4A (Expenses $ 3698892004 including grants of $ 12186721) (Revenue $ 3811055019)
MEMBER HEALTH CARE SERVICES AND MEDICAL TRAINING FOR CARE IMPROVEMENT KAISER FOUNDATION HEALTH PLAN OF WASHINGTON, INC. (KFHP-WA) PROVIDES MEDICAL AND SURGICAL CARE, INCLUDING URGENT CARE SERVICES, EXTENDED CARE AND HOME HEALTH CARE, FOR ITS MEMBERS WITHOUT REGARDS TO AGE, SEX, RACE, RELIGION OR NATIONAL ORIGIN OR THE ABILITY TO PAY. KFHP OF WASHINGTON EDUCATES AND TRAINS MEDICAL STUDENTS AND OTHER HEALTH CARE PROFESSIONALS AND PROMOTES SCIENTIFIC AND NURSING EDUCATION IN ORDER TO IMPROVE CARE.

4B (Expenses $ 71753922 including grants of $ 0) (Revenue $ 36715953)
MEDICAID AND OTHER GOVERNMENT SPONSORED PROGRAMS KAISER FOUNDATION HEALTH PLAN OF WASHINGTON (KFHP-WA) IS COMMITTED TO IMPROVING MEDICAL CARE FOR BENEFICIARIES OF MEDICAID AND OTHER GOVERNMENT SPONSORED PROGRAMS, NOT ONLY FOR KFHP-WA MEMBERS, BUT ALSO, WITHIN THE COMMUNITIES WE SERVE. AT THE END OF 2021, APPROXIMATELY 32,000 INDIVIDUALS WERE RECEIVING BENEFITS THROUGH KFHP-WA'S MEDICAID MANAGED CARE CONTRACTS.

4C (Expenses $ 23002615 including grants of $ 0) (Revenue $ 0)
CHARITY CARE (MEDICAL FINANCIAL ASSISTANCE) KAISER FOUNDATION HEALTH PLAN OF WASHINGTON (KFHP-WA) PROVIDES CHARITY CARE TO LOW INCOME VULNERABLE PATIENTS THROUGH THE MEDICAL FINANCIAL ASSISTANCE (MFA) PROGRAM. KFHP-WA OFFERS FINANCIAL ASSISTANCE THROUGH THE MFA PROGRAM TO HELP FAMILIES AND INDIVIDUALS WITH A DEMONSTRATED FINANCIAL NEED PAY FOR ALL OR PART OF THE COST OF EMERGENCY OR MEDICALLY NECESSARY CARE PROVIDED IN KAISER PERMANENTE FACILITIES AND/OR BY KAISER PERMANENTE PROVIDERS. IN 2021, THIS PROGRAM ASSISTED A TOTAL OF 17,000 PATIENTS THROUGH FINANCIAL ASSISTANCE.

4D (Expenses $ 4246726 including grants of $ 73086491) (Revenue $ 49448324)
SEE EXEMPT PURPOSE ACHIEVEMENTS IN SCH O

Part V, Line 5
COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS USING KEY INFORMANT INTERVIEWS, GROUP INTERVIEWS, FOCUS GROUPS, COMMUNITY EVENTS AND LISTENING SESSIONS. INDIVIDUALS WITH THE KNOWLEDGE,INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM COUNTY PUBLIC HEALTH DEPARTMENTS, SCHOOL DISTRICTS, LOCAL NON-PROFITS, REGIONAL PUBLIC AND PRIVATE ORGANIZATIONS AS WELL AS LEADERS, REPRESENTATIVES, OR MEMBERS WHO RESIDE AND/OR PROVIDE SERVICES IN AN UNDER-RESOURCED OR MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY COMMUNITIES. ADDITIONALLY, WHERE APPLICABLE, OTHER INDIVIDUALS WITH EXPERTISE OF LOCAL HEALTH NEEDS WERE CONSULTED.

