KAISER FOUNDATION HEALTH PLAN OF WASHINGTON: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON (EIN 91-0511770)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-08
IRS object ID: 201923129349301757
Schema version: 2018v3.1
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	2019-11-08T16:50:27-06:00	ReturnTs
Tax Period End	2018-12-31	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	2018-01-01	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	ALFONSE UPSHAW	PersonNm
Person Title	SVP, CC, AND CAO	PersonTitleTxt
Phone	5102716611	PhoneNum
Signature	2019-10-29	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	167.68.125.77	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	23522320193125000044	FederalOriginalSubmissionId
Federal Original Submission Id	2019-11-08	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	481BC8A6E8C6B118EC01B0ECDF2A6DAEC9C9819D	AtSubmissionCreationDeviceId
At Submission Filing Device Id	F456C520C4F0493F307ED3F1DC1F0DE42227702A	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	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	$4,022,505,493	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	8743	TotalEmployeeCnt
Total Volunteers	503	TotalVolunteersCnt
Total Gross UBI	$12,011,350	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$2,425,031	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$44,757,437	PYContributionsGrantsAmt
CY Contributions Grants	$44,338,722	CYContributionsGrantsAmt
PY Program Service Revenue	$3,230,978,716	PYProgramServiceRevenueAmt
CY Program Service Revenue	$3,669,006,253	CYProgramServiceRevenueAmt
PY Investment Income	$24,264,092	PYInvestmentIncomeAmt
CY Investment Income	$24,985,315	CYInvestmentIncomeAmt
PY Other Revenue	$90,387,593	PYOtherRevenueAmt
CY Other Revenue	$2,217,413	CYOtherRevenueAmt
PY Total Revenue	$3,390,387,838	PYTotalRevenueAmt
CY Total Revenue	$3,740,547,703	CYTotalRevenueAmt
PY Grants And Similar Paid	$15,759,915	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$15,796,716	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$627,226,067	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$639,153,801	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$2,760,290,047	PYOtherExpensesAmt
CY Other Expenses	$3,131,723,141	CYOtherExpensesAmt
PY Total Expenses	$3,403,276,029	PYTotalExpensesAmt
CY Total Expenses	$3,786,673,658	CYTotalExpensesAmt
PY Revenues Less Expenses	-$12,888,191	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$46,125,955	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,628,077,809	TotalAssetsBOYAmt
Total Assets EOY	$2,606,228,792	TotalAssetsEOYAmt
Total Liabilities BOY	$834,254,162	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$853,255,263	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,793,823,647	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,752,973,529	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	$3,415,025,660	ExpenseAmt
Grant	$11,546,661	GrantAmt
Revenue	$3,599,028,983	RevenueAmt
Desc	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON (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 OF WASHINGTON 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	$58,940,565	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$25,250,360	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 2018, MORE THAN 24,600 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	$15,982,889	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 2018, THIS PROGRAM ASSISTED MORE THAN 11,000 PATIENTS THROUGH FINANCIAL ASSISTANCE.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$74,353,280	ExpenseAmt
Grant	$4,250,055	GrantAmt
Revenue	$44,726,910	RevenueAmt
Desc	SCH. O, COMMUNITY BENEFIT REPORT	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$74,353,280	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$4,250,055	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$44,726,910	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$3,564,302,394	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
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
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	6242	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	8743	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
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 (44 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Gregory Adams
EVP, Group President	4.0	46.0	Yes (X)	Yes (X)	$0	$9,082,242	$1,144,302
Ramon F Baez
Director	0.9	4.7	Yes (X)		$11,000	$211,181	$13,477
Patrick Courneya
EVP, Chief Medical Officer	2.5	47.5	Yes (X)		$0	$1,360,520	$328,076
Ruta E Fanning
Director	1.0	0.0	Yes (X)		$14,500	$0	$0
Judith A Johansen
Director	0.5	8.5	Yes (X)		$3,000	$257,324	-$18,131
Kim J Kaiser
Director	0.5	7.5	Yes (X)		$14,500	$232,760	-$11,160
Kathryn Lancaster
EVP & CFO	3.5	46.5	Yes (X)		$0	$3,221,105	$353,313
Margaret E Porfido JD
Director	0.5	5.5	Yes (X)		$13,500	$265,262	-$9,170
Constance W Rice
Director	1.25	0.0	Yes (X)		$20,660	$0	$0
Michael D Wilson
Director	1.25	0.0	Yes (X)		$20,660	$0	$0
Maryann Bodayle
Assistant Secretary	1.0	49.0		Yes (X)	$0	$176,012	$17,629
Thomas Meier
SVP, Corporate Treasurer	1.5	48.5		Yes (X)	$0	$1,211,947	$41,466
Susan Mullaney
Regional President - WA	44.0	6.0		Yes (X)	$0	$1,220,548	$273,530
Donald Orndoff
SVP, NFS	3.5	46.5		Yes (X)	$0	$1,147,552	$202,084
John Rodgers
VP, Business Info Officer - WA	50.0	0.0		Yes (X)	$0	$359,600	$86,286
Karen Schartman
VP, CFO and Strategy - WA	50.0	0.0		Yes (X)	$0	$761,901	$77,588
Joseph Smith
VP, MSBD - WA	50.0	0.0		Yes (X)	$0	$700,798	$110,036
Arthur Southam
EVP, Health Plan Operations	3.5	46.5		Yes (X)	$0	$3,370,942	$573,089
Shawna Sweeney
Assistant Secretary	50.0	0.0		Yes (X)	$0	$518,743	$59,432
Bernard Tyson
Chairman & CEO	3.5	46.5		Yes (X)	$0	$15,709,853	$2,173,780
Alfonse Upshaw
SVP,Corporate Controller & CAO	3.0	47.0		Yes (X)	$0	$813,644	$128,411
Pamela Warren
VP, HP Services & Admin - WA	50.0	0.0		Yes (X)	$0	$633,772	$96,910
Sarah Yates
Assistant Secretary	50.0	0.0		Yes (X)	$0	$969,363	$117,804
Hong-Sze Yu
VP, Brd & Corp Gov & Asst Secy	3.0	47.0		Yes (X)	$0	$361,334	$86,046
Mark Zemelman
SVP, General Counsel & Secy	2.0	48.0		Yes (X)	$0	$2,058,532	$22,057
Gerard C Fischer
VP, Ancillary & Business Svcs	50.0	0.0			$0	$680,533	$101,198	Yes (X)
Erin D Leff
VP, COO	50.0	0.0			$0	$2,017,898	$67,555	Yes (X)
Janet O'Hollaren
VP, COO	50.0	0.0			$0	$1,075,050	$143,429	Yes (X)
Barbara E Trehearne
VP, Clinical Excellence & Int	50.0	0.0			$0	$878,663	$21,779	Yes (X)
Alicia T Eng
VP,Clinic Ops & Mkt Integrat'n	50.0	0.0			$0	$691,637	$192,498		Yes (X)
Elizabeth Fleming
VP, Innovation & New Bus Dev	50.0	0.0			$0	$736,687	$180,058		Yes (X)
John F Harris
ED-Mkt & Prod Strat/VP KPWA Op	50.0	0.0			$0	$684,680	$154,606		Yes (X)
Eric B Larson
VP, Health Research	50.0	0.0			$0	$810,076	$131,943		Yes (X)
Sheila M Rankin
VP Port Mgr & Strat Execution	50.0	0.0			$0	$659,041	$76,891		Yes (X)
Scott Armstrong
President & CEO	0.0	0.0			$1,703,471	$0	-$85,620			Yes (X)
Barbara Belt Lloyd
VP, Chief Accounting Officer	0.0	0.0			$435,390	$0	$0			Yes (X)
Linda M Breard
EVP, Chief Financial Officer	0.0	0.0			$762,486	$0	$0			Yes (X)
Breton C Myers
VP, Treasury	50.0	0.0			$0	$561,774	$85,033			Yes (X)
Susan S Kozik
EVP, Chief Information Officer	0.0	0.0			$520,063	$0	$0			Yes (X)
Tami Lamp
EVP, HR	0.0	0.0			$583,956	$0	$0			Yes (X)
Dawn Loeliger
EVP, Strat Planning & Deploy	0.0	0.0			$387,949	$0	$0			Yes (X)
Robert V O'Brien
EVP, Health Plan Division	0.0	0.0			$835,581	$0	$0			Yes (X)
Diana H Rakow
EVP Marketing & Public Affairs	0.0	0.0			$507,126	$0	$0			Yes (X)
Brian S O'Shields
VP, Chief Actuary	0.0	0.0			$1,064,630	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,898,472	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$53,440,974	TotReportableCompRltdOrgAmt
Total Other Compensation	$6,936,225	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1631	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
PEACEHEALTH MEDICAL GROUP
1115 SE 164TH AVE	VANCOUVER	WA	98683	Hospital Services	$90,457,138
OVERLAKE HOSPITAL MED CTR
1035 116TH AVE NE	BELLEVUE	WA	98004	Hospital Services	$90,175,131
OPTUMRX PBM OF ILLINOIS INC
PO BOX 27275	NEW YORK	NY	10087	Mgmt Services	$88,185,238
ST JOSEPH MEDICAL CENTER
1717 S J ST	TACOMA	WA	98405	Hospital Services	$77,959,466
WASHINGTON PERMANENTE MEDICAL GROUP
320 WESTLAKE AVE N	SEATTLE	WA	98109	MEDICAL PROFESSIONAL	$342,079,136

