KAISER FOUNDATION HEALTH PLAN OF WASHINGTON: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON (EIN 91-0511770)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-15
IRS object ID: 202433209349305138
Schema version: 2023v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-15T09:07:20-06:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PwC US Tax LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET ST SUITE 1800	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	910511770	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% CHIEF TAX OFFICER	InCareOfNm
Business Name Control	KAIS	BusinessNameControlTxt
Phone	5102716611	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	C/O KP Tax One Kaiser Plz FL 26	AddressLine1Txt
City	OAKLAND	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94612	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL P WALTON	PersonNm
Person Title	CHIEF TAX OFFICER	PersonTitleTxt
Phone	5102716611	PhoneNum
Signature	2024-10-24	SignatureDt

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ROBERT W FRIZ	PreparerPersonNm
PTIN	P00438748	PTIN
Phone	2673303000	PhoneNum
Preparation	2024-10-21	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ANGELA DOWLING	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	C/O KP Tax One Kaiser Plz FL 26	AddressLine1Txt
City	OAKLAND	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94612	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$5,865,062,258	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.KP.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1945	FormationYr
Legal Domicile State	WA	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	9225	TotalEmployeeCnt
Total Volunteers	356	TotalVolunteersCnt
Total Gross UBI	$15,125,375	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$59,729,373	PYContributionsGrantsAmt
CY Contributions Grants	$72,602,436	CYContributionsGrantsAmt
PY Program Service Revenue	$3,861,323,806	PYProgramServiceRevenueAmt
CY Program Service Revenue	$4,131,619,695	CYProgramServiceRevenueAmt
PY Investment Income	-$55,625,004	PYInvestmentIncomeAmt
CY Investment Income	-$6,795,004	CYInvestmentIncomeAmt
PY Other Revenue	$506,000	PYOtherRevenueAmt
CY Other Revenue	$462,505	CYOtherRevenueAmt
PY Total Revenue	$3,865,934,175	PYTotalRevenueAmt
CY Total Revenue	$4,197,889,632	CYTotalRevenueAmt
PY Grants And Similar Paid	$21,832,276	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$16,241,084	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$766,123,500	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$840,406,430	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,491,595,720	PYOtherExpensesAmt
CY Other Expenses	$3,679,416,082	CYOtherExpensesAmt
PY Total Expenses	$4,279,551,496	PYTotalExpensesAmt
CY Total Expenses	$4,536,063,596	CYTotalExpensesAmt
PY Revenues Less Expenses	-$413,617,321	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$338,173,964	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,088,214,746	TotalAssetsBOYAmt
Total Assets EOY	$3,561,924,176	TotalAssetsEOYAmt
Total Liabilities BOY	$2,077,013,788	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,865,413,564	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,011,200,958	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$696,510,612	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$4,123,722,560	ExpenseAmt
Grant	$10,914,624	GrantAmt
Revenue	$4,048,800,980	RevenueAmt
Desc	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-WA EDUCATES AND TRAINS MEDICAL STUDENTS AND OTHER HEALTH CARE PROFESSIONALS AND PROMOTES SCIENTIFIC AND NURSING EDUCATION IN ORDER TO IMPROVE CARE FOR OUR MEMBERS AND OUR COMMUNITY. KFHP-WA DIRECTLY INVESTS IN IMPROVEMENTS IN COMMUNITY HEALTH BY WORKING TO INCREASE ACCESS TO HEALTH CARE, IMPROVING THE CONDITIONS FOR HEALTH AND EQUITY AND PROVIDING HEALTH EDUCATION.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$85,772,377	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$31,359,812	RevenueAmt
Desc	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 2023, OVER 28,000 INDIVIDUALS WERE RECEIVING BENEFITS THROUGH KFHP-WA'S MEDICAID MANAGED CARE CONTRACTS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$21,079,962	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	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 2023, THIS PROGRAM ASSISTED A TOTAL OF 13,600 PATIENTS THROUGH FINANCIAL ASSISTANCE.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$80,295,458	ExpenseAmt
Grant	$5,326,460	GrantAmt
Revenue	$51,458,903	RevenueAmt
Desc	SEE EXEMPT PURPOSE ACHIEVEMENTS IN SCH O	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$80,295,458	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$5,326,460	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$51,458,903	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$4,310,870,357	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	Yes (true)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	7891	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	9225	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CHIEF TAX OFFICER	PersonNm
Phone	5102716611	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	C/O KP TAX ONE KAISER PLZ FL 26	AddressLine1Txt
City	OAKLAND	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94612	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Gregory Adams
Chairman & CEO	4.0	46.0	Yes (X)	$0	$12,567,386	$154,060
Kathryn Lancaster
EVP & Chief Financial Officer	3.5	46.5		$0	$4,923,403	$137,899	Yes (X)
Kimberly Horn
EVP, Group President, MOC	3.5	46.5		$0	$4,617,356	$134,195	Yes (X)
Janet Liang
EVP, Group President & COO	3.5	46.5	Yes (X)	$0	$4,417,378	$89,835
Arthur Southam
EVP, Health Plan Ops & CGO	3.5	46.5	Yes (X)	$0	$3,776,237	$18,575
Angela Dowling
Regional President - WA	48.9	1.1	Yes (X)	$0	$2,152,942	$753,848
Mark Zemelman
SVP, General Counsel & Secy	0.0	0.0		$0	$1,833,838	$660,356		Yes (X)
Vanessa Benavides
SVP,Chief Legal Officer & Secy	1.0	49.0	Yes (X)	$0	$1,792,455	$308,115
Thomas Meier
SVP, Corporate Treasurer	1.5	48.5	Yes (X)	$0	$1,721,108	$121,348
Donald Orndoff
SVP, NFS	3.5	46.5	Yes (X)	$0	$1,301,160	$320,687
Andrew Bindman
EVP, Chief Medical Officer	1.0	49.0		$0	$1,267,982	$341,640	Yes (X)
Alfonse Upshaw
SVP,Corporate Controller & CAO	1.0	49.0		$0	$1,272,055	$208,369		Yes (X)
Ann Allen
VP, COO	50.0	0.0		$0	$1,024,906	$30,917			Yes (X)
Alicia Eng
VP, Clinical Operations	50.0	0.0		$0	$984,507	$64,742				Yes (X)
Susan Mullaney
Regional President - WA	0.0	0.0		$0	$1,032,116	$12,967		Yes (X)
Allyson Anderson
VP, Continuum of Care	50.0	0.0		$0	$917,125	$75,551				Yes (X)
Rebecca Williams
Interim CFO	35.0	15.0	Yes (X)	$0	$763,871	$204,850
Kristanne Greco
VP, PR, Commns & Brand Mgmt	50.0	0.0		$0	$937,855	$24,613				Yes (X)
David Thomason
SVP,Corporate Controller & CAO	2.8	47.2	Yes (X)	$0	$897,898	$52,883
Ryan Jenson
Interim Corp Controller & CAO	3.5	46.5	Yes (X)	$0	$743,221	$129,756
Brandon Cuevas
EVP, Health Plan	3.8	46.2	Yes (X)	$0	$511,652	$293,271
Pamela Warren
VP, HPSA - WA	50.0	0.0	Yes (X)	$0	$658,619	$139,122
Rita Mangione-Smith
VP,Resch/Healthcare Innovation	50.0	0.0		$0	$610,990	$145,673				Yes (X)
Todd Hesse
VP, MSBD	50.0	0.0	Yes (X)	$0	$581,800	$163,418
Jocelynne McAdory
VP, Human Resources -WA Market	50.0	0.0		$0	$551,925	$135,483				Yes (X)
Hong-Sze Yu
VP, Brd & Corp Gov & Asst Secy	3.0	47.0	Yes (X)	$0	$508,592	$167,556
Shawna Sweeney
Assistant Secretary	49.8	0.2	Yes (X)	$0	$512,381	$138,204
Alacia Broussard
VP, Contracting Strategy	50.0	0.0		$0	$432,612	$93,554			Yes (X)
Ronald Vance
Interim Regional President	44.0	6.0	Yes (X)	$0	$360,025	$0
Margaret E Porfido JD
Director	0.5	0.0		$14,000	$305,083	$16,717	Yes (X)
Jennifer Keosky
VP, Consumer Experience	50.0	0.0		$78,076	$184,421	$63,664			Yes (X)
Judith A Johansen JD
Director	1.0	8.6		$14,000	$276,800	$6,534	Yes (X)
Ramon F Baez
Director	0.6	4.05		$14,000	$252,951	$21,121	Yes (X)
Maryann Bodayle
Assistant Secretary	1.0	49.0	Yes (X)	$0	$196,754	$55,189
Karen Schartman
VP, CFO & Strategy - WA	0.0	0.0		$0	$238,673	$8,638		Yes (X)
Laurie Guariglia
VP, Business Info Officer - WA	0.0	0.0		$0	$200,640	$0		Yes (X)
Janet O'Hollaren
VP, COO	0.0	0.0		$0	$142,989	$0		Yes (X)
John Bry
VP, CFO - Washington	50.0	0.0	Yes (X)	$0	$103,833	$27,139
April Coiteux
VP, MSBD	50.0	0.0		$0	$114,474	$13,928			Yes (X)
Joseph Smith
VP, MSBD	0.0	0.0		$0	$119,517	$7,672		Yes (X)
Kim J Kaiser
Director	1.0	0.0		$28,704	$10,300	$0	Yes (X)
Michael D Wilson
Director	1.25	0.0		$20,883	$0	$0	Yes (X)
Constance W Rice
Director	2.0	0.0		$20,883	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$51,859,785	TotReportableCompRltdOrgAmt
Total Other Compensation	$4,722,173	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2138	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (true)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Washington Permanente Medical Group
1300 SW 27th St	RENTON	WA	98057	MEDICAL SERVICES	$543,970,835
M A MORTENSON COMPANY
610 SW ALDER ST	PORTLAND	OR	97205	Construction	$96,432,798
PROVIDENCE ST PETER HOSPITAL
PO BOX 3505	PORTLAND	OR	97208	Medical Services	$60,954,719
ROSE INTERNATIONAL INC
16305 SWINGLEY RIDGE RD STE 350	CHESTERFIELD	MO	63017	STAFFING SERVICES	$60,767,716
PROVIDENCE SACRED HEART MED CTR
PO BOX 424	LIBERTY LAKE	WA	99019	Medical Services	$59,676,429

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	715	CntrctRcvdGreaterThan100KCnt
Government Grants	$64,576,989	GovernmentGrantsAmt
All Other Contributions	$8,025,447	AllOtherContributionsAmt
Total Contributions	$72,602,436	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MEMBERS HEALTH DUES	621491	$2,109,145,233	$2,109,145,233
MEDICARE	621491	$1,134,190,577	$1,134,190,577
COPAYS, DEDUCTIBLES, FEES	621491	$416,779,894	$416,779,894
NON-PLAN & INDUSTRIAL	621491	$66,370,905	$51,245,530	$15,125,375
OTHER PROGRAM SERVICE	621491	$405,133,086	$405,133,086