Part V, Line 11
Significant needs identified in Kaiser Foundation Health Plan of Washington's hospital facilities' most recently conducted CHNAs. Health need: Access to Care - Charitable health coverage: Provide access and comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. - Medical financial assistance: Provide financial assistance to low-income individuals who receive care at KP facilities and cannot afford medical expenses. - Medicaid: Provide high-quality medical care to Medicaid participants who would otherwise struggle to access care. - Support screening for social and non-medical service needs and connect low-income individuals and families to community and government resources. - Increase access to health care coverage and care for underserved communities through targeted outreach, enrollment, and retention strategies. HEALTH NEED: MENTAL AND BEHAVIORAL HEALTH - SUPPORT THE INFRASTRUCTURE AND CAPACITY BUILDING OF COMMUNITY ORGANIZATIONS AND CLINICS TO IMPROVE ACCESS TO QUALITY MENTAL HEALTH CARE. - PROVIDE WORKFORCE PIPELINE AND TRAINING PROGRAMS TO ENSURE A CULTURALLY COMPETENT MENTAL HEALTH WORKFORCE WITH THE SKILLS TO MEET THE NEEDS OF DIVERSE COMMUNITIES. - SUPPORT AND PARTICIPATE IN SCHOOL-BASED PROGRAMS TO BUILD STUDENT AND STAFF CAPACITY TO ADDRESS TRAUMA AND ADVERSE CHILDHOOD EXPERIENCES. - IMPLEMENT A MULTI-MEDIA CAMPAIGN TO REDUCE STIGMA TOWARDS MENTAL HEALTH CONDITIONS. HEALTH NEED: OBESITY / HEAL / DIABETES - SUPPORT COMMUNITY-DRIVEN EFFORTS TO INCREASE ACCESS TO HEALTHY FOOD AND PHYSICAL ACTIVITY, INCLUDING COMMUNITY GARDENS, FARMERS MARKETS, PARKS, AND SAFE PLAY AREAS FOR CHILDREN. - SUPPORT HIGH-NEED SCHOOLS WITH THE ADOPTION AND IMPLEMENTATION OF HEALTHY EATING ACTIVE LIVING POLICIES AND PRACTICES. - PROVIDE OPPORTUNITIES FOR INCREASING AWARENESS OF PREVENTION AND MANAGEMENT OF CHRONIC DISEASE, INCLUDING CARDIOVASCULAR HEALTH, DIABETES, AND OBESITY. - SUPPORT ACTION-ORIENTED RESEARCH INTO HEALTHY EATING AND ACTIVE LIVING, INCLUDING THE CONNECTIONS BETWEEN FOOD INSECURITY AND HEALTH AND ACTIVE TRANSPORTATION GAPS.

Part V, Line 11
Needs identified but not currently addressed in Kaiser Foundation Health Plan of Washington facilities' most currently conducted CHNAs. Health need: Climate and health / environment - Less feasibility to make an impact on this need. - Less ability for KP to leverage expertise or assets to address this need. - Lack of feasible evidence-based or promising practices to address this need. - Less ability to leverage community assets to address this need. HEALTH NEED: SUBSTANCE USE/ TOBACCO - THIS NEED IS INCORPORATED INTO OTHER NEEDS SELECTED.

Part V, Line 13a
THE HOSPITAL PROVIDES FREE CARE (100% DISCOUNT) ON THE PATIENT COST FOR ELIGIBLE SERVICES TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL.

Part V, Line 13h
A PATIENT OF ANY HOUSEHOLD INCOME LEVEL WITH INCURRED OUT-OF-POCKET MEDICAL AND PHARMACY EXPENSES FOR ELIGIBLE SERVICES OVER A 12 MONTH PERIOD GREATER THAN OR EQUAL TO 10% OF THEIR ANNUAL HOUSEHOLD INCOME IS ELIGIBLE FOR FREE CARE.

Part V, Line 16j
THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITES AT www.kp.org/mfa/wa