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	621	CntrctRcvdGreaterThan100KCnt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$33,440,295	GovernmentGrantsAmt
All Other Contributions	$10,898,427	AllOtherContributionsAmt
Total Contributions	$44,338,722	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MEMBERS HEALTH DUES	900099	$2,075,819,387	$2,075,819,387
MEDICARE	900099	$891,558,783	$891,558,783
COPAYS, DEDUCTIBLES, FEES	900099	$332,048,758	$332,048,758
NON-PLAN & INDUSTRIAL	900099	$60,002,926	$48,364,358	$11,638,568
OTHER PROGRAM SERVICE	900099	$309,576,399	$309,221,059	$355,340

Field	Value	IRS element (for citing)
Total Program Service Revenue	$3,669,006,253	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,584,819	TotalRevenueColumnAmt
Unrelated Business Revenue	$17,442	UnrelatedBusinessRevenueAmt
Exclusion	$21,567,377	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	$645,418	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$645,418	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$645,418	TotalRevenueColumnAmt
Exclusion	$645,418	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$285,357,286	SecuritiesAmt
Other	$1,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$281,953,524	SecuritiesAmt
Other	$4,266	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,403,762	SecuritiesAmt
Other	-$3,266	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,400,496	TotalRevenueColumnAmt
Exclusion	$3,400,496	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	$1,571,995	TotalRevenueColumnAmt
Exclusion	$1,571,995	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,571,995	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,740,547,703	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,657,012,345	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$12,011,350	UnrelatedBusinessRevenueAmt
Exclusion	$27,185,286	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$15,762,966	TotalAmt
Program Services	$15,762,966	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$33,750	TotalAmt
Program Services	$33,750	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	$97,820	TotalAmt
Management And General	$97,820	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

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	$542,292,228	TotalAmt
Program Services	$476,533,709	ProgramServicesAmt
Management And General	$65,758,519	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$51,085,491	TotalAmt
Program Services	$51,085,491	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,119,432	TotalAmt
Program Services	$4,306,006	ProgramServicesAmt
Management And General	$813,426	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$40,558,830	TotalAmt
Program Services	$39,331,073	ProgramServicesAmt
Management And General	$1,227,757	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	$661,077	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$661,077	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$181,203	TotalAmt
Management And General	$181,203	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	$2,130,877	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$2,130,877	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

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

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$11,283,454	TotalAmt
Program Services	$7,999,089	ProgramServicesAmt
Management And General	$3,284,365	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,810,232	TotalAmt
Program Services	$12,617,908	ProgramServicesAmt
Management And General	$192,324	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$203,988,524	TotalAmt
Program Services	$148,619,716	ProgramServicesAmt
Management And General	$55,368,808	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$30,700,496	TotalAmt
Program Services	$30,698,731	ProgramServicesAmt
Management And General	$1,765	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,944,861	TotalAmt
Program Services	$4,163,900	ProgramServicesAmt
Management And General	$780,961	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	$1,285,457	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,285,457	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,369,705	TotalAmt
Program Services	$3,369,705	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$84,764,745	TotalAmt
Program Services	$84,764,023	ProgramServicesAmt
Management And General	$722	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$16,063,661	TotalAmt
Program Services	$16,063,661	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PURCHASED MEDICAL SVC	$1,506,640,994	$1,506,640,319	$675	$0
SUPPLIES - PHARMACY, OFFICE	$580,183,943	$551,393,399	$28,790,544
BASIC CONTRACTUAL PAYMENTS	$432,452,896	$432,452,896
INCOME TAX	$44,481	$44,481

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$240,216,535	TotalAmt
Program Services	$178,421,571	ProgramServicesAmt
Management And General	$61,794,964	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,786,673,658	TotalAmt
Program Services	$3,564,302,394	ProgramServicesAmt
Management And General	$222,371,264	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	$4,762,733	BOYAmt
EOY	$7,112,461	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$213,961,712	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,308,787	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$123,859,297	BOYAmt
EOY	$121,061,531	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	$14,008,808	BOYAmt
EOY	$911,498	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$21,476,695	BOYAmt
EOY	$18,639,832	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$14,320,435	BOYAmt
EOY	$11,816,452	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,034,081,703	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$129,275,732	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$856,945,590	BOYAmt
EOY	$904,805,971	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$570,442,277	BOYAmt
EOY	$815,025,097	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$250,223,701	BOYAmt
EOY	$75,570,416	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	$503,253,990	BOYAmt
EOY	$464,426,571	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$44,513,784	BOYAmt
EOY	$186,858,963	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,628,077,809	BOYAmt
EOY	$2,606,228,792	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$434,395,246	BOYAmt
EOY	$508,619,746	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	$125,594,298	BOYAmt
EOY	$36,401,199	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	$274,264,618	BOYAmt
EOY	$308,234,318	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$834,254,162	BOYAmt
EOY	$853,255,263	EOYAmt

