Executive Letter

Kaiser Permanente was founded nearly 75 years ago on the belief that good health can be accessible and affordable to all. Today, our 217,000 employees and nearly 23,000 Permanente Medical Group physicians and clinicians continue to deliver on our mission — providing high-quality, affordable health care and improving the health of our members and the communities we serve.

Our doctors, hospitals, and health plan work together as an integrated health care system with a shared commitment to keeping our members healthy and restoring them to health after injury or illness. Our technology connects care teams, including primary care doctors, specialists, nurses, lab and radiology technicians, pharmacists, and therapists — enabling seamless collaboration and coordinated care for faster diagnosis, treatment, and recovery. Researchers at our 8 regional research centers study diseases and health services to improve health outcomes and advance medical science. Through our electronic health record system, we are continually discovering new ways to improve care delivery and share breakthroughs with speed and efficiency.

Our commitment to creating more healthy years for more people extends beyond our members to the communities where they live. As a nonprofit organization, in 2018 we gave nearly $2.8 billion to support community health, including nearly $2.5 billion dedicated to providing health services to people most in need. We started an important conversation about the social determinants of health with a $200 million investment through our Thriving Communities Fund to address homelessness and the affordability of housing, and we announced our goal to achieve carbon neutrality by 2020. We also sought answers to one of our greatest societal issues by taking the lead in researching ways to prevent gun injuries and death, committing $2 million to the effort.

At the same time, we invested significant resources in advancing mental health care and reducing stigma. We view mental health from a total health perspective, and our primary care and mental health providers work together to make mental health and wellness an important part of a patient’s total health. In 2018, this meant more than 4 million specialty mental health and addiction medicine visits across Kaiser Permanente. And our teams are pioneering new technology and measurement tools to improve mental health care in the U.S.

We also advocated for key policies in the areas of universal coverage, drug pricing, and access to affordable high-quality mental health care. And we did all of this while delivering industry-leading clinical excellence and quality outcomes for our patients and members.

With 42 No. 1 rankings in National Committee for Quality Assurance quality measures, 30 hospitals rated “high-performing” by highly respected rating organizations, awards for excellence in medication safety and appropriate use, and health plans that have been top-rated year after year, we proudly delivered care and coverage to 12.2 million Americans in 2018, including 400,000 new members.

We continue to offer high-touch and high-tech experiences that combine compassionate care with innovative capabilities. Our members appreciate the convenience of care delivered through technology — in 2018, they filled 31 million prescriptions online, viewed nearly 54 million lab results virtually, and had hundreds of thousands of telehealth visits with our skilled clinicians. Our goal continues to be improving care and service, and we are always learning how best to integrate technology into patient visits.

Coming to work at Kaiser Permanente is a privilege because we get to help our members, patients, and the people in our communities live more healthy years. At this pivotal moment in our nation’s discussion about health and health care, it is our responsibility to embrace all our strengths — our legacy, our people, our model, our technology, and our investments in community health — to lead the way toward high-quality health care at a price people can afford.

Our Annual Report tells the story of the progress we’ve made in delivering high-quality, accessible, affordable care and coverage, and the impact we have on improving the health of our members and the communities we serve.

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Bernard J. Tyson
Chairman and CEO
Kaiser Foundation Health Plan, Inc.
Kaiser Foundation Hospitals

Geoffrey S. Sewell, MD, FACP
Chair, National Permanente Executive Committee
The Permanente Federation, LLC
President and Executive Medical Director
Hawaii Permanente Medical Group