Kaiser Foundation Health Plan of the MID-Atlantic States Inc

“- Voting Member and Governing Body - THE EXECUTIVE COMMITTEE, COMPOSED OF THE DIRECTORS THAT ARE THE CHAIRS OF THE BOARD'S OTHER STANDING COMMITTEES, HAS AUTHORITY TO ACT FOR THE BOARD BETWEEN MEETINGS EXCEPT IT HAS NO AUTHORITY TO: A. FILL VACANCIES ON THE BOARD OR THE COMMITTEE; B. FIX THE COMPENSATION OF DIRECTORS FOR SERVING ON THE BOARD OR ANY COMMITTEE; C. ADOPT, AMEND OR REPEAL BYLAWS; D. AMEND OR REPEAL ANY RESOLUTION OF THE BOARD WHICH BY ITS EXPRESS TERMS CANNOT BE AMENDED OR REPEALED BY THE EXECUTIVE COMMITTEE; E. APPOINT COMMITTEES OF THE BOARD OR APPOINT THE MEMBERS THEREOF; OR F. APPROVE ANY ASPECT OF A TRANSACTION INVOLVING THE COMPANY WHEN A DIRECTOR HAS A MATERIAL FINANCIAL INTEREST IN THAT TRANSACTION, EXCEPT AS EXPRESSLY PROVIDED BY THE LAW.”

“Kaiser foundation health plan, inc. ("kfhp, inc.") is the sole member.”

“- appointment of governing body - 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, inc. Also serve as the directors of kfh, kfhp colorado, northwest, mid-atlantic states, and kfhpw holdings.”

“- approval of certain governance decisions - the following actions of the corporation are reserved to or require approval of the sole member: a) change in membership; b) removal of the chairman of the board or the president, the group president or regional president; c) amendments to articles c (member), d (directors) and h (amendment and effect of bylaws) of the bylaws may be amended only by the member; d) amendment of the articles of incorporation.”

“- form 990 review process - 1. Key information necessary for the preparation of the tax return is obtained and/or confirmed with internal sources including regional finance, executive compensation, community health department, treasury, government relations, and legal. 2. Prior to finalization, the return is reviewed by an external tax advisor. 3. Once signed by an external tax advisor, the return and underlying data re 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.”

“Ethics and Compliance Ongoing Monitoring and Enforcement Activities Kaiser Permanente regularly and consistently monitors and enforces compliance with the Conflicts of Interest policy in the following ways: Reporting Conflicts of Interest Concerns - The Ethics and Compliance Hotline or Webline is available to all employees, vendors, contractors, and agents to anonymously report actual or perceived conflicts of interest. The Hotline is managed by a third party; however, reported conflicts of interest allegations are provided to Ethics and Compliance for investigation, and if required, corrective actions are taken to address the conflict of interest. Employees are prohibited from retaliating against or intimidating anyone who reports concerns in good faith or refuse to participate in wrongdoing. Executive Disclosure Process - Executives are required to fill out a disclosure form upon their hiring or promotion to this level. Any necessary actions, such as requesting additional information from the Executive, are handled in compliance with established policies and written standards. Responses and actions regarding conflicts of interest are documented within our record-keeping system for tracking and reporting purposes. Annual Disclosure Process - Annually, Directors, Officers, Key Employees, Executives, and other employees in roles with elevated risk (e.g., research investigator, managers and supervisors with funds disbursement authority, or sales consultants) are required to complete a Conflicts of Interest Disclosure form. Responses are reviewed by Ethics and Compliance, Board Services, and / or the Governance, Accountability and Nominating Committee of the Kaiser Foundation Health Plan/Hospital Board of Directors. When actions are required, they are addressed in accordance with policies and written standards. Conflicts of interest responses and actions are maintained in our system of record for tracking and reporting purposes. Ongoing Disclosure Process - In addition to the annual disclosure process and in accordance with the Conflicts of Interest policy, on an ongoing basis Ethics and Compliance receives, consults, and reports on conflicts of interest matters. External Audit Review of Disclosures - Annually, as a part of the Kaiser Permanente external audit, an outside certified public accounting firm reviews the conflicts of interest disclosure process and actions taken for Directors, Officers, Key Employees, and Executives. The results, inclusive of any findings, are presented to the Kaiser Foundation Health Plan/ Hospital Audit and Compliance Committee of the Board of Directors. Awareness and Enforcement - The following general awareness and enforcement guidelines are followed: - Interactive conflicts of interest scenarios, and the Conflicts of Interest and Corrective or Disciplinary Action policies are provided and reviewed as part of the general annual ethics and compliance training, and compliance training for new employees. - Employees who complete the training are provided learning boosters which occur 2 days, 2 weeks, and 2 months after the course to help retain and apply learning. - The Conflicts of Interest Policy is reviewed and attested to by those selected to complete the annual disclosure form. - Conflict of interest topics (e.g., how to disclose conflict of interest situations, examples of conflicts of interest, etc.) are included in annual Ethics and Compliance week's activities. - Road shows are conducted throughout the year to educate employees in elevated risk departments, such as Community Health, on conflicts of interest situations. - Represented employees are subject to corrective or disciplinary action provisions outlined in the regional or national collective bargaining agreements and applicable policies. In the event disciplinary action is required due to failure to comply with applicable legal and regulatory requirements, policies and procedures, the Code of Ethical Conduct (Principles of Responsibil”