Field	Value	IRS element (for citing)
Org Does Not Follow SFAS117	Yes (X)	OrgDoesNotFollowSFAS117Ind

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	$1,853,000,000	BOYAmt
EOY	$1,862,900,717	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	-$59,176,353	BOYAmt
EOY	-$109,927,188	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,793,823,647	BOYAmt
EOY	$1,752,973,529	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,628,077,809	BOYAmt
EOY	$2,606,228,792	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$46,125,955	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$5,511,103	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$10,786,940	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Total	$2,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$3,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$795,952	CurrentYearMinus3Amt
Current Year Minus2	$664,985	CurrentYearMinus2Amt
Total	$1,460,937	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Total	$500,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$750,000	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	$22,761	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$217,385	DirectContactLegislatorsAmt
Rallies Demonstrations	Yes (true)	RalliesDemonstrationsInd
Rallies Demonstrations	$20,000	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$5,000	OtherActivitiesAmt
Total Lobbying Expenditures	$265,146	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	$607,586,811	OtherCostOrOtherBasisAmt
Depreciation	$48,920,558	DepreciationAmt
Book Value	$558,666,253	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,773,923	OtherCostOrOtherBasisAmt
Depreciation	$2,343,928	DepreciationAmt
Book Value	$8,429,995	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$176,045,860	OtherCostOrOtherBasisAmt
Depreciation	$67,434,981	DepreciationAmt
Book Value	$108,610,879	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$62,258,821	OtherCostOrOtherBasisAmt
Depreciation	$10,576,265	DepreciationAmt
Book Value	$51,682,556	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$904,805,971	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
BROKER RECEIVABLES	$808
OTHER ASSETS	$5,113,921
EQUITY IN SUBS	$135,001,467
LT DEFERRED COST	$5,938,445
DUE FROM AFFILIATES	$40,804,322

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$186,858,963	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
DUE TO ASSOCIATED MED. GROUPS	$27,744,717
DUE TO AFFILIATED ORGANIZATIONS	$84,012,572
SELF INSURED RISKS	$56,815,568
PENSION AND RETIREMENT	$87,159,505
LONG TERM DEBT	$86,094
BROKER PAYABLE	$295,712
OTHER CURRENT LIABILITIES	$14,817,563
OTHER L/T LIABILITIES	$37,302,587

Field	Value	IRS element (for citing)
Total Liability	$308,234,318	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

Field	Value	IRS element (for citing)
Region	Europe (Including Iceland and Greenland)	RegionTxt
Purpose Of Grant	Research Collaboration	PurposeOfGrantTxt
Cash Grant	$31,000	CashGrantAmt

Field	Value	IRS element (for citing)
Total501c3 Org	0	Total501c3OrgCnt
Total Other Org	1	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	$15,982,889	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,982,889	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$58,940,565	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,250,360	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,690,206	NetCommunityBenefitExpnsAmt
Total Expense	0.00890	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$74,923,454	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,250,360	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$49,673,095	NetCommunityBenefitExpnsAmt
Total Expense	0.01310	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,814,137	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,543,553	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,270,584	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,003,158	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,089	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,992,069	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

