents to provide clinical guidance to a wide variety of patients, with racial, cultural, gender, sexual orientation, and socioeconomic diversity. When medical residents graduate from the KFHP rotations they, therefore, have a breadth of experience to bring to their clinical practice. D.3.2. Health Professional Education Colorado Health Plan supported training programs for physician assistants, pharmacy residents, technicians, social work, behavioral health counseling, physical therapy, and other non-physician health professionals. During 2016, Colorado Health Plan contributed resources dedicated to the training and education of students, interns and externs pursuing a career or working in the health care profession. D.3.2.1. Pharmacy Six training and education opportunities 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 members. |
| D.3.2.2. Nursing-Related Fields |
Colorado Health Plan supports very strong nurse practitioner physician assistant, laboratory and imaging professional training programs. KFHP Colorado nursing departments support local nursing Licensed Practical Nurse, Registered Nurse, Nurse Practitioner, Masters in Nursing, and Doctor of Nurse Practice programs by providing clinical rotations for students. Students from universities and community colleges work with KFHP-COs providers and state-of-the-art computer systems and equipment to gain knowledge and expertise in their chosen field of advanced practice. D.4. Self-Sufficiency Programs Colorado Health Plan provided community-based programs and services to low-income residents and students through work study, scholarships, and paid internship programs. In 2016, Colorado Health Plan spent approximately $259 thousand to support minority and underserved students pursuing careers related to health care. The following are descriptions of activities supported under this program. D.4.1. The Office of Diversity Equity and Inclusion The Office of Diversity Equity and Inclusion (ODEI) partners with the University of Colorado Anschutz Medical Campus Office of Inclusion & Outreach to provide summer fellowships for undergraduate students interested in pursuing professional level careers within health care. Students develop the skills and knowledge to be competitive, marketable candidates for professional schools. In 2016, 18 fellows were offered the KFHP of Colorado training placements. Fellows in UPP commit to a 13-month program, which includes a 12-week full-time obligation during the summer, and year-round workshops. The program provides a paid project-based fellowship and incorporates education and training regarding health equity, promoting healthy communities, experiential research, and work opportunities in a simulation medical lab. D.4.2. 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. Eighteen fellowships were offered for minority students pursuing careers in health care under this program in 2016. D.4.3. Arrup Jesuit High School Corporate Work Study Program (CWSP) Arrup Jesuit High School is an educational, college preparatory school serving economically disadvantaged students from Denvers inner-city neighborhoods. By enhancing the human, intellectual, and spiritual capacities through a rigorous, innovative, and affordable college preparatory education, Arrup offers hope for a brighter future to some of Denvers disadvantaged youth. The goal is to empower graduates who will continue their education and return as leaders in their communities. The Corporate Work Study Program (CWSP) provides career skills for students in partnership with local corporations. KFHP-CO hosted four students from Arrup in 2016. D.4.4. Rocky Mountain INROADS Rocky Mountain INROADS develops and places talented underserved youth in business and industry, and prepares them for corporate and community leadership. In 2016, KFHP-CO hosted one student. The student worked for 12 weeks over the summer building specific health care business skills in both human resources and revenue cycle services. D.4.5. Diversity and Inclusion Health Care Scholarship Program (Diversity Scholarship Program) The Diversity Scholarship Program was created as a community outreach effort to financially support ethnically diverse students pursuing an education for any health career. The objectives are to address the shortage of diverse health care and public health professionals and ensure the future of medical care is culturally responsive. In the summer of 2016, KFHP-CO presented approximately $53 thousand in scholarship awards to 24 minority students who commit to fulfilling a career in health care. E. Other Community Benefit investments During 2016, the Colorado Health Plan spent approximately $7.8 million to support Community Benefit activities and programs beyond national streams of work. This included the administrative expenses of a Community Benefit department dedicated to supporting regional Community Benefit programs, providing technical assistance services to the community, and coordination of related initiatives. Programmatically, the following are examples of additional activities funded within this area. E.1. Community Service Employees are actively encouraged to donate 96 hours per year in organization-funded time, energy, and skills towards approved activities in the community outside of their normal work responsibilities. With the exception of those employees whose jobs are directly classified within the Community Benefit department, organization-funded time contributed to other nonprofits is not counted towards KFHP-COs annual Community Benefit investment. In 2016, over 9,750 hours of community volunteer service, covering over 360 projects for 300 community organizations, were reported by KFHP-CO employees under this program. E.2. Tumor Board and Cancer Registry Included in the other Community Benefit spending reported above is approximately $628 thousand in expenses related to the State of Colorados 