PART I, LINE 3c
THERE ARE THREE DISTINCT ELIGIBILITY CRITERIA FOR FREE AND DISCOUNTD CARE UNDER KP'S MEDICAL FINANCIAL ASSISTANCE POLICY; (1) MEANS TESTED (INCOME-BASED), (2) HIGH MEDICAL EXPENSES AND (3) SITUATIONS WHERE THE PATIENT HAS BEEN PREQUALIFIED. MEANS-TESTED: A PATIENT OF A HOUSEHOLD INCOME LESS THAN OR EQUAL TO KFHP WA'S MEANS TESTING CRITERIA AS A PERCENTAGE OF THE FEDERAL POVERTY GUIDELINES (FPG) IS ELIGIBLE FOR FREE CARE. NOTE: ASSETS ARE NOT USED IN ELIGIBILITY DETERMINATION. HIGH MEDICAL EXPENSES: A PATIENT OF ANY HOUSEHOLD INCOME LEVEL WITH INCURRED OUT-OF-POCKET MEDICAL AND PHARMACY EXPENSES FOR ELIGIBLE SERVICES OVER A 12 MONTH PERIOD GREATER THAN OR EQUAL 10% OF ANNUAL HOUSEHOLD INCOME IS ELIGIBLE FOR FINANCIAL ASSISTANCE. PREQUALIFICATION: A PATIENT IS PRESUMED TO MEET THE PROGRAM ELIGIBILITY CRITERIA AND IS NOT REQUIRED TO PROVIDE PERSONAL, FINANCIAL AND OTHER INFORMATION TO VERIFY FINANCIAL STATUS WHEN THE PATIENT: 1. IS ENROLLED IN A COMMUNITY PROGRAM TO WHICH PATIENTS HAVE BEEN REFERRED AND PREQUALIFIED THROUGH (1) FEDERAL, STATE OR LOCAL GOVERNMENT, (2) A PARTNERING COMMUNITY-BASED ORGANIZATION, OR (3) AT A KFHP WA SPONSORED COMMUNITY HEALTH EVENT, OR 2. IS ENROLLED IN A KFHP WA COMMUNITY BENEFIT PROGRAM DESIGNED TO SUPPORT ACCESS TO CARE FOR LOW-INCOME PATIENTS AND PREQUALIFIED BY DESIGNATED KFH/HP PERSONNEL, OR 3. IS ENROLLED IN A CREDIBLE MEANS-TESTED HEALTH COVERAGE PROGRAM (E.G., MEDICARE LOW INCOME SUBSIDY PROGRAM), OR 4. WAS GRANTED A PRIOR MEDICAL FINANCIAL ASSISTANCE AWARD WITHIN THE LAST 30 DAYS.

PART I, LINE 7, PERCENT OF TOTAL EXPENSE
THE LOSSES ATTRIBUTED TO PROVIDING CHARITY CARE (MEDICAL FINANCIAL ASSISTANCE AND CHARITABLE HEALTH COVERAGE) AND PARTICIPATION IN SELECT GOVERNMENT OR COMMUNITY SPONSORED HEALTH COVERAGE PROGRAMS ARE CALCULATED USING A COST-BASED METHODOLOGY FOR PATIENTS IN THOSE PROGRAMS. THE COST-BASED LOSS IS GENERATED THROUGH THE STANDARD SYSTEMS USED TO REPORT ON MARKET SEGMENTS FOR KFHP-WA'S COMMERCIAL BUSINESS LINES. PART III, LINE 8 None of the amounts reported on Part III, line 7 has been treated as community benefit. The Medicare hospital cost reports are the source document to capture the Medicare revenue and Medicare allowable costs. To determine the direct costs, the cost report takes inputs from the general ledger by hospital location and applies a step-down methodology to allocate overhead costs. The costs are then passed through additional cost report computations to determine allowable Medicare costs. The total allowable Medicare cost is subtracted from the total revenue by region to determine the Medicare surplus or shortfall.

PART III, LINE 9B, COLLECTION POLICY
When a patient/guarantor indicates an inability to pay (Charity Care), the patient/guarantor will be evaluated for charity care in accordance with established criteria outlined in the medical financial assistance (MFA) program. In addition, outside collection agencies will cancel and return on a retrospective basis any accounts that either would have qualified or now qualify for charity care according to the criteria outlined in the MFA program.

PART VI, LINE 2, NEEDS ASSESSMENT
THE NEEDS ASSESSMENT PROVIDES A SUMMARY OF THE NEEDS ASSESSMENT PROCESS UNDERTAKEN INCLUDING THE METHODOLOGIES AND DATA SOURCES UTILIZED, INDIVIDUALS AND ORGANIZATIONS CONSULTED, A COMPLETE LISTING OF THE NEEDS IDENTIFIED AND DESCRIPTION OF THE METHOD USED TO PRIORITIZE NEEDS FOR INCLUSION IN THE INDIVIDUAL COMMUNITY BENEFIT PLANS. THE MOST RECENT NEEDS ASSESSMENTS WERE COMPLETED IN 2019.