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

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,953,901	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,241,870	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,712,031	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,250,055	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,250,055	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,021,251	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,796,512	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,224,739	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$122,944,705	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,046,872	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$68,897,834	NetCommunityBenefitExpnsAmt
Total Expense	0.01820	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$144,159	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$390,649	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$367,578	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$23,071	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	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Section C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE Section C	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
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 (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 5	The community health needs assessment (CHNA) is a King County Hospitals for a Healthier Community (HHC) collaborative effort that fulfills Section 9007 of the Affordable Care Act. The CHNA takes into account input from people who represent the broad interests of the communities served by HHC hospitals and health systems. Three methods of gathering information from community members about identified health needs and assets were used. 1. INTERVIEWS WERE CONDUCTED BY PUBLIC HEALTH SEATTLE KING COUNTY STAFF BETWEEN JANUARY AND JULY OF 2015 WITH STAKEHOLDER COALITIONS WITH BROAD REPRESENTATION. THIS METHOD MAXIMIZED THE NUMBER AND DIVERSITY OF STAKEHOLDERS WHO COULD PROVIDE INPUT. COALITIONS WERE IDENTIFIED THAT HAVE EXPERTISE ON HEALTH NEEDS IDENTIFIED THROUGH QUANTITATIVE DATA, HAVE DIVERSE MEMBERSHIP, AND HAVE A REGIONAL OR SUBREGIONAL FOCUS. STAKEHOLDERS INCLUDED THOSE WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE NEEDS, AS WELL AS REPRESENTATIVES FROM THE LOCAL HEALTH DEPARTMENT. STAKEHOLDER GROUPS INCLUDED HUMAN SERVICE PROVIDERS, COMMUNITY HEALTH CENTERS, BEHAVIORAL HEALTH PROVIDERS, STATE, COUNTY, AND LOCAL GOVERNMENT STAFF, FIRE DEPARTMENTS, LAW ENFORCEMENT, ADVOCACY ORGANIZATIONS, HOSPITAL STAFF, GROUPS FOCUSED ON HEALTH DISPARITIES IN COMMUNITIES OF COLOR, FAITH COMMUNITIES, LABOR, AND MANAGED CARE ORGANIZATIONS. A TOTAL OF 11 COALITIONS AND 99 INDIVIDUAL ORGANIZATIONS OR KEY INFORMANTS PROVIDED INFORMATION. 2. AN ONLINE SURVEY WAS ALSO AVAILABLE FOR THOSE WHO WERE UNABLE TO ATTEND THE RESPECTIVE COALITION MEETING AND WISHED TO PROVIDE INPUT IN WRITING. THIRTY-ONE INDIVIDUALS RESPONDED TO THE SURVEY. 3. RECENT REPORTS ON HEALTH NEEDS WERE ALSO REVIEWED FOR THEMES AND RELEVANT ASSETS AND RESOURCES. INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS BELONGING TO THE FOLLOWING COALITIONS, AGENCIES, AND ORGANIZATIONS: THOSE WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY: EASTSIDE HUMAN SERVICES FORUM - AGING & DISABILITY SERVICES - THE ARC OF KING COUNTY - CITY OF BELLEVUE - CITY OF KIRKLAND - CITY OF REDMOND - FRIENDS OF YOUTH - HOPELINK - ISSAQUAH HUMAN SERVICES COMMISSION - ISSAQUAH SAMMAMISH INTERFAITH COALITION - KING COUNTY COUNCIL - KIRKLAND CITY COUNCIL - OVERLAKE MEDICAL CENTER - REDMOND CITY COUNCIL - YOUTH EASTSIDE SERVICES - YWCA SEATTLE-KING-SNOHOMISH NORTH URBAN HUMAN SERVICES ALLIANCE - CENTER FOR HUMAN SERVICES - CITY OF LAKE FOREST PARK - CITY OF SHORELINE HUMAN SERVICES - HOPELINK - NORTHSHORE/SHORELINE COMMUNITY NETWORK - SHORELINE COMMUNITY COLLEGE SEATTLE HUMAN SERVICES COALITION SOUTH KING COUNCIL OF HUMAN SERVICES KING COUNTY TRAFFIC SAFETY TASK FORCE - BURIEN POLICE DEPARTMENT - KENT POLICE DEPARTMENT - KIRKLAND POLICE DEPARTMENT - ISSAQUAH POLICE DEPARTMENT - MAPLE VALLEY POLICE DEPARTMENT - NEWCASTLE POLICE DEPARTMENT - REDMOND POLICE DEPARTMENT - RENTON POLICE DEPARTMENT - SEATAC POLICE DEPARTMENT - KING COUNTY EMERGENCY MEDICAL SERVICES SAFE KIDS SEATTLE/SOUTH KING COUNTY - FEET FIRST PEDESTRIAN SAFETY COALITION - HARBORVIEW SPINE CENTER AND CONCUSSION PROGRAM SAFE KIDS EASTSIDE - BRAIN INJURY ALLIANCE - CAR SAFE KIDS - DUVALL FIRE DEPARTMENT - EASTSIDE AID COMMUNITY - EVERGREEN HEALTH - NICK OF TIME FOUNDATION - OLYMPIC PHYSICAL THERAPY CENTRAL REGION EMS & TRAUMA CARE COUNCIL - EVERGREEN HEALTH EMERGENCY DEPARTMENT - GROUP HEALTH EMERGENCY DEPARTMENT - HARBORVIEW MEDICAL CENTER EMERGENCY DEPARTMENT - HIGHLINE MEDICAL CENTER EMERGENCY DEPARTMENT - MULTICARE AUBURN EMERGENCY DEPARTMENT - NORTHWEST HOSPITAL EMERGENCY DEPARTMENT - OVERLAKE MEDICAL CENTER EMERGENCY DEPARTMENT - SEATTLE CHILDRENS HOSPITAL EMERGENCY DEPARTMENT - SNOQUALMIE VALLEY HOSPITAL EMERGENCY DEPARTMENT - ST. ELIZABETH HOSPITAL EMERGENCY DEPARTMENT - ST. FRANCIS EMERGENCY DEPARTMENT - VALLEY MEDICAL CENTER EMERGENCY DEPARTMENT - AIRLIFT NORTHWEST - AMR AMBULANCE - FALCK NORTHWEST EMERGENCY MEDICAL SERVICES - TRI-MED AMBULANCE - WASHINGTON AMBULANCE ASSOCIATION - PUBLIC HEALTH-SEATTLE & KING COUNTY EMERGENCY - MEDICAL SERVICES - WASHINGTON STATE DEPARTMENT OF HEALTH REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE NEEDS - CAROL ALLEN, COORDINATOR, ACCESS TO BABY AND CHILD DENTISTRY PROGRAM, PUBLIC HEALTH-SEATTLE & KING COUNTY BEHAVIORAL HEALTH PARTNERSHIP GROUP - ASIAN COUNSELING AND REFERRAL SERVICES - CATHOLIC COMMUNITY SERVICES - COMMUNITY HOUSE MENTAL HEALTH - COMMUNITY PSYCHIATRIC CLINIC - CONSEJO COUNSELING - DESC - EVERGREEN HEALTH - HARBORVIEW MENTAL HEALTH - NAVOS - SEATTLE COUNSELING SERVICE - SOUND MENTAL HEALTH - VALLEY CITIES COUNSELING - YMCA - KING COUNTY MENTAL HEALTH CHEMICAL ABUSE AND DEPENDENCY SERVICES COUNTRY DOCTOR COMMUNITY HEALTH CENTER SEAMAR COMMUNITY HEALTH CENTER FOREFRONT EQUAL START COMMUNITY