Field	Value	IRS element (for citing)
Total Program Service Revenue	$4,131,619,695	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$31,090,484	TotalRevenueColumnAmt
Exclusion	$31,090,484	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$462,505	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$462,505	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$462,505	TotalRevenueColumnAmt
Exclusion	$462,505	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,629,189,502	SecuritiesAmt
Other	$97,636	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,666,602,004	SecuritiesAmt
Other	$570,622	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$37,412,502	SecuritiesAmt
Other	-$472,986	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$37,885,488	TotalRevenueColumnAmt
Exclusion	-$37,885,488	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,197,889,632	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,116,494,320	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$15,125,375	UnrelatedBusinessRevenueAmt
Exclusion	-$6,332,499	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$16,092,938	TotalAmt
Program Services	$16,092,938	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$148,146	TotalAmt
Program Services	$148,146	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$203,428	TotalAmt
Management And General	$203,428	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$118,070	TotalAmt
Management And General	$118,070	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$695,343,225	TotalAmt
Program Services	$631,297,961	ProgramServicesAmt
Management And General	$64,045,264	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$56,068,163	TotalAmt
Program Services	$56,068,163	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$37,786,180	TotalAmt
Program Services	$13,182,732	ProgramServicesAmt
Management And General	$24,603,448	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$50,887,364	TotalAmt
Program Services	$50,887,364	ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,692,721	TotalAmt
Management And General	$1,692,721	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$913,494	TotalAmt
Management And General	$913,494	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,443,967	TotalAmt
Management And General	$1,443,967	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,787,832	TotalAmt
Program Services	$3,849,504	ProgramServicesAmt
Management And General	$938,328	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$21,106,460	TotalAmt
Program Services	$20,218,803	ProgramServicesAmt
Management And General	$887,657	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$202,615,192	TotalAmt
Program Services	$202,070,092	ProgramServicesAmt
Management And General	$545,100	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$30,857,037	TotalAmt
Program Services	$30,857,037	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,915,156	TotalAmt
Program Services	$4,779,926	ProgramServicesAmt
Management And General	$135,230	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$658,428	TotalAmt
Management And General	$658,428	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$46,929,556	TotalAmt
Program Services	$46,929,556	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$71,820,028	TotalAmt
Program Services	$71,820,028	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$18,322,862	TotalAmt
Program Services	$18,322,862	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PURCHASED MEDICAL SVC	$1,645,243,571	$1,645,243,571
SUPPLIES - PHARMACY, OFFICE	$769,523,985	$769,523,985
BASIC CONTRACTUAL PAYMENTS	$540,252,682	$540,252,682
INTER/INTRA REG. ALLOCATIONS	$129,706,667	$124,589,242	$5,117,425

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$188,626,444	TotalAmt
Program Services	$64,735,765	ProgramServicesAmt
Management And General	$123,890,679	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,536,063,596	TotalAmt
Program Services	$4,310,870,357	ProgramServicesAmt
Management And General	$225,193,239	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$51,897,329	BOYAmt
EOY	$295,265,076	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$162,127,513	BOYAmt
EOY	$159,324,024	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$29,762,685	BOYAmt
EOY	$32,748,226	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$248,826,884	BOYAmt
EOY	$28,328,232	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,536,679,511	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$457,066,178	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$980,311,222	BOYAmt
EOY	$1,079,613,333	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,100,865,915	BOYAmt
EOY	$1,492,488,656	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$13,894,374	BOYAmt
EOY	$10,910,023	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$366,087,615	BOYAmt
EOY	$352,588,331	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$134,441,209	BOYAmt
EOY	$110,658,275	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,088,214,746	BOYAmt
EOY	$3,561,924,176	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$562,672,362	BOYAmt
EOY	$557,598,413	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$24,448,240	BOYAmt
EOY	$23,754,928	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,489,893,186	BOYAmt
EOY	$2,284,060,223	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,077,013,788	BOYAmt
EOY	$2,865,413,564	EOYAmt

Field	Value	IRS element (for citing)
Org Does Not Follow FASB117	Yes (X)	OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

Field	Value	IRS element (for citing)
BOY	$1,863,464,460	BOYAmt
EOY	$1,863,450,546	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	-$852,263,502	BOYAmt
EOY	-$1,166,939,934	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,011,200,958	BOYAmt
EOY	$696,510,612	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,088,214,746	BOYAmt
EOY	$3,561,924,176	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$338,173,964	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$75,695,909	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$52,212,291	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$255,551,501	OtherCostOrOtherBasisAmt
Book Value	$255,551,501	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$723,565,833	OtherCostOrOtherBasisAmt
Depreciation	$206,199,618	DepreciationAmt
Book Value	$517,366,215	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$49,636,107	OtherCostOrOtherBasisAmt
Depreciation	$25,528,886	DepreciationAmt
Book Value	$24,107,221	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$241,529,777	OtherCostOrOtherBasisAmt
Depreciation	$177,527,854	DepreciationAmt
Book Value	$64,001,923	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$266,396,293	OtherCostOrOtherBasisAmt
Depreciation	$47,809,820	DepreciationAmt
Book Value	$218,586,473	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,079,613,333	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
DUE TO AFFILIATED ORGANIZATION	$905,912,782
PROFESSIONAL & OTHER INSURED LIAB	$86,308,343
OPERATING LEASE LIABILITIES	$25,541,421
SUBORDINATED DEBT	$905,000,000
PREMIUM DEFICIENCY RESERVES	$218,170,000
LOANS PAYABLE TO EXTERNAL ENTITIES	$4,910,639
OTHER CURRENT LIABILITIES	$118,396,884
OTHER LONG-TERM LIABILITIES	$19,820,154

Field	Value	IRS element (for citing)
Total Liability	$2,284,060,223	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, LINE 2	FormAndLineReferenceDesc
Explanation	ASC 740 Footnote THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE UNDER ASC 740.	ExplanationTxt

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (4 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Europe (Including Iceland and Greenland)	Program Services	CONFERENCE / SEMINARS	$20,738
East Asia and the Pacific	Program Services	CONFERENCE / SEMINARS	$16,440
Europe (Including Iceland and Greenland)	Grantmaking		$81,284
North America	Grantmaking		$62,498

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$180,960	SubtotalSpentAmt
Total Spent	$180,960	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (3 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt
Europe (Including Iceland and Greenland)	Research Subrecipient	$81,284
North America	Research Subrecipient	$34,077
North America	Research Subrecipient	$28,421

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,079,962	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,079,962	NetCommunityBenefitExpnsAmt
Total Expense	0.00460	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$85,772,377	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,359,812	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$54,412,565	NetCommunityBenefitExpnsAmt
Total Expense	0.01200	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$106,852,339	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,359,812	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$75,492,527	NetCommunityBenefitExpnsAmt
Total Expense	0.01660	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,563,436	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,737,257	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,826,179	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,966,250	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,789	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,950,461	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,439,312	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,705,857	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,733,455	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,326,460	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,326,460	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$80,295,458	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,458,903	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,836,555	NetCommunityBenefitExpnsAmt
Total Expense	0.00630	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$187,147,797	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$82,818,715	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$104,329,082	NetCommunityBenefitExpnsAmt
Total Expense	0.02290	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$595,454	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$304,580	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$290,874	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KAISER PERMANENTE CENTRAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	201 16TH AVE E	AddressLine1Txt
City	SEATTLE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	981125260	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://wa.kaiserpermanente.org/	WebsiteAddressTxt
State License	HAC.FS.00000020	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	KAISER PERMANENTE CENTRAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	HTTP://WWW.KP.ORG/CHNA	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://WWW.KP.ORG/CHNA	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 5	Kaiser Permanente's approach to CHNA considers both primary and secondary data to inform the prioritization of health needs. Each Kaiser Permanente service area collected primary data through key informant interviews with individuals and groups of individuals. To identify issues that most impact the health of the community, hospitals reached out to local public health experts, community leaders with expertise on local health needs, and individuals with knowledge and/or lived experience of racial health disparities. If available, insights from community partners' data collection were also considered in the assessment of needs. Kaiser Permanente also developed a free, web-based data platform. The data platform provides access to a core set of approximately 100 publicly available indicators to understand health using the county health rankings population health framework, which emphasizes social and environmental determinants of health.
Part V, Line 6a	King County Hospitals for a Healthier Community: Evergreen Health, MultiCare, Navos, Overlake Medical Center & Clinics, Seattle Cancer Care Alliance, Seattle Children's, Swedish, UW Medicine, Virginia Mason Franciscan Health.
Part V, Line 6b	Public Health-Seattle & King County, Washington State Hospital Association
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 - Medical Financial Assistance: Provide temporary financial assistance to low-income individuals who receive care at KP facilities and can't afford medical expenses and/or cost sharing - Charitable Health Coverage: Provide access to comprehensive health care and to coverage for low-income individuals and families who do not have access to public or private health coverage - Provide operating support to safety net organizations to strengthen their clinical, financial, and operational capacity to meet evolving needs of their patients - Support organizations that build capacity, provide information about coverage options, assist with eligibility screening, application and enrollment, and advocate for increasing coverage options for low-income individuals - Support partnerships with local, regional, or national organizations to grow networks of community-based organizations that address social health needs and coordinate care HEALTH NEED: MENTAL AND BEHAVIORAL HEALTH - Increase access to behavioral health care services for low-income and vulnerable populations - Extend school and district adoption and integration of Kaiser Permanente Thriving Schools initiatives, tools, and resources - Provide core support to safety net organizations, allowing these organizations to implement initiatives appropriate for the needs of their population (e.g., expansion of mental and behavior health care services, providing more virtual care for nonsurgical specialties such as counseling and behavioral health therapies) HEALTH NEED: INCOME & EMPLOYMENT - Support organizations that provide culturally and linguistically relevant training and technical assistance to small businesses and entrepreneurs of color - Improve individual financial health by supporting housing, workforce development, or other organizations that embed or enhance financial coaching services HEALTH NEED: HOUSING - Provide resources for preserving or enhancing the supply of affordable housing - Support expansion of housing-related legal support for at-risk tenants - Support evidence-based housing stabilization assistance - Support system-level approaches to reducing homelessness (e.g., achieving quality data) HEALTH NEED: FOOD INSECURITY - Support organizations that increase enrollment in programs that extend food dollars such as in the Supplemental Nutrition Assistance Program (SNAP), Special Supplemental Nutrition Program for Women, Infants and Children (WIC), and federal school meal programs - Support organizations that distribute food such as medically tailored meals, prepared food, produce, or other food and meals to school children, families, and those in underserved communities - Support local and state policy, research, and advocacy organizations leading efforts that have a direct impact on community food security strategies HEALTH NEED: STRUCTURAL RACISM - Support grassroots and advocacy organizations and initiatives - Support Black, Indigenous, People of Color (BIPOC)-led organizations
Part V, Line 13a	The hospital provides free care (100% discount) on the patient cost for eligible services to all charity eligible patients with a household income of up to 200% or less of the federal poverty guidelines (FPG). Eligible patients with a household income greater than 200% and less than or equal to 300% of the FPG receive discounted care on the patient cost for eligible services as follows: - Eligible patients with a household income greater than 200% and less than or equal to 250% of the FPG receive a 75% discount. - Eligible patients with a household income greater than 250% and less than or equal to 300% of the FPG receive a 50% discount.
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

