2010 Annual Report | At-A-Glance

EXPERIENCE health

George C. Halvorson Chairman and CEO Kaiser Foundation Health Plan, Inc. Kaiser Foundation Hospitals

Jack Cochran, MD, FACS Executive Director The Permanente Federation, LLC

For over 65 years, the people of Kaiser Permanente have remained devoted to the mission of improving the total health of our members and the communities we serve. And in 2010, our organization was never more committed to the cause of health.

The year was marked with major milestones in our efforts to make high-quality health care affordable and accessible. Kaiser Permanente led the nation, among all reporting commercial and Medicare plans, with top National Committee on Quality Assurance (NCQA) Quality Compass marks in a total of 23 quality measures. This includes top marks for breast cancer screening, treatments for diabetes, weight assessment for children, and appropriate use of medications for asthma treatment. Sixteen Kaiser Permanente hospitals were named “2010 Best Hospitals” based on the results of the Leapfrog Group’s national survey. That survey measures hospitals’ performance in four crucial areas of patient safety and quality: the use of computer physician order entry (CPOE) to prevent medication errors; standards for doing high-risk procedures such as heart surgery; protocols and policies to reduce medical errors; and other safe practices recommended by the National Quality Forum; and adequate nurse and physician staffing.

Our members in California, Colorado, Georgia, and Mid-Atlantic States regions rated our health plans highest in customer satisfaction in the J.D. Power and Associates 2010 U.S. Member Health Insurance Plan StudySM. Kaiser Permanente in the Northwest region ranked third on the same survey.

In 2010, we completed our plan to have every one of our facilities up and running on Kaiser Permanente HealthConnect®, our electronic medical record system. This provides our care teams with real-time access to patient information and evidence-based best practices all in one place. It gives us all the information about all our members all of the time. This enhances patient safety and quality of care while also increasing convenience and coordination. Our comprehensive health information system is the largest in the private sector, securely connecting nearly nine million Kaiser Permanente members to their physicians, nurses, pharmacists, nutritionists, and other caregivers with personal and protected medical information, plus breakthrough medical knowledge.

Our deep commitment to our communities was reflected in the $1.8 billion investment we made to support a broad and growing range of programs to serve the needs of diverse populations, including community-based health partnerships and programs that provide care for low-income individuals and underserved communities. We also conducted and shared important research to inform and advance health care overall. For example, a Kaiser Permanente research study in Colorado was one of the first to show that an intensive population management program that matches heart disease patients to personal nurses and clinical pharmacy specialists not only reduces the risk of death but also reduces health care costs. Another Kaiser Permanente study found that heavy smoking in midlife is associated with a 157 percent increased risk of developing Alzheimer’s disease and a 172 percent increased risk of developing vascular dementia.

The year was remarkable for us as an organization and also for our country with the passage of the Affordable Care Act. We are encouraged to know that 32 million Americans, who previously found themselves outside the system, will finally have access to coverage for vital preventive services and chronic disease management – principles that are core to Kaiser Permanente’s integrated care delivery model. Also, for the first time, Medicare will reward high-quality health care. We believe connecting financial incentives to high-quality care will substantially improve the lives of all Americans. We are confident that the investments we have made in our people, technology, and infrastructure, along with our continuing efforts for improvements in the areas of quality, service, and affordability, have positioned us for continued success in the changing health care marketplace.

We remain focused on delivering the best patient-centered care and service to our nearly nine million members. And, we are passionate about creating a culture of health by encouraging regular exercise and healthy eating, both for our members and everybody in this country. Our campaign to get all of America walking – Every Body Walk! (everybodywalk.org) – is beginning to make progress at multiple levels. It is all part of our mission to improve the total health of our members and the communities we serve so we can all thrive.

We LIVE our MISSIONKaiser Permanente exists to deliver high-quality, affordable health care services and to improve the health of our members and the communities we serve.

A certain COMMITMENT in uncertain times

Making lives BETTER

TOTAL HEALTH is all around you

Powerful CONNECTIONS

Driven by challenges; inspired by change. In 2010, the passage of the Patient Protection and

Affordable Care Act was an important step in the direction of universal coverage, prevention, wellness,

and the building of healthy communities. Unfortunately, the nation’s economy could not be described as healthy.