COALITION - CHILDRENS ALLIANCE - LOCAL HAZARDOUS WASTE MANAGEMENT - OPEN ARMS PERINATAL SERVICES - NATIVE AMERICAN WOMENS DIALOGUE ON INFANT MORTALITY - CENTER FOR MULTICULTURAL HEALTH - YWCA - ODESSA BROWN CHILDRENS CLINIC HEALTH COALITION FOR CHILDREN AND YOUTH - CEDAR RIVER GROUP - CHILDHOOD OBESITY PREVENTION COALITION - CHILDRENS ALLIANCE - COMMUNITY HEALTH NETWORK OF WASHINGTON - MOLINA HEALTHCARE - NEIGHBORHOOD HOUSE - NORTHWEST HEALTH LAW ADVOCATES - ODESSA BROWN CHILDRENS CLINIC - PARTNERS FOR OUR CHILDREN - SEATTLE CHILDRENS HOSPITAL - SERVICE EMPLOYEES INTERNATIONAL UNION HEALTHCARE 1199NW - WASHINGTON CHAPTER, AMERICAN ACADEMY OF PEDIATRICS - WASHINGTON DENTAL SERVICE FOUNDATION - WASHINGTON STATE HOSPITAL ASSOCIATION - WITHINREACH SALLIE NEILLIE, EXECUTIVE DIRECTOR, PROJECT ACCESS NORTHWEST THOSE WITH EXPERTISE IN PUBLIC HEALTH AND REPRESENTATIVES FROM THE LOCAL HEALTH DEPARTMENT: - ALAN ABE, PROGRAM MANAGER INJURY PREVENTION, KING COUNTY EMERGENCY MEDICAL SERVICES - JENNIFER DEYOUNG, HEALTH REFORM ANALYST, PUBLIC HEALTH-SEATTLE & KING COUNTY - TONY GOMEZ, RS, MANAGER, VIOLENCE AND INJURY PREVENTION, PUBLIC HEALTH-SEATTLE & KING COUNTY - SCOTT NEAL, TOBACCO PROGRAM MANAGER, PUBLIC HEALTH-SEATTLE & KING COUNTY - LISA PODELL, INTERIM HEALTH REFORM ANALYST, PUBLIC HEALTH-SEATTLE & KING COUNTY - WHITNEY TAYLOR, FIREARM VIOLENCE PREVENTION/CHILD FATALITY REVIEW PROGRAM MANAGER, PUBLIC HEALTH-SEATTLE & KING COUNTY - CRYSTAL TETRICK, PARENT CHILD HEALTH MANAGER, PUBLIC HEALTH-SEATTLE & KING COUNTY - SHARON TOQUINTO, PREVENTION AND TREATMENT MANAGER, MENTAL HEALTH CHEMICAL ABUSE & DEPENDENCY SERVICES DIVISION, KING COUNTY - JIM VOLLENDROFF, DIVISION DIRECTOR, MENTAL HEALTH CHEMICAL ABUSE & DEPENDENCY SERVICES DIVISION, KING COUNTY
Part V, Line 6a	KFHP-WA JOINED THE KING COUNTY HOSPITALS FOR A HEALTHIER COMMUNITY (HHC) COLLABORATIVE TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). KFHP-WA BECAME PART OF THE KAISER PERMANENTE SYSTEM IN FEBRUARY 2017. THE 12 HOSPITALS OF THE KING COUNTY HHC ARE: - CHI FRANCISCAN HEALTH - EVERGREEN HEALTH - KAISER PERMANENTE CENTRAL HOSPITAL - MULTICARE HEALTH SYSTEM - NAVOS - OVERLAKE MEDICAL CENTER - SEATTLE CANCER CARE ALLIANCE - SEATTLE CHILDRENS HOSPITAL - SNOQUALMIE VALLEY HOSPITAL DISTRICT - SWEDISH MEDICAL CENTER - UW MEDICINE - VIRGINIA MASON
Part V, Line 6b	THE KING COUNTY HOSPITALS FOR A HEALTHIER COMMUNITY (HHC) ALSO INCLUDES THE WASHINGTON STATE HOSPITAL ASSOCIATION AND PUBLIC HEALTH-SEATTLE & KING COUNTY.
Part V, Line 7a	THE CHNA REPORT IS AVAILABLE AT: https://wa.kaiserpermanente.org/html/public/about/community-needs
Part V, Line 10a	KFHP-WA'S IMPLEMENTATION STRATEGY IS AVAILABLE AT: https://wa.kaiserpermanente.org/static/pdf/public/about/chna-2016-strategy .pdf
Part V, Line 11	IN ITS 2016-2018 CHNA, KFHP-WA IDENTIFIED THE SIGNIFICANT HEALTH NEEDS TO BE ADDRESSED AS WELL AS THE IDENTIFIED HEALTH NEEDS WHICH WOULD NOT BE ADDRESSED BY KFHP-WA. KFHP-WA WILL CONTINUE ITS COORDINATED APPROACH AND CONNECTION WITH COMMUNITY PARTNERS TO MAXIMIZE HEALTH IMPROVEMENT EFFORTS. WE WILL DETERMINE PRIORITIES BASED ON COMMUNITY HEALTH NEEDS AND REGULATORY REQUIREMENTS WHERE KFHP-WA CAN HAVE THE MOST LEVERAGE. THROUGH COLLABORATION WITH PARTNERS ON PROGRAMS, INITIATIVES AND EVENTS, KFHP-WA PLANS TO HAVE A SUSTAINABLE IMPACT ON IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. ALTHOUGH THE FOLLOWING HEALTH ISSUES WERE IDENTIFIED IN THE 2016-2018 CHNA, THEY WERE NOT A KFHP-WA FOCUS DUE TO LIMITED EXPERTISE, THERE ARE OTHER ORGANIZATIONS ADDRESSING THE NEED, AND/OR KFHP-WA RESOURCE CONSTRAINTS PREVENTED EFFECTIVELY ADDRESSING THE NEED. - HOMICIDE/ASSAULT - INFANT MORTALITY - PRENATAL CARE/LOW BIRTHWEIGHT - TOBACCO USE - HEART DISEASE, CANCER, STROKE - PREVENTABLE HOSPITALIZATION - SUBSTANCE ABUSE/CHEMICAL DEPENDENCY THE PROCESS FOR RANKING THE HEALTH NEEDS IDENTIFIED THROUGH THE CHNA WAS DEVELOPED USING NATIONAL COMMUNITY BENEFIT STANDARDS, REVIEW OF HEALTH OUTCOMES AND DETERMINANTS, AND IDENTIFICATION OF ORGANIZATIONAL AND COMMUNITY RESOURCES. THE SIGNIFICANT HEALTH NEEDS SELECTED WILL GUIDE THE SELECTION OF ACTIVITIES, PROGRAMS, SPONSORSHIPS, AND USE OF KFHP-WA FINANCIAL RESOURCES, STAFF, CLINICAL EXPERTISE AND PARTNERSHIPS IN THE COMMUNITY THAT WILL BEST ADDRESS THESE HEALTH NEEDS. THE THREE HEALTH NEEDS CHOSEN FROM THE 2016-2018 CHNA TO BE ADDRESSED BY KFHP-WA ARE: 1. ACCESS TO CARE AND COVERAGE 2. MENTAL HEALTH AND WELLNESS - DEPRESSION 3. OBESITY AND RELATED CONDITIONS THESE NEEDS ARE BEING ADDRESSED BY: ACCESS TO CARE AND COVERAGE GOAL: TO INCREASE THE NUMBER OF ADULTS AND CHILDREN WITH HEALTH CARE COVERAGE AND TO INCREASE THE NUMBER OF UNINSURED OR UNDERINSURED ADULTS AND CHILDREN RECEIVING MEDICAL CARE - PROMOTING ENROLLMENT AND PARTICIPATION IN THE HEALTH BENEFIT EXCHANGE AND MEDICAID - ENSURING KFHP-WA SPONSORED CARE PROGRAM IS STRUCTURED TO MEET THE NEEDS OF THE UNINSURED AND UNDERSERVED POPULATION MENTAL HEALTH AND WELLNESS DEPRESSION GOAL: TO INCREASE EXPERTISE OF COMMUNITY PROVIDERS TO ADDRESS MENTAL HEALTH NEEDS - SHARING SUICIDE PREVENTION AND OTHER BEHAVIORAL HEALTH PATIENT AND PROVIDER EDUCATION MATERIALS AND PROTOCOLS WITH COMMUNITY PROVIDERS AND MENTAL HEALTH PROFESSIONALS - SUPPORTING COMMUNITY FORUMS ABOUT MENTAL HEALTH - SUPPORTING MENTAL HEALTH PROGRAMS IN SCHOOLS, PARTICULARLY THROUGH THE SCHOOL - BASED HEALTH CENTERS WITH WHICH KAISER PERMANENTE IS AFFILIATED - SUPPORT TELE-HEALTH OPTIONS FOR COMMUNITY PROVIDERS OBESITY AND RELATED CONDITIONS GOAL: TO DECREASE THE NUMBER OF CHILDREN AND ADULTS WHO ARE OBESE AND INCREASE PATIENTS ABILITY TO SELF-MANAGE CHRONIC DISEASE - SUPPORTING PROGRAMS AND INITIATIVES DESIGNED TO INCREASE PHYSICAL ACTIVITY AND ACCESS TO HEALTHY FRUITS AND VEGETABLES AND HEALTHY EATING - SHARING CLINICAL PROVIDERS EXPERTISE AND KNOWLEDGE ABOUT CHRONIC DISEASE PREVENTION AND MANAGEMENT - SUPPORTING BUILT ENVIRONMENT INITIATIVES SUCH AS BIKE, WALK AND TRANSIT OPTIONS
Part V, Line 13a	KFHP-WA 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 https://share.kaiserpermanente.org/article/medical-financial-assistance-wa shington/.

