Kaiser Foundation Health Plan Inc.

“- Significant Changes to Governing Documents - The Bylaws of the Corporation were amended in 2016 with the following significant changes: - The Independent Director definition was removed and noted as being defined in the Corporate Governance Guidelines. - Article C, Directors, Section C-2 was amended to change the number and description of inside Directors - Article C, Directors, Section C-4 was amended to modify the term and retirement age for Directors. - Article E, Committees, Section E-4, Executive Committee, was amended to change the Committee composition and remove tax exemption and executive selection, performance appraisal, and succession duties.”

“- form 990 review process - 1. Key information necessary for the preparation of the tax return is obtained and/or confirmed with internal sources including regional finance, executive compensation, community benefits, treasury, government relations, and legal. 2. 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.”

“- 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.”

“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.”

“Forms 990 are Available on GuideStar.org website.”

“- Public Inspection - Governing documents, conflict of interest policy are available upon request as disclosed to other regulatory bodies. Financial Statements are on file with the state regulatory agency. 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”

“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.”

“Revision of deferred compensation in Part VII and Schedule J for one officer/director. Revisions to Part VIII and IX to eliminate certain transactions between the filing organization and its single member limited liability company, KP Cal, LLC. This change impacted the following items: - Page 1, Item G - Part I, Lines 9 and 17 - Part III, Line 4a - Part VIII, Line 2e - Part IX, Lines 24b and 24e - Part XI, Lines 1 and 2 Form 990, Part III, Line 4A-4D - Exempt Purpose Achievements - Legal Affiliation with Kaiser Foundation Hospitals Kaiser Foundation Hospitals (KFH) and Kaiser Foundation Health Plan, Inc. (KFHP, Inc.) are separate corporations governed by identical boards of directors. KFHP, Inc. provides and arranges comprehensive health care services for members on a predominantly prepaid basis. Kaiser Foundation Health Plan, Inc. fulfills its contractual obligations to group and individual members by contracting with KFH facilities and Permanente Medical Group physicians to provide health care services for its members through market leading performance in quality and service. KFHP, Inc. primarily conducts its operations in the states of California and Hawaii, with four principal operating subsidiaries located in other states. These tax-exempt subsidiary health plans are: Kaiser Foundation Health Plan of Colorado; Kaiser Foundation Health Plan of Georgia, Inc.; Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.; and Kaiser Foundation Health Plan of the Northwest. Kaiser Foundation Health Plan Inc.s Commitment to the Community Membership in KFHP, Inc. and its health plan subsidiaries is available without regard to age, sex, race, religion, or national origin, or to the individuals ability to pay. Health plan members are broadly representative of the communities served. Once enrolled, a member may maintain membership regardless of health or employment status. As a nonprofit organization, Kaiser Foundation Health Plan, Inc. is committed to improving the health of the communities beyond its 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, the board of directors of Kaiser Foundation Health Plan, Inc. and Kaiser Foundation Hospitals refined the focus of the organization's Community Benefit programs and established the following four priority areas, which have come to be known as "Streams of Work": A. Care and Coverage for Low-Income People - Creates and supports programs that lower the financial barriers for the under- and uninsured. B. Community Health Initiatives (CHI) Seeks to measurably improve the health of the communities we serve. Designs, delivers, and sustains long-term programs that engage communities in work to improve conditions in their neighborhoods. C. Safety Net Partnerships Builds partnerships with community clinics, local health departments, and public hospitals. Provides funding, technical assistance, dissemination of care management and quality improvements technology to help Improve care and expand treatment capacity for vulnerable populations. D. Developing and Disseminating Knowledge Improves health care by sharing our knowledge - educating practitioners, advancing research, empowering consumers, and informing policymakers about evidence-based care and health. In addition to the streams of work above, KFHP, Inc. 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 organization”

“In California, the MFA programs eligibility criteria allows patients falling at or below 350% of the Federal Poverty Guidelines (FPG) to receive full (100%) write off of patient out-of-pocket costs. In 2016, the MFA program assisted approximately 148,000 qualifying applicants in California, including more than 33,300 patients who were not otherwise covered by a health care plan offered by Kaiser Foundation Health Plan, Inc. This program offered forgiveness for over 712,000 outpatient visits and over 1.4 million prescriptions in 2016. A.1.1.1.1. Community Medical Financial Assistance (CMFA) The MFA program also includes support for community based initiatives, known as Community Medical Financial Assistance (CMFA) programs. CMFA programs are designed to broaden access to health care within the community and help KFHP, Inc. fulfill its objectives to reduce the financial barriers that limit access to care for qualified low income populations. The following are two of the CMFA programs offered in the State of California. A.1.1.1.1.1. Operation Access Thirteen hospitals in the Northern California Region participate in Operation Access, a nonprofit organization that mobilizes a network of medical volunteers, hospitals, facilities, and referring community clinics to provide the uninsured with donated outpatient surgeries and procedures that significantly improve their health, ability to work, and quality of life. Some of the most common procedures performed include hernia repairs, biopsies, and cyst excisions. A.1.1.1.1.2 Mission Cataract USA Mission Cataract USA offers free cataract surgery to people of all ages who have no means to pay. It was started in 1991 when Frederick A. Richburg, MD, Medical Director of Valley Eye Institute in Fresno, California decided to donate one day for free cataract surgery and create a local mission right in his own back yard. The goal of Mission Cataract USA is to eradicate blindness due to cataracts and bring as many people as possible from blindness to useful productive lives. A.1.1.2. MFA Program Offered in Hawaii In Hawaii, the MFA programs eligibility criteria allows patients falling at or below 400% of the Federal Poverty Guidelines (FPG) to receive full (100%) write off of patient out-of-pocket costs. In 2016, The MFA program in Hawaii assisted approximately 16,000 qualifying applicants who received forgiveness for over 82,000 outpatient visits and more than 165,000 prescriptions. A.1.1.2.1 Community Medical Financial Assistance (CMFA) A.1.1.2.1.1 Premium Assistance Program MFA (PAP MFA) in Hawaii In 2016, KFHP, Inc. in Hawaii continued to offer the Premium Assistance Program MFA, as part of Community Medical Financial Assistance (CMFA), to low income individuals who qualified for premium subsidy through the Hawaii Health Connector but did not qualify for Medicaid/QUEST. A.1.2. Charitable Health Coverage (CHC) Program Charitable Health Coverage is a unique approach to caring for low-income uninsured persons in the community. Eligible participants receive a regular Kaiser Permanente Health Plan membership card and access to the full range of services and providers - a much better alternative to potentially costly emergency room visits or hospitalization. Additionally, KFHP, Inc. is also a provider for Healthy San Francisco, a local access-to-care program. This allows KFHP, Inc. to invest in the longer term health of patients and the community. KFHP, Inc.s CHC programs have a long history of making a real difference in the lives of low-income people who might otherwise have no permanent medical home. During 2016, KFHP, Inc. invested approximately $203 million (at cost, net of $6.3 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) platinum level plan. To ensure that patient cost share obligations do not become a barri”

“Kaiser Permanente Medi-Cal Managed Care and Medi-Cal Fee-for-Service are specific government-sponsored health care coverage programs in California. A total of over 903,000 individuals received care under these programs during 2016. A.2.1.1. Medicaid/Medi-Cal Managed Care Improving access to care for vulnerable populations is fundamental to Kaiser Foundation Health Plan, Inc.s social mission to improve the health of the communities served, and consistent with the obligations of a tax exempt organization. KFHP, Inc.s membership under this program included over 700,000 Medicaid/Medi-Cal managed care members in California. KFHP, Inc. contracts with various local and state government entities to participate in this program. Approximately $921 million (at cost, net of $1.7 billion of related revenues) was invested in this program in 2016. Prior to 2014, KFHP, Inc. offered healthcare coverage under the federal- and state-funded Childrens Health Insurance Program (CHIP) in California. California now administers its CHIP program as part of Medicaid. Member counts and expenditures are included above. A.2.1.2. Medicaid/Medi-Cal Fee-for-Service KFHP, Inc. provides health care on a fee-for-service basis for Medicaid/Medi-Cal beneficiaries not enrolled as KFHP, Inc. members. Kaiser Foundation Health Plan, Inc. expended approximately $85 million (at cost, net of $604 thousand of related revenues) to subsidize care for over 203,000 patients under this program. A.2.2. Government-Sponsored Programs Offered in Hawaii Highlights of the government-sponsored health care coverage programs supported by KFHP, Inc. in Hawaii include: A.2.2.1. QUEST QUEST is a Medicaid managed care program run by Hawaiis Department of Human Services. The state administers the QUEST program and pays KFHP, Inc. to provide medical services. Kaiser Foundation Health Plan, Inc. participates in the QUEST programs on the islands of Oahu and Maui. KFHP, Inc. in partnership with Kaiser Foundation Hospitals provided care to approximately 28,000 individuals enrolled in QUEST and expended approximately $17.3 million (at cost, net of $80 million of related revenues) on subsidized medical care services. A.2.2.2. Medicaid Fee-for-Service KFHP, Inc. provides services on a fee-for-service basis to individuals in states not participating in the Medicaid managed care program or for individuals/populations not enrolled in managed care. In 2016, KFHP, Inc. in Hawaii contributed $127 thousand (at cost, net of $72 thousand of related revenues) on subsidized care for Medicaid patients who were not enrolled in the Kaiser Foundation Health Plan QUEST program. A.2.2.3. Childrens Health Insurance Program (CHIP) The Childrens Health Insurance Program provides health insurance coverage to children with family income up to twice the federal poverty guideline for Hawaii under Title XXI of the Social Security Act. CHIP is one of several aid categories under the QUEST program. More than 3,300 children enrolled in this program were cared for by KFHP, Inc. in Hawaii at a total expense of $1.9 million (at cost, net of $3.8 million of related revenues) in 2016. 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, Inc. supports comprehensive initiatives that focus on policy and environmental changes to promote healthy eating and active living, 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”

“Kaiser Foundation Health Plan, Inc. is committed to building partnerships with the institutions that serve on the front lines of health care for the uninsured and underserved. By providing support to community health centers, public hospitals, and local health departments, KFHP, Inc. helps them deliver care and treatment to the most vulnerable in our communities. KFHP, Inc. 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. Kaiser Foundation Health Plan, Inc. 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, Inc. 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. Care Delivery Transformation II. Capacity Building III. Clinic-Community Integration IV. Policy, Systems, and Environmental Change V. Create and Spread Knowledge VI. Total Health In 2016, KFHP, Inc. expended approximately $306 thousand to support Safety Net Partnerships. The following are examples of initiatives funded in accordance with the objectives of the Safety Net Partnerships Stream of Work during the year. C.1. Safety Net Initiatives and Programs C.1.1. Project Vision KFHP, Inc. provided $35,000 in continued grant support to Project Vision towards expanding program efforts by providing mobile vision screening services to additional underinsured and uninsured communities with a focus on Maui. Benefits included free eyeglasses and vision care to children in low income, vulnerable, and homeless populations. Since 2012, Project Vision has screened over 15,000 children. Project Vision started a task force including Department of Health, Department of Education, Legislators and other key stakeholders to advocate for expansion of statewide programming. C.1.2. Diabetes Prevention in Collaboration with YMCA of Honolulu The YMCA received a $30,000 grant to implement a CDC-approved evidence-based diabetes prevention program in collaboration with Kaiser Permanente. The program goal is to help adults at risk for type 2 diabetes reduce their risk by taking steps to improve overall health and well-being. Participants in this program represent a mix consisting of a majority of community, residents and a few KHFP, Inc. members.”

“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, Inc. spent a total of $10.9 million in 2016 to support public policy 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, Inc. members and the communities that are served. KFHP, Inc.s 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 The Department of Research and Evaluation in Southern California, The Division of Research in Northern California, and The Center for Health Research in Hawaii are three 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, Inc., 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 geog”

“In 2016, Kaiser Foundation Health Plan, Inc. spent approximately $7.6 million to support community benefit activities and programs beyond the national streams of work. This includes the administrative expenses of program leaders working in a national Community Benefit department dedicated to supporting the organizations Community Benefit programs and services as well as coordinating related initiatives. F. Environmental Stewardship Poor environmental quality contributes to disease, illness and economic insecurity. Kaiser Permanente 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 this commitment, Kaiser Permanente maintains a governance 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: - 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, Inc. 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 our Board of Directors, our staff, and the communities we serve. F.1. Performance Metrics During 2016, key performance indicators for Kaiser Foundation Health Plan, Inc. included: F.1.1. Medical product categories for which at least 99% of purchased products were free of harmful polyvinyl chloride (PVC) and bis (2-ethylhexyl) phthalate (DEHP) included: 1. Breast pumps; 2. Enteral nutrition products; and 3. Exam gloves. Medical product categories for which at least 95% of purchased products were free of harmful DEHP included: 1. Infusion pumps, sets, and solutions; and 2. Vascular catheters. F.1.2. Purchased over 351 million kilowatt-hours of renewable power (including over 17 million kilowatt-hours of electricity generated by solar panels hosted at our facilities). F.1.3. Reduced organizations annual greenhouse gas emissions associated with routine use of halogenated anesthetic agents by over 3,700 metric tons of CO2-equivalent. F.1.4. Improved water use intensity (gallons/rentable square foot) by approximately 19% (not including data centers) compared to 2013 baseline, and improved the Water Usage Effectiveness of our national data centers by approximately 17% compared to our 2013 baseline. F.1.5. Improved energy use intensity (kBtu/rentable square foot) by 2% (not including data centers) compared to 2010 baseline year, and improved the Power Usage Effectiveness of our national data centers by 23% compared to 2010 baseline. F.1.6. Responsibly reused, recycled or composted over 25,000 tons of materials. F.1.7. Provided meals to patients containing at least 471,000 pounds of sustainably produced meat and poultry.”

“- Other changes in net assets or fund balances - Change in Donated Capital $ (1,610) Change in Pension & retirement Liabilities (547,228,667) Capital Transfers - CY 3,527,106 Gain/Loss on Sale of Investments - Tax (40,638,147) Gain/Loss on Sale of Investments - Book 156,461,761 Other Than Temporary Impairment (89,725,774) Total (517,605,331)”