Field	Value	IRS element (for citing)
Facility	45	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (45 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Seattle-Capitol Hill Medical Center
201 16th Ave E	Seattle	WA	98112	Medical Center
Bellevue Medical Center
11511 NE 10th Street	Bellevue	WA	98004	Medical Center
Olympia Medical Center
700 Lilly Rd NE	Olympia	WA	98506	Medical Center
Tacoma Medical Center
209 Martin Luther King Jr Way	Tacoma	WA	98405	Medical Center
Everett Medical Center
2930 Maple St	Everett	WA	98201	Medical Center
Seattle - Northgate Medical Center
9800 4th Ave NE	Seattle	WA	98115	Medical Center
Spokane - Riverfront Medical Center
322 W North River Drive	Spokane	WA	99201	Medical Center
Silverdale Medical Center
10452 Silverdale Way NW	Silverdale	WA	98383	Medical Center
Federal Way Medical Center
301 S 320th St	Federal Way	WA	98003	Medical Center
Puyallup Medical Center
1007 39th Ave SE	Puyallup	WA	38374	Medical Center
Renton Medical Center
275 Bronson Way NE	Renton	WA	98056	Medical Center
Lynnwood Medical Center
20200 54th Ave W	Lynnwood	WA	98036	Medical Center
Tacoma South Medical Center
9505 Steele St S	Tacoma	WA	98444	Medical Center
Burien Medical Center
140 SW 146th St	Seattle	WA	98166	Medical Center
Bellevue - Factoria Medical Center
13451 SE 36th St	Bellevue	WA	98006	Medical Center
Port Orchard Medical Center
1400 Pottery Ave	Port Orchard	WA	98366	Medical Center
Redmond Medical Center
15809 Bear Creek Pkwy Ste 100	Redmond	WA	98052	Medical Center
Spokane - Lidgerwood Medical Center
6002 N Lidgerwood	Spokane	WA	99207	Medical Center
Smokey Point
2335 172nd St NE	Marysville	WA	98271	Medical Clinic
Bothell - Northshore Medical Center
11913 NE 195th St	Bothell	WA	98011	Medical Center
Spokane - Veradale Medical Center
14402 E Sprague Ave	Spokane	WA	99216	Medical Center
Kent Medical Center
26004 104th Ave SE	Kent	WA	98031	Medical Center
Seattle - Rainier Medical Center
5316 Rainier Ave S	Seattle	WA	98118	Medical Center
Kendall Yards Medical Office
546 N Jefferson St	Spokane	WA	99260	Medical Clinic
Poulsbo Medical Center
19379 7th Ave NE	Poulsbo	WA	98370	Medical Center
West Olympia
1200 Cooper Point Rd SW Ste 100	Olympia	WA	98502	Medical Clinic
Seattle - Northgate South Building
9720 4th Ave NE	Seattle	WA	98115	Vision Center
Ballard Medical Center
1401 NW 46th St 5th Floor	Seattle	WA	98107	Clinical
Spokane - South Hill Medical Center
4102 S Regal St Ste 101	Spokane	WA	99223	Medical Center
Tacoma Hear Center & Eye Care
5821 S Sprague Court	Tacoma	WA	98409	Audiology & Vision Center
Gig Harbor Clinic
5216 Point Fosdick Dr	Gig Harbor	WA	98335	Medical Clinic
Renton Campus Glacier Building
1200 SW 27th Street	Renton	WA	98057	Vaccination Clinic
South Lake Union Medical Office
210 9th Ave N	Seattle	WA	98109	Medical Clinic
Renton Campus Adams Building
2921 Naches Avenue SW	Renton	WA	98057	Telehealth
Aki Kurose School
3928 S Graham Street	Seattle	WA	98122	Teen Medical Clinic
Nathan Hale High School
10750 30th Avenue NE	Seattle	WA	98125	Teen Medical Clinic
Washington Middle School
2101 S Jackson Street	Seattle	WA	98144	Teen Medical Clinic
Franklin High School
3013 S Mount Baker Boulevard	Seattle	WA	98144	Teen Medical Clinic
Interagency Academy at Columbia School
3528 S Ferdinand Street	Seattle	WA	98118	Teen Medical Clinic
Bremerton Behavioral Health Services
555 Pacific Ave Ste 202	Bremerton	WA	98337	Behavioral Health Clinic
Renton Campus Rainier Building
2715 Naches Avenue SW	Renton	WA	98057	Vaccination Clinic
Seattle - Downtown Medical Center
1420 5th Ave Suite 375	Seattle	WA	98101	Medical Center
Northpointe Medical Offices
9631 N Nevada St Ste 100/200	Spokane	WA	99218	Clinical
Tacoma Behavioral Health Services
4301 S Pine St	Tacoma	WA	98409	Behavioral Health Clinic
Seattle - Metropolitan Park East
1730 Minor Avenue	Seattle	WA	98101	Research Facility

