KAISER FOUNDATION HEALTH PLAN OF WASHINGTON: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON (EIN 91-0511770)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-13
IRS object ID: 202003189349301555
Schema version: 2019v5.1
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 C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-13T07:19:34-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PricewaterhouseCoopers 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	2019-01-01	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 ACCOUNTING OFFICER	InCareOfNm
Business Name Control	KAIS	BusinessNameControlTxt
Phone	5102716611	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE KAISER PLAZA SUITE 15L	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	VICE PRESIDENT TAX	PersonTitleTxt
Phone	5102716611	PhoneNum
Signature	2020-10-23	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ROBERT W FRIZ	PreparerPersonNm
PTIN	P00438748	PTIN
Phone	2673303000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	40.83.136.209	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	23522320203185000016	FederalOriginalSubmissionId
Federal Original Submission Id	2020-11-13	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	96D298EEFAA49CAFA55784A527D7E90F72BA6D7B	AtSubmissionCreationDeviceId
At Submission Filing Device Id	60F598D4446C9FFAD26D0F90BC91FF0DA40E2337	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	SUSAN MULLANEY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE KAISER PLAZA SUITE 15L	AddressLine1Txt
City	OAKLAND	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94612	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$6,974,928,676	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	9470	TotalEmployeeCnt
Total Volunteers	470	TotalVolunteersCnt
Total Gross UBI	$14,179,024	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,437,752	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$44,338,722	PYContributionsGrantsAmt
CY Contributions Grants	$42,579,344	CYContributionsGrantsAmt
PY Program Service Revenue	$3,669,006,253	PYProgramServiceRevenueAmt
CY Program Service Revenue	$3,826,029,468	CYProgramServiceRevenueAmt
PY Investment Income	$24,985,315	PYInvestmentIncomeAmt
CY Investment Income	$97,365,154	CYInvestmentIncomeAmt
PY Other Revenue	$2,217,413	PYOtherRevenueAmt
CY Other Revenue	$2,172,670	CYOtherRevenueAmt
PY Total Revenue	$3,740,547,703	PYTotalRevenueAmt
CY Total Revenue	$3,968,146,636	CYTotalRevenueAmt
PY Grants And Similar Paid	$15,796,716	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$19,532,151	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$639,153,801	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$784,077,293	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,131,723,141	PYOtherExpensesAmt
CY Other Expenses	$3,146,515,099	CYOtherExpensesAmt
PY Total Expenses	$3,786,673,658	PYTotalExpensesAmt
CY Total Expenses	$3,950,124,543	CYTotalExpensesAmt
PY Revenues Less Expenses	-$46,125,955	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$18,022,093	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,606,228,792	TotalAssetsBOYAmt
Total Assets EOY	$2,618,771,893	TotalAssetsEOYAmt
Total Liabilities BOY	$853,255,263	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$989,017,063	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,752,973,529	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,629,754,830	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	$3,562,696,424	ExpenseAmt
Grant	$15,656,225	GrantAmt
Revenue	$3,748,993,801	RevenueAmt
Desc	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.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$61,823,894	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$31,110,853	RevenueAmt
Desc	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 2019, MORE THAN 24,000 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	$21,849,716	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	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 2019, THIS PROGRAM ASSISTED APPROXIMATELY 18,000 PATIENTS THROUGH FINANCIAL ASSISTANCE.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$69,603,958	ExpenseAmt
Grant	$3,875,926	GrantAmt
Revenue	$45,924,814	RevenueAmt
Desc	SCH. O, COMMUNITY BENEFIT REPORT	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$69,603,958	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$3,875,926	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$45,924,814	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$3,715,973,992	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	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	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	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	false	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	5920	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	9470	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	Yes (true)	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
Other	Yes (X)	OtherInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE KAISER PLAZA 15L	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 (37 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	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Bernard Tyson
Chairman & CEO	3.5	46.5	Yes (X)	$0	$16,114,729	$19,364,810
Kathryn Lancaster
EVP & CFO	3.5	46.5		$0	$6,221,959	$498,376	Yes (X)
Gregory Adams
Chairman & CEO	4.0	46.0	Yes (X)	$0	$5,505,365	$707,892	Yes (X)
Arthur Southam
EVP, Health Plan Operations	3.5	46.5	Yes (X)	$0	$5,331,038	$506,745
Patrick Courneya
EVP, Chief Medical Officer	2.5	47.5		$0	$1,751,323	$1,238,244	Yes (X)
Mark Zemelman
SVP, General Counsel & Secy	2.0	48.0	Yes (X)	$0	$2,074,271	$328,680
Susan Mullaney
Region President - WA	44.0	6.0	Yes (X)	$0	$1,152,270	$671,616
Donald Orndoff
SVP, NFS	3.5	46.5	Yes (X)	$0	$1,556,215	$176,921
Thomas Meier
SVP, Corporate Treasurer	1.5	48.5	Yes (X)	$0	$1,177,748	$260,343
Janet O'Hollaren
VP, COO	50.0	0.0		$0	$799,487	$510,108		Yes (X)
Karen Schartman
VP, CFO & Strategy - WA	50.0	0.0	Yes (X)	$0	$789,543	$405,019
Alfonse Upshaw
SVP,Corporate Controller & CAO	3.0	47.0	Yes (X)	$0	$948,792	$200,172
Tami Lamp
SVP, Chief HR Officer	0.0	50.0		$0	$1,111,557	$25,770			Yes (X)
Sarah Yates
Assistant Secretary	50.0	0.0	Yes (X)	$0	$781,947	$220,561
Eric Larson
VP, Health Research	50.0	0.0		$0	$707,224	$151,251				Yes (X)
Joseph Smith
VP, MSBD - WA	50.0	0.0	Yes (X)	$0	$572,678	$260,801
Christine Lindsey
VP, Financial Planning	50.0	0.0		$0	$636,546	$191,554				Yes (X)
Kelly Stanford
VP, Clin Ops & Mkt Integration	50.0	0.0		$0	$607,252	$203,584				Yes (X)
Alicia Eng
VP, Clinical Operations	50.0	0.0		$0	$594,062	$193,130				Yes (X)
Todd Hesse
MGT, Account Mgt V	50.0	0.0		$298,680	$316,766	$123,892				Yes (X)
Gerard Fischer
VP, Ancillary & Business Svcs	50.0	0.0		$0	$608,097	$127,688		Yes (X)
Scott Armstrong
President & CEO	0.0	0.0		$500,126	$0	$191,853			Yes (X)
Hong-Sze Yu
VP, Brd & Corp Gov & Asst Secy	3.0	47.0	Yes (X)	$0	$383,934	$286,903
Pamela Warren
VP, HP Services & Admin - WA	50.0	0.0	Yes (X)	$0	$481,377	$171,168
Erin Leff
VP, COO	0.0	0.0		$0	$545,037	$6,045			Yes (X)
Shawna Sweeney
Assistant Secretary	50.0	0.0	Yes (X)	$0	$427,175	$116,433
John Rodgers
VP, Business Info Officer - WA	50.0	0.0	Yes (X)	$0	$366,183	$170,252
Breton Myers
VP, Treasury	0.0	0.0		$0	$427,647	$16,504			Yes (X)
Barbara Trehearne
VP, Clinical Excellence & Int	0.0	0.0		$0	$284,073	$0			Yes (X)
Margaret E Porfido J
Director	0.5	5.5		$14,500	$287,262	-$23,196	Yes (X)
Judith A Johansen JD
Director	0.0	9.0		$0	$272,875	-$13,027			Yes (X)
Ramon F Baez
Director	1.2	4.7		$14,500	$235,530	$1,555	Yes (X)
Maryann Bodayle
Assistant Secretary	1.0	49.0	Yes (X)	$0	$177,929	$69,541
Kim J Kaiser
Director	0.5	0.0		$27,660	$11,800	$0	Yes (X)
Constance W Rice
Director	2.0	0.0		$20,660	$0	$0	Yes (X)
Michael D Wilson
Director	1.25	0.0		$19,660	$0	$0	Yes (X)
Ruta E Fanning
Director	1.0	0.0		$14,500	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$798,806	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$50,769,217	TotReportableCompRltdOrgAmt
Total Other Compensation	$27,023,126	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1968	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	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
320 WESTLAKE AVE N	SEATTLE	WA	98109	MEDICAL PROFESSIONAL	$465,223,785
MULTICARE HEALTH SYSTEM
PO BOX 5299	TACOMA	WA	98415	Hospital Services	$145,072,920
OVERLAKE HOSPITAL MED CTR
1035 116TH AVE NE	BELLEVUE	WA	98004	HOSPITAL SERVICES	$117,173,023
ST JOSEPH MEDICAL CENTER
1717 S J ST	TACOMA	WA	98405	Hospital Services	$116,670,144
PEACEHEALTH MEDICAL GROUP
1115 SE 164TH AVE	VANCOUVER	WA	98683	HOSPITAL SERVICES	$98,375,342

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	642	CntrctRcvdGreaterThan100KCnt
Government Grants	$34,655,121	GovernmentGrantsAmt
All Other Contributions	$7,924,223	AllOtherContributionsAmt
Total Contributions	$42,579,344	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MEMBERS HEALTH DUES	900099	$2,113,288,965	$2,113,288,965
MEDICARE	900099	$971,306,640	$971,306,640
COPAYS, DEDUCTIBLES, FEES	900099	$347,099,291	$347,099,291
NON-PLAN & INDUSTRIAL	900099	$66,375,353	$52,233,081	$14,142,272
OTHER PROGRAM SERVICE	900099	$327,959,219	$327,941,219	$18,000

Field	Value	IRS element (for citing)
Total Program Service Revenue	$3,826,029,468	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$31,030,756	TotalRevenueColumnAmt
Unrelated Business Revenue	$18,752	UnrelatedBusinessRevenueAmt
Exclusion	$31,012,004	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	$718,171	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$718,171	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$718,171	TotalRevenueColumnAmt
Exclusion	$718,171	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,073,047,754	SecuritiesAmt
Other	$68,684	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$3,006,703,710	SecuritiesAmt
Other	$78,330	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$66,344,044	SecuritiesAmt
Other	-$9,646	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$66,334,398	TotalRevenueColumnAmt
Exclusion	$66,334,398	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

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	PARKING REVENUE	Desc
Business	812930	BusinessCd
Total Revenue Column	$1,454,499	TotalRevenueColumnAmt
Exclusion	$1,454,499	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,454,499	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,968,146,636	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,811,869,196	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$14,179,024	UnrelatedBusinessRevenueAmt
Exclusion	$99,519,072	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$19,429,163	TotalAmt
Program Services	$19,429,163	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	$102,988	TotalAmt
Program Services	$102,988	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	$111,480	TotalAmt
Management And General	$111,480	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$647,221,879	TotalAmt
Program Services	$572,917,808	ProgramServicesAmt
Management And General	$74,304,071	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$55,327,717	TotalAmt
Program Services	$42,772,576	ProgramServicesAmt
Management And General	$12,555,141	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$34,512,651	TotalAmt
Program Services	$26,680,931	ProgramServicesAmt
Management And General	$7,831,720	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$46,903,566	TotalAmt
Program Services	$36,260,061	ProgramServicesAmt
Management And General	$10,643,505	ManagementAndGeneralAmt

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	$0	TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,058,165	TotalAmt
Management And General	$1,058,165	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$199,875	TotalAmt
Management And General	$199,875	ManagementAndGeneralAmt

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	$1,219,960	TotalAmt
Management And General	$1,219,960	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

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

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$17,154,479	TotalAmt
Program Services	$8,335,910	ProgramServicesAmt
Management And General	$8,818,569	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$20,973,990	TotalAmt
Program Services	$20,675,058	ProgramServicesAmt
Management And General	$298,932	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

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

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$33,668,034	TotalAmt
Program Services	$33,668,034	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$5,028,835	TotalAmt
Program Services	$4,255,131	ProgramServicesAmt
Management And General	$773,704	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	$2,132,578	TotalAmt
Management And General	$2,132,578	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,658,779	TotalAmt
Program Services	$1,658,779	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$109,028,742	TotalAmt
Program Services	$109,028,484	ProgramServicesAmt
Management And General	$258	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$17,110,246	TotalAmt
Program Services	$17,110,246	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PURCHASED MEDICAL SVC	$1,518,234,371	$1,518,234,371
SUPPLIES - PHARMACY, OFFICE	$634,162,417	$605,343,499	$28,818,918
BASIC CONTRACTUAL PAYMENTS	$479,252,072	$479,252,072
PURCHASED NON-MEDICAL SVC	$162,883,699	$114,304,839	$48,578,860