“Compensation determination the executive compensation program as administered by kaiser foundation health plan, inc. Is designed to recruit, retain and motivate qualified senior management personnel. Senior management personnel have a significant impact on the strategic and policy direction and results of the organization. Therefore, the executive compensation program is, to a significant degree, performance-based. The compensation program is reviewed annually by the compensation committee of the board of directors and the management committee on compensation. Prior to payment, all programs and payments to the ceo, executive director, and top management officials (executives) are reviewed by the compensation committee of the board of directors and the management committee on compensation. Base pay for executive positions is established at a level comparable to the relevant market. In addition, other components of the compensation program bear 'at-risk' features designed to focus on strategically important performance goals and to assist in attracting and retaining top performers. The executive compensation program is targeted to be competitive to the comparable external market in which the organization competes for executive leadership. Evaluation of comparable pay data is performed by an independent compensation, benefits & human resources consulting firm. The compensation program focuses on objectives in the areas of quality of member care and service, membership growth, financial soundness, and the community and social mission of the organization.”

“To request copies contact: national communications - rm operations kaiser foundation health plan and hospitals one kaiser plaza, 22nd floor oakland, ca 94612”

“These documents are made available when regulatorily required.”

“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.”

“EXEMPT PURPOSE ACHIEVEMENTS I. Introduction A. About Kaiser Permanente Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America's leading health care providers and not-for-profit health plans. Founded in 1945, Kaiser Permanente has a mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve 12.4 million members in 8 states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists, and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery, and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education, and the support of community health. B. Kaiser Permanente's Approach to Community Health At Kaiser Permanente, we recognize that where we live, work, learn, and play has a big impact on our health and well-being. We are driven by our mission to improve the health of our members and the communities we serve. We invest in our communities to help improve health, health equity, and well-being. This means addressing all the factors that affect health, such as having a safe place to live, enough money to pay the bills, and access to healthy meals. Kaiser Permanente community investments and partnerships address the factors that impact health and well-being. Addressing these challenges requires prioritization of interventions that measurably reduce health disparities focused on changes at the individual, community, and systems levels. C. Kaiser Permanente's Total Contribution Kaiser Permanente provided $4 billion in 2024 to improve the health of our communities. The amount attributable to Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. is $343.3 million as follows: - Financial Assistance at cost - $109M - Medicaid - $192.2M - Costs of other means-tested government programs - $29M - Community health improvement services and community benefit operations - $2.8M - Health Professions Education - $4.3M - Research - $3.7M - Cash and in-kind contributions from community benefit - $2.4M In addition to our direct spend, we also leverage assets from across Kaiser Permanente to help us achieve our mission to improve the health of communities.”