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3c	There are three distinct eligibility criteria for free and discounted 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 KFH's means testing criteria as a percentage of the federal poverty guidelines (FPG) is eligible for free or discounted 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 KFH sponsored community health event, or 2. Is enrolled in a KP 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/KFH's commercial business lines.
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	Kaiser Foundation Health Plan of Washington hospital is required to conduct a community needs assessment every three years. The assessments may be conducted individually by each hospital or in collaboration with other hospitals, community-based agencies, and public service organizations. Each 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 2022.
PART VI, LINE 3, PATIENT EDUCATION FOR ELIGIBILITY FOR ASSISTANCE	Information regarding assistance is available throughout the facilities to all patients. Information regarding the availability of Kaiser Permanente's Medical Financial Assistance Program (MFAP) is posted in the emergency departments and admitting areas of all Kaiser Permanente hospitals. The posted information contains contact information for further assistance. Kaiser Permanente admission and discharge staff are also a source of information for patients that express financial hardship or request medical financial assistance. The 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 KP 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 4, COMMUNITY INFORMATION	The communities we serve 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 are located within and our people are part of our communities. In Washington, Kaiser Foundation Health Plan of Washington owns and operates Central Hospital located in the city of Seattle. Total population in area (mil)**; 5.3 Median Household Income; $99,063 Below 100% FPL; 8.5% w/o public or private health ins; 5.5% Limited English Proficiency; 4.0% On-time High school graduation rate; 84.3% Unemployment Rate (%)*; 3.6% US Census Bureau, American Community Survey: 2017-2021 US Department of Education 2019-2020 * ESRI via Kaiser Permanente Utility for Care Data Analysis, 2022 As the nation's largest nonprofit integrated health care organization, Kaiser Permanente is mission-driven to improve the health and well-being of the communities we serve and is 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 improving the health of our members and communities through community investments and partnerships. 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 to address critical health issues in our communities in three areas: access to care, healthy communities, and health equity. For many years, we have worked collaboratively with other organizations to address serious public health issues, improve conditions for health in our communities, and drive affordability. We conduct 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 boards 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.
PART VI, LINE 5, PROMOTION OF COMMUNITY HEALTH	Kaiser Permanente's mission reflects our belief that where and how people live have a meaningful impact on their health and wellbeing. We work to improve the conditions for health and equity in the communities we serve by addressing the root causes of health, such as economic opportunity, affordable housing, health and wellness in schools, and a healthy environment. We do this by listening to our communities, ensuring access to care, shaping policy, making systems change and advancing the future of community health through innovation. KFHP WA's 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 our members and the communities we serve. KFHP WA's general community benefits include: - 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. - Open medical staff privileges - Staff privileges in the hospitals are available to community practitioners who are not affiliated with a Permanente Medical Group. - Reinvestment of Surplus Revenues - KFHP pays KFHP WA for hospital services and surplus revenues are reinvested in the furtherance of the exempt purpose, for capital replacement or expansion of facilities and equipment, debt amortization, improvement in patient care and services, and other community benefit services including charity care, medical education, and research. KFHP WA believes it is our responsibility as a health care provider to minimize our environmental impact. We know one way to improve the health of the people who live in the communities we serve is by improving their environmental conditions. We prioritize partnerships with others to develop policies and systems that strengthen community health and protect the environment. 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 have, and will continue to, set ambitious goals to drive both internal and sector-wide action. We prioritize reducing greenhouse gas emissions to lower our carbon footprint and lower the climate impact on the health of the communities we serve. KFHP WA believes that the race to halting climate change is a collaborative one. We prioritize building partnerships and support organizations with shared goals and incentives for combating the causes of a changing climate. We are focused on changing the narrative by putting health at the center of climate change.
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 2023, 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.
PART VI, LINE 7, STATE FILING OF COMMUNITY BENEFIT REPORT	KFHP-WA submits a quarterly and annual Community Benefit report to Washington State Department of Health.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (85 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Ace Academy
3120 Rainier Ave S	Seattle	WA	98144	812983424	501(c)(3)	$140,163	Fame Game
Altarum Institute
3520 Green Ct 300	Ann Arbor	MI	48105	381983442	501(c)(3)	$194,781	Research Subrecipient
American Indian Health Commission
305 Fogarty Ave	Port Angeles	WA	98362	470922046	501(c)(3)	$30,000	Enhancing Capacity And Development To Address Ai/A
Asia Pacific Cultural Center
4851 S Tacoma Way	Tacoma	WA	98409	911854410	501(c)(3)	$149,860	Aanhpi Youth Mental Health Project
Baylor Research Institute
301 N Washington Ave	Dallas	TX	75246	751921898	501(c)(3)	$25,041	Research Subrecipient
Bethel School District 403
516 176th St E	Spanaway	WA	98387	910832829	Government	$50,400	Breaking Down Barriers To Food Access
Board Of Regents Of The University Of WI
21 N Park St 6301	Madison	WI	53715	371625480	Government	$165,766	Research Subrecipient
Boston Medical Center Corporation
Harrison Ave Fl 2	Boston	MA	02118	043314093	501(c)(3)	$108,890	Research Subrecipient
Brandeis University
Po Box 549110 Ms035	Waltham	MA	02454	042103552	501(c)(3)	$11,258	Research Subrecipient
Brigham And Womens Hospital Inc
Po Box 3149	Boston	MA	02241	042312909	501(c)(3)	$13,854	Research Subrecipient
Childrens Hospital Medical Center
3333 Burnet Ave	Cincinnati	OH	45229	310833936	501(c)(3)	$65,382	Research Subrecipient
Cjk Community Homes
2367 Tacoma Ave S 215	Tacoma	WA	98402	850591204	501(c)(3)	$25,964	Rent Reporting Implementation
Common Future
2323 Broadway	Oakland	CA	94612	201544255	501(c)(3)	$95,000	Equitable And Affordable Lending Programs To Build
Duke University
Po Box 90847	Durham	NC	27708	560532129	501(c)(3)	$17,819	Research Subrecipient
Essentia Institute Of Rural Health
502 E 2nd Street	Duluth	MN	55805	271291124	501(c)(3)	$38,789	Research Subrecipient
Everett Station District Alliance
3331 Broadway	Everett	WA	98201	824569568	501(c)(3)	$50,000	Convergence At Everett Station Community Collabora
Familyworks
Po Box 85420	Seattle	WA	98145	911757277	501(c)(3)	$114,769	School-based Family Resource Centers At Seattle Pu
Feed Seven Generations
3156 Garfield St	Enumclaw	WA	98022	822874353	501(c)(3)	$172,125	Feeding Future Generations
Feeding Feasible Feasts
1509 97th Ave Ct E	Edgewood	WA	98371	853289326	501(c)(3)	$129,339	Breaking Down Barriers To Food Access
Franklin Pierce School District No 402
315 129th St S	Tacoma	WA	98444	916014726	Government	$82,671	Farming Land, Self, And Community At The Farm At F
Fred Hutchinson Cancer Center
Po Box 360308	Pittsburgh	PA	15251	237156071	501(c)(3)	$37,228	Research Subrecipient
Gapps
19009 33rd Ave W 200	Lynnwood	WA	98036	814625437	501(c)(3)	$161,299	Research Subrecipient
Georgia State University
Po Box 3999	Atlanta	GA	30302	581845423	Government	$22,654	Research Subrecipient
Harvard Pilgrim Health Care Inc
401 Park Drive 401	Boston	MA	02215	042452600	501(c)(3)	$35,199	Research Subrecipient
Healthpartners Institute
8170 33rd Avenue S	Minneapolis	MN	55440	411670163	501(c)(3)	$179,027	Research Subrecipient
Healthpoint
955 Powell Ave Sw	Renton	WA	98057	910884412	501(c)(3)	$100,000	Federal Way School District School-based Health Ce
Henry Ford Health System
One Ford Place	Detroit	MI	48202	381357020	501(c)(3)	$245,336	Research Subrecipient
Hmh Hospitals Corporation
40 Prospect Rm 212	Hackensack	NJ	07601	221487576	501(c)(3)	$20,669	Research Subrecipient
Hopelink
8990 154th Ave Ne	Redmond	WA	98052	910982116	501(c)(3)	$27,500	Financial Capability Program Expansion
Icahn School Of Medicine At Mount Sinai
1 Gustave L Levy Pl	New York	NY	10029	136171197	501(c)(3)	$18,659	Research Subrecipient
Indiana University
720 Eskenazi Ave	Indianapolis	IN	46202	356001673	Government	$1,139,541	Research Subrecipient
Institute For Accountable Care
2001 L St Nw 500	Washington	DC	20036	822461803	501(c)(3)	$35,028	Research Subrecipient
Institute For Family Health
2006 Madison Ave	New York	NY	10035	133273402	501(c)(3)	$85,958	Research Subrecipient
Living Well Kent
10605 Se 240th St Unit 232	Kent	WA	98031	814451307	501(c)(3)	$150,000	Youth Wellness In South King County
March Of Dimes Inc
1550 Crystal Dr S1300	Arlington	VA	22202	131846366	501(c)(3)	$10,000	Operating Support
Marshfield Clinic Inc
1000 N Oak Av	Marshfield	WI	54449	260446391	501(c)(3)	$32,245	Research Subrecipient
Mary Hitchcock Memorial Hospital
1 Medical Center Dr	Lebanon	NH	03756	020222140	501(c)(3)	$23,847	Research Subrecipient
Medical University Of South Carolina Fdn
18 Bee Street	Charleston	SC	29425	576028985	501(c)(3)	$41,135	Research Subrecipient
Montana State University
Po Box 172470	Bozeman	MT	59717	816010045	Government	$21,163	Research Subrecipient
Nami Washington
1107 Ne 45th 330	Seattle	WA	98105	911689067	501(c)(3)	$202,254	Advancing Mental Health Education For And About Yo
Our Sisters House
708 Broadway 310	Tacoma	WA	98402	911650772	501(c)(3)	$162,435	B.I.A.S. & Media- Black Folk. Indigenous Knowledge
Palo Alto Medical Foundation
Po Box 255448	Sacramento	CA	95865	941156581	501(c)(3)	$45,386	Research Subrecipient
Pierce County Project Access
4301 S Pine St 455	Tacoma	WA	98409	271185895	501(c)(3)	$75,000	Operating Support
Players Philanthropy Fund
1122 Kenilworth Dr 201	Towson	MD	21204	276601178	501(c)(3)	$125,000	General Operating Support Grant For The Bipoc Heal
Project Access Northwest
200 Broadway 202	Seattle	WA	98122	204377921	501(c)(3)	$252,500	Specialty Care Coordination
Rand Corporation
1776 Main Street	Santa Monica	CA	90407	951958142	501(c)(3)	$76,036	Research Subrecipient
Regents of the University of Colorado
1800 Grant Street	Denver	CO	80203	846000555	Government	$78,289	Research Subrecipient
Regents of the University of Michigan
3003 S State St	Ann Arbor	MI	48109	386006309	Government	$94,811	Research Subrecipient
Regents Of The University Of California
550 16th St Fl 5	San Francisco	CA	94143	952226406	Government	$1,036,155	Research Subrecipient
Regents University Of CA Riverside
900 University Rm 1111	Riverside	CA	92521	956006142	Government	$349,991	Research Subrecipient
Research Institute At Nationwide
Po Box 781653	Detroit	MI	48278	316056230	501(c)(3)	$13,344	Research Subrecipient
Saltfire
Po Box 866	Suquamish	WA	98392	874282834	501(c)(3)	$148,830	Leadership Education Empowerment Program For Youth
Seattle Center Foundation
305 Harrison 310	Seattle	WA	98109	911003385	501(c)(3)	$250,000	2023 & 2024 Seattle/King County Clinic
Seattle Childrens Bioethics Conference
4800 Sand Point Way Ne	Seattle	WA	98105	910564748	501(c)(3)	$2,155,265	Research Subrecipient
Seattle School District
2445 3rd Ave S	Seattle	WA	98134	916001541	Government	$71,239	School-based Family Resource Centers At Seattle Pu
Second Harvest Inland Northwest
1234 E Front Ave	Spokane	WA	99202	237173826	501(c)(3)	$10,000	Nourishing Communities
Silent Task Force
5316 24th Ave S	Seattle	WA	98108	823015372	501(c)(3)	$150,000	Achieving Health Equity And Food Justice: General
Southcentral Foundation
4501 Diplomacy Dr	Anchorage	AK	99508	920086076	501(c)(3)	$75,929	Research Subrecipient
Sutter West Bay Hospitals
633 Folsom St Fl 2	San Francisco	CA	94107	946187756	501(c)(3)	$383,653	Research Subrecipient
Swedish Health Services
Po Box 35143	Seattle	WA	98124	910433740	501(c)(3)	$64,824	Research Subrecipient
Thurston County Chamber Of Commerce
809 Legion Way Se	Olympia	WA	98501	911543494	501(c)(6)	$300,000	Thurston Unite Us Referral And Networking Platform
Treehouse
2100 24th Ave S 200	Seattle	WA	98144	911425676	501(c)(3)	$90,000	Economic Opportunity And Wellbeing For Youth Who H
Trust For Public Land
Po Box 889336	Los Angeles	CA	90088	237222333	501(c)(3)	$200,000	Tacoma Green Schoolyards
Trustees Of Boston University
881 Commonwealth Ave	Boston	MA	02215	042103547	501(c)(3)	$88,646	Research Subrecipient
Trustees Of Columbia University
722 W 168th St	New York	NY	10032	911859360	501(c)(3)	$171,064	Research Subrecipient
Trustees Of Purdue University
23510 Network Pl	Chicago	IL	60673	852621478	501(c)(3)	$17,848	Research Subrecipient
Tubman Center For Health And Freedom
Po Box 18612	Seattle	WA	98118	851543325	501(c)(3)	$50,000	Tubman Center For Health & Freedom General Operati
Tufts Medical Center Inc
800 Washington St 453	Boston	MA	02111	270440772	501(c)(3)	$31,525	Research Subrecipient
University of Pittsburgh
4200 Fifth Ave	Pittsburgh	PA	15260	250965591	501(c)(3)	$144,538	Research Subrecipient
University of Washington
1410 NE Campus Parkway	Seattle	WA	98195	916001537	Government	$3,945,849	Research Subrecipient
University Of Arkansas Fayetteville
535 W Research Ctr	Fayetteville	AR	72701	470872543	Government	$80,057	Research Subrecipient
University Of Chicago
6054 S Drexel Ave	Chicago	IL	60637	362177139	501(c)(3)	$42,559	Research Subrecipient
University Of Massachusetts
181 Presidents Drive	Amherst	MA	01003	043167352	Government	$26,099	Research Subrecipient
University Of New Mexico
1 University N Mexico	Albuquerque	NM	87131	850275408	Government	$11,539	Research Subrecipient
University Of North Carolina At Chapel
104 Airport Dr	Chapel Hill	NC	27599	591711424	Government	$15,579	Research Subrecipient
University Of Pennsylvania
3451 Walnut St	Philadelphia	PA	19104	231352685	501(c)(3)	$175,923	Research Subrecipient
Urban League Of Metropolitan Seattle
105 14th Ave 200	Seattle	WA	98122	910575954	501(c)(3)	$28,000	Rent Reporting Pilot Program
Wa Therapy Fund Foundation
4501 15th Ave S 102	Seattle	WA	98108	852607648	501(c)(3)	$150,000	Wtff Youth Wellness
Washington Alliance For Better Schools
18560 1st Avenue Ne	Shoreline	WA	98155	911698851	501(c)(3)	$126,000	Wabs General Operating Support 2022-2025
Washington Poison Center
155 Ne 100th St 100	Seattle	WA	98125	943214597	501(c)(3)	$5,915	Meeting Community Telehealth Needs With Kaiser Per
Washington School-based Health Alliance
Po Box 16035	Seattle	WA	98116	450937382	501(c)(3)	$29,900	Expanding And Improving School-based Health Care I
Washington University School
Po Box 60352	St Louis	MO	63160	430653611	Government	$86,145	Research Subrecipient
Weill Medical College Of Cornell
Po Box 22371	New York	NY	10087	131623978	For-Profit	$108,723	Research Subrecipient
Within Reach
155 Ne 100th St 500	Seattle	WA	98125	911443685	501(c)(3)	$100,000	Operating Support
Yehaw
3815 S Othello 100 348	Seattle	WA	98118	861235460	501(c)(3)	$24,999	Native Voices Health & Education Program