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$142,748,857	TotalAmt
Program Services	$105,944,042	ProgramServicesAmt
Management And General	$36,804,815	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,950,124,543	TotalAmt
Program Services	$3,715,973,992	ProgramServicesAmt
Management And General	$234,150,551	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	$7,112,461	BOYAmt
EOY	$9,788,027	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$121,061,531	BOYAmt
EOY	$131,390,976	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	$911,498	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$18,639,832	BOYAmt
EOY	$19,558,135	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$11,816,452	BOYAmt
EOY	$8,792,266	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,127,593,445	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$200,933,680	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$904,805,971	BOYAmt
EOY	$926,659,765	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$815,025,097	BOYAmt
EOY	$820,097,772	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$75,570,416	BOYAmt
EOY	$22,245,862	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	$464,426,571	BOYAmt
EOY	$431,956,616	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$186,858,963	BOYAmt
EOY	$248,282,474	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,606,228,792	BOYAmt
EOY	$2,618,771,893	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$508,619,746	BOYAmt
EOY	$522,010,398	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	$36,401,199	BOYAmt
EOY	$31,166,642	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	$308,234,318	BOYAmt
EOY	$435,840,023	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$853,255,263	BOYAmt
EOY	$989,017,063	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	$1,862,900,717	BOYAmt
EOY	$1,862,900,717	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	-$109,927,188	BOYAmt
EOY	-$233,145,887	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,752,973,529	BOYAmt
EOY	$1,629,754,830	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,606,228,792	BOYAmt
EOY	$2,618,771,893	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$18,022,093	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$13,165,869	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$128,074,923	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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$1,500,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$664,985	CurrentYearMinus3Amt
Total	$664,985	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Total	$250,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$375,000	GrassrootsCeilingAmt
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$13,606	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$235,222	DirectContactLegislatorsAmt
Rallies Demonstrations	Yes (true)	RalliesDemonstrationsInd
Rallies Demonstrations	$17,500	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$235,762	OtherActivitiesAmt
Total Lobbying Expenditures	$502,090	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1A THROUGH 1I	FormAndLineReferenceDesc
Explanation	LOBBYING ACTIVITY BY NONELECTING PUBLIC CHARITIES THE ORGANIZATION ("KAISER FOUNDATION HEALTH PLAN OF WASHINGTON" AKA "KFHP WA") IS A MEMBER OF THE KAISER PERMANENTE MEDICAL CARE PROGRAM (KP) AND PARTICIPATED IN AND BENEFITED FROM LOBBYING ACTIVITIES CONDUCTED AT THE REGIONAL AND NATIONAL LEVELS FOR THE BENEFIT OF ITS ENROLLED MEMBERS, THE BROADER COMMUNITY AND FOR THE HEALTH CARE INDUSTRY AS A WHOLE. AS AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), KFHP WA HAS A POLICY PROHIBITING ANY OF KFHP WA'S RESOURCES BEING USED IN ANY POLITICAL CAMPAIGNS. THIS POLICY IS CLOSELY MONITORED FOR COMPLIANCE. DURING THE YEAR THIS ORGANIZATION MADE COMMENTS OR STATEMENTS CONCERNING LEGISLATION AND BALLOT INITIATIVES WHICH MAY AFFECT THE HEALTH CARE INDUSTRY. KFHP WA ENGAGED IN CONVERSATIONS WITH AND/OR WRITTEN COMMUNICATIONS TO VARIOUS FEDERAL, STATE, AND LOCAL OFFICIALS REGARDING MATTERS WHICH AFFECTED THE HEALTHCARE INDUSTRY AS A WHOLE. THE AMOUNT OF MONEY INVOLVED IN THE ACTIVITIES IS DETAILED ON LINES A THROUGH I. KP EMPLOYS INDIVIDUALS, INCLUDING ONE OR MORE REGISTERED LOBBYISTS AND/OR MAY RETAIN ONE OR MORE PROFESSIONAL CONSULTANTS TO REPRESENT KFHP WA'S INTERESTS IN VARIOUS LEGISLATIVE AND REGULATORY BODIES AND FROM TIME-TO-TIME TO KEEP INFORMED ABOUT FEDERAL AND STATE LEGISLATION HAVING AN IMPACT ON KP'S CHARITABLE ACTIVITIES AS AN EXEMPT HEALTH MAINTENANCE ORGANIZATION. THESE INDIVIDUALS ATTEMPT TO ENSURE THAT PROPOSED LEGISLATION AND ENACTED LAWS ARE COMPATIBLE WITH THE INTERESTS OF KP, ITS MEMBERS AND ITS PATIENTS BY PERFORMING THE FOLLOWING ACTIVITIES: - COLLECTING, ANALYZING AND DISTRIBUTING WITHIN THE ORGANIZATION, PUBLIC AND PRIVATE POLICY RECOMMENDATIONS REGARDING PROPOSED LEGISLATION THAT AFFECT THE OPERATION OF KFHP WA AND ITS ABILITY TO PROVIDE QUALITY HEALTH AND MEDICAL CARE SERVICES TO ITS MEMBERS AND THE BROADER COMMUNITY IN A COST EFFECTIVE MANNER. - PROVIDING APPROPRIATE INFORMATIONAL MATERIALS TO LEGISLATORS AND THEIR STAFFS THAT PERTAIN TO MATTERS OF COMMON INTEREST IN THE HEALTH CARE COMMUNITY AND IN THE NOT-FOR-PROFIT COMMUNITY. - PREPARING WRITTEN AND ORAL TESTIMONY, APPEARING AT LEGISLATIVE HEARINGS, MONITORING LEGISLATIVE PROCEEDINGS AND MEETING WITH LEGISLATORS AND/OR THEIR STAFFS REGARDING ISSUES PERTINENT TO THE MISSION OF KFHP WA. INDIVIDUALS APPEARING AT SUCH HEARINGS AND MEETINGS FOR AND ON BEHALF OF KFHP WA OFTEN ARE REPRESENTING THE INTERESTS OF COMMON INTEREST GROUPS AS WELL AS THE INTERESTS OF THE MEMBERS AND PATIENTS OF KFHP WA. OTHER EMPLOYEES AND OFFICERS PERFORM SERVICES BY DELIVERING SPEECHES AT VARIOUS PUBLIC AND PRIVATE FUNCTIONS AND IN SERVING AS FACULTY IN HEALTHCARE RELATED EDUCATIONAL PROGRAMS THROUGHOUT THE COMMUNITY.	ExplanationTxt

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	$177,416,288	OtherCostOrOtherBasisAmt
Book Value	$177,416,288	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$642,850,702	OtherCostOrOtherBasisAmt
Depreciation	$75,924,730	DepreciationAmt
Book Value	$566,925,972	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,960,491	OtherCostOrOtherBasisAmt
Depreciation	$4,507,607	DepreciationAmt
Book Value	$6,452,884	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$197,439,674	OtherCostOrOtherBasisAmt
Depreciation	$91,555,021	DepreciationAmt
Book Value	$105,884,653	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$98,926,290	OtherCostOrOtherBasisAmt
Depreciation	$28,946,322	DepreciationAmt
Book Value	$69,979,968	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$926,659,765	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
BROKER RECEIVABLES	$4,371
OTHER CURRENT ASSETS	$6,943,647
EQUITY IN SUBS	$133,022,346
OTHER LONG-TERM ASSETS	$11,129,345
DUE FROM AFFILIATES	$42,704,067
OPERATING LEASE ROU ASSETS	$54,478,698

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$248,282,474	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
DUE TO ASSOCIATED MED. GROUPS	$53,678,758
DUE TO AFFILIATED ORGANIZATIONS	$138,792,645
SELF-INSURED RISKS	$62,183,373
PENSION & RETIREMENT LIABILITIES	$69,550,342
OTHER CURRENT LIABILITIES	$47,581,858
OTHER L/T LIABILITIES	$18,475,583
OPERATING LEASE LIABILITIES	$45,577,464

Field	Value	IRS element (for citing)
Total Liability	$435,840,023	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

Grants To Org Outside US GrantsToOrgOutsideUSGrp (2 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt
Europe (Including Iceland and Greenland)	Research	$93,203
North America	Research	$9,785

Field	Value	IRS element (for citing)
Total501c3 Org	0	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt
Transfer To Foreign Corp	Yes (true)	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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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	$21,849,716	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,849,716	NetCommunityBenefitExpnsAmt
Total Expense	0.00550	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$61,823,894	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,110,853	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,713,041	NetCommunityBenefitExpnsAmt
Total Expense	0.00780	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$83,673,610	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,110,853	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,562,757	NetCommunityBenefitExpnsAmt
Total Expense	0.01330	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,026,986	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,398,659	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,628,327	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,358,389	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,083	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,337,306	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,342,657	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,505,073	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,837,584	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,875,927	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,875,927	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$69,603,959	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,924,815	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,679,144	NetCommunityBenefitExpnsAmt
Total Expense	0.00600	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$153,277,569	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$77,035,668	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$76,241,901	NetCommunityBenefitExpnsAmt
Total Expense	0.01930	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$407,628	BadDebtExpenseAmt
Reimbursed By Medicare	$419,186	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$405,409	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$13,777	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	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	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	19	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
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
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	Community input was provided by a broad range of community members using key informant interviews, focus groups, and community events. Individuals with the knowledge, information, and expertise relevant to the health needs of the community were consulted. These individuals included representatives from state, local, tribal, or other regional governmental public health departments (or equivalent department or agency) as well as leaders, representatives, or members of medically underserved, low-income, and minority populations. Additionally, where applicable, other individuals with expertise of local health needs were consulted.
Part V, Line 6a	Kaiser Foundation Health Plan of Washington (KPWA) conducted this CHNA independently. However, the report incorporates information from the King County Community Health Needs Assessment 2018/2019, published by King County Hospitals for a Healthier Community, a hospital/public health coalition of which KPWA is a member.
Part V, Line 6b	KPWA has participated in priority setting exercises with several collaboratives outside of King County, including The Edge of Amazing (Snohomish County). KPWA also considered priorities identified by other collaboratives in our region, such as Priority Spokane (Spokane County), Kitsap Community Health Priorities (Kitsap County), Thurston Thrives (Thurston County), Pierce County Community Health Improvement Plan (Pierce County), and the 2018 Washington State Health Assessment.
Part V, Line 11	Kaiser Foundation Health Plan of Washington (KPWA) has a comprehensive measurement strategy for Community Health. Our vision at KPWA is for our communities to be the healthiest in the nation. To that end, we are committed to pursuing a deep and rigorous understanding of the impact of our community health efforts. We monitor the health status of our communities and track the impact of our many initiatives on an ongoing basis. We use our measurement and evaluation data, and information gathered through our Community Health Needs Assessments, to improve the effectiveness of our work and demonstrate our impact. The Community Health Needs Assessments can help inform our comprehensive community health strategy and can help highlight areas where a particular focus is needed and support discussions about strategies aimed at addressing those health needs. In addition, KPWA will monitor and evaluate the strategies listed above for the purpose of tracking the implementation and documenting the impact of those strategies in addressing selected CHNA health needs. Tracking metrics for each prioritized health need include the number of grants made, the number of dollars spent, the number of people reached/served, collaborations and partnerships, and metrics specific to KPWA leveraged assets. In addition, KPWA tracks outcomes, including behavior and health outcomes, as appropriate and where available. KPWA will address the following health needs identified in the Community Health Needs Assessment: 1) access to care; 2) economic security; 3) equitable access to healthy food and physical activity, and 4) mental health, where all community members: 1. have access to high-quality health care services in coordinated delivery system 2. experience improved economic security, including access to employment, education, and housing opportunities and other factors that influence health 3. eat better and move more as a part of daily life 4. experience social-emotional health and well-being and have access to high-quality mental health services Two health needs from the 2019 CHNA will not be addressed in this Implementation Strategy. These were not ranked as highly as the other four health needs in either the CHNA prioritization or stakeholder survey processes. Community conversations also did not emphasize these areas as ones where KPWA would have the most opportunity to make an impact. The needs that will not be addressed are: - Unhealthy substance use - Climate and health While these health needs are not the focus of this Implementation Strategy, KPWA may consider investing resources in these areas as appropriate, depending on opportunities for KPWA to leverage its assets in partnership with local communities. This report does not encompass a complete inventory of everything KPWA does to support the health of our communities, including our commitment to environmental stewardship.
Part V, Line 13a	KPWA PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL.
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 CHARITY CARE.
Part V, Line 16	THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT www.kp.org/mfa/wa