“Ensuring health access means serving those most in need of health care through Medicaid, medical financial assistance, charitable health coverage, and other forms of subsidized care and coverage. For many low-income people without access to health care coverage, or for those who lose their jobs and can't maintain health care coverage, an emergency room is often the only place they receive care. At Kaiser Permanente, we are working to change that with programs that lower financial barriers by providing subsidized health coverage and medical financial assistance for care. We also provide information about how to access and qualify for public programs such as Medicaid and financial assistance through the marketplace to individuals who may be eligible. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. supports the health access needs of our communities through a combination of coverage and care programs. We provide coverage to low-income populations through our participation in government programs like Medicaid and the Children's Health Insurance Programs (CHIP) and via our own Charitable Health Coverage (CHC) program, which provides a premium subsidy for Kaiser Permanente coverage for qualified low-income families and children who do not have access to public or private health coverage. Similarly, we provide care to low-income populations through our treatment of Medicaid and CHIP enrollees, and second, via the Medical Financial Assistance (MFA) program, which is Kaiser Permanente's traditional charity care or financial assistance program (FAP). For Kaiser Foundation Health Plan, Inc. and all of its subsidiary health plans, the main way to address health access challenges is by absorbing the cost of the coverage and care programs described above. A. Medicaid, CHIP and other government programs Having health coverage means consistent access to comprehensive and continuous medical and preventative services for people to get and stay healthy, a much better alternative to episodic care at emergency departments. KP is committed to removing disparities in access to coverage and health outcomes. Kaiser Permanente's organizational strategies enable individuals with low incomes to obtain and/or retain health coverage through Medicaid, CHIP or other government programs. At the end of 2024, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. was providing coverage to over 145,000 people through these government programs. Kaiser Permanente also provides a wide range of health care services to individuals enrolled in Medicaid, CHIP and other government programs, regardless of whether they are assigned to Kaiser Permanente or not. In addition to the individuals who received health coverage in 2024 due to Kaiser Permanente's participation in these government programs, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. also subsidized care to people who are enrolled in these programs but not formally assigned to Kaiser Foundation Health Plan. B. Charitable Health Coverage (CHC) Kaiser Permanente's CHC programs provide health care coverage to low-income individuals and families who don't have access to other public or private health coverage. CHC programs work by enrolling qualifying individuals in a Kaiser Permanente Individual and Family Health Plan. Through CHC, members' monthly premiums are subsidized, and members do not have to pay copays or out-of-pocket costs for most care at Kaiser Permanente facilities. Through CHC, members have a medical home that includes comprehensive coverage, preventive services and consistent access through the "front door" of the health delivery system. At the end of 2024, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. was providing coverage to over 11,000 people through the CHC program. C. Medical Financial Assistance (MFA) KP's Medical Financial Assistance program (MFA) improves health care access for people with limited incomes and resources and is fundamental”