Field	Value	IRS element (for citing)
Total501c3 Org	83	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	PROCEDURES FOR MONITORING THE USE OF GRANTS AT THE END OF THEIR FUNDING CYCLE, GRANTEES ARE REQUIRED TO SUBMIT A FINAL REPORT WHICH DELINEATES ACCOMPLISHMENTS RELATED TO STATED OBJECTIVES. LARGER GRANTS (TYPICALLY OVER $100,000) MAY REQUIRE QUARTERLY PROGRESS REPORTS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	Yes (true)	InitialContractExceptionInd
Rebuttable Presumption Proc	Yes (true)	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (39 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Gregory Adams
Chairman & CEO	$0	$2,123,581	$0	$9,103,058	$0	$1,340,747	$0	$122,468	$0	$31,592	$0	$12,721,446	$0	$0
Kathryn Lancaster
EVP & Chief Financial Officer	$0	$1,269,207	$0	$3,069,715	$0	$584,481	$0	$118,595	$0	$19,304	$0	$5,061,302	$0	$0
Kimberly Horn
EVP, Group President, MOC	$0	$1,118,899	$0	$1,571,247	$0	$1,927,210	$0	$100,993	$0	$33,202	$0	$4,751,551	$0	$1,391,673
Janet Liang
EVP, Group President & COO	$0	$1,262,682	$0	$2,460,748	$0	$693,948	$0	$51,770	$0	$38,065	$0	$4,507,213	$0	$0
Arthur Southam
EVP, Health Plan Ops & CGO	$0	$194,706	$0	$3,022,498	$0	$559,033	$0	$10,910	$0	$7,665	$0	$3,794,812	$0	$0
Angela Dowling
Regional President - WA	$0	$723,684	$0	$0	$0	$1,429,258	$0	$722,030	$0	$31,818	$0	$2,906,790	$0	$0
Mark Zemelman
SVP, General Counsel & Secy	$0	$0	$0	$0	$0	$1,833,838	$0	$660,356	$0	$0	$0	$2,494,194	$0	$0
Vanessa Benavides
SVP,Chief Legal Officer & Secy	$0	$708,622	$0	$1,028,988	$0	$54,845	$0	$288,586	$0	$19,529	$0	$2,100,570	$0	$0
Thomas Meier
SVP, Corporate Treasurer	$0	$593,270	$0	$977,784	$0	$150,054	$0	$94,964	$0	$26,384	$0	$1,842,456	$0	$227,652
Donald Orndoff
SVP, NFS	$0	$185,407	$0	$452,361	$0	$663,392	$0	$307,153	$0	$13,534	$0	$1,621,847	$0	$36,947
Andrew Bindman
EVP, Chief Medical Officer	$0	$757,028	$0	$474,330	$0	$36,624	$0	$312,785	$0	$28,855	$0	$1,609,622	$0	$0
Alfonse Upshaw
SVP,Corporate Controller & CAO	$0	$535,015	$0	$558,993	$0	$178,047	$0	$176,289	$0	$32,080	$0	$1,480,424	$0	$109,173
Ann Allen
VP, COO	$0	$286,239	$0	$360,295	$0	$378,372	$0	$14,757	$0	$16,160	$0	$1,055,823	$0	$221,537
Alicia Eng
VP, Clinical Operations	$0	$331,974	$0	$316,876	$0	$335,657	$0	$47,954	$0	$16,788	$0	$1,049,249	$0	$360,812
Susan Mullaney
Regional President - WA	$0	$0	$0	$0	$0	$1,032,116	$0	$12,967	$0	$0	$0	$1,045,083	$0	$0
Allyson Anderson
VP, Continuum of Care	$0	$221,768	$0	$294,653	$0	$400,704	$0	$59,385	$0	$16,166	$0	$992,676	$0	$0
Rebecca Williams
Interim CFO	$0	$401,417	$0	$289,644	$0	$72,810	$0	$176,468	$0	$28,382	$0	$968,721	$0	$0
Kristanne Greco
VP, PR, Commns & Brand Mgmt	$0	$91,540	$0	$249,946	$0	$596,369	$0	$16,306	$0	$8,307	$0	$962,468	$0	$241,173
David Thomason
SVP,Corporate Controller & CAO	$0	$412,855	$0	$0	$0	$485,043	$0	$42,288	$0	$10,595	$0	$950,781	$0	$0
Ryan Jenson
Interim Corp Controller & CAO	$0	$346,441	$0	$349,170	$0	$47,610	$0	$100,508	$0	$29,248	$0	$872,977	$0	$0
Brandon Cuevas
EVP, Health Plan	$0	$282,154	$0	$0	$0	$229,498	$0	$286,674	$0	$6,597	$0	$804,923	$0	$0
Pamela Warren
VP, HPSA - WA	$0	$344,186	$0	$182,254	$0	$132,179	$0	$119,844	$0	$19,278	$0	$797,741	$0	$88,007
Rita Mangione-Smith
VP,Resch/Healthcare Innovation	$0	$391,983	$0	$199,536	$0	$19,471	$0	$124,493	$0	$21,180	$0	$756,663	$0	$0
Todd Hesse
VP, MSBD	$0	$300,319	$0	$262,625	$0	$18,856	$0	$144,079	$0	$19,339	$0	$745,218	$0	$108,547
Jocelynne McAdory
VP, Human Resources -WA Market	$0	$306,747	$0	$215,423	$0	$29,755	$0	$117,094	$0	$18,389	$0	$687,408	$0	$0
Hong-Sze Yu
VP, Brd & Corp Gov & Asst Secy	$0	$300,090	$0	$188,569	$0	$19,933	$0	$137,523	$0	$30,033	$0	$676,148	$0	$0
Shawna Sweeney
Assistant Secretary	$0	$319,665	$0	$175,047	$0	$17,669	$0	$108,605	$0	$29,599	$0	$650,585	$0	$0
Alacia Broussard
VP, Contracting Strategy	$0	$339,816	$0	$74,916	$0	$17,880	$0	$60,758	$0	$32,796	$0	$526,166	$0	$0
Ronald Vance
Interim Regional President	$0	$360,025	$0	$0	$0	$0	$0	$0	$0	$0	$0	$360,025	$0	$0
Margaret E Porfido JD
Director	$14,000	$283,000	$0	$0	$0	$22,083	$0	$16,717	$0	$0	$14,000	$321,800	$0	$0
Jennifer Keosky
VP, Consumer Experience	$50,423	$162,206	$15,329	$0	$12,324	$22,215	$6,487	$39,212	$6,395	$11,570	$90,958	$235,203	$0	$0
Judith A Johansen JD
Director	$14,000	$276,800	$0	$0	$0	$0	$0	$6,534	$0	$0	$14,000	$283,334	$0	$0
Ramon F Baez
Director	$14,000	$238,500	$0	$0	$0	$14,451	$0	$21,121	$0	$0	$14,000	$274,072	$0	$0
Maryann Bodayle
Assistant Secretary	$0	$180,482	$0	$13,962	$0	$2,310	$0	$44,374	$0	$10,815	$0	$251,943	$0	$0
Karen Schartman
VP, CFO & Strategy - WA	$0	$0	$0	$233,795	$0	$4,878	$0	$8,638	$0	$0	$0	$247,311	$0	$0
Laurie Guariglia
VP, Business Info Officer - WA	$0	$0	$0	$91,026	$0	$109,614	$0	$0	$0	$0	$0	$200,640	$0	$102,910
Janet O'Hollaren
VP, COO	$0	$0	$0	$124,638	$0	$18,351	$0	$0	$0	$0	$0	$142,989	$0	$13,629
April Coiteux
VP, MSBD	$0	$79,069	$0	$0	$0	$35,405	$0	$8,630	$0	$5,298	$0	$128,402	$0	$0
Joseph Smith
VP, MSBD	$0	$0	$0	$59,039	$0	$60,478	$0	$7,672	$0	$0	$0	$127,189	$0	$60,478