Field	Value	IRS element (for citing)
Facility	36	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (36 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Seattle-Capitol Hill Medical Center
201 16th Ave E	Seattle	WA	981125260	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
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
Seattle - Northgate Medical Center
9800 4th Ave NE	Seattle	WA	98115	Medical Center
Federal Way Medical Center
301 S 320th St	Federal Way	WA	98003	Medical Center
Lynnwood Medical Center
20200 54th Ave W	Lynnwood	WA	98036	Medical Center
Bellevue - Factoria Medical Center
13451 SE 36th St	Bellevue	WA	98006	Medical Center
Puyallup Medical Center
1007 39th Ave SE	Puyallup	WA	38374	Medical Center
Port Orchard Medical Center
1400 Pottery Ave	Port Orchard	WA	98366	Medical Center
Burien Medical Center
140 SW 146th St	Seattle	WA	98166	Medical Center
Tacoma South Medical Center
9505 Steele St S	Tacoma	WA	98444	Medical Center
Renton Medical Center
275 Bronson Way NE	Renton	WA	98056	Medical Center
Spokane - Veradale Medical Center
14402 E Sprague Ave	Spokane	WA	99216	Medical Center
Spokane - Lidgerwood Medical Center
6002 N Liderwood	Spokane	WA	99207	Medical Center
Seattle - Northgate South Building
9720 4th Ave NE	Seattle	WA	98115	Vision Center
Redmond Medical Center
15809 Bear Creek Pkwy Ste 100	Redmond	WA	98052	Medical Center
Kent Medical Center
26004 104th Ave SE	Kent	WA	98031	Medical Center
Bothell - Northshore Medical Center
11913 NE 195th St	Bothell	WA	98011	Medical Center
Seattle - Rainier Medical Center
5316 Rainier Ave S	Seattle	WA	98118	Medical Center
Tacoma Behavioral Health Services
4301 S Pine St	Tacoma	WA	98409	Behavioral Health Clinic
Seattle - Downtown Medical Center
1420 5th Ave Suite 375	Seattle	WA	98101	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
Tacoma Hear Center & Eye Care
5821 S Sprague Court	Tacoma	WA	98409	Audiology & Vision Center
Lincoln Heights Medical Office
3010 S Southeast Blvd Ste A	Spokane	WA	99223	Medical Clinic
Silverdale Eye Care
10516 Silverdale Way NW	Silverdale	WA	98383	Vision Center
CMA - North Side Endocronology
6120 N Mayfair St	Spokane	WA	99208	Medical Clinic
Spokane - South Hill Medical Center
4102 S Regal St Ste 101	Spokane	WA	99223	Medical Center
Bremerton Behavioral Health Services
555 Pacific Ave Ste 202	Bremerton	WA	98337	Behavioral Health Clinic
Gig Harbor
5216 Point Fosdick Dr	Gig Harbor	WA	98335	Medical Clinic
South Lake Union Medical Office
210 9th Ave N	Seattle	WA	98109	Medical 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 7, PERCENT OF TOTAL EXPENSE	COST-TO CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO CHARGES, WAS USED TO REPORT THE FOLLOWING COMMUNITY BENEFIT EXPENSES: - Medical Financial Assistance (non-members only) - unreimbursed costs Kaiser Foundation Health Plan of Washington utilized the statutory line of business report and other internal reports that provide detailed revenue and expense by line of business using the income statement and cost management data (CMD) expense and utilization information. On a monthly basis, all GAAP general ledger expenses are loaded into the CMD costing system at the accounting unit (AU) and account level along with patient utilization information from various utilization systems. Each AU is categorized within CMD as one of three types of expenses: 1) care delivery system representing medical services provided to consumers; 2) health plan representing insurance services; or 3) overhead representing administrative support services to both care delivery system and health plan. Overhead is allocated to either care delivery system or health plan using a step-down process based on relevant statistics such as number of FTEs, labor cost, square feet, etc. The overhead allocation percentage between care delivery system and health plan are determined and maintained by the CMD costing and costing methodology review team. PART III, LINE 2, BAD DEBT EXPENSE METHODOLOGY DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE.
Part III Line 8, Medicare shortfall	None of the amounts reported on Part III, line 7 has been treated as community benefit. The Medicare hospital cost reports are the source document to capture the Medicare revenue and Medicare allowable costs. To determine the direct costs, the cost report takes inputs from the general ledger by hospital location and applies a step-down methodology to allocate overhead costs. The costs are then passed through additional cost report computations to determine allowable Medicare costs. The total allowable Medicare cost is subtracted from the total revenue by region to determine the Medicare surplus or shortfall.
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	In addition to the health care needs identified in the CHNA, Kaiser Foundation Health Plan of Washington also assesses community need through its leaders' participation and membership on a number of coalitions, collaboratives and boards. These include Challenge Seattle, Seattle Chamber, Washington Healthcare Forum, Washington Stem, Washington State Health Insurance Pool, the Puget Sound Health Alliance, King County Hospitals for a Healthier Community, the BREE Collaborative, U.S. Preventive Services Task Force, Community Health Advisory Committee, Boys and Girls Clubs, Alliance for Education, the King County Accountable Community of Health, the Washington Roundtable, the Washington State Hospital Association, and the Washington Health Alliance to name a few. Kaiser Foundation Health Plan of Washington participates in these policy, advocacy, and transformation efforts to ensure greater access to address the needs of the community and state populations, and to ensure equity and access for our low-income populations. Some of these groups bring together care delivery systems, state and city government, and hospitals and insurers to address entrenched issues that cannot be tackled by any one entity alone.
PART VI, LINE 3, PATIENT EDUCATION FOR ELIGIBILITY FOR ASSISTANCE	In Washington, information regarding assistance is widely available throughout the facilities to all patients which includes both health plan members and the general public. Information regarding the availability of Kaiser Foundation Health Plan of Washingtons medical financial assistance program (MFAP) is posted in all KFHP-WA medical facilities. The posted information contains contact information for further assistance. KFHP-WA clinical, customer service, resource line and patient billing staff are also a source of information for patients that express financial hardship or request medical financial assistance. This staff can provide a copy of the financial assistance policy summary or connect a patient with Patient Financial Services representatives and Community Resource Specialists in each clinic who can assist patients in determining eligibility for government programs or the MFAP. In addition, MFAP information, including the policy, policy plain language summary and application, can also be found on the publicly accessible KP 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 third hospital billing statement to all patients. 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	Kaiser Foundation Health Plan of Washington's (KFHP-WA) service areas include all or part of 22 counties in Washington with facilities in Seattle, Bellevue, Olympia, Tacoma, Everett, Silverdale, Spokane, Federal Way, Puyallup, Lynnwood, Port Orchard, Renton, Redmond, Bothell, Kent, Poulsbo, Bremerton, Liberty Lake and Fairfield. Total population in area (mil); 6.3 Median Household Income**; $74,992 % below 100% fpl; 12.56% w/o public or private health ins; 7.7% Limited English Proficiency; 7.6% Unemployment Rate (%)**; 7.6% (SOURCE: US CENSUS 2010 AMERICAN COMMUNITY SURVEY). WASHINGTON STATE OFFICE OF FINANCIAL MANAGEMENT US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY: 2012-16 * EMPLOYMENT SECURITY DEPARTMENT OF WASHINGTON STATE ** WASHINGTON STATE OFFICE OF FINANCIAL MANAGEMENT
PART VI, LINE 5, PROMOTION OF COMMUNITY HEALTH	KFHP-WA commitment to the community and promotion of community health: Since our beginnings, we have been committed to helping shape the future of health care. KFHP-WA is dedicated to care innovations, clinical research, health education and the support of community health. KFHP-WA is committed to the belief that good health is a fundamental right shared by all, and we recognize that good health extends beyond the doctor's office and the hospital. Like our approach to medicine, our work in the community takes a prevention-focused, evidence-based approach. 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 in three areas-health access, healthy communities, and health knowledge-to address critical health issues in our communities. For many years, we have worked collaboratively with other organizations to address serious public health issues such as obesity, access to care, and violence. We have conducted 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 board 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 as a full-time assignment. In 2019, Kaiser Foundation Health Plan of Washington (KFHP-WA) made significant contributions to the community, both financial and through staff volunteer efforts. KFHP-WAs primary exempt purpose is to provide comprehensive, prevention-oriented health care services. Beneficiaries of this purpose are KFHP-WA enrollees and non-enrolled patients. KFHP-WA also provides health improvement-related education and information, financial and other support to community-based organizations, with a focus on prevention and wellness, and conducts research activities that benefit the broader community. To fulfill its purpose, KFHP-WA clinicians provide outpatient primary and specialty care as well as some inpatient acute and sub-acute care through the services of salaried physicians, nurses, and other health care providers. The salaried physicians are employed by Washington Permanente Medical Group, P.C., which care exclusively for patients at KFHP-WA facilities. As of year-end 2019, KFHP-WA operated one hospital and 36 medical offices. KFHP-WA also contracts with community health care providers for services where KFHP-WA does not operate its own facilities and for medical services not provided at KFHP-WA care facilities. KFHP-WA conducts practical, public domain research to improve health and health care throughout the community and nation through the Kaiser Permanente Washington Health Research Institute (KPWHRI) with a grant and contract base of more than $46M in 2019. Since inception in 1983, KPWHRI investigators have published more than 5,900 scientific papers and have made major contributions to effective care of chronic conditions such as diabetes, back pain, cardiovascular disease, and depression. For example, researchers develop and study ways to help the population make informed medical decisions, quit smoking, and fight obesity. KPWHRI also supports research that improves the safety and efficacy of medications, immunizations, medical imaging, and cancer screening. While research generally takes a long time to reach and influence health care systems (i.e. clinical practice), KPWHRI places a high priority on quickly disseminating and translating its findings within KFHP-WA and across our communities locally and nationally. KPWHRI is a globally recognized leader in preventive medicine, healthy aging, cancer control and implementation science--all using cutting-edge research methods, data analysis and health information technology. KPWHRI investigators are helping develop, evaluate and disseminate effective models of care. In addition, KPWHRIs Center for Community Health and evaluation leads evaluations of health-related programs and initiatives nationally, contributing to improvements in health outcomes for the myriad of communities it serves. Through a partnership with King County, KFHP-WA also supports 6 school-based health centers at middle and high schools in the Seattle Public School District. This includes hiring nurses and nurse practitioners and supporting their clinic and administrative needs. Through grants, we have also provided wrap around mental health care in 3 school-based health centers. The school-based centers served over 2,535 students during over 11,750 visits in 2019 and are a huge boost to the health and wellness of the student community. KFHP-WA partners with Project Access, an organization which works with medical providers in health care communities across the county to provide medical care to individuals that meet county-specific medical and financial eligibility criteria. KFHP-WA coordinates with Project Access to provide care to these patients at designated medical centers and specialty departments. In 2019, 780 patients were referred to specialists in audiology, dermatology, gastrointestinal, gynecology, ophthalmology, orthopedics, physical therapy and urology. Throughout the year, KFHP-WA donated lab services to the Olympia Free Clinic and to YouthCares Orion Center in Seattle. KFHP-WA care providers are able to refer patients to the nearby KFHP-WA labs where samples are drawn and tested, and the results are returned to the Center providers.