“At Kaiser Permanente, we are working to improve the conditions for health in communities by addressing the root causes of health, such as affordable housing, safe and supportive schools, and a healthy environment. These improvements grow from our collaboration with each community to co-design and co-create solutions that make a positive impact. A. Economic Opportunity Inclusive economic growth is critical to both individual and community health. When there is a lack of economic opportunity in communities, the prospects for upward social mobility are diminished, often resulting in poorer health and higher mortality rates for people living in those communities. By contrast, economic growth and opportunity provides individuals with jobs, income, a sense of purpose, and opportunities to improve their circumstances overtime directly impacting their health outcomes. Kaiser Permanente recognizes that we can support economic opportunity in local communities through how we hire, purchase, build our facilities and provide grant support to partner organizations. Some ways that we are helping revitalize and grow our communities by strengthening economic opportunity include: - Providing good jobs to individuals facing barriers to employment through high impact hiring and workforce pipeline efforts. - Pursuing a social impact investment strategy that provides capital to support inclusive economic development and affordable housing projects. - Purchasing goods and services from local small businesses. - Building new facilities with an emphasis on positive local community impact, including neighborhood revitalization, and deep community engagement. - Partnering with community organizations to build capacity of local small businesses. In addition, Kaiser Permanente is working to expand access to career pathways in health care, especially for people who have historically faced gaps in income and earning potential. We support programs and initiatives that provide exposure, education, experience and employment opportunities in health care careers, with an emphasis on mental health. This includes helping professionals graduate into allied health careers, public health fellowship opportunities, and support for higher education and job training programs. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. partnered with community-based organizations across Northern Virginia, DC, and Maryland as part of its continuous effort to support Small Business Growth, which includes supporting organizations that understand the structural barriers experienced by low-income entrepreneurs. These organizations are working to address these challenges through direct individual interventions and/or systems-level interventions by supporting entrepreneurs to launch, sustain, and grow small businesses. Programming will also include linguistically and culturally relevant small business capacity-building training and technical assistance, and connections to resources. By doing so, these entrepreneurs will be better equipped to launch, stabilize, and/or grow their businesses, leading to increased procurement and contracting opportunities within the region. B. Housing Without a safe place to call home, it's nearly impossible to focus on basic health and medical needs. For years, Kaiser Permanente has led efforts to end homelessness and preserve affordable housing. We do this by investing in solutions, helping shape public policy, and forming innovative partnerships. Inadequate housing contributes to several health problems, including chronic diseases, injuries, and poor mental health. Housing security is a crucial health issue for disadvantaged populations, such as low-income communities. Kaiser Permanente is working to bridge the unique strengths of the health and housing sectors to solve housing insecurity and thereby improve equitable conditions for health in communities where Kaiser Permanente provides care. Kaiser Foundation Health Plan of the Mid-Atlantic S”

“At Kaiser Permanente, we are committed to not only delivering great health care but also creating communities where people can be healthy in all the places they live, learn, work, and play. Thriving Schools brings together Kaiser Permanente's extensive health care expertise and our partnerships with nationally recognized and trusted organizations working to support K-12 school systems to be a beacon of health in their community. Thriving Schools takes an integrated approach to school health, curating the best thinking and guidance on how to keep students, staff, teachers, and families healthy across four dimensions of health: physical health, mental health, and social health. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. partnered with community organizations to support school districts in under-resourced communities with implementing policy, systems, and environmental changes that will improve the health and well-being of students, staff, teachers, and families. The partnerships also address the prevalence of adult mental health issues among teachers and staff by providing Mental Health First Aid training and certification through the National Foundation for Mental Health Well-Being for principals, assistant principals, and supervisors. D. Food and Nutrition Security Kaiser Permanente's comprehensive approach to food and nutrition security includes transforming the economic, social, and policy environments connected to food so that people across the nation can access and afford healthy food. To help address the food needs of its communities, Kaiser Permanente has invested in the improvement of food and nutrition security and helped with applications for federal nutrition programs like Supplemental Nutrition Assistance Program (SNAP) and Women, Infants, and Children (WIC). Kaiser Permanente continues to work with community partners to provide free, nutritious meals in low-income communities. We also joined health and nutrition experts from around the country to share results and best practices about Food is Medicine programs to advance the evidence base for food and nutrition programs in health care and establish food-based interventions as standard health care practices. We launched the Kaiser Permanente Food Is Medicine Center of Excellence in 2024 to further integrate our evidence-based food and nutrition interventions into our care model. Kaiser Foundation Health Plan of the Mid Atlantic States, Inc. partnered with organizations to support the Food Is Medicine Initiative, a national initiative implementing the Food Is Medicine strategies tackling disease management, through food and nutrition security. The initiative intends to accelerate the efforts supporting Food Is Medicine programs, including community healthcare professionals and practitioners knowing how to target and use the programs to help prevent and manage disease. In 2024, Kaiser Foundation Health Plan of the Mid Atlantic States, Inc. worked with community organizations to ensure the success of produce prescription programs in economically marginalized communities and improve health outcomes for mothers with high-risk pregnancies. E. Healthcare Workforce Development Our health professions education programs include both physician training programs like Graduate Medical Education (GME) and non-physician training programs (i.e., residency programs). Our GME program provides training and education for medical residents and interns in the interest of educating the next generation of physicians. Residents are offered the opportunity to serve a large, culturally diverse member and patient base in a setting with sophisticated technology and information systems, established clinical guidelines and an emphasis on preventive and primary care. The majority of medical residents are studying within the primary care medicine areas of family practice, internal medicine, ob/gyn, pediatrics, preventive medicine, and psychiatry. In addition to GME, we provide a”