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3	THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS DESCRIBED BELOW TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF A RELATED ORGANIZATION.
SCHEDULE J, PART I, LINE 4A	Mark Zemelman $1,823,105 Donald Orndoff $ 501,026 Ann Allen $ 258,218 Alicia Eng $ 17,874 Susan Mullaney $1,032,116 Allyson Anderson $ 204,755 Kristanne Greco $ 321,644 LISTED PERSONS PARTICIPATED IN SEPARATION ARRANGEMENTS. DEPENDING ON POSITION LEVEL, TENURE, AND SEPARATION REASON, BENEFITS PAYABLE UNDER THESE ARRANGEMENTS PROVIDE FOR PAY AND HEALTH BENEFITS CONTINUATION PLUS PAYMENT OF ACCRUED OBLIGATIONS. IN ADDITION, FOR SOME OF THE LISTED PERSONS, BENEFITS PAYABLE INCLUDE PRORATED INCENTIVE AWARDS FOR PERFORMANCE PERIODS NOT YET ENDED. NONE OF THE LISTED PERSONS PARTICIPATED IN ARRANGEMENTS ENTITLING THEM TO CHANGE-OF-CONTROL PAYMENTS.
SCHEDULE J, PART I, LINE 4B	SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENT Gregory Adams $1,177,969 Kathryn Lancaster 521,405 Kimberly Horn 1,872,534 Janet Liang 640,943 Arthur Southam 521,405 Thomas Meier 95,030 Donald Orndoff 147,967 Alfonse Upshaw 135,880 Ann Allen 101,702 Alicia Eng 278,432 Allyson Anderson 182,992 Kristanne Greco 235,498 Pamela Warren 112,037 SOME OF THE PARTICIPANTS LISTED IN SCHEDULE J, PART II PARTICIPATED IN NONQUALIFIED SUPPLEMENTAL RETIREMENT PLANS. UNDER THESE PLANS, THE ORGANIZATION MAKES ANNUAL CONTRIBUTIONS TO A NOTIONAL ACCOUNT ON BEHALF OF EACH PARTICIPANT. CONTRIBUTIONS VARY BY POSITION, LEVEL AND PAY, AND VEST OVER TIME BASED ON AGE AND/OR SERVICE. PARTICIPANT ACCOUNTS ARE CREDITED WITH A FIXED RATE OF INTEREST, INVESTED IN AVAILABLE MUTUAL FUNDS OR A COMBINATION OF BOTH. CERTAIN OFFICERS ACCRUE A BENEFIT THAT VESTS BASED ON AGE AND SERVICE AND TARGETS A PERCENTAGE OF FINAL AVERAGE PAY LESS PRIOR PLAN OFFSETS. UNVESTED AMOUNTS ARE SUBJECT TO RISK OF FORFEITURE.
SCHEDULE J, PART I, LINE 7	NON-FIXED PAYMENTS THE ORGANIZATION PROVIDED NON-FIXED PAYMENTS TO SOME OF THE PERSONS LISTED. PAYMENTS WERE MADE UNDER DISCRETIONARY BONUS PROGRAMS AND INCENTIVE PLANS, BASED ON ATTAINMENT OF ORGANIZATIONAL PERFORMANCE GOALS AND INDIVIDUAL PERFORMANCE, DESIGNED TO SUPPORT THE ORGANIZATION'S MISSION TO PROVIDE HIGH-QUALITY, AFFORDABLE CARE AND IMPROVE THE HEALTH OF ITS MEMBERS AND THE COMMUNITIES IT SERVES. THE PLANS' ORGANIZATIONAL PERFORMANCE GOALS INCLUDED: QUALITY OF CARE AND SERVICE, MEMBERSHIP GROWTH, OPERATING INCOME, PER MEMBER EXPENSE TREND, AND COMMUNITY BENEFIT. PLAN DESIGNS, PERFORMANCE, AND PAYOUT LEVELS, AS WELL AS INDIVIDUAL PAYMENTS TO CERTAIN PERSONS, WERE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, COMPRISED OF INDEPENDENT DIRECTORS.
SCHEDULE J, PART I, LINE 8	CERTAIN AMOUNTS REPORTED IN FORM 990, PART VII, WERE PAID OR ACCRUED PURSUANT TO A CONTRACT THAT WAS SUBJECT TO THE INITIAL CONTRACT EXCEPTION DESCRIBED IN REGULATIONS SECTION 53.4958-4(A)(3). FIXED PAYMENTS WERE PAID TO OR ACCRUED FOR 4 OFFICERS IN 2023.
SCHEDULE J, PART II, SECTION A, COLUMN F	AMOUNTS INCLUDED IN SCHEDULE J, PART II, COLUMN F INCLUDE AMOUNTS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION, AS WELL AS DISTRIBUTIONS FROM A 457(B) PLAN THAT WERE PREVIOUSLY REPORTED AS REPORTABLE COMPENSATION IN ACCORDANCE WITH FORM 990 INSTRUCTIONS.
FORM 990, PART VII, SECTION A, LINE 5	RONALD VANCE RECEIVED COMPENSATION FROM AN UNRELATED ORGANIZATION, ALVAREZ & MARSAL HOLDINGS, LLC.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	THERESA DIEMOND	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF OFFICER	RelationshipDescriptionTxt
Transaction	$118,070	TransactionAmt
Transaction	COMPENSATION	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A-D	EXEMPT PURPOSE ACHIEVEMENTS I. Introduction A. About Kaiser Permanente Founded in 1945, Kaiser Permanente is recognized as one of America's leading health care providers and nonprofit health plans. We currently serve 12.6 million members in 8 states and the District of Columbia. We were created to meet the challenge of providing American workers with medical care during the Great Depression and World War II, when most people could not afford to go to a doctor. Since our beginnings, we have been committed to helping shape the future of healthcare. Kaiser Permanente exists to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. Kaiser Permanente's integrated health care model means we seamlessly provide care and coverage together with a wide range of services under one roof, whether in a Kaiser Permanente medical office or hospital, or at a contracted facility. 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. To be our healthiest we need more than high-quality medical care, we need to improve the conditions for health and equity in the communities we serve. 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. C. Kaiser Permanente's Total Contribution Kaiser Permanente provided $3.1 billion in 2023 to improve the health of our communities. The amounts attributable to Kaiser Foundation Health Plan of Washington is $104 million as follows: - Financial Assistance at cost - $21M - Medicaid - $54.4M - Community health improvement services and community benefit operations- $2.8M - Health Professions Education - $11M - Research - $9.7M - Cash and in-kind contributions from community benefit - $5.3M 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. This includes our widely recognized activities around supplier diversity, socially responsible investing and environmental stewardship.
II.Health Access	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. It also means connecting people with wrap-around social services, healthy meals, affordable homes, safe playgrounds, and supportive schools. 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're working to change that with programs that lower financial barriers by providing deeply 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 Washington 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). 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. Coverage 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 advancing equity and removing disparities in access to coverage and health outcomes. i. Coverage provided through Medicaid, CHIP and other government programs The Affordable Care Act has had a far-reaching impact on the landscape of government-sponsored programs, as these options have become a key source of health coverage for a significant portion of the US population. Kaiser Permanente has organizational strategies to enable individuals with low incomes to obtain and/or retain health coverage through Medicaid, CHIP or other government programs. At the end of 2023, Kaiser Foundation Health Plan of Washington was providing care to over 28,000 people through its Medicaid Managed Care contracts with other health plans. B. Care To get and/or stay healthy, people need access to high quality care by providers they trust. This care must include preventative services and required medications so that people can avoid ending up in the emergency room or requiring more extensive services down the line. Kaiser Permanente helps low-income populations gain access to this type of care by leveraging the full scope of its integrated delivery system, including not only critical hospital-based services but also outpatient primary, specialty and pharmacy services. i. Care provided through Medicaid, CHIP and other government programs Kaiser Permanente 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 2023 due to Kaiser Permanente's participation in these government programs, Kaiser Foundation Health Plan of Washington also subsidized care to people who are enrolled in these programs but not formally assigned to Kaiser Foundation Health Plan. ii. Care subsidized by 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 to Kaiser Permanente's mission. Our MFA program helps low-income, uninsured, and underinsured patients receive access to care. The program provides temporary financial assistance or free care to patients who receive health care services from our providers, regardless of whether they have health coverage or are uninsured. Eligibility for financial assistance is based on financial need. In general, patients whose household income is at or below 300%, and in some regions up to 400%, of the federal poverty limit are eligible for the MFA program. Patients who are experiencing high medical expenses as compared to their income may be eligible under high medical expenses criteria, regardless of household income. The MFA program covers emergency and medically necessary health care services, pharmacy services and products, and medical supplies provided at Kaiser Permanente facilities (such as hospitals, medical centers, and medical office buildings), at Kaiser Permanente outpatient pharmacies, or by Kaiser Permanente providers. Over the course of 2023, Kaiser Foundation Health Plan of Washington subsidized care for a total of 13,600 people through the MFA program. C. Safety-Net Partnerships Kaiser Permanente also increases access to health care in the community by establishing safety net partnerships. Safety net providers are a mix of public hospitals, community-based organizations such as federally qualified health centers, and other health care organizations. Safety-net health care providers provide care for patients who have low incomes and/or are uninsured regardless of their ability to pay. In Kaiser Permanente service areas, federally qualified health centers serve the uninsured, Medicaid, and other vulnerable populations. Strengthening the safety net advances our mission to improve the conditions for health and equity in the community. Our communities' most vulnerable populations, including a disproportionate number of low-income people of color, rely on the safety net for their health care needs. Our support ensures that communities have access to a strong safety net that can equitably meet patients' needs and improve health outcomes for low-income patients including people experiencing homelessness. In 2023, Kaiser Foundation Health Plan of Washington awarded $725,000 to Project Access Northwest, of which $250,000 was paid in 2023 to support specialty care coordination in Washington's King, Kitsap, and Snohomish County. This program is aimed to serve individuals in the three counties who live at or below 300% of the federal poverty level and do not have access to health insurance. Project Access Northwest will expand its range of specialty services and providers by creating a network of pro-bono counselors to serve individuals and families with anxiety, depression, and trauma, and other mental-emotional challenges including providing talk therapy at no cost to the client. Kaiser Foundation Health Plan of Washington also awarded $500,000 to Seattle Center Foundation of which $250,000 was paid in 2023 to support the Seattle/King County Clinic's efforts to provide free dental, vision, medical and behavioral health care. The Seattle/King County Clinic has built a reputation as a safe space for people to access care, as no documentation is required from patients. Interpretive services are available in more than 50 languages and patients receive follow-up care when diagnoses such as cancer or cataracts are made, as well as connections to community resources such as food and housing support.
III.Community Health	At Kaiser Permanente, we are working to improve the conditions for health and equity in communities by addressing the root causes of health, such as economic opportunity, 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 truly 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. Kaiser Permanente recognizes that the way we do business can support economic opportunity in local communities through how we hire, purchase, build our facilities and partner with communities. Some ways that we're 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 to support impact investments aimed at addressing key social issues that have a significant impact on health. - Purchasing goods and services from local, diverse, small businesses and seeking out vendor partners with missions and business practices that align with our own. - Building new facilities with an emphasis on positive local community impact, including neighborhood revitalization, and deep community engagement. - Partnering with community organizations to grow local business capacity, increase access to good jobs, and support stable, quality, affordable housing. Kaiser Permanente is also deepening our efforts to get at the heart of inequities, addressing systemic racism, breaking cycles of trauma, and creating economic opportunities for communities that have endured decades of underinvestment. We are working with these communities to overcome systemic and structural economic disadvantage and supporting the resiliency of businesses owned by Black and other historically underrepresented individuals, recognizing that it will require sustained efforts to increase access to business capital and build capacity for growth. Success for these communities requires intentional, long-term investment, and ongoing work to dismantle racist systems that create barriers to success. In addition, Kaiser Permanente is working to expand access to education and career pathways in health care. We support programs and initiatives that provide clear education and career pathways, in health care and mental health, especially for people of color, who have historically faced gaps in income and earning potential. This includes helping professionals graduate into allied health careers, public health fellowship opportunities, and providing local grants to support people with access to opportunities for higher education and job training programs. In 2023, Kaiser Foundation Health Plan of Washington awarded $375,000 to the Washington Alliance for Better Schools of which $125,000 was paid in 2023 to serve school districts across the Puget Sound region in Snohomish, King, and Pierce counties, as well as newly added Spokane Public Schools. The organization will provide programs for students, families, and educators, with a focus on impacting BIPOC and underserved communities. Educators will be provided access to industry professionals and workplaces to provide students with career connected learning. BIPOC, immigrant, and refugee families gain access to holistic, culturally relevant resources to help them support their children's academic and social emotional needs. Additionally, Kaiser Foundation Health Plan of Washington awarded $320,000 to Treehouse of which $90,000 was paid in 2023 to support their Graduation Success and Launch Success programs which provide a continuum of support from high school to age 25 for youth who have experienced foster care. Together these programs support high school completion, build self-determination, equip youth will skills towards independence and financial stability in partnership with Change Machine, and provide for basic needs and safety net resources. B. Housing for Health 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 and communities of color. Working to solve housing insecurity is part of Kaiser Permanente's focus on improving equitable conditions for people of color in America. We are addressing historical disinvestment in our communities, which is directly tied to racism and racial inequities. This kind of disinvestment and lack of economic opportunity can impact affordable housing. Through innovative partnerships and strategic investments, Kaiser Permanente is working to bridge the unique strengths of the health and housing sectors, to strengthen neighborhoods, drive equitable health outcomes and help communities thrive. In 2023, Kaiser Foundation Health Plan of Washington continued its support of Kaiser Permanente's Thriving Communities Fund which utilizes impact investments focused on drivers of health. The fund focuses on affordable housing and advancing economic opportunity, in alignment with Kaiser Permanente's mission to improve length and quality of life, as well as equity of health outcomes in local communities. Impact investing seeks to promote sustainable, systemic change for our communities' most underserved populations.