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 Americas 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 2019, 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	THIS QUESTION IS NOT APPLICABLE.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (99 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ALLIANCE FOR A HEALTHIER GENERATION
PO Box 4800	PORTLAND	OR	97208	272028308	501(c)(3)	$131,421	Project Support
ALLIANCE FOR EDUCATION
509 OLIVE WAY STE 500	Seattle	WA	98101	911508191	501(c)(3)	$20,000	Event sponsorship
ARIVVA
618 N YAKIMA AVE	TACOMA	WA	98403	814175391	501(c)(3)	$47,000	Project Support
ASIAN COUNSELING AND REFERRAL SERVICE
3639 MLK JR WAY S	Seattle	WA	98144	910916176	501(c)(3)	$7,500	Event sponsorship
ASSOCIATION OF WASHINGTON
8061 DENSMORE AVE N	SEATTLE	WA	98103	510170717	501(c)(3)	$20,000	Project Support
ASSOCIATION OF WASHINGTON CITIES
1076 Franklin St SE	Olympia	WA	98501	916000045	501(c)(4)	$6,000	Sponsorship of two conferences
BELLINGHAM SCHOOL DISTRICT 501
1306 DUPONT ST	BELLINGHAM	WA	98225	916001648	Government or p	$45,680	Project Support
BIKE WORKS SEATTLE
3709 S FERDINAND ST	SEATTLE	WA	98118	911753062	501(c)(3)	$24,999	Project Support
BOSTON MEDICAL CENTER CORPORATION
660 HARRISON AVE FL 2	BOSTON	MA	02118	043314093	501(c)(3)	$343,836	Research
BOYS & GIRLS CLUBS OF S PUGET SOUND
3875 S 66TH ST	Tacoma	WA	98409	910759832	501(c)(3)	$10,000	Event sponsorship
CareerWorks Inc
601 Union St Ste 3030	Seattle	WA	98101	822896556	501(c)(3)	$50,000	CareerWorks Medical Program
CENTER FOR CHILDREN & YOUTH JUSTICE
615 2ND AVE STE 275	SEATTLE	WA	98104	204457248	501(c)(3)	$34,750	Project Support
CHILDRENS ALLIANCE
718 6TH AVE S	Seattle	WA	98104	910982879	501(c)(3)	$6,000	Event sponsorship
CITIZENS FOR BETTER TRANSPORTATION
603 STEWART ST STE 819	Seattle	WA	98101	202927862	501(c)(6)	$20,000	Referendum support
COMAGINE HEALTH
756 E WINCHESTER ST 200	SLC	UT	84107	911072875	501(c)(3)	$155,060	Research
COMMUNITY HEALTH ASSOC OF SPOKANE
203 N Washington St 300	SPOKANE	WA	99201	911641797	501(c)(3)	$320,480	Project Support
COMMUNITY HEALTH CARE
1148 BROADWAY STE 100	TACOMA	WA	98402	911349657	501(c)(3)	$346,320	Project Support
COUNTRY DOCTOR COMMUNITY HEALTH CENTERS
500 19TH AVE E	SEATTLE	WA	98112	237100868	501(c)(3)	$67,203	Project Support
CRISIS CONNECTIONS
9725 3RD AVE NE STE 300	SEATTLE	WA	98115	910773187	501(c)(3)	$90,000	Project Support
ESSENTIA INSTITUTE OF RURAL HEALTH
502 E SECOND St	DULUTH	MN	55805	271291124	501(c)(3)	$98,039	Research
EVERETT SCHOOL DISTRICT NO 2
3900 Broadway	EVERETT	WA	98201	916001542	Government or p	$6,390	Project Support
FEDERAL WAY SCHOOL DISTRICT NO 210
33330 8TH AVE S	FEDERAL WAY	WA	98003	916001624	Government or p	$59,795	Project Support
FOOD LIFELINE
815 S 96TH ST	SEATTLE	WA	98108	911090450	501(c)(3)	$65,000	Project Support
FORTERRA NW
901 5TH AVE	SEATTLE	WA	98164	943112461	501(c)(3)	$63,314	Project Support
FOUNDATION FOR SEATTLE COLLEGES
1500 Harvard Ave	Seattle	WA	98122	830551671	501(c)(3)	$207,170	Scholarship fund
FRED HUTCHINSON CANCER RESEARCH CTR
1100 FAIRVIEW AVE N	SEATTLE	WA	98109	237156071	501(c)(3)	$251,791	Research
GEISINGER CLINIC
100 N ACADEMY AVE	DANVILLE	PA	17822	236291113	501(c)(3)	$725,250	Research
HARVARD PILGRIM HEALTH CARE INC
401 PARK DRIVE STE 401	BOSTON	MA	02215	042452600	501(c)(3)	$542,531	Research
HARVARD UNIVERSITY
401 PARK DR NQSC 3RD FL E	BOSTON	MA	02215	042103580	501(c)(3)	$17,775	Research
HEALTHPARTNERS INSTITUTE
PO BOX 1524	MINNEAPOLIS	MN	55440	411670163	501(c)(3)	$731,381	Research
HENRY FORD HEALTH SYSTEM
1 FORD PL UNIT 3A	DETROIT	MI	48202	381357020	501(c)(3)	$1,407,519	Research
HIGHLINE SCHOOL DISTRICT 401
15675 AMBAUM BLVD SW	BURIEN	WA	98166	916001631	Government or p	$495,390	Project Support
INNOVIA FOUNDATION
421 W RIVERSIDE AVE 606	SPOKANE	WA	99201	910941053	501(c)(3)	$10,000	Project Support
INSTITUTE FOR COMMUNITY LEADERSHIP
24833 180th Ave SE	KENT	WA	98042	911679370	501(c)(3)	$75,000	Project Support
KENT SCHOOL DISTRICT 415
12033 SE 256TH ST	KENT	WA	98030	916001646	Government or p	$48,750	Project Support
KIDS FOR MOMS AND DADS SERVICE
7802 N Fox Point Dr	SPOKANE	WA	99208	822676455	501(c)(3)	$24,000	Project Support
KING COUNTY PARKS FDN
1650 5th Ave 1900	SEATTLE	WA	98101	911998597	501(c)(3)	$100,000	Project Support
MARCH OF DIMES
PO Box 18819	Atlanta	GA	31126	131846366	501(c)(3)	$20,000	Nurse of the Year - Presenting Sponsorship
MARSHFIELD CLINIC RESEARCH
1000 N OAK Ave	MARSHFIELD	WI	54449	390452970	501(c)(3)	$128,638	Research
MARYS PLACE SEATTLE
PO Box 1711	Seattle	WA	98111	272087950	501(c)(3)	$200,000	No Child Sleeps Outside campaign
MD ANDERSON CANCER CENTER
PO BOX 4266	HOUSTON	TX	77210	746001118	Government or p	$223,006	Research
MONTEFIORE MEDICAL CENTER
PO BOX 29581	NEW YORK	NY	10087	131740114	501(c)(3)	$337,158	Research
MULTICARE HEALTH SYSTEM
PO BOX 5200	TACOMA	WA	98415	911352172	501(c)(3)	$452,397	Research
NAMI WASHINGTON
1107 NE 45TH ST STE 230	SEATTLE	WA	98105	911689067	501(c)(3)	$71,833	Project Support
NORTH THURSTON PUBLIC SCHOOLS
305 COLLEGE ST NE	LACEY	WA	98516	916017626	Government or p	$48,363	Project Support
NORTHEAST WASHINGTON EDUCATIONAL
4202 S Regal St	SPOKANE	WA	99223	910948293	Government or p	$99,947	Project Support
NORTHEASTERN UNIVERSITY
360 HUNTINGTON AVE	BOSTON	MA	02115	041679980	501(c)(3)	$20,895	Research
NORTHERN ARIZONA UNIVERSITY
601 S KNOLES DR	FLAGSTAFF	AZ	86001	742579628	Government or p	$9,060	Research
NORTHWEST EDUCATIONAL SERVICE District 189
1601 R AVE	ANACORTES	WA	98221	910868056	Government or p	$500,000	Project Support
NORTHWEST HEALTHCARE RESPONSE NETWORK
7100 Fort Dent Way 210	Tukwila	WA	98188	463002271	501(c)(3)	$60,000	Project Support
OCHIN INC
1881 SW NAITO PARKWAY	PORTLAND	OR	97201	200195556	501(c)(3)	$374,483	Research
OLYMPIC EDUCATIONAL SERVICE DISTRICT 114
105 National Ave N	Bremerton	WA	98312	910919927	Government or p	$28,112	Project Support
OREGON HEALTH & SCIENCE UNIVERSITY
2720 SW MOODY AVE	PORTLAND	OR	97201	931176109	Government or p	$104,105	Research
PALO ALTO MEDICAL FOUNDATION
795 EL CAMINO REAL	PALO ALTO	CA	94301	941156581	501(c)(3)	$41,554	Research
PHILANTHROPY NORTHWEST
2101 FOURTH Ave	SEATTLE	WA	98121	911110995	501(c)(3)	$99,500	Project Support
PIERCE COUNTY PROJECT ACCESS
223 Tacoma Ave S	TACOMA	WA	98402	271185895	501(c)(3)	$49,750	Project Support
PROJECT ACCESS NORTHWEST
1111 HARVARD AVE	SEATTLE	WA	98122	204377921	501(c)(3)	$410,000	Project Support
PROVIDENCE GENERAL FDN
916 PACIFIC AVE	Everett	WA	98201	911041617	501(c)(3)	$10,000	Edge of Amazing conference
REGENTS OF THE UNIVERSITY OF MICHIGAN
3003 S STATE ST 9000	ANN ARBOR	MI	48109	386006309	Government or p	$60,549	Research
RESEARCH INSTITUTE AT NATIONWIDE
PO BOX 781653	DETROIT	MI	48278	316056230	501(c)(3)	$446,067	Research
SCOTT & WHITE MEMORIAL HOSPITAL
PO BOX 849947	DALLAS	TX	75284	741166904	501(c)(3)	$57,048	Research
SEA-MAR COMMUNITY HEALTH CENTER
1040 S HENDERSON ST	SEATTLE	WA	98108	911020139	501(c)(3)	$5,200	Sponsorships
SEATTLE BIOMEDICAL RESEARCH INSTITUTE
PO BOX 356	MERCER ISLAND	WA	98040	910961784	501(c)(3)	$616,711	Research
SEATTLE CENTER FOUNDATION
305 harrison	SEATTLE	WA	98109	911003385	501(c)(3)	$250,000	Project Support
SEATTLE CHILDRENS HOSPITAL
2001 8TH AVE MS CW8 6	SEATTLE	WA	98121	910564748	501(c)(3)	$198,719	Research
SEATTLE COUNSELING SERVICE
1216 PINE ST STE 300	Seattle	WA	98101	237258439	501(c)(3)	$10,000	Event sponsorship
SEATTLE NEIGHBORHOOD GREENWAYS
220 2nd AVE 100	SEATTLE	WA	98104	464559223	501(c)(3)	$20,000	Project Support
SEATTLE PARKS AND RECREATION
100 DEXTER AVE N	SEATTLE	WA	98109	916001275	Government or p	$15,000	Project Support
SEATTLE SCHOOL DISTRICT
2445 3RD AVE S	SEATTLE	WA	98134	916001541	Government or p	$32,000	Project Support
SEATTLE-KING COUNTY DEPT OF PUBLIC HEALTH
401 5TH AVE 1000	SEATTLE	WA	98104	916001327	Government or p	$79,000	Project Support
SENIOR SERVICES OF SNOHOMISH COUNTY
5026 196th St SW	Lynnwood	WA	98036	910910680	501(c)(3)	$10,000	Event sponsorship
SPOKANE REGIONAL HEALTH DISTRICT
1101 W COLLEGE AVE	SPOKANE	WA	99201	911527532	Government or p	$53,500	Project Support
SWEDISH HEALTH SERVICES
PO BOX 84392	SEATTLE	WA	98124	910433740	501(c)(3)	$40,708	Research
TACOMA PIERCE COUNTY EMPLOYMENT
3640 S Cedar St E	TACOMA	WA	98409	911185418	Government or p	$95,000	Project Support
TACOMA PIERCE COUNTY HEALTH
3629 South D St	TACOMA	WA	98418	911488160	Government or p	$429,206	Project Support
TACOMA SCHOOL DISTRICT NO 10
601 S 8TH ST	TACOMA	WA	98405	916001553	Government or p	$17,090	Project Support
TENINO SCHOOL DISTRICT
301 OLD HIGHWAY	TENINO	WA	98589	911049177	Government or p	$49,861	Project Support
THE ABIM FOUNDATION
510 WALNUT ST 1700	PHILADELPHIA	PA	19106	232585181	501(c)(3)	$14,813	Research
THURSTON COUNTY CHAMBER OF COMMERCE
PO BOX 1427	OLYMPIA	WA	98507	911543494	501(c)(6)	$25,000	Project Support
TRUST FOR PUBLIC LAND
101 Montgomery St	San Francisco	WA	94104	237222333	501(c)(3)	$1,075,000	Project Support
UC REGENTS
757 WESTWOOD PLZ	LOS ANGELES	CA	90095	956006143	Government or p	$6,814	Research
UNITED WAY OF KING COUNTY
720 2ND AVE	SEATTLE	WA	98104	910565555	501(c)(3)	$54,000	Project Support
UNIVERSITY OF CA SAN DIEGO
200 W ARBOR DR MC8821	SAN DIEGO	CA	92103	330599494	Government or p	$42,042	Research
UNIVERSITY OF COLORADO HEALTH SCIENCES
13001 E 17th Place	AURORA	CO	80045	846000555	Government or p	$9,164	Research
UNIVERSITY OF MASSACHUSETTS WORCESTER
215 WHITMORE ADMIN	WORCESTER	MA	01655	043167352	Government or p	$959,561	Research
UNIVERSITY OF MIAMI
PO BOX 405803	ATLANTA	GA	30384	590624458	501(c)(3)	$540,671	Research
UNIVERSITY OF PITTSBURGH
200 GARDNER STEEL	PITTSBURGH	PA	15260	250965591	Government or p	$33,512	Research
UNIVERSITY OF WASHINGTON
4333 BROOKLYN AVE NE	SEATTLE	WA	98195	916001537	Government or p	$3,193,971	Research
UW FOUNDATION
Box 358045	SEATTLE	WA	98195	943079432	501(c)(3)	$35,000	Sponsorships
WACMHC
101 Capitol Way N 200	OLYMPIA	WA	98501	911323282	501(c)(3)	$229,280	Project Support
WASHINGTON ALLIANCE FOR BETTER SCHOOLS
18560 1ST AVE NE	SHORELINE	WA	98155	911698851	501(c)(3)	$20,000	Project Support
WASHINGTON POISON CENTER
155 NE 100TH ST STE 100	SEATTLE	WA	98125	943214597	Government or p	$20,000	Project Support
WASHINGTON SCHOOL-BASED HEALTH ALLIANCE
PO BOX 9565	SEATTLE	WA	98109	450937382	501(c)(3)	$251,830	Project Support
WASHINGTON STATE Dept of Health
111 ISRAEL RD SE	TUMWATER	WA	98501	911444603	Government or p	$24,500	Project Support
WASHINGTON STEM CENTER
210 Hudson St	Seattle	WA	98134	272133169	501(c)(3)	$75,375	Scholarship fund
WEILL MEDICAL COLLEGE OF CORNELL
1300 YORK AVE	NEW YORK	NY	10065	131623978	501(c)(3)	$10,918	Research
WITHIN REACH
155 NE 100TH ST STE 500	SEATTLE	WA	98125	911443685	501(c)(3)	$110,000	Project Support
Workforce Dev't Council of Seattle
2003 Western Ave 250	SEATTLE	WA	98121	912051978	501(c)(3)	$185,000	Project Support
YOUTHCARE
2500 NE 54th St	Seattle	WA	98105	910917079	501(c)(3)	$10,000	YouthCare's 34th Annual Luncheon