“Through Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.'s ongoing partnerships with community organizations, municipal leaders, and public health champions, we are working to incorporate health. Since 2018, we have partnered with the de Beaumont Foundation, a leader in public health philanthropy, to help U.S. cities thrive through the CityHealth initiative. CityHealth tracks and reports on proven policy solutions and works with cities to advance policies that achieve community health priorities. Through this relationship, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. leverages its deep expertise in health policy, government relations, and community-based prevention to accelerate cities' efforts to improve people's health and quality of life. The policy menu includes affordable housing trusts, complete streets, earned sick leave, eco-friendly purchasing, flavored tobacco restrictions, greenspace, healthy food purchasing, healthy rental housing, high-quality and accessible pre-K, legal support for renters, safer alcohol sales, and smoke free indoor air. For Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., this partnership complements the organization's established approach to community health - bringing together health leaders, clinicians and community partners to help solve the social, economic and environmental health challenges facing the residents who live in the communities it serves. Kaiser Permanente established the Kaiser Permanente Center for Gun Violence Research and Education in 2022, in recognition of increasing gun violence and its devastating effects on the health of communities across the U.S. As part of the launch, the center awarded a series of grants to organizations focused on reducing the incidence and impact of gun violence in the U.S., laying the groundwork for the center's future collaborative work. The center supports subsequent expansion of the center is part of Kaiser Permanente's longstanding commitment to addressing violence as a public health issue. Through the center, we will continue to support research into the causes of and interventions for firearm injuries with the same rigor and clinical expertise that we use to study and prevent strokes, cancer, heart disease, and other leading causes of death. Kaiser Permanente is also committed to strengthening our public health system and ensuring the U.S. health system is well-equipped to respond to future public health emergencies. In collaboration with key partners, Kaiser Permanente is striving to build a more resilient public health system by improving the connections between public health, health care, and community-based organizations, and by establishing a public health research agenda. Creating a strong healthcare ecosystem that works effectively with the nation's public health system is a key mechanism for improving community health. Everyone has a role to play in supporting and enhancing public health in the U.S. Kaiser Permanente is proud to rally for public health with partners across industries through investments, engagement, and coalition building. A. Climate and Health At Kaiser Permanente, we believe it is our responsibility to improve the health of the people who live in the communities we serve, protect the environment, and to minimize our environmental impact. This includes how we operate our facilities, support the health of communities, and invest in our communities. We have set ambitious goals to drive both internal and private sector action. Through innovations in energy use, construction and building strategies, supply chain, food systems, finance, and clinical practice that promote community health, we are leading the health care sector in reducing environmental contributors to disease and illness. We prioritize reducing greenhouse gas emissions to lower our carbon footprint and lower the environmental impact on the health of the communities Kaiser Permanente serves. In 2024, we dedi”

“- Other changes in net assets or fund balances - CHANGE IN PENSION AND OTHER RETIREMENT LIABILITIES $ 72,942,735 OTHER THAN TEMPORARY IMPAIRMENTS (3,038,136) GAIN/LOSS ON SALE OF INVESTMENTS - BOOK 2,954,986 GAIN/LOSS ON SALE OF INVESTMENTS - TAX 6,173,662 --------------- TOTAL $ 79,033,247”