Field	Value	IRS element (for citing)
Facility	42	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (42 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
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
Spokane - Riverfront Medical Center
322 W North River Drive	Spokane	WA	99201	Medical Center
Federal Way Medical Center
301 S 320th St	Federal Way	WA	98003	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
Lynnwood Medical Center
20200 54th Ave W	Lynnwood	WA	98036	Medical Center
Port Orchard Medical Center
1400 Pottery Ave	Port Orchard	WA	98366	Medical Center
Tacoma South Medical Center
9505 Steele St S	Tacoma	WA	98444	Medical Center
Burien Medical Center
140 SW 146th St	Seattle	WA	98166	Medical Center
Renton Medical Center
275 Bronson Way NE	Renton	WA	98056	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
Bothell - Northshore Medical Center
11913 NE 195th St	Bothell	WA	98011	Medical Center
Kent Medical Center
26004 104th Ave SE	Kent	WA	98031	Medical Center
Spokane - Lidgerwood Medical Center
6002 N Liderwood	Spokane	WA	99207	Medical Center
Tacoma Behavioral Health Services
4301 S Pine St	Tacoma	WA	98409	Behavioral Health Clinic
Seattle - Rainier Medical Center
5316 Rainier Ave S	Seattle	WA	98118	Medical Center
Seattle - Downtown Medical Center
1420 5th Ave Suite 375	Seattle	WA	98101	Medical Center
Spokane - Veradale Medical Center
14402 E Sprague Ave	Spokane	WA	99216	Medical Center
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
Family Health Center
546 N Jefferson Ln Ste A	Spokane	WA	99201	Medical Clinic
South Hill Family Medicine
3010 S Southeast Blvd Ste A	Spokane	WA	992233540	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
Silverdale Eye Care
10516 Silverdale Way NW	Silverdale	WA	98383	Vision Center
Associated Family Physicians - Spokane
626 Mullan Rd Ste 16	Spokane	WA	99206	Medical Clinic
CMA North Family Medicine
9631 N Nevada St Ste 100	Spokane	WA	99218	Medical Clinic
CMA - North Side Endocronology
6120 N Mayfair St	Spokane	WA	99208	Medical Clinic
CMA Westview Family Medicine
1111 E Westview Ct Ste B	Spokane	WA	99218	Medical Clinic
CMA Neurology
610 S Sherman St Ste 208	Spokane	WA	99202	Medical Clinic
CMA Liberty Lake Family Medicine
1334 N Whitman Ln Ste 200	Liberty Lake	WA	99019	Medical Clinic
Columbia Diagonostic Imaging South
Southeast Blvd Ste D	Spokane	WA	99223	Medical Clinic
Seattle - Metropolitan Park East
1730 Minor Avenue	Seattle	WA	98101	Research Facility
Associated Family Physicians-Fairfield
210 Main St	Fairfield	WA	99102	Medical Clinic
Gig Harbor
3010 S Southeast Blvd Ste A	Spokane	WA	99223	Medical Clinic