Field	Value	IRS element (for citing)
Total501c3 Org	96	Total501c3OrgCnt
Total Other Org	3	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	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (33 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	$1,311,861	$0	$3,637,446	$0	$556,058	$0	$681,386	$0	$26,506	$0	$6,213,257	$0	$1,174,224
Scott Armstrong
President & CEO	$0	$0	$0	$0	$500,126	$0	$191,853	$0	$0	$0	$691,979	$0	$0	$0
Ramon F Baez
Director	$14,500	$222,000	$0	$0	$0	$13,530	$0	$1,555	$0	$0	$14,500	$237,085	$0	$0
Maryann Bodayle
Assistant Secretary	$0	$162,592	$0	$13,052	$0	$2,285	$0	$59,564	$0	$9,977	$0	$247,470	$0	$0
Patrick Courneya
EVP, Chief Medical Officer	$0	$594,720	$0	$716,678	$0	$439,925	$0	$1,214,561	$0	$23,683	$0	$2,989,567	$0	$282,719
Alicia Eng
VP, Clinical Operations	$0	$305,087	$0	$253,230	$0	$35,745	$0	$177,177	$0	$15,953	$0	$787,192	$0	$62,181
Gerard Fischer
VP, Ancillary & Business Svcs	$0	$211,555	$0	$156,412	$0	$240,130	$0	$116,554	$0	$11,134	$0	$735,785	$0	$85,154
Todd Hesse
MGT, Account Mgt V	$135,356	$97,637	$48,330	$196,504	$114,994	$22,625	$14,606	$98,725	$5,763	$4,798	$319,049	$420,289	$0	$0
Judith A Johansen JD
Director	$0	$263,500	$0	$0	$0	$9,375	$0	-$13,027	$0	$0	$0	$259,848	$0	$0
Tami Lamp
SVP, Chief HR Officer	$0	$291,211	$0	$550,000	$0	$270,346	$0	$14,000	$0	$11,770	$0	$1,137,327	$0	$0
Kathryn Lancaster
EVP & CFO	$0	$1,110,792	$0	$1,801,204	$0	$3,309,963	$0	$482,339	$0	$16,037	$0	$6,720,335	$0	$2,480,584
Eric Larson
VP, Health Research	$0	$395,456	$0	$200,306	$0	$111,462	$0	$126,188	$0	$25,063	$0	$858,475	$0	$0
Erin Leff
VP, COO	$0	$0	$0	$113,396	$0	$431,641	$0	$6,045	$0	$0	$0	$551,082	$0	$0
Christine Lindsey
VP, Financial Planning	$0	$269,907	$0	$127,403	$0	$239,236	$0	$161,014	$0	$30,540	$0	$828,100	$0	$0
Thomas Meier
SVP, Corporate Treasurer	$0	$488,751	$0	$565,117	$0	$123,880	$0	$226,729	$0	$33,614	$0	$1,438,091	$0	$0
Susan Mullaney
Region President - WA	$0	$674,750	$0	$453,055	$0	$24,465	$0	$643,008	$0	$28,608	$0	$1,823,886	$0	$0
Breton Myers
VP, Treasury	$0	$0	$0	$72,017	$0	$355,630	$0	$10,111	$0	$6,393	$0	$444,151	$0	$0
Janet O'Hollaren
VP, COO	$0	$460,177	$0	$260,425	$0	$78,885	$0	$485,368	$0	$24,740	$0	$1,309,595	$0	$0
Donald Orndoff
SVP, NFS	$0	$445,801	$0	$478,235	$0	$632,179	$0	$148,482	$0	$28,439	$0	$1,733,136	$0	$576,482
Margaret E Porfido JD
Director	$14,500	$267,000	$0	$0	$0	$20,262	$0	-$23,196	$0	$0	$14,500	$264,066	$0	$0
John Rodgers
VP, Business Info Officer - WA	$0	$215,224	$0	$87,974	$0	$62,985	$0	$154,082	$0	$16,170	$0	$536,435	$0	$0
Karen Schartman
VP, CFO & Strategy - WA	$0	$456,885	$0	$307,214	$0	$25,444	$0	$386,420	$0	$18,599	$0	$1,194,562	$0	$0
Joseph Smith
VP, MSBD - WA	$0	$317,488	$0	$215,521	$0	$39,669	$0	$235,483	$0	$25,318	$0	$833,479	$0	$0
Arthur Southam
EVP, Health Plan Operations	$0	$1,115,013	$0	$1,813,133	$0	$2,402,892	$0	$475,052	$0	$31,693	$0	$5,837,783	$0	$1,916,554
Kelly Stanford
VP, Clin Ops & Mkt Integration	$0	$290,768	$0	$266,142	$0	$50,342	$0	$180,838	$0	$22,746	$0	$810,836	$0	$36,537
Shawna Sweeney
Assistant Secretary	$0	$248,913	$0	$173,657	$0	$4,605	$0	$88,488	$0	$27,945	$0	$543,608	$0	$15,275
Barbara Trehearne
VP, Clinical Excellence & Int	$0	$0	$0	$46,079	$0	$237,994	$0	$0	$0	$0	$0	$284,073	$0	$0
Bernard Tyson
Chairman & CEO	$0	$1,597,794	$0	$13,057,701	$0	$1,459,234	$0	$19,325,730	$0	$39,080	$0	$35,479,539	$0	$2,727,724
Alfonse Upshaw
SVP,Corporate Controller & CAO	$0	$463,195	$0	$446,852	$0	$38,745	$0	$179,095	$0	$21,077	$0	$1,148,964	$0	$0
Pamela Warren
VP, HP Services & Admin - WA	$0	$313,490	$0	$147,337	$0	$20,550	$0	$153,716	$0	$17,452	$0	$652,545	$0	$0
Sarah Yates
Assistant Secretary	$0	$450,096	$0	$307,965	$0	$23,886	$0	$192,734	$0	$27,827	$0	$1,002,508	$0	$0
Hong-Sze Yu
VP, Brd & Corp Gov & Asst Secy	$0	$264,788	$0	$101,619	$0	$17,527	$0	$260,726	$0	$26,177	$0	$670,837	$0	$0
Mark Zemelman
SVP, General Counsel & Secy	$0	$733,254	$0	$1,044,587	$0	$296,430	$0	$290,533	$0	$38,147	$0	$2,402,951	$0	$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3	METHODS USED TO ESTABLISH COMPENSATION OF CEO/EXECUTIVE DIRECTOR: 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	- Severance Payments - Scott Armstrong $ 494,052 Tami Lamp 72,459 Erin Leff 422,583 Breton Myers 355,630 John Rodgers 31,154 Barbara Trehearne 216,000 LISTED PERSONS PARTICIPATED IN ARRANGEMENTS ENTITLING THEM TO SEVERANCE BENEFITS IN THE EVENT OF TERMINATION BY THE ORGANIZATION WITHOUT CAUSE OR DUE TO JOB ELIMINATION. DEPENDING ON POSITION LEVEL, TENURE, AND TERMINATION REASON, SEVERANCE 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, SEVERANCE 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 $ 501,612 Patrick Courneya 391,885 Gerard Fischer 178,636 Kathryn Lancaster 3,257,380 Eric Larson 55,504 Thomas Meier 79,722 Donald Orndoff 605,306 Arthur Southam 2,350,243 Bernard Tyson 1,079,066 Mark Zemelman 239,768 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 II, COLUMN C	THE ACTUARIAL VALUE FOR SOME INDIVIDUALS' BENEFIT PLAN DECLINED IN 2019, RESULTING IN NEGATIVE VALUES IN COLUMN (C) IN SOME INSTANCES.
SCHEDULE J, PART II, 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. FILL VACANCIES ON THE BOARD OR THE COMMITTEE; 2. FIX THE COMPENSATION OF DIRECTORS FOR SERVING ON THE BOARD OR ANY COMMITTEE; 3. ADOPT, AMEND OR REPEAL BYLAWS; 4. AMEND OR REPEAL ANY RESOLUTION OF THE BOARD WHICH, BY ITS EXPRESS TERMS, CANNOT BE AMENDED OR REPEALED BY THE COMMITTEE; 5. APPOINT COMMITTEES OF THE BOARD OR APPOINT THE MEMBERS THEREOF; OR 6. APPROVE ANY ASPECT OF A TRANSACTION INVOLVING THE COMPANY WHEN A DIRECTOR HAS A MATERIAL FINANCIAL INTEREST IN THAT TRANSACTION, EXCEPT AS EXPRESSLY PROVIDED BY LAW. FORM 990, PART VI, LINE 4 - SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS - On December 12, 2019, Article 4, Officers, Sections 4.5 and 4.6 were amended so that the EVP & CFO of the sole Member, KFHPW Holdings, is designated to perform the duties of the President and CEO in his/her absence or disability.
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	DIRECTORS ARE ELECTED BY THE MEMBER. THE MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER ENTITY, THE VOLUNTARY DISSOLUTION OF THE CORPORATION, OR THE SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL THE PROPERTY AND ASSETS OF THE CORPORATION MUST BE APPROVED BY THE MEMBER.
Form 990, PART VI, LINE 12C	ETHICS AND COMPLIANCE ENFORCEMENT A. REGULARLY AND CONSISTENTLY MONITORS COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY - KAISER PERMANENTE REGULARLY MONITORS COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY IN 3 KEY WAYS: A1. THE KAISER PERMANENTE COMPLIANCE HOTLINE IS AVAILABLE TO ALL EMPLOYEES AND VENDORS TO REPORT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. ALL CALLS ARE ANSWERED BY A THIRD PARTY AND PROVIDED TO KAISER PERMANENTE'S NATIONAL COMPLIANCE OFFICE FOR REVIEW AND APPROPRIATE ACTION. EMPLOYEES CAN REPORT ANONYMOUSLY. RETALIATION IS PROHIBITED. REPORTS OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST ARE GENERATED AND INVESTIGATIONS ARE CONDUCTED AS REQUIRED AND INFORMATION IS TRACKED AND TRENDED TO DETERMINE IF ADDITIONAL GUIDANCE IS REQUIRED TO AVOID OR MANAGE CONFLICTS OF INTEREST. COMPLIANCE HOTLINE REPORTS ARE PROVIDED FOR REVIEW AND ACTION TO THE KAISER FOUNDATION HEALTH PLAN/HOSPITALS BOARDS OF DIRECTORS ANNUALLY. A2.a - ETHICS AND COMPLIANCE ANNUALLY REVIEWS THE DIRECTORS', OFFICERS', KEY EMPLOYEES', AND EXECUTIVES' ANNUAL CONFLICTS OF INTEREST QUESTIONNAIRE DISCLOSURES AND PROVIDES DIRECTION ON ANY INVESTIGATIONS REQUIRED. INVESTIGATIONS ARE DOCUMENTED, TRACKED AND TRENDED TO DETERMINE IF ADDITIONAL CONTROLS OR EDUCATION IS REQUIRED. IN ADDITION, CONFLICTS OF INTEREST QUESTIONNAIRE REPORTS ARE PROVIDED FOR REVIEW AND ACTION TO THE KAISER FOUNDATION HEALTH PLAN/HOSPITALS BOARDS OF DIRECTORS ANNUALLY; AND A2.b - ANNUALLY, EMPLOYEES IN ROLES WITH AN ELEVATED RISK OF CONFLICTS OF INTEREST COMPLETE A CONFLICTS OF INTEREST QUESTIONNAIRE. RESPONSES ARE REVIEWED AND ASSESSED. WHEN ACTION IS WARRANTED, THE SITUATION IS ADDRESSED IN ACCORDANCE WITH WRITTEN STANDARDS. DOCUMENTATION AND TRACKING IS MAINTAINED IN THE SAME WAY AS DIRECTORS, OFFICERS, AND KEY EMPLOYEES. A2.c - IN ADDITION TO THE CONFLICTS OF INTEREST QUESTIONNAIRE, ETHICS AND COMPLIANCE RECEIVES, CONSULTS, MONITORS, AND REPORTS ONGOING DISCLOSURES MADE BY EMPLOYEES THROUGHOUT THE YEAR. A3. ANNUALLY, AS A COMPONENT OF THE EXTERNAL AUDIT, AN OUTSIDE CERTIFIED PUBLIC ACCOUNTING FIRM REVIEWS THE ANNUAL CONFLICTS OF INTEREST QUESTIONNAIRES PROCESS COMPLETED BY DIRECTORS, OFFICERS, KEY EMPLOYEES, AND EXECUTIVES, AND ACTIONS TAKEN AS A RESULT OF THE DISCLOSURES. THE RESULTS OF THE ANNUAL AUDIT, INCLUDING ANY FINDINGS IN THIS AREA, ARE PRESENTED TO THE KAISER FOUNDATION HEALTH PLAN/HOSPITALS AUDIT AND COMPLIANCE COMMITTEE. B. REGULARLY AND CONSISTENTLY ENFORCES COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY - TO ENSURE CONSISTENCY IN THE ENFORCEMENT OF THE POLICY KAISER PERMANENTE USES THE FOLLOWING STEPS AS A GENERAL GUIDELINE: B1. REPRESENTED EMPLOYEES ARE SUBJECT TO ANY CORRECTIVE/DISCIPLINARY ACTION PROVISIONS DESCRIBED IN SPECIFIC REGIONAL/NATIONAL COLLECTIVE BARGAINING AGREEMENTS AND/OR ORGANIZATIONAL POLICIES AND PRACTICES. B2. KAISER PERMANENTE NOTIFIES EMPLOYEES OF THE NATIONAL HUMAN RESOURCES POLICY NO. 14. CORRECTIVE/DISCIPLINARY ACTION POLICY DURING NEW EMPLOYEE ORIENTATION AND IN ANNUAL COMPLIANCE TRAINING. B3. IN THE EVENT THAT IT IS NECESSARY TO DISCIPLINE ANY EMPLOYEE BECAUSE OF, BUT NOT LIMITED TO, FAILURE TO COMPLY WITH APPLICABLE LEGAL/REGULATORY REQUIREMENTS, KAISER PERMANENTE POLICIES AND PROCEDURES, OR THE PRINCIPLES OF RESPONSIBILITY, OR FOR UNSATISFACTORY PERFORMANCE OR MISCONDUCT, COACHING/COUNSELING AND/OR CORRECTIVE/DISCIPLINARY ACTION MAY INCLUDE, BUT IS NOT LIMITED TO: - ORAL DISCUSSION AND/OR WARNING BY THE EMPLOYEE'S IMMEDIATE SUPERVISOR OR HIGHER LEVEL MANAGER TO CORRECT THE PROBLEM; - WRITTEN NOTICE, WITH OR WITHOUT FINAL WARNING; - PAID OR UNPAID SUSPENSION, WITH OR WITHOUT FINAL WARNING; - TERMINATION OF EMPLOYMENT.
Form 990, PART VI, LINE 15A/B	COMPENSATION DETERMINATION THE EXECUTIVE COMPENSATION PROGRAM AS ADMINISTERED BY KAISER FOUNDATION HEALTH PLAN, INC. IS DESIGNED TO RECRUIT, RETAIN AND MOTIVATE QUALIFIED SENIOR MANAGEMENT PERSONNEL. SENIOR MANAGEMENT PERSONNEL HAVE A SIGNIFICANT IMPACT ON THE STRATEGIC AND POLICY DIRECTION AND RESULTS OF THE ORGANIZATION. THEREFORE, THE EXECUTIVE COMPENSATION PROGRAM IS, TO A SIGNIFICANT DEGREE, PERFORMANCE-BASED. THE COMPENSATION PROGRAM IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE MANAGEMENT COMMITTEE ON COMPENSATION. PRIOR TO PAYMENT, ALL PROGRAMS AND PAYMENTS TO THE CEO, EXECUTIVE DIRECTOR, AND TOP MANAGEMENT OFFICIALS (EXECUTIVES) ARE REVIEWED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE MANAGEMENT COMMITTEE ON COMPENSATION. BASE PAY FOR EXECUTIVE POSITIONS IS ESTABLISHED AT A LEVEL COMPARABLE TO THE RELEVANT MARKET. IN ADDITION, OTHER COMPONENTS OF THE COMPENSATION PROGRAM BEAR 'AT-RISK' FEATURES DESIGNED TO FOCUS ON STRATEGICALLY IMPORTANT PERFORMANCE GOALS AND TO ASSIST IN ATTRACTING AND RETAINING TOP PERFORMERS. THE EXECUTIVE COMPENSATION PROGRAM IS TARGETED TO BE COMPETITIVE TO THE COMPARABLE EXTERNAL MARKET IN WHICH THE ORGANIZATION COMPETES FOR EXECUTIVE LEADERSHIP. EVALUATION OF COMPARABLE PAY DATA IS PERFORMED BY AN INDEPENDENT COMPENSATION, BENEFIT & HUMAN 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	Forms 990 are available on www.guidestar.org.
Form 990, PART VI, LINE 19	Public Inspection Copy: Governing documents, conflict of interest policy are available upon request as disclosed to other regulatory bodies. Financial Statements are on file with state insurance agency on a statutory basis (stand alone entity). Combined data is published for Kaiser Foundation Health Plan Inc. and subsidiaries and Kaiser Foundation Hospitals and Subsidiaries with Independent Auditors' Report. To request copies contact: Vice President, Communications Kaiser Foundation Health Plan and Hospitals One Kaiser Plaza, 18th Floor Oakland, CA 94612
Form 990, PART VII, SECTION A, COLUMN B:	HOURS FOR RELATED ORGANIZATION INDIVIDUALS WHO ARE BOTH OFFICERS AND MEMBERS OF BOARDS OF DIRECTORS WORK FULL TIME AS EMPLOYEES AS WELL AS FULFILL THEIR BOARD ASSIGNMENT. ALL OFFICERS WORK FULL TIME IN THEIR EMPLOYEE CAPACITY. FULL TIME WORK MAY REQUIRE IN EXCESS OF THE TRADITIONAL 40 HOUR WEEK. GIVEN THE INTEGRATED NATURE OF OUR ORGANIZATION, EMPLOYEES MAY PROVIDE SUPPORT FOR VARIOUS KAISER PERMANENTE COMPANIES. THE AVERAGE HOURS PER WEEK REPORTED FOR THE FILING ORGANIZATION AND RELATED ORGANIZATIONS WAS ESTIMATED.