PART VI, LINE 3, PATIENT EDUCATION FOR ELIGIBILITY FOR ASSISTANCE
IN WASHINGTON, INFORMATION REGARDING ASSISTANCE IS WIDELY AVAILABLE THROUGHOUT THE FACILITIES TO ALL PATIENTS. INFORMATION REGARDING THE AVAILABILITY OF KAISER FOUNDATION HEALTH PLAN OF WASHINGTON'S MEDICAL FINANCIAL ASSISTANCE PROGRAM (MFAP) IS POSTED IN THE EMERGENCY DEPARTMENTS AND ADMITTING AREAS OF ALL KAISER FOUNDATION HEALTH PLAN OF WASHINGTON HOSPITALS. THE POSTED INFORMATION CONTAINS CONTACT INFORMATION FOR FURTHER ASSISTANCE. KFHP WA ADMISSION AND DISCHARGE STAFF ARE ALSO A SOURCE OF INFORMATION FOR PATIENTS THAT EXPRESS FINANCIAL HARDSHIP OR REQUEST MEDICAL FINANCIAL ASSISTANCE. THIS STAFF CAN PROVIDE A COPY OF THE FINANCIAL ASSISTANCE POLICY SUMMARY, PROGRAM APPLICATION, OR CONNECT A PATIENT WITH A FINANCIAL COUNSELOR WHO CAN ASSIST PATIENTS IN DETERMINING ELIGIBILITY FOR GOVERNMENT PROGRAMS OR THE MFAP. PATIENT DISCHARGE PACKETS ALSO INCLUDE A COPY OF THE MFAP POLICY SUMMARY. IN ADDITION, MFAP INFORMATION, INCLUDING THE POLICY, POLICY PLAIN LANGUAGE SUMMARY AND APPLICATION, CAN ALSO BE FOUND ON THE PUBLICLY ACCESSIBLE KFHP WA MEDICAL FINANCIAL ASSISTANCE WEBSITE. ALL PATIENT BILLING STATEMENTS INCLUDE INFORMATION THAT FINANCIAL ASSISTANCE IS AVAILABLE AS WELL AS WHERE TO GET ADDITIONAL INFORMATION OR ASSISTANCE. THE MFAP POLICY PLAIN LANGUAGE SUMMARY IS ALSO INCLUDED WITH THE FIRST HOSPITAL BILLING STATEMENT TO ALL PATIENTS. ADDITIONALLY, IF PATIENTS ARE REFERRED TO BAD DEBT COLLECTIONS, PRIOR TO PERFORMING EXTRAORDINARY COLLECTIONS ACTIONS, THE PATIENT RECEIVES NOTIFICATION THAT FINANCIAL ASSISTANCE IS AVAILABLE. THE PROGRAM POLICY, POLICY PLAIN LANGUAGE SUMMARY, AND APPLICATION ARE AVAILABLE WITHOUT CHARGE IN ENGLISH AS WELL AS ALL THE LANGUAGES THAT MEET THE LIMITED ENGLISH PROFICIENCY POPULATION CRITERIA (LESSER OF 1,000 INDIVIDUALS OR 5% OF THE COMMUNITY). LANGUAGES SUPPORTED INCLUDE, BUT ARE NOT LIMITED TO SPANISH, CHINESE, JAPANESE, KOREAN, LAOTIAN, TAGALOG, RUSSIAN, FARSI AND VIETNAMESE.

PART VI, LINE 7, STATE FILING OF COMMUNITY BENEFIT REPORT
THIS QUESTION IS NOT APPLICABLE.