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. E.3. Other Community Benefit Investments in the Community In 2016, Kaiser Foundation Health Plan in Colorado awarded approximately $160 thousand in support of Community Benefit activities and programs beyond the national streams of work. The following is an example of a program funded in this area. E.3.1 Community Shares of Colorado KHFP-CO manages a workplace campaign for charity that has a matching component for employees gifts made through Community Shares of Colorado. In 2016 Community Shares of Colorado received a grant for $39 thousand in addition to employee and corporate matching funds donations. Over 300 Colorado nonprofit organizations are screened to ensure they are in compliance and good standing with the IRS. Employees gifts to these organizations are eligible for an employer matching gift. An employee's gift is fully matched and there is a $50 minimum requirement. During the 2016 employee giving campaign, almost 500 employees participated and gave over 1,100 donations, representing more than $400 thousand in employee donations. Kaiser Permanente Colorado matched eligible donations at an amount of nearly $375 thousand and provided a donation of over $59 thousand to offset administrative fees. F. Environmental Stewardship Poor environmental quality contributes to disease, illness and economic insecurity. Kaiser Foundation Health Plan of Colorado has therefore committed itself to protecting and improving the natural environment as a key component of our social mission to improve the health of the communities we serve. To fulfill the commitment, KFHP-CO 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 five organization-wide focus areas that have been selected based on their ability to have the most impact on the environmental forces that shape environmental and human health: - Addressing causes of climate change - Promoting sustainable farming and food choices - Reducing, reusing, and recycling to eliminate waste - Buying products and materials that do not contain chemicals of concern - Conserving water In each of these focus areas, KFHP-CO 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 2016, key performance indicators for Kaiser Foundation Health Plan of Colorado included: F.1.1 Improved our energy use intensity (kBtu/rentable square foot) by 6% compared to our 2010 baseline year. F.1.2 Responsibly reused, recycled or composted over 1,600 tons of materials. F.1.3. Reduced annual greenhouse gas (GHG) emissions by purchasing and retiring 3,237 metric tons of GHG offset credits from the Larimer County Landfill Gas Project (2012 vintage). The offset credits were issued by the Climate Action Reserve following a rigorous registration process used to ensure the originating offset project contributes to real and additional emission reductions. |
| Form 990, Part VI, Line 4 |
THE BYLAWS OF THE CORPORATION WERE AMENDED IN 2016 WITH THE FOLLOWING SIGNIFICANT CHANGES: On March 3, 2016: - The Independent Director definition was removed and noted as being defined in the Corporate Governance Guidelines. - Article D, Directors, Section D-2 was amended to change the number and description of inside Directors - Article D, Directors, Section D-4 was amended to modify the term and retirement age for Directors. - Article F, Committees, Section F-4, Executive Committee, was amended to change the Committee composition and remove tax exemption and executive selection, performance appraisal, and succession duties. |
| 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 |
KFHP, INC. appoints the directors (and fills vacancies and has authority to remove directors). The same individuals who comprise the board of directors of KFHP also serve as THE directors of KFHP COLORADO, NORTHWEST, MID-ATLANTIC STATES AND KFHP WASHINGTON. |
| Form 990, PART VI, LINE 7B |
THE FOLLOWING ACTIONS OF THE CORPORATION REQUIRE APPROVAL OF THE SOLE MEMBER: A) REMOVAL OF THE CHAIRMAN OF THE BOARD OR THE PRESIDENT, THE GROUP PRESIDENT OR REGIONAL PRESIDENT; B) AMENDMENT OF ARTICLE D, SECTION D-4 OF THE BYLAWS - ELECTION AND TERM OF OFFICE. |
| Form 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 by internal sources including regional finance, executive compensation, community benefits, 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 |
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, LINEs 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 |
Forms 990 are available on www.guidestar.org. |
| Form 990, PART VI, LINE 19 |
Public Inspection Copy: Governing documents, conflict of interest policy are available upon request as disclosed to other regulatory bodies. Financial Statements - are on file with state insurance agency on a statutory basis (stand alone entity). Combined data is published for Kaiser Foundation Health Plan Inc. and subsidiaries and Kaiser Foundation Hospitals and Subsidiaries with Independent Auditors' Report. To request copies contact: Vice President, Government Relations Kaiser Foundation Health Plan and Hospitals One Kaiser Plaza, 18th Floor Oakland, CA 94612 |
| Form 990, PART VII, SECTION A, COLUMN B |
Hours for Related Organization: Individuals who are both officers and members of Boards of Directors work full time as employees as well as fulfill their board assignment. All officers work full time in their employee capacity. Full time work may require in excess of the traditional 40 hour week. Given the integrated nature of our organization, employees may provide support for various Kaiser Permanente companies. The average hours per week reported for the filing organization and related organizations was estimated. |
| Form 990, PART XI, LINE 9 |
other changes in net assets or fund balances: change in pension and other retirement liabilities $(31,964,488) gain/loss on sale of investments book-to-tax difference 1,072,587 otti losses - book (4,319,623) ------------------ (35,211,524) |
Attach to Form 990 or 990-EZ.