FORM 990, PART XI, LINE 9	- Other changes in net assets or fund balances - CHANGE IN RESTRICTED ASSETS $ (111,354) CHANGE IN CUMULATIVE CHANGE IN ACCTG. PRINCIPLE 18,483,606 CHANGE IN PENSION & RETIREMENT LIABILITIES (115,309,464) GAIN(LOSS) ON SALE OF INVESTMENTS - TAX (66,344,044) GAIN(LOSS) ON SALE OF INVESTMENTS - BOOK 36,553,412 OTHER THAN TEMPORARY IMPAIRMENTS (1,347,079) ------------------ $ (128,074,923)
FORM 990, PART III, LINE 4A-4D	I. Introduction A. About Kaiser Permanente Founded in 1942 to serve employees of Kaiser Industries and opened to the public in 1945, Kaiser Permanente is recognized as one of Americas leading health care providers and nonprofit health plans. 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. Among the innovations Kaiser Permanente has brought to U.S. health care are: - Prepaid health plans, which spread the cost to make it more affordable - A focus on preventing illness and disease as much as on caring for the sick - An organized, coordinated system that puts as many services as possible under one roof-all connected by an electonic medical record Kaiser Permanente is an integrated health care delivery system comprised of Kaiser Foundation Hospitals (KFH), Kaiser Foundation Health Plan (KFHP), and physicians in the Permanente Medical Groups. Today we serve more than 12.2 million members in eight states and the District of Columbia. Our mission is to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. Care for members and patients is focused on their total health and guided by their personal 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 Permanentes Approach to Community Health For 75 years, Kaiser Permanente has been dedicated to providing high-quality, affordable health care services and to improving the health of our members and the communities we serve. We believe good health is a fundamental right shared by all and we recognize that good health extends beyond the doctors office and the hospital. It begins with healthy environments: fresh fruits and vegetables in neighborhood stores, successful schools, clean air, accessible parks, and safe playgrounds. Good health for the entire community requires equity and social and economic well-being. These are the vital signs of healthy communities. Better health outcomes begin where health starts, in our communities. Like our approach to medicine, our work in the community takes a prevention-focused, evidence-based approach. We go beyond traditional corporate philanthropy or grant making to pair financial resources with medical research, physician expertise, and clinical practices. Our community health strategy focuses on three areas: - Ensuring health access by providing individuals served at Kaiser Permanente or by our safety-net partners with integrated clinical and social services; - Improving conditions for health and equity by engaging members, communities, and Kaiser Permanentes workforce and assets; and - Advancing the future of community health by innovating with technology and social solutions. C. Kaiser Permanentes Total Contribution Kaiser Permanente provided $3.4 billion in community benefits in 2019. The amounts attributable to Kaiser Foundation Health Plan of Washington is $76.2 million as follows: - Financial Assistance at cost - $21.9 million - Medicaid - $30.7 million - Community health improvement services and community benefit operations $4.6 million - Health Professions Education - $8.3 million - Research - $6.8 million - Cash and in-kind contributions from community benefit - $3.9 million In addition to our direct spend on community benefits, we also leverage assets from across Kaiser Permanente to help us achieve our mission to improve the health of communities. This "Total Health" strategy includes our widely recognized activities around supplier diversity, socially responsible investing and environmental stewardship. II. Ensure Health Access A. Summary of The Strategy 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 cant maintain health care coverage, an emergency room is often the only place they receive care. At Kaiser Permanente, were 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 two key vehicles: first, via our participation in government programs like Medicaid and the Childrens Health Insurance Programs (CHIP), and second, via our own Charitable Health Coverage (CHC) program, which provides a premium subsidy for Kaiser Permanente coverage for qualified low-income families and children who do not have access to public or private health coverage. Similarly, we provide care to low-income populations through two key vehicles: first, via our treatment of Medicaid and CHIP enrollees (not assigned to Kaiser Permanente), and second, via the Medical Financial Assistance (MFA) program, which is Kaiser Permanentes 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. In 2019, Kaiser Foundation Health Plan of Washington spent a total of $52.6 million on our coverage and care programs (at cost, net of all related revenues). In addition, it provided $1.2 million in grants to help improve health access challenges, including but not limited to funding key safety-net partner organizations. B. 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. Coverage is good for the patient, good for Kaiser Permanente and good for the US overall because it helps people get and stay healthy and avoid costly hospital services. 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 responded to this challenge by developing organizational strategies to enable low-income individuals to obtain and/or retain health coverage through Medicaid, CHIP or other government programs, even as their personal or financial circumstances may be changing. At the end of 2019, Kaiser Foundation Health Plan of Washington was providing benefits to more than 24,000 people through its Medicaid Managed Care contracts with other health plans.
C. 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 2019 due to Kaiser Permanentes 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 MFA Medical Financial Assistance program (MFA) helps low-income, uninsured, and underserved 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. The MFA program is one of the most generous in the health care industry and is available to those patients in greatest need. Eligibility is based on financial need. In general, patients whose household income is at or below 200 percent, and in some regions up to 400 percent, of the federal poverty guidelines 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 (i.e. hospitals, medical centers, and medical office buildings), at Kaiser Permanente outpatient pharmacies, or by Kaiser Permanente providers. Over the course of 2019, Kaiser Foundation Health Plan of Washington subsidized care for approximately 18,000 people through the MFA program. D. Social Health: Thrive Local As an integrated health system committed to total health, Kaiser Permanente must not only provide excellent medical care and health services, it must also address social health for Kaiser Permanente members and in our communities. To help address unmet social needs, Kaiser Permanente is deploying Thrive Local in each of its regions. Thrive Local integrates clinical and social care and is supported by data integration and partnerships with community-based organizations. Thrive Local consists of three components: a resource directory that provides current, up-to-date and searchable information on community resources; geographically-based community partner networks of social service organizations; and a technology platform that allows for two-way referrals between health care providers and social care providers. By linking clinical and social care delivery and building social health networks for our members and the communities we serve, Kaiser Permanente is making a bold move to transform health. Specific example(s) of our efforts in 2019 include: Kaiser Foundation Health Plan of Washington provided a $200,000 grant to WithinReach for general operating support. WithinReach is a community-based organization that focuses on the needs of young children and their families, helping 285,000 families annually to gain access to health, child development and nutrition resources. This sustaining support will enable WithinReach to proactively learn about the needs of families and communities to grow cross-sector, coordinated systems and policies that address the root causes of poor health. To further support access to social and clinical services for vulnerable area residents, Kaiser Foundation Health Plan of Washington provided a grant of $80,000 to Crisis Connections, the 211 information and referral agency for the Seattle metro area, to expand its texting services. Adding texting as a communication option to their program will allow more access to safety net services via text support and will help decrease health inequities in King County and ultimately across Washington State. Kaiser Foundation Health Plan of Washington provided a grant for $226,000 to the Washington Association for Community Health, whose mission is to strengthen and advocate for Washington's community health centers as they build healthcare access, innovation, and value. This grant will support its social determinants of health learning collaborative and organizational strategy planning. It will build community health centers capacity to understand and address the social determinants of health that impact their patients and communities across the state and to apply resources strategically over a 3 to 5-year period through thoughtful and comprehensive strategic and engagement action plan. E. Safety-Net Partnerships Kaiser Permanente is committed to building partnerships with the institutions that serve on the front lines of health care for the uninsured and underserved, often referred to as the health care "safety net." Through grants, training, and technical assistance, were working with safety-net hospitals and health centers to help these institutions reach people in our communities who are low-income, uninsured, or under-resourced. Specific example(s) of our efforts in 2019 include: Kaiser Foundation Health Plan of Washington funded the final year of a 3-year $600,000 grant, of which $400,000 was paid in 2019 to Project Access Northwest. Project Access Northwest improves access to specialty health care for low-income and uninsured patients. It matches volunteer specialty care providers and hospital partners with carefully pre-screened patients in need of care. Originally started in King County (Washington state), it has since expanded its service area to include Kitsap and Snohomish counties. This grant will specifically connect patients served by the safety-net with vital specialty care services. In addition to operational support for the organization, Kaiser Permanente Washington clinics accepted specialty care referrals and provided over 700 clinical service visits for low-income and uninsured patients in 2019. III. Improve Conditions for Health and Equity A. Summary of the Strategy Healthy individuals need healthy communities, and healthy communities need healthy people to thrive. At Kaiser Permanente, we are working to improve the conditions for health and equity in the community 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. By engaging members, communities, our sizeable workforce, and all of our organizations considerable assets, we are working to create communities that are among the healthiest in the nation, and inspiring greater health for America and the world. In 2019, Kaiser Foundation Health Plan of Washington spent $2.7 million on charitable contributions designed to improve conditions for health and equity. B. Social Health: Food for Life Kiaser Permanente is tackling the most basic of human needs - food - by helping at-risk members and communities access the food and nutrition they need to live a full and healthy life. We launched Food for Life to transform the economic, social and policy environments connected to food so that people across the nation have access to, and can afford, healthy food.