C.Thriving Schools	At Kaiser Permanente, we're 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, social health, and equity and access. Taking an integrated approach to health means supporting schools and districts in advancing their wellness and educational goals by incorporating health-related strategies into school and district improvement efforts. Like the communities in which they sit, schools often reflect a diversity of cultures, beliefs, and experiences. As such, the services and opportunities they provide must ensure that all students and staff are given the opportunity to reach their full potential. Thriving Schools' integrated approach explicitly addresses equity and inclusion, both in the assessment tools we use, and in the resources, we offer for school staff and district leaders. Kaiser Permanente's Educational Theatre has inspired and empowered millions of students and adults in communities across the United States to make healthy choices. Educational Theatre offers a wide range of award-winning, no-cost theatrical programs that engage and inspire students, teachers, and staff to make healthy choices. These award-winning virtual performances and workshops address important health topics that enhance our comprehensive approach to social health, mental health, and resilience. In 2023, Kaiser Foundation Health Plan of Washington awarded $600,000 of which approximately $200,000 was paid in 2023 to NAMI Washington to advance mental health education for and about youth in seven Washington counties. They provide advocacy services and coordinate the delivery of education, support, and recovery services for residents across the state. This funding will allow the organization to continue school-based and community programming with three King County affiliates and the Spokane County affiliate, while expanding the program to affiliates in the other counties within Washington's core service area. Kaiser Foundation Health Plan of Washington also collaborated with Washington School-Based Health Alliance to advocate for, support, and improve school-based health care for K-12 students in Washington state. This support will continue to provide leadership in this work in Washington and to increase the capacity of the school-based health field in response to the growth in funding and demand for school-based health centers (SBHCs) and school-based health services during and following the COVID-19 pandemic. Capacity-building will include hosting virtual trainings and communities of practice, developing further guidance and resources for SBHC planning, providing geographically and culturally responsive technical assistance, and offering on-site support for SBHCs across the state, including in southwest Washington. Additionally, Kaiser Foundation Health Plan of Washington continued its partnership with Alliance for a Healthier Generation, Inc. 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. Alliance for Healthier Generation uses an integrated approach to support the social health, mental health, physical health, and equity and access needs of school stakeholders. Their programs are delivered in-person and virtually in partnership to various school districts including Tacoma Public Schools, Renton and North Thurston School Districts. D. Community Support Hub Social determinants of health - the conditions in which people live, learn, work, and play - affect a wide range of health risks and outcomes. Access to quality health care is critical, but social factors, such as lack of safe housing and transportation, inadequate education or job opportunities, and poor access to good nutrition and physical activity, inevitably create barriers to health and wellbeing. While many social resources may exist in a community or through government programs, they are often unknown to those most in need and disconnected from one another even when serving the same person, creating confusion and exacerbating stress for communities. We launched the Kaiser Permanente Community Support Hub in 2023 as a support center dedicated to helping people meet their basic needs so they can achieve good health. The Kaiser Permanente Community Support Hub's resource directory is a searchable database of tens of thousands of community-based programs and services that anyone can explore online at kp.org/communityresources at their own convenience. It is accessible anytime for anyone seeking help with basic needs - members and nonmembers alike - to explore and connect with social services and assistance programs in their communities. The hub operates with a proactive service model, using text, email, and phone outreach to facilitate social health screenings and offer support connecting to local community-based resources and public benefits. The hub also operates a toll-free call center. In 2023, Kaiser Foundation Health Plan of Washington awarded $300,000 to Thurston County Chamber of Commerce Foundation for the Thurston Unite Us Referral and Networking Platform Project. This project will assess the feasibility and viability for deploying the Unite Us platform across community-based organizations (CBOs) in Thurston County Washington and formulate a deployment and adoption plan for CBOs that are ready and able to sustain use of the Unite Us platform. This project will yield better health outcomes for historically disadvantaged individuals and groups. E. 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. In 2023, Kaiser Foundation Health Plan of Washington awarded six community-based organizations over $1.78M of which over $608,000 was paid in 2023 in support of the School-Community Partnerships Initiative. The funding will support school districts and community-based organizations led by Black, Indigenous, and other People of Color (BIPOC) who are partnering to create sustainable food access solutions for BIPOC families in under-resourced communities. These additional resources would increase the capacity of BIPOC-led community-based organizations to scale food distribution in convenient locations that are culturally and linguistically affirming. This partnership could pave the way to more equitable health and education outcomes for food insecure youth of color.
IV.Policy and Systems	A. Advancing Systems Change Through Kaiser Foundation Health Plan of Washington's ongoing partnerships with community organizations, municipal leaders, and public health champions, we are working to incorporate health, equity and sustainability considerations into public policy and the built environment in ways that influence how neighborhoods take shape and grow. 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 Washington 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 Washington, 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. As an organization, Kaiser Permanente regularly looks at the issues that impact the health and well-being of our members and communities. Gun violence is an urgent public health issue in the United States. In 2022, we launched the Kaiser Permanente Center for Gun Violence Research and Education. The center is focused on funding equity-centered researchers to support their work focusing on impacted and historically underserved communities. This includes studies on innovative community-based solutions and clinical interventions to address the long-term physical, mental, and emotional consequences of gun violence. The education component of the center is focused on collaborating with community-based organizations to bring a deeper understanding of the root causes of gun violence, its, impacts, and solutions to advocates in health care, business, policy-making, the community, and beyond. In January 2023, Kaiser Permanente made a commitment to the center to support scientific research, provide health-focused public education, as well as scale innovative evidence-based, community-centered interventions that address and prevent gun violence. 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 promoting health equity and 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. B. Environmental Stewardship At Kaiser Permanente, we believe it is our responsibility to continue to contribute to solutions that help slow climate change and raise awareness of its health impacts. One way to improve the health of the people who live in the communities we serve is to protect the environment and minimize our environmental impact. We create partnerships with others to develop policies and systems that strengthen community health and protect the environment. This includes how we operate our facilities and invest in our communities. We have, and will continue to, set ambitious goals to drive both internal and private sector climate action. We prioritize reducing greenhouse gas emissions to lower our carbon footprint and lower the climate impact on the health of the communities Kaiser Permanente serves. In 2023, we dedicated 33% of overall spending on products to items that met our Environmentally Preferable Purchasing standards and ensured 100% of our overall operations were powered by onsite and offsite renewable electricity. 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. As part of our effort to promote health and health equity as central objectives in private sector climate action, we partnered throughout the year with key stakeholders in many industries, including finance, business, energy, conservation, education, and public policy, to help shape their approaches to sustainable business practices. C. Health Professionals Education 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 range of training and education programs for nurse practitioners, nurses, radiology and sonography technicians, physical therapists, post-graduate psychology and social work students, pharmacists, and other non-physician health professionals. D. Research Kaiser Permanente's research efforts are core to the organization's mission to improve population health, and its commitment to continued learning. Kaiser Permanente researchers study critical health issues such as cancer, cardiovascular conditions, diabetes, behavioral and mental health, and health care delivery improvement. Kaiser Permanente's research is broadly focused on 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 conduct research due to its rich, longitudinal, electronic clinical databases that capture virtually complete health care delivery, payment, decision-making and behavioral data across inpatient, outpatient, and emergency department settings. In 2023, Kaiser Permanente's research programs engaged in 319 active studies (including 25 clinical trials) and published 291 journal articles. Our Community Benefit investments supported the following research: The Kaiser Permanente Washington Health Research Institute (KPWHRI) was established in 1983 and prioritizes studies on health and health care on addictions, aging and geriatrics, cancer prevention, screening, and treatment, child and adolescent health, chronic disease management, medication use and patient safety, mental health, social determinants of health, vaccines, and infectious diseases. In 2023, the Kaiser Permanente Washington Health Research Institute published several research studies, a summary of one publication includes: Health care systems such as Kaiser Permanente are increasingly focused on patients' social health. However, there is limited evidence to guide strategies for social health integration into health care. In a study published in The American Journal of Preventive Medicine (AJPM) Focus, the authors identified social health research opportunities. A broad range of topics with high impact and priority scores revealed that the evidence base remains in the early stages. The authors conclude that fundamental research on the future of social risk and health system involvement is still needed.
FORM 990, PART VI, LINE 1A	VOTING MEMBER AND GOVERNING BODY THE EXECUTIVE COMMITTEE, CONSISTING OF THREE DIRECTORS, HAS AUTHORITY TO ACT FOR THE BOARD BETWEEN MEETINGS EXCEPT IT HAS NO AUTHORITY TO: 1. ADOPT, AMEND OR REPEAL BYLAWS; 2. AMEND OR REPEAL ANY RESOLUTION OF THE BOARD WHICH BY ITS EXPRESS TERMS IS NOT SO AMENDABLE OR REPEALABLE; 3. ELECT, APPOINT OR REMOVE DIRECTORS, DESIGNATE COMMITTEES OF THE BOARD OR FILL VACANCIES IN THE BOARD OR IN ANY SUCH COMMITTEE; 4. DISSOLVE, MERGE OR CONSOLIDATE THE CORPORATION; 5. ADOPT, AMEND OR REPEAL THE ARTICLES OF INCORPORATION; 6. SELL, LEASE, PLEDGE, TRANSFER OR EXCHANGE ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OF THE CORPORATION; 7. FIX COMPENSATION OF DIRECTORS FOR SERVING ON THE BOARD OR ON ANY COMMITTEE; 8. AUTHORIZE ANY DIRECT OR INDIRECT TRANSFER OF MONEY OR OTHER PROPERTY OR INCUR ANY INDEPTEDNESS TO OR FOR THE BENEFIT OF TRANSFEREES IN LIQUIDATION (OTHER THAN CREDITORS OF THE CORPORATION); 9. TAKE ANY OTHER ACTION WHICH THE BOARD IS NOT AUTHORIZED TO TAKE OR WHICH A COMMITTEE OF THE BOARD IS NOT AUTHORIZED TO TAKE UNDER WA LAW.
Form 990, PART VI, LINE 6	THE SOLE CORPORATE MEMBER OF THE CORPORATION IS KFHPW HOLDINGS, A WASHINGTON NONPROFIT CORPORATION.
Form 990, PART VI, LINE 7A	KFHPW HOLDINGS APPOINTS THE DIRECTORS (AND FILLS VACANCIES AND HAS AUTHORITY TO REMOVE DIRECTORS).
Form 990, PART VI, LINE 7B	THE FOLLOWING ACTIONS OF THE CORPORATION ARE RESERVED TO OR REQUIRE APPROVAL OF THE MEMBER: A) CHANGES IN MEMBERSHIP; B) APPOINTMENT OF THE CHAIR OF THE BOARD AND THE PRESIDENT AND CEO, AND REMOVAL OF THE CHAIR OF THE BOARD, THE CEO OR ANY PRESIDENT. THE COMPENSATION OF ANY PRESIDENT AND OTHER EXECUTIVE OFFICERS OF THE CORPORATION REQUIRES APPROVAL BY THE COMPENSATION COMMITTEE OF THE ENTITY THAT SERVES AS THE OFFICIAL EMPLOYER OF RECORD FOR THE EXECUTIVE; C) SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF, THE MORTGAGE, PLEDGE OR DEDICATION TO THE REPAYMENT OF INDEBTEDNESS, OR ANY OTHER ENCUMBRANCE OF PROPERTY OF THE CORPORATION, OR THE ACQUISITION OF ASSETS,WHETHER OR NOT IN THE USUAL OR REGULAR COURSE OF THE CORPORATION'S ACTIVITIES, WHERE THE FAIR MARKET VALUE OF SUCH CORPORATE PROPERTY OR ASSETS BEING DISPOSED OF, ACQUIRED OR ENCUMBERED EXCEEDS 10% OF THE VALUE OF THE ASSETS OF THE CORPORATION AS REFLECTED IN THE MOST RECENT ANNUAL OR QUARTERLY FINANCIAL STATEMENTS THAT ARE AVAILABLE ON THE DATE IMMEDIATELY PRECEDING THE DATE OF THE RELEVANT TRANSACTION REQUIRES MEMBER APPROVAL; D) CAPITAL EXPENDITURE EXCEEDING $150 MILLION; E) ISSUANCE OF TAX-EXEMPT BONDS F) AMENDMENT OF ARTICLES C (MEMBER), D (DIRECTORS) OR H (AMENDMENT OF BYLAWS)
Form 990, PART VI, LINE 11B	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 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.
Form 990, PART VI, LINE 12C	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 Kaiser Permanente 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. 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 - Kaiser Permanente adheres to the following general awareness and enforcement guidelines: - 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, Kaiser Permanente policies and procedures, the Code of Conduct (Principles of Responsibility), unsatisfactory performance, or misconduct disciplinary action includes, but is not limited to: * verbal discussion, coaching, and/or warning by the employee's immediate; supervisor or higher-level manager to correct the problem; * written notice, with or without final warning; * suspension, with or without final warning; or * termination of employment
Form 990, PART VI, LINE 15A/B	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.
Form 990, PART VI, LINE 18	TO REQUEST COPIES CONTACT: NATIONAL COMMUNICATIONS - RM OPERATIONS KAISER FOUNDATION HEALTH PLAN AND HOSPITALS ONE KAISER PLAZA, 22ND FLOOR OAKLAND, CA 94612
Form 990, PART VI, LINE 19	These documents are made available when regulatorily required.
Form 990, PART VII, SECTION A, COLUMN B	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.
FORM 990, PART XI, LINE 9	Other changes in net assets or fund balances CHANGE IN DONATED CAPITAL $ (13,914) CHANGE IN PENSION & RETIREMENT LIABILITIES (40,924,461) OTHER THAN TEMPORARY IMPAIRMENTS (51,641,644) GAIN/LOSS ON SALE OF INVESTMENTS - BOOK 2,955,226 GAIN/LOSS ON SALE OF INVESTMENTS - TAX 37,412,502 ------------------ $ (52,212,291)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
COLUMBIA MEDICAL ASSOCIATES LLC
One Kaiser Plaza - 26th Floor	Oakland	CA	94612	200986848	COMP MED CARE	WA	$0	$0	KFHPW
Columbia Clinic LLC
One Kaiser Plaza - 26th Floor	Oakland	CA	94612		INACTIVE	WA	$0	$0	CMA LLC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Kaiser Foundation Hospitals
One Kaiser Plaza 26th Floor	Oakland	CA	94612	941105628	Health Care	CA	501(c)(3)	3	NA	Yes (true)
Kaiser Foundation Health Plan Inc
One Kaiser Plaza 26th Floor	Oakland	CA	94612	941340523	Health Care	CA	501(c)(3)	10	NA	false
Kaiser Foundation Health Plan of CO
One Kaiser Plaza 26th Floor	Oakland	CA	94612	840591617	Health Care	CO	501(c)(3)	10	KFHP Inc	Yes (true)
Kaiser Foundation Health Plan of GA Inc
One Kaiser Plaza 26th Floor	Oakland	CA	94612	581592076	Health Care	GA	501(c)(3)	10	KFHP Inc	Yes (true)
Kaiser Foundation Health Plan of the MAS
One Kaiser Plaza 26th Floor	Oakland	CA	94612	520954463	Health Care	MD	501(c)(3)	10	KFHP Inc	Yes (true)
Kaiser Foundation Health Plan of the NW
One Kaiser Plaza 26th Floor	Oakland	CA	94612	930798039	Health Care	OR	501(c)(3)	10	KFHP Inc	Yes (true)
Kaiser Hospital Asset Management Inc
One Kaiser Plaza 26th Floor	Oakland	CA	94612	943299125	Asset Mgmt	CA	501(c)(3)	12-I	KFH	Yes (true)
Kaiser Health Plan Asset Management Inc
One Kaiser Plaza 26th Floor	Oakland	CA	94612	943299124	Asset Mgmt	CA	501(c)(3)	12-I	KFHP Inc	Yes (true)
Camp Bowie Service Center
One Kaiser Plaza 26th Floor	Oakland	CA	94612	943299123	Admin	CA	501(c)(3)	12-I	KFHP Inc	Yes (true)
Lokahi Assurance LTD
One Kaiser Plaza 26th Floor	Oakland	CA	94612	912171891	WC Placement	HI	501(c)(3)	12-I	KFHP Inc	Yes (true)
1800 Harrison Foundation
One Kaiser Plaza 26th Floor	Oakland	CA	94612	943317484	Financing	CA	501(c)(3)	12-I	KFHP Inc	Yes (true)
Kaiser Hospital Assistance Corporation
One Kaiser Plaza 26th Floor	Oakland	CA	94612	311779500	Financing	CA	501(c)(3)	12-I	KFH	Yes (true)
Kaiser Health Alternatives
One Kaiser Plaza 26th Floor	Oakland	CA	94612	930954562	Health Care	OR	501(c)(3)	10	KFHP Inc	Yes (true)
KP Bernard J Tyson School of Medicine
One Kaiser Plaza 26th Floor	Oakland	CA	94612	814053028	Medical Edu.	CA	501(c)(3)	2	KFH	Yes (true)
KFHPW Holdings
One Kaiser Plaza 26th Floor	Oakland	CA	94612	930480268	Health Care	WA	501(c)(3)	12-I	KFHP Inc	Yes (true)
Group Health Northwest
One Kaiser Plaza 26th Floor	Oakland	CA	94612	911216856	Inactive	WA	501(c)(3)	12-I	KFHP of WA	Yes (true)
Kaiser Fdn For The Adv of Integrated HC
One Kaiser Plaza 26th Floor	Oakland	CA	94612	823819611	Advocacy	CA	501(c)(4)	N/A	KFHP Inc	Yes (true)
Kaiser Foundation Health Plan of NV Inc
One Kaiser Plaza 26th Floor	Oakland	CA	94612	372097870	Health Care	DE	501(c)(4)	N/A	KFHP Inc	Yes (true)
KP Medical Foundation
One Kaiser Plaza 26th Floor	Oakland	CA	94612	920685740	Health Care	DE	501(c)(3)	12-I	KFHP Inc	Yes (true)
KFH Holdings Inc
One Kaiser Plaza 26th Floor	Oakland	CA	94612	884172095	Holding Co	DE	501(c)(3)	12-I	KFH	Yes (true)
Risant Health Inc
One Kaiser Plaza 26th Floor	Oakland	CA	94612	923467590	Health Care	DE	501(c)(3)	12-I	NA	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	UBI Code VUBICodeVAmt	OwnershipOwnershipPct
NXT CAP SR FD I LLC
191 N Wacker Dr 1200	Chicago	IL	60606	371651297	Investment	DE	NA	N/A	$0	$0	$0	0.00000
Maui Nui ASC Holdco LLC
1 Kaiser Pl 26th Fl	Oakland	CA	94612		Holding Co	HI	NA	N/A	$0	$0	$0	0.00000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd	OwnershipOwnershipPct	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Province Or StateForeignAddress/ProvinceOrStateNm
Oak Tree Assurance Ltd
One Kaiser Plaza 26th Floor	Oakland	CA	94612	030329760	Insurance	VT	NA	C Corp	$0	$0	Yes (true)
Kaiser Permanente Insurance Company
One Kaiser Plaza 26th Floor	Oakland	CA	94612	943203402	Insurance	CA	NA	C Corp	$0	$0	Yes (true)
Kaiser Permanente International
One Kaiser Plaza 26th Floor	Oakland	CA	94612	943245176	Consulting	CA	NA	C Corp	$0	$0	Yes (true)
KFHP of Washington Options Inc
One Kaiser Plaza 26th Floor	Oakland	CA	94612	911467158	Insurance	WA	NA	C Corp	$936,428,263	$344,793,021	Yes (true)	1.00000
Group Health of Washington
One Kaiser Plaza 26th Floor	Oakland	CA	94612	911314907	Inactive	WA	NA	C Corp	$0	$0	Yes (true)
Garfield Health Solutions East Pte Ltd
					Admin		NA	C Corp	$0	$0	Yes (true)		Level 10 Tower C Panchshil Busine	Balewadi Pune	IN	411045	IN
Garfield Health Solutions West SRL
					ADMIN		NA	C CORP	$0	$0	Yes (true)		Ultrapark II Free trade Zone Bld4	Lagunilla	CS		CS	Heredia