PART VI, LINE 4, COMMUNITY INFORMATION
THE COMMUNITIES WE SERVE ARE DIVERSE AND INCLUDE BOTH LESS POPULOUS AND DENSELY POPULATED CITIES AND COUNTIES. OUR COMMUNITIES ARE DIVERSE IN MANY WAYS INCLUDING INCOME, RATE OF UNINSURED, HIGH SCHOOL GRADUATION AND LIMITED ENGLISH PROFICIENCY. OUR FACILITIES AND THE PEOPLE WHO WORK WITHIN THEM ARE LOCATED WITHIN AND ARE PART OF OUR COMMUNITIES. IN WASHINGTON, CENTRAL HOSPITAL IS LOCATED IN THE CITY OF SEATTLE. Total population in area (mil)***; 5.6 Median Household Income***; $86,023 % below 100% fpl*; 9.4% w/o public or private health ins*; 5.6% Limited English Proficiency*; 3.9% High school graduation rate**; 84.4% Unemployment Rate (%)***; 15.5% * US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY: 2015-19 ** US DEPARTMENT OF EDUCATION *** ESRI VIA KAISER PERMANENTE UTILITY FOR CARE DATA ANALYSIS, 2020 AS THE NATION'S LARGEST NONPROFIT INTEGRATED HEALTH CARE ORGANIZATION, KAISER PERMANENTE IS MISSION DRIVEN TO IMPROVE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE AND COMMITTED TO SHAPING THE FUTURE OF HEALTH CARE. KAISER PERMANENTE IS DEDICATED TO CARE INNOVATIONS, CLINICAL RESEARCH, HEALTH EDUCATION AND THE SUPPORT OF COMMUNITY HEALTH. KFHP WA IS COMMITTED TO THE BELIEF THAT GOOD HEALTH IS A FUNDAMENTAL RIGHT SHARED BY ALL, AND WE RECOGNIZE THAT GOOD HEALTH EXTENDS BEYOND THE DOCTOR'S OFFICE AND THE HOSPITAL. LIKE OUR APPROACH TO MEDICINE, OUR WORK IN THE COMMUNITY TAKES A PREVENTION-FOCUSED, EVIDENCE-BASED APPROACH. WE GO BEYOND TRADITIONAL CORPORATE PHILANTHROPY OR GRANT-MAKING TO LEVERAGE FINANCIAL RESOURCES WITH MEDICAL RESEARCH, PHYSICIAN EXPERTISE, AND CLINICAL PRACTICES. HISTORICALLY, WE HAVE FOCUSED OUR INVESTMENTS IN THREE AREAS-HEALTH ACCESS, HEALTHY COMMUNITIES, AND HEALTH EQUITY TO ADDRESS CRITICAL HEALTH ISSUES IN OUR COMMUNITIES. FOR MANY YEARS, WE HAVE WORKED COLLABORATIVELY WITH OTHER ORGANIZATIONS TO ADDRESS SERIOUS PUBLIC HEALTH ISSUES, IMPROVE CONDITIONS FOR HEALTH IN OUR COMMUNITIES, ADVANCE HEALTH AND DRIVE AFFORDABILITY ACROSS THE NATION. WE HAVE CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) TO BETTER UNDERSTAND EACH COMMUNITY'S UNIQUE NEEDS AND RESOURCES. THE CHNA PROCESS INFORMS OUR COMMUNITY INVESTMENTS AND HELPS US DEVELOP STRATEGIES AIMED AT MAKING LONG-TERM, SUSTAINABLE CHANGE-AND IT ALLOWS US TO DEEPEN THE STRONG RELATIONSHIPS WE HAVE WITH OTHER ORGANIZATIONS THAT ARE WORKING TO IMPROVE COMMUNITY HEALTH. THE KFHP/KFH BOARD HAS A STANDING COMMUNITY BENEFIT COMMITTEE OF THE BOARD OF DIRECTORS TO OVERSEE THE PROGRAM-WIDE COMMUNITY BENEFIT PROGRAM. KAISER PERMANENTE ALSO HAS A NATIONAL EXECUTIVE OF KFHP AND KFH TO LEAD KAISER PERMANENTE'S COMMUNITY BENEFIT PROGRAM AS A FULL-TIME ASSIGNMENT.