C. THRIVING SCHOOLS	Our efforts to support health in schools are part of how we are advancing our vision for total health - a holistic approach that emphasizes the social, environmental, behavioral, and clinical aspects that shape ones well-being. Schools are passionate about ensuring that all students succeed. They need strong partners to help them address health as part of their strategy. Thats why Kaiser Permanente created Thriving Schools, our all-in engagement to improve health for students, staff, and teachers. Our vision is that every community can count on their school as a champion for good health that enables great learning. Kaiser Permanente Thriving Schools is intentional about coordinating our own knowledge and existing work in school health with the good work of others. Through our valued partnerships with some of the countrys most innovative organizations, we are able to provide concrete resources and pathways to health in schools. To create lasting change, we use our voice to advance local, regional, and national policies and a movement to make healthy schools the norm for everyone. A distinguishing feature of Thriving Schools is our complementary focus: we support students, staff, and teachers, and we address their physical, emotional, and social wellness. This approach builds a culture of wellness across the entire school. Specific example(s) of our efforts in 2019 include: Kaiser Foundation Health Plan of Washington supported the RISE (Resilience in School Environments) initiative, an enterprise-wide effort with the Alliance for Healthier Generation. RISE is designed to empower schools and districts to create safe and supportive learning environments by cultivating practices that strengthen the social and emotional health of all students and staff, understand and integrate social and emotional well-being into all aspects of school life. In Washington, 13 schools and 1 district were recruited in 2019 to participate in RISE onsite program. Kaiser Foundation Health Plan of Washington supported the Alliance for a Healthier Generation for the Healthy Schools Program also known as the Healthy Eating Active Living initiative. The Healthy Eating Active Living initiative empowers school and district leaders to create and sustain healthier learning environments for students, staff and teachers. School and districts receive a range of school health resources and information through onsite support and a virtual platform to help them choose smart snacks and healthier school breakfast and lunch programs, including movement in the classroom, support for health and physical education instruction, healthy food procurement, and adopting school and district wellness policies that guide positive, healthy practices. In Washington region, 26 schools made one or more improvements in physical activity, nutrition, or staff wellness meeting the guidelines of the Healthy Schools Program. Kaiser Foundation Health Plan of Washington funded a grant for $45,680 to the Bellingham Public School District #501 for the Multi-Tiered System of Support Bellingham RISE. The effort is designed to improve the mental health of 12,600 students and staff by facilitating a youth-led mental health awareness campaign at Options High School, increasing staff training on mental health, and creating and implementing a staff wellness plan. D. Thriving Cities The places where we live, learn, work, and play - our cities and towns, our schools, our homes, our neighborhoods - have an enormous impact on our health. And hos we shape those places, through public policy and the support for healthy environments, has the potential to make real, lasting impacts on our surroundings and our everyday quality of life. Through Kaiser Permanentes 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. Specific example(s) of our efforts in 2019 include: Kaiser Permanente continued as a partner in CityHealth, an initiative of the de Beaumont Foundation and Kaiser Permanente that advances a package of evidence-based policy solutions that will help millions of people live longer, better lives in vibrant, prosperous communities. CityHealth recognized large cities across the country for specific policies related to health and quality of life, including Pre-K, Tobacco 21, complete streets, smoke-free indoor air, and healthy food procurement. In the policy areas assessed by CityHealth among the 40 largest cities, a total of 35 new policy advances occurred since 2018. Seattle was recognized by CityHealth for three new policies related to Tobacco 21, complete streets, and healthy food procurement, and the adoption of these three new policies helped to propel the city to an overall gold medal status for 2019. These policies are projected to deter young people from initiating tobacco use, make streets safer for all types of users, and improve access to healthy foods on city properties. E. 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 economic circumstances overtime. As a large, influential institution in our communities, 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 were 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 minority- and women-owned businesses and encouraging good employment practices by our vendor partners. - Building new facilities with an emphasis on positive local community impact, including local construction hiring, local and diverse purchasing, healthy and sustainable design features, neighborhood revitalization, and deep community engagement. Specific examples of our efforts in 2019 include: Kaiser Foundation Health Plan of Washington approved $444,000 of which $232,000 was funded in 2019 for pre-apprenticeship programs with Arivva and Workforce Development Council of Seattle-King County. These organizations build pathways for achievement and self-sufficiency that enable economic and social progress for individuals and communities. The funding from Kaiser Foundation Health Plan of Washington will provide soft skill development and social/emotional learning to support success in apprenticeship programs being offered in the state of Washington. These programs will benefit approximately 400 at risk and disadvantaged youth. Kaiser Foundation Health Plan of Washington funded $75,375 to the Washington State Opportunity Scholarship (WSOS) whose mission is to build pathways into high-demand Washington careers for Washington students. The grant supports 10 opportunity scholars pursuing STEM (Science, Technology, Engineering, and Mathematics) degrees. These students represent under-represented minorities in Washington state, and most are first generation students in their family. Similarly, Kaiser Foundation Health Plan of Washington also supported the Washington Alliance for Better Schools (WABS) to engage 40-50 teachers (grades 4-12) in the Accessing Career Connected Experiences for Student Success (ACCESS) STEM program. Teachers will gain direct exposure to industries such as healthcare, aerospace, and technology, learn about the multiple career pathways, and integrate that knowledge back into their classrooms to impact 5,700 students. Kaiser Permanente continued its commitment to source goods and services from the minority, women, veteran, disabled, and LGBTQ-owned business community as a member of the Billion Dollar Roundtable. As part of this commitment, we encouraged our own suppliers to also increase their sourcing of goods and services from the minority, women, veteran, disabled, and LGBTQ-owned business community. Furthermore, we also began to measure job creation that resulted from our procurement spending and in 2019, found that our procurement spending led our supplier partners to create new jobs.
F. HOUSING FOR HEALTH	Housing stability is a key factor in a persons overall health and well-being. Without a safe, stable place to live, it is nearly impossible to maintain health or sustain health improvements achieved in a medical setting. With homelessness affecting more than 550,000 people every day throughout our country, the need for safe, stable and affordable housing has never been greater. Kaiser Permanente understands the connection between housing and health. Our impact investments aim to create more affordable housing, reduce the displacement of lower- and middle-income households, and end homelessness by ensuring access to supportive housing. Specific example(s) of our efforts in 2019 include: Kaiser Foundation Health Plan of Washington partnered with Community Solutions in Spokane, Washington to drive reductions in chronic and veteran homelessness. Community Solutions is Kaiser Permanentes national partner for ending veteran and chronic homelessness in Kaiser Permanente communities. Community Solutions is a nonprofit that leads Built for Zero, a movement of more than 80 cities and counties using data to radically change how they work and the impact they can achieve; and proving that it is possible to make homelessness rare and brief. In order to propel this movement to end homelessness up and over a tipping point, Community Solutions works with communities to solve the most persistent challenges that stand in the way. In Washington, Community Solutions is working with key stakeholders in the City and County of Spokane to establish quality By-Name-List data. This data will help inform Community Solutions and the community stakeholders to set bold targets and determine appropriate interventions. G. Environmental Stewardship We believe it is our obligation as a health care provider to minimize our environmental impact. We embed efforts to be environmentally responsible throughout our organizations - in how we power our facilities, purchase food and medical supplies and equipment, manage waste, and invest in our communities. We also prioritize partnerships with others to develop policies and systems that strengthen community health and protect our environment. In 2016, Kaiser Permanente adopted an ambitious set of environmental goals to guide the organization for the decade ahead. These goals have raised the bar on environmental responsibility, not just for Kaiser Permanente but for all health care organizations. Kaiser Permanente pledges that by 2025 it will: - Become "carbon net positive" by buying enough clean energy and carbon offsets to remove more greenhouse gases from the atmosphere than it emits. - Buy all of its food locally or from farms and producers that use sustainable practices, including using antibiotics responsibly. - Recycle, reuse or compost 100 percent of its non-hazardous waste. - Reduce the amount of water it uses by 25 percent per square foot of buildings. - Increase its purchase of products and materials that meet environmental standards to 50 percent. - Meet international standards for environmental management at all its hospitals. - Pursue new collaborations to reduce environmental risks to the foodsheds, watersheds and air basins supplying its communities Specific example(s) of our efforts in 2019 include: Kaiser Permanente finalized an agreement for a major renewable energy purchase, enabling us to achieve our goal of becoming carbon neutral in 2020. Kaiser Permanente dedicated 20% of overall spending on products to items that met our Environmentally Preferable Purchasing standards and dedicated 42% of spending on food to items produced locally or from farms and producers that use sustainable practices, including using antibiotics responsibly. Kaiser Foundation Health Plan of Washington dedicated 9% of its overall spending on products to items that met Kaiser Permanentes Environmentally Preferable Purchasing standards and responsibly reused, recycled or composted over 952 tons of materials. Kaiser Foundation Health Plan of Washington funded a grant for $95,738, of which $55,814 was paid in 2019 to Forterra NW, an organization dedicated to regional sustainability (environmental, social and economic) by securing places across Washingtons landscape that are keystones of a positive future. The grant for Forterras Land for Food & Land for Neighborhoods projects will support thriving people and places in Snohomish County through a multi-landscape initiative that engages stakeholders to transform the policy landscape in Snohomish County to foster a stronger and more equitable local food system. The project will also partner with local property owners, businesses, the City of Everett, and a diverse network of stakeholder groups to catalyze investments that improve public safety, enhance the natural environment, and strengthen active transportation options in the Everett Station District neighborhood. IV. Advance the Future of Community Health A. Summary of the Strategy Kaiser Permanente works in partnership with our communities, using our collective knowledge to identify and implement creative solutions to difficult community health problems by: - Inspiring young people to pursue careers in health care - Conducting research to identify and eliminate disparities in care - Advancing health innovation and achieving greater and more equitable health outcomes In 2019, Kaiser Foundation Health Plan of Washington spent a total of $15.2 million on programs to advance the future of community health (at cost, net of all related revenues). This included $8.3 million in health professionals education and $6.8 million in research. B. Health Professionals Education Our Graduate Medical Education (GME) program provides training and education for medical residents and interns in the interest of educating the next generation of physicians. The nationally acclaimed program attracts some of the top medical school graduates in the United States and serves as a national model by exposing future health care providers to an integrated health care delivery system. Residents are offered the opportunity to serve a large, culturally diverse patient base in a setting with sophisticated technology and information systems, established clinical guidelines and an emphasis on preventive and primary care. In 2019, Kaiser Foundation Health Plan of Washington supported 32 interns and residents through the GME program. 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.