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 - unreimbursed costs Kaiser Permanente 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 Permanente also assesses community need through its leaders' participation and membership on a number of coalitions, collaboratives and boards. These include Challenge Seattle, Seattle Chamber, Forum Health Board, 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 Permanente 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 Permanentes 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, 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 a financial counselor 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); 6.1 Median Household Income**; $52,951 % below 100% fpl; 12.56% w/o public or private health ins; 9.63% Limited English Proficiency; 7.6% Unemployment Rate (%)**; 4.3% (SOURCE: US CENSUS 2010 AMERICAN COMMUNITY SURVEY). US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY: 2012-16 * US DEPARTMENT OF LABOR, BUREAU OF LABOR STATISTICS: 2017 - JUNE ** KAISER PERMANENTE UTILITY FOR CARE DATA ANALYSIS, ESRI 2018, HOUSEHOLD-WEIGHTED MEDIAN OF HOUSEHOLD INCOME MEDIANS FOR THE BLOCK GROUPS IN KP'S REGIONAL SERVICE AREAS (PREVIOUSLY REPORTED AS MEMBER-WEIGHTED MEDIAN OF MEDIAN HOUSE HOLD INCOME) 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. Bechara Choucair, MD is the Senior Vice President for Community Health and Benefit, and Chief Community Health Officer reporting to the CEO and Chairman of the Board.
PART VI, LINE 5, PROMOTION OF COMMUNITY HEALTH	In 2018, Kaiser Foundation Health Plan of Washington (KFHP-WA) made significant contributions to the community, both financial and through staff volunteer efforts. KFHP-WA was a platinum sponsor of the Seattle/King County Clinic which provided free dental, vision, and medical services to 3,661 underserved individuals. KFHP-WAs 177 employee volunteers were joined by many other health care organizations, civic agencies, non-profits, private businesses, and other local volunteers to produce the giant free health clinic. 2,340 lab tests were processed in KFHP-WA labs representing an in-kind contribution of $106,127 for lab services. 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. 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 2018, KFHP-WA operated one hospital, 35 (36 in PY) primary care medical centers and five specialty care units. 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 $48.6M in 2018. Since inception in 1983, KPWHRI investigators have published more than 5,600 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 2,300 students during over 11,000 visits in 2018 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 2018, 400 patients were referred to specialists in audiology, dermatology, gastrointestinal, gynecology, ophthalmology, orthopedics, physical therapy and urology.
PART VI, LINE 6, AFFILIATED HEALTH CARE SYSTEM	Kaiser Permanente 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. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. The Kaiser Foundation Health Plan of Washington (KFHP-WA) has an exclusive contract with Washington Permanente Medical Group (WPMG) a group practice with more than 1,100 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 2018, 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. In collaboration with Bartell drugs, Kaiser Permanente staffs 15 care clinics with WPMG physician assistants and KFHP-WA advanced registered nurse practitioners. Retail-based walk-in medical care is available seven days a week for anyone aged two and older, not just Kaiser Permanente members. Clinicians can assess and address a variety of common ailments, including upper respiratory infections; warts, rashes and skin Issues; pinkeye or conjunctivitis; ear infections; urinary tract infections; and bronchitis. Most visits are covered by insurance plans or an affordable fee without insurance. The care clinic locations also offer a variety of vaccines and immunizations, as well as sport and camp physicals.
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 (96 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 INC
Unit 16 PO Box 4800	Portland	OR	97208	272028308	501(c)(3)	$135,283	Grant Healthy Schools Program through the Kids Cook with Heart program sponsorship.
BIKE WORKS
3709 S Ferdinand St	Seattle	WA	98118	911753062	501(c)(3)	$24,500	Grant Bike Works' Active Youth Cycling Leadership
BOSTON MEDICAL CENTER
660 HARRISON AVE GAMBRO	BOSTON	MA	02118	043314093	501(c)(3)	$315,026	Research Collaboration 125th year celebration event.
BOYS & GIRLS CLUBS OF KING COUNTY
603 Stewart St 300	Seattle	WA	98101	910532600	501(c)(3)	$75,000	Grant Healthy Youth Food and Nutrition Program
BYRD BARR PLACE
722 18th Ave	Seattle	WA	98122	910786727	501(c)(3)	$20,000	Grant African American Equity in Health Initiative
CATHOLIC CHARITIES EASTERN WASHINGTON
12 E 5th Ave PO Box 2253	Spokane	WA	99210	910569880	501(c)(3)	$29,750	Grant Childbirth & Parenting Assistance (CAPA)
CENTER FOR HUMAN SERVICES
17018 15th Ave NE	Shoreline	WA	98155	237082323	501(c)(3)	$99,719	Grant School-based coordinators in Edmonds, Mukilt providing services and advocacy for survivors of sexual assault through the 2016 Be Loud event.
CENTER FOR INFECTIOUS DISEASE RESEARCH
307 WESTLAKE AVE SUIT 500	SEATTLE	WA	98109	910961784	501(c)(3)	$176,806	Research Collaboration
CENTER FOR MULTICULTURAL
1120 E Terrace St	Seattle	WA	98122	910983698	501(c)(3)	$84,450	Grant Healthy King County Coalition: Strategic Pla
CHILD CARE RESOURCES
1225 Weller St Ste 300	Seattle	WA	98144	911465046	501(c)(3)	$10,000	Sponsorship Annual Benefit Luncheon, program suppo
CHILDHAVEN
316 Broadway	Seattle	WA	98122	910402430	501(c)(3)	$50,000	Grant Continuum of Care throughout Puget Sound and across Washington state
CHILDREN AND YOUTH JUSTICE CENTER
615 2nd Avenue Suite 275	Seattle	WA	98104	204457248	501(c)(3)	$24,500	Grant The Washington State Becca Task Force Projec
CHILDRENS HOSPITAL MEDICAL CENTER
3333 BURNET AVE	CINCINNATI	OH	45229	310833936	501(c)(3)	$24,766	Research Collaboration
COMMUNITIES IN SCHOOLS OF TACOMA
2141 S J St	Tacoma	WA	98405	912138848	501(c)(3)	$22,500	Sponsorship Annual Luncheon: Strong School, Strong programs.
COMMUNITY HEALTH CARE
1148 Broadway Suite 100	Tacoma	WA	98402	911349657	501(c)(3)	$59,000	Grant Bethel School District SBHC Development
DANA FARBER CANCER INSTITUTE
44 BINNEY ST	BOSTON	MA	02115	042263040	501(c)(3)	$5,444	Research Collaboration
DEPT OF VETERANS AFFAIRS
1660 S COLUMBIAN WAY	SEATTLE	WA	98108	910565166	GOV'T	$13,665	Research Collaboration
EDUCATIONAL SERVICE DISTRICT 113
6005 Tyee Drive SW	Tumwater	WA	98512	910848938	GOV'T	$104,781	Grant Scaling Comprehensive School-based Behaviora events.
ESSENTIA INSTITUTE OF RURAL HEALTH