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (32 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
KAISER FOUNDATION HEALTH PLAN INC
B	$242,194	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
L	$15,693,829	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
M	$82,287,547	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
P	$366,186,962	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
Q	$40,827,056	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
R	$54,325,300	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
S	$153,520,417	PER AGREEMENT
KAISER FOUNDATION HOSPITALS
E	$330,000,000	PER AGREEMENT
KAISER FOUNDATION HOSPITALS
L	$149,132	PER AGREEMENT
KAISER FOUNDATION HOSPITALS
M	$108,445,698	PER AGREEMENT
KAISER FOUNDATION HOSPITALS
P	$96,732,980	PER AGREEMENT
KAISER FOUNDATION HOSPITALS
Q	$7,709,621	PER AGREEMENT
KAISER FDN HEALTH PLAN OF COLORADO
P	$319,578	PER AGREEMENT
KAISER FDN HEALTH PLAN OF GEORGIA INC
M	$424,230	PER AGREEMENT
KAISER FDN HEALTH PLAN OF GEORGIA INC
P	$117,902	PER AGREEMENT
KAISER FDN HEALTH PLAN OF THE NORTHWEST
M	$146,428	PER AGREEMENT
KAISER FDN HEALTH PLAN OF THE NORTHWEST
P	$1,201,841	PER AGREEMENT
KAISER FDN HEALTH PLAN OF THE NORTHWEST
Q	$5,426,884	PER AGREEMENT
KAISER FDN HEALTH PLAN OF WASHINGTON OPTIONS
L	$12,058,368	PER AGREEMENT
KAISER FDN HEALTH PLAN OF WASHINGTON OPTIONS
P	$150,828,583	PER AGREEMENT
KAISER FDN HEALTH PLAN OF WASHINGTON OPTIONS
Q	$285,309,641	PER AGREEMENT
CAMP BOWIE SERVICE CENTER
M	$1,254,915	PER AGREEMENT
CAMP BOWIE SERVICE CENTER
P	$7,264,224	PER AGREEMENT
CAMP BOWIE SERVICE CENTER
Q	$1,901,546	PER AGREEMENT
KAISER PERMANENTE INSURANCE COMPANY
L	$3,851,161	PER AGREEMENT
KAISER PERMANENTE INSURANCE COMPANY
M	$175,744	PER AGREEMENT
LOKAHI ASSURANCE LTD
L	$4,478,415	PER AGREEMENT
LOKAHI ASSURANCE LTD
M	$24,528,285	PER AGREEMENT
LOKAHI ASSURANCE LTD
Q	$23,492,501	PER AGREEMENT
LOKAHI ASSURANCE LTD
R	$4,002,595	PER AGREEMENT
OAK TREE ASSURANCE LTD
L	$235,872	PER AGREEMENT
KP MEDICAL FOUNDATION
P	$6,238,775	PER AGREEMENT