C. RESEARCH	Kaiser Permanente has a long history of conducting health research related to both prevention and treatment of disease that benefits its members, the communities it serves and the nation. Kaiser Permanentes research efforts are core to the organizations mission to improve population health, and its commitment to continued learning. Research activities are conducted at Kaiser Permanentes eight regional research centers and three national groups: Kaiser Permanente Research Bank, Kaiser Permanente Center for Effectiveness & Safety Research; and Utility for Care Data Analysis. In addition, the Kaiser Foundation Research Institute administers and supports research at the research centers. Kaiser Permanente researchers study critical health issues including: cancer, cardiovascular conditions, diabetes, behavioral and mental health, and health care delivery improvement. Kaiser Permanente 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 do research due to its rich, longitudinal, electronic clinical databases that capture virtually complete health care delivery, payment, decision-making and behavioral data in detail to support primary, secondary and tertiary clinical care across inpatient, outpatient and emergency department settings for its geographically and demographically diverse members. In 2019, Kaiser Foundation Health Plan of Washington engaged in approximately 300 active studies including over 20 clinical trials and published over 300 journal articles. Kaiser Foundation Health Plan of Washingtons research program, the Kaiser Permanente Washington Health Research Institute (KPWHRI) has been conducting nonproprietary public-interest research on preventing, diagnosing and treating major health problems since 1983. Top research areas include, but are not limited to behavioral health, drug safety, chronic disease prevention and management, implementation science, aging, and cancer prevention and screening. KPWHRI partners with the Kaiser Foundation Health Plan of Washington and the Washington Permanente Medical Group to form a learning health system, discovering innovative approaches to care at its 25 medical centers and within major Washington hospitals. KPWHRI investigators partner effectively with researchers from the University of Washington, Fred Hutchinson Cancer Research Institute, other Kaiser Permanente regions, and other institutions nationwide and internationally. In the United States, more than 50% of cervical cancers are diagnosed in under-screened women. Cervical cancer screening guidelines now recommend testing for primary human papillomavirus (HPV) the virus that causes cervical cancer. Home-based HPV self-sampling is a viable option for increasing screening compliance and effectiveness. However, U.S. data are needed to inform health care system implementation of this option. A study published in JAMA Network Open in 2019 by a team from the Kaiser Permanente Washington Health Research Institute, in collaboration with the Universities of Texas and Washington, found that mailing HPV kits increased screening uptake compared with usual care alone in women who are at the highest risk for cervical cancer. The team analyzed data from 16,600 women, and the results support feasibility of mailing HPV kits to women overdue for screening as an outreach strategy to increase screening uptake. They concluded that efforts to increase kit uptake and follow-up of positive results are warranted to maximize detection and treatment of cervical cancer. D. Advancing Innovation Despite our nations best efforts at addressing the myriad of challenges facing the health of our communities, we see that social, economic and health disparities among people continue to grow. At Kaiser Permanente, were trying to shift that paradigm by working to advance conditions for health through the spread of best practices, innovation and technology. Kaiser Permanente works in partnership with our communities, using our collective knowledge to identify and implement creative solutions to difficult community health problems. Using technology as the backbone of our efforts, we are exploring new approaches for accelerating and scaling community health solutions to create greater impact. Together, we are advancing health innovation and achieving greater and more equitable health outcomes. Specific example(s) of our efforts in 2019 include: Kaiser Permanente partnered with The Public Good Projects (PGP) to reduce stigma and raise awareness around mental health conditions. PGPs Action Minded Mental Health campaign has four components which include Therapy Pets, Like One Another, Mental Health Champions, and Community Partners and each component tailors its evidence-based approach to reach a specific audience. PGPs disease surveillance system monitors all publicly available media sources for mentions of mental health topics, and PGP tailors its messaging to address trending mental health topics.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 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
RYAN-GHC ONE LLC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	474197735	REAL ESTATE	DE	$0	$0	KFHPW
COLUMBIA MEDICAL ASSOCIATES LLC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	200986848	COMP MED CARE	WA	$0	$0	KFHPW
COLUMBIA CLINIC LLC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612		INACTIVE	WA	$0	$0	CMA LLC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 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 15L	OAKLAND	CA	94612	941105628	HEALTH CARE	CA	501(C)(3)	3	NA	false
KAISER FOUNDATION HEALTH PLAN INC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	941340523	HEALTH CARE	CA	501(C)(3)	10	NA	false
KAISER FOUNDATION HEALTH PLAN OF CO
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	840591617	HEALTH CARE	CO	501(C)(3)	10	KFHP INC	Yes (true)
KAISER FOUNDATION HEALTH PLAN OF GA
ONE KAISER PLAZA 15L	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 15L	OAKLAND	CA	94612	520954463	HEALTH CARE	MD	501(C)(3)	10	KFHP INC	Yes (true)
KAISER FOUNDATION HEALTH PLAN OF NW
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	930798039	HEALTH CARE	OR	501(C)(3)	10	KFHP INC	Yes (true)
KAISER HOSPITAL ASSET MANAGEMENT INC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943299125	ASSET MGMT	CA	501(C)(3)	12-I	KFH	Yes (true)
KAISER HEALTH PLAN ASSET MANAGEMENT INC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943299124	ASSET MGMT	CA	501(C)(3)	12-I	KFHP INC	Yes (true)
CAMP BOWIE SERVICE CENTER
ONE KAISER PLAZA 15L	OAKALAND	CA	94612	943299123	ADMIN	CA	513(C)(3)	12-I	KFHP INC	Yes (true)
LOKAHI ASSURANCE LTD
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	912171891	WC PLACEMENT	HI	501(C)(3)	12-I	KFHP INC	Yes (true)
1800 HARRISON FOUNDATION
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943317484	FINANCING	CA	501(C)(3)	12-I	KFHP INC	Yes (true)
KAISER HOSPITAL ASSISTANCE CORPORATION
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	311779500	FINANCING	CA	501(C)(3)	12-I	KFH	Yes (true)
KAISER HEALTH ALTERNATIVES
ONE KAISER PLAZA 15L	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 15L	OAKLAND	CA	94612	814053028	MEDICAL EDU	CA	501(C)(3)	2	KFH	Yes (true)
KFHPW HOLDINGS
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	930480268	HEALTH CARE	WA	501(C)(3)	12-I	KFHP INC	Yes (true)
GROUP HEALTH NORTHWEST
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	911216856	INACTIVE	WA	501(C)(3)	12-I	KFHP OF WA	Yes (true)
KAISER FND FOR THE ADV OF INTEGRATED HC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	823819611	ADVOCACY	CA	501(C)(4)	N/A	KFHP INC	Yes (true)
GROUP HEALTH OF WASHINGTON
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	911314907	INACTIVE	WA	501(c)(3)	12-I	KFHP OF WA	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
NXT CAP SR FD ILLC
191 N Wacker Dr 1200	chicago	IL	60606	371651297	investment	DE	NA	NONE	$0	$0	$0
RYAN-GHC TWO LLC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	810725477	REAL ESTATE	DE	KFHPW	NONE	-$2,950	$0	$0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 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
OAK TREE ASSURANCE LTD
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	030329760	INSURANCE	VT	NA	C CORP	$0	$0	Yes (true)
KAISER PERMANENTE INSURANCE COMPANY
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943203402	INSURANCE	CA	NA	C CORP	$0	$0	Yes (true)
KAISER PERMANENTE INTERNATIONAL
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943245176	CONSULTING	CA	NA	C CORP	$0	$0	Yes (true)
GROUP HEALTH OF SERVICES INC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	911392222	INACTIVE	WA	NA	C CORP	$0	$0	Yes (true)	1.00000
KFHP OF WASHINGTON OPTIONS INC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	911467158	INSURANCE	WA	NA	C CORP	$953,187,732	$296,677,146	Yes (true)	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	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	Yes (true)	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 (26 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
KAISER FOUNDATION HEALTH PLAN INC
L	$206,000	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
M	$43,289,468	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
P	$11,085,533	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
Q	$58,410,485	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
R	$7,042,996	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
S	$359,088,149	PER AGREEMENT
KAISER FOUNDATION HOSPITALS
M	$290,278	PER AGREEMENT
KAISER FOUNDATION HOSPITALS
P	$24,053,506	PER AGREEMENT
KAISER FOUNDATION HOSPITALS
Q	$9,048,908	PER AGREEMENT
LOKAHI ASSURANCE LTD
L	$2,137,000	PER AGREEMENT
LOKAHI ASSURANCE LTD
M	$14,300,000	PER AGREEMENT
LOKAHI ASSURANCE LTD
P	$1,277,225	PER AGREEMENT
LOKAHI ASSURANCE LTD
Q	$2,743,246	PER AGREEMENT
LOKAHI ASSURANCE LTD
R	$4,106,640	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE NW
P	$317,618	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE NW
Q	$214,363	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE NW
S	$5,232,027	PER AGREEMENT
KAISER FDN HEALTH PLAN OF WA OPTIONS INC
J	$63,461	PER AGREEMENT
KAISER FDN HEALTH PLAN OF WA OPTIONS INC
L	$147,485,284	PER AGREEMENT
KAISER FDN HEALTH PLAN OF WA OPTIONS INC
P	$9,521,463	PER AGREEMENT
KAISER FDN HEALTH PLAN OF WA OPTIONS INC
Q	$1,688,745	PER AGREEMENT
KAISER FDN HEALTH PLAN OF WA OPTIONS INC
R	$834,779,075	PER AGREEMENT
KAISER FDN HEALTH PLAN OF WA OPTIONS INC
S	$92,324,433	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF COLORADO
P	$84,939	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF COLORADO
Q	$332,049	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF COLORADO
S	$354,258	PER AGREEMENT