502 E SECOND STREET	DULUTH	MN	55805	271291124	501(c)(3)	$89,910	Research Collaboration
FOOD LIFELINE
1702 NE 150th St	Shoreline	WA	98155	911090450	501(c)(3)	$24,000	Grant Healthcare Initiative
FRED HUTCHINSON CANCER RESEARCH CTR
1100 FAIRVIEW AVE N	SEATTLE	WA	98109	237156071	501(c)(3)	$125,647	Research Collaboration
GEISINGER CLINIC
100 N ACADEMY AVE	DANVILLE	PA	17822	236291113	501(c)(3)	$1,150,000	Research Collaboration
HARVARD PILGRIM HEALTH CARE INC
PO BOX 3672	BOSTON	MA	02241	042452600	501(c)(3)	$376,314	Research Collaboration
HARVARD UNIVERSITY
1350 MASSACHUSETTS AVE	CAMBRIDGE	MA	02138	042103580	501(c)(3)	$9,140	Research Collaboration
HATHAWAY-SYCAMORES CHILD AND FAMILY
210 S DELACEY AVE	PASADENA	CA	91105	951691005	501(c)(3)	$10,816	Research Collaboration
HEALTH PARTNERS ADMINISTRATORS INC
8170 33rd Ave S	MINNEAPOLIS	MN	55440	411670163	501(c)(3)	$1,012,667	Research Collaboration
HENRY FORD HEALTH SYSTEM
FUND ACCOUNTING 1 FORD PL	DETROIT	MI	48202	381357020	501(c)(3)	$1,294,456	Research Collaboration
KING COUNTY
1601 5th Ave Ste 1900	Seattle	WA	98101	916001327	501(c)(3)	$220,000	Grant Project Play
KING COUNTY SEXUAL ASSAULT
PO Box 300	Renton	WA	98057	910967255	501(c)(3)	$116,000	Sponsorship 2019 Sexual Assault Awareness Month
KUMC RESEARCH INSTITUte
3901 RAINBOW BLVD	KANSAS CITY	KS	66160	481108830	501(c)(3)	$11,148	Research Collaboration
LITTLE RED SCHOOL HOUSE
14 E Casino Rd Ste A	Everett	WA	98208	916053563	501(c)(3)	$49,975	Grant Parents as teachers
LOUISIANA PUBLIC HEALTH INSTITUTE
1515 POYDRAS ST S1200	NEW ORLEANS	LA	70112	721379921	501(c)(3)	$8,736	Research Collaboration
MAKING A DIFFERENCE FOUNDATION INC
PO Box 94545	Seattle	WA	98124	542092145	501(c)(3)	$7,000	Grant Blair's Sanctuary Garden
MARSHFIELD CLINIC RESEARCH
1000 NORTH OAK AVENUE	MARSHFIELD	WI	54449	390452970	501(c)(3)	$59,843	Research Collaboration
MD ANDERSON CANCER CENTER
PO BOX 4434	HOUSTON	TX	77210	746001118	GOV'T	$29,825	Research Collaboration
MISSOURI PRIMARY CARE ASSOCIATION MPCA
3325 EMERALD LANE	JEFFERSON CITY	MO	65109	431419937	501(c)(3)	$8,851	Research Collaboration
MONTEFIORE MEDICAL CENTER
111 E 210TH ST RM NW652	BRONX	NY	10467	131740114	501(c)(3)	$180,015	Research Collaboration
MULTICARE HEALTH SYSTEM
PO BOX 5299	TACOMA	WA	98415	911352172	501(c)(3)	$103,223	Research Collaboration
NAMI WASHINGTON
802 NW 70th St	Seattle	WA	98117	911689067	501(c)(3)	$56,422	Sponsorship NAMI Washington NAMIWalks 2018, NAMI W
NE Washington ESD 101
4202 S Regal St	Spokane	WA	99223	910948293	GOV'T	$90,000	Grant Spokane County Harm Reduction Cooperative
NEIGHBORHOOD HOUSE INCORPORATED
1225 S Weller St	Seattle	WA	98144	910568305	501(c)(3)	$24,953	Grant Community Prevention & Wellness Initiative (
NEW BEGINNINGS
PO Box 75125	Seattle	WA	98175	911005916	501(c)(3)	$20,000	Grant Home Safe
NORTHWEST CHILDRENS FOUNDATION
2100 24th Ave S Ste 320	Seattle	WA	98144	911314318	501(c)(3)	$12,500	Sponsorship Community Trauma and Child Well-Being:
NORTHWEST HEALTH LAW ADVOCATES
4759 15th Ave NE	Seattle	WA	98105	911961032	501(c)(3)	$25,573	Grant Developing a model for county-based immigran
OCHIN INC
1881 SW NAITO PARKWAY	PORTLAND	OR	97201	200195556	501(c)(3)	$408,317	Research Collaboration
OREGON HEALTH & SCIENCE UNIVERSITY
3181 SAM JACKSON PARK RD	PORTLAND	OR	97201	931176109	Gov't	$418,967	Research Collaboration
PALO ALTO MEDICAL FOUNDATION
795 EL CAMINO REAL	PALO ALTO	CA	94301	941156581	501(c)(3)	$26,031	Research Collaboration
PIERCE CENTER FOR ARTS AND TECHNOLOGY
1101 A St Unit 807	Tacoma	WA	98402	814175391	501(c)(3)	$96,000	Grant Arivva pre-operations and capacity building
PIERCE COUNTY PROJECT ACCESS
223 Tacoma Ave S	Tacoma	WA	98402	271185895	501(c)(3)	$49,750	Grant Donated care
PROJECT ACCESS NORTHWEST
1111 Harvard Ave	Seattle	WA	98122	204377921	501(c)(3)	$205,000	Grant General operating support
Project Hope Spokane
1428 W Broadway	Spokane	WA	99201	261417578	501(c)(3)	$6,000	Grant Urban Farm Crew
PROVIDENCE HEALTH CARE
101 W 8th Ave	Spokane	WA	99204	320014330	501(c)(3)	$10,000	Sponsorship Community Health forum - Making Mental
PUGET SOUND EDUCATIONAL SERVICE DISTRICT
800 Oakesdale Avenue SW	Renton	WA	98051	910851413	GOV'T	$24,500	Grant Positive Steps - Unincorporated Pierce Count
PUGET SOUND REGIONAL FIRE AUTHORITY
20811 84th Ave S Ste 110	Kent	WA	98032	272564982	GOV'T	$24,000	Grant The Health Commons Project
QUALIS HEALTH
10700 MERIDIAN AVE N S100	SEATTLE	WA	98133	911072875	501(c)(3)	$372,072	Research Collaboration
RAIMI ASSOCIATES INC
2000 HEARST AVE STE 400	BERKELEY	CA	94709	204994828	For profit	$20,797	Research Collaboration
REGENTS OF THE UNIVERSITY OF CALIFORNIA
1855 FOLSUM STREET	SAN FRANCISCO	CA	94143	946036493	GOV'T	$24,326	Research Collaboration
REGENTS OF THE UNIVERSITY OF MICHIGAN
3089 WOLVERINE TOWER	PITTSBURGH	PA	15251	386006309	GOV'T	$23,625	Research Collaboration
RENTON AREA YOUTH AND FAMILY SERVICES
PO Box 1510	Renton	WA	98057	510152621	501(c)(3)	$90,000	Grant Behavioral Health Services
RENTON SCHOOL DISTRICT
300 SW 7th St	Renton	WA	98057	916001635	GOV'T	$12,500	Grant School staff well being mini grants
RESEARCH INSTITUTE AT NATIONWIDE
700 CHILDRENS DRIVE	COLUMBUS	OH	43205	316056230	501(c)(3)	$150,672	Research Collaboration
RESOLVE INC
1255 23rd St NW	Washington	DC	18889	521841035	501(c)(3)	$7,000	Grant Crisis Standards of Care project
RESOURCES ONLINE
3518 Fremont Ave N	Seattle	WA	98103	931170591	for profit	$5,484	Technical support Web hosting for Suicid3e Prevent
SCOTT & WHITE MEMORIAL HOSPITAL
2401 S 31ST ST	TEMPLE	TX	76508	741166904	501(c)(3)	$49,857	Research Collaboration
SEATTLE AREA SUPPORT GROUPS
115 15th Ave E Ste 201	Seattle	WA	98112	911327257	501(c)(3)	$10,000	Grant Seattle Area Support Group Peer Support Proj
SEATTLE CENTER FOUNDATION
305 Harrison St	Seattle	WA	98109	911003385	501(c)(3)	$250,000	Grant Seattle King County Clinic 2018
SEATTLE CHILDRENS BIOETHICS CONFERENCE
PO BOX 5371 MS RC-507	SEATTLE	WA	98145	910564748	501(c)(3)	$173,360	Research Collaboration
Seattle Parks and Recreation
100 Dexter Ave N	Seattle	WA	98109	510170717	501(c)(3)	$24,509	Grant Get Moving Initiative
SEATTLE PARKS FOUNDATION
105 S Main St Ste 235	Seattle	WA	98104	911998597	501(c)(3)	$274,500	Grant Campaign for Duwamish Waterway Park & Concor
SECOND HARVEST INLAND NORTHWEST
1234 E Front Ave	Spokane	WA	99202	237173826	501(c)(3)	$77,500	Grant Healthy Eating Initiative
STUDENT HEALTH OPTIONS
PO Box 1075	Walla Walla	WA	99362	270401462	501(c)(3)	$90,000	Grant Expansion of bi-directional care model deliv
SWEDISH HEALTH SERVICES
PO BOX 26828	SALT LAKE CITY	UT	84126	910433740	501(c)(3)	$37,246	Research Collaboration
TeamChild
1225 S Weller St	Seattle	WA	98144	911930194	501(c)(3)	$95,000	Grant Targeted policy advocacy to improve long-ter
THE CHICAGO COMMUNITY TRUST