PART VI, LINE 5, PROMOTION OF COMMUNITY HEALTH
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON'S (KFHP WA) PRINCIPAL PURPOSE IS TO PROVIDE HOSPITAL, MEDICAL, AND SURGICAL CARE, INCLUDING EMERGENCY SERVICES, EXTENDED CARE AND HOME HEALTH CARE TO MEMBERS OF THE PUBLIC WITHOUT REGARD TO AGE, SEX, RACE, RELIGION OR NATIONAL ORIGIN, OR TO THE INDIVIDUAL'S ABILITY TO PAY. KFHP WA SHARES THE KAISER PERMANENTE MISSION, OF PROVIDING AFFORDABLE HIGH-QUALITY HEALTH CARE TO OUR MEMBERS, AND IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. KFHP WA'S GENERAL COMMUNITY BENEFITS INCLUDE: i. EMERGENCY DEPARTMENT - KFHP WA OPERATES A FULL-TIME EMERGENCY DEPARTMENT IN ITS LICENSED HOSPITAL, EMERGENCY MEDICAL SERVICES ARE AVAILABLE TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. ii. CARE PROVIDED TO ALL PATIENTS - HOSPITAL CARE IS PROVIDED TO INDIVIDUALS WITH HEALTH CARE COVERAGE FROM ANY PRIVATE OR GOVERNMENT-SPONSORED HEALTH PLAN, INSURED AND UNINSURED REFERRALS FROM SAFETY NET AND OTHER PUBLIC HEALTH PARTNERSHIPS, AND UNINSURED PATIENTS ADMITTED THROUGH THE EMERGENCY DEPARTMENT. iii. OPEN MEDICAL STAFF PRIVILEGES - STAFF PRIVILEGES IN THE HOSPITALS ARE AVAILABLE TO COMMUNITY PRACTITIONERS WHO ARE NOT AFFILIATED WITH A PERMANENTE MEDICAL GROUP. IN ADDITION, KFHP WA IS COMMITTED TO OPERATING TO INTENTIONALLY PROTECT AND PRESERVE THE ENVIRONMENT AND SCARCE RESOURCES. POOR ENVIRONMENTAL QUALITY CONTRIBUTES TO DISEASE AND ECONOMIC INSECURITY. KFHP WA HAS THEREFORE COMMITTED ITSELF TO PROTECTING AND IMPROVING THE NATURAL ENVIRONMENT AS A KEY COMPONENT OF OUR MISSION TO IMPROVE HEALTHCARE QUALITY AND AFFORDABILITY. TO FULFILL THIS COMMITMENT, KFHP WA MAINTAINS A STRUCTURE FOR ENVIRONMENTAL STEWARDSHIP THAT ENABLES THE ORGANIZATION TO CONTINUOUSLY 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: 1. FINDING SAFE ALTERNATIVES TO HARMFUL INDUSTRIAL CHEMICALS 2. RESPONDING TO CLIMATE CHANGE 3. PROMOTING SUSTAINABLE FARMING AND FOOD CHOICES 4. REDUCING, REUSING, AND RECYCLING TO ELIMINATE WASTE 5. CONSERVING WATER IN EACH OF THESE FOCUS AREAS, KFHP WA HAS ESTABLISHED AMBITIOUS GOALS, IMPLEMENTED INITIATIVES, ACHIEVED MEASURABLE IMPROVEMENTS, AND REGULARLY REPORTED PROGRESS TO OUR BOARD OF DIRECTORS, OUR STAFF, AND THE COMMUNITIES WE SERVE.

PART VI, LINE 6, AFFILIATED HEALTH CARE SYSTEM
Kaiser Foundation Health Plan of Washington (KFHP-WA) is committed to helping shape the future of health care. We are recognized as one of America's leading health care providers and not-for-profit health plans. Founded in 1945, Kaiser Permanente has a mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve more than 12 million members in eight states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery, and world-class chronic disease management. KFHP-WA is dedicated to care innovations, clinical research, health education and the support of community health. KFHP-WA has an exclusive contract with Washington Permanente Medical Group (WPMG) a group practice with more than 1,400 physicians, physician assistants, optometrists, midwives and psychologists in Washington state. WPMG is not under common governance or control with KFHP-WA, but the two organizations collaborate to serve the community. Both KFHP-WA and WPMG staff participate as faculty and preceptors for residency and health professionals training programs. In addition to the operation of a family practice residency program (for which WPMG clinicians serve as faculty) and an optometry residency in 2 medical center locations, KFHP-WA and WPMG participate in the training of over a dozen medical specialties and an additional 20+ mid-level and non-physician training programs, including those for critical shortage professions such as nursing, physical therapy and pharmacy. The residency program includes clinical training and the provision of medical care for homeless youth as well as for some of the free clinics in King County. In addition to the above-mentioned programs in Washington state, in 2020, KFHP-WA and WPMG clinicians and staff volunteered medical services to homeless shelters, community clinics and other relief efforts in the U.S. and around the world. Physician and non-physician leaders at WPMG also contribute to the dissemination and community-wide practice of evidence-based medicine and outcomes improvement by sharing clinical guidelines, quality improvement efforts and protocols related to shared decision-making and other patient engagement tools, lean process improvements in clinical care, the medical home team-based care model, the chronic care model, and other care innovations.