But our commitment to make our communities safer, healthier places remained strong. So we rose to the challenge

and contributed over $1.8 billion to the cause of community health. We provided access to affordable care

and coverage. We helped public hospitals and community clinics improve the care they deliver and expand

their treatment capacity. We supported research, education, and training. We made our own facilities even

more eco-friendly. And we promoted health through better diet, physical activity, and greener neighborhoods.

Our cause is health. It’s not just the satisfaction of delivering a healthy baby, or helping a senior build

strength and balance. It’s knowing that we’re part of a committed team of thousands of professionals who

work in partnership to make a positive impact on millions of lives. Our caregivers coordinate across conditions,

services, and settings, and over time for each patient. This lets us go beyond responding to illness so we can

focus on health and prevention. Kaiser Permanente’s philosophy, structure, and incentives make it possible for

our physicians, nurses, and staff to work collaboratively to provide comprehensive care, achieve superior

clinical outcomes, and help our members maximize their total health.

Listening leads to learning leads to health. The expertise and compassion we bring to each patient

is built on the wealth of experience we have gained by listening to millions of members. And the big ideas and

meaningful little touches we continue to discover, test, and refine support better health. Our caregivers are

connected across the clinic, the hospital, radiology, the laboratory, the pharmacy, and the patient’s home. Each

interaction we have with our patients becomes part of their electronic health record. Each record becomes part of

a secure collection of data that supports individualized care for the member and lets us identify evidence-based

best practices that improve care overall. We don’t stop there. We also connect members to their caregivers,

personal health information, and resources online, empowering them to take an active role in their health when and

where it is convenient for them. This connectivity leads to better communication, better care, and better health.

98.6° is healthy, but total health is 360°. Turn around, and health is behind you, in the fresh air you

enjoyed and the walk you took yesterday. Look ahead, and it’s in the breakfast you’ll have tomorrow, and the

time you’ll spend with your family. That’s why we define total health as well-being of mind, body, and spirit.

Health is as personal as your family snapshots and the neighborhood you live in. So we offer our members

a personalized approach to health care, delivered by compassionate caregivers and enabled by advanced

technology. In 2010, we partnered with our more than 8.7 million members to deliver high-quality, affordable

health care in new and innovative ways.

Visit our full report at kp.org/annualreport

$44.2 billion2010 operating revenue

$1.2 billion2010 operating income

$2.0 billion2010 net income

8.7 millionmembers

167,178employees

15,853physicians

46,866nurses

36Kaiser Permanente

hospitals

533Kaiser Permanente

medical offices and other outpatient facilities

89,823babies delivered

3,354,964 members using My Health Manager on kp.org

25,817,075 lab test results viewed online

10,709,635 secure e-mails sent to physicians and clinicians

2,281,042 online requests for appointments

69,355,775 prescriptions filled

31,641,416 doctor’s office visits

125,148 inpatient surgeries

1,121,367 mammograms

1,491,144 colorectal cancer screenings

By the

NUMBERS

$1.8 billion invested in our community

$90 million in grants and donations

$40 million provided to safety net clinics, hospitals, and health departments

$157 million invested in research

510,000 low-income children and adults enrolled in our care and coverage programs

3,800 research and evaluation studies undertaken by Kaiser Permanente

900 articles published in peer-reviewed journals about study findings

1,114,000 people reached with entertaining, informative prevention messages delivered by our Educational Theatre program

35 Kaiser Permanente farmers markets

2010 COMMUNITY investment

kp.org

Kaiser Permanente is committed to environmentally sustainable practices. | In an effort to conserve paper and resources, printed copies of this annual report are available, but limited. We encourage you to view the report online at kp.org/annualreport. © 2011 Kaiser Permanente | Kaiser Permanente | One Kaiser Plaza | Oakland, CA 94612 This report was produced by the Kaiser Permanente Brand Strategy, Communications and Public Relations, and Multimedia Communications departments, Northern California.

Please recycle | This report was produced from eco-responsible resources. | Multimedia Communications | 110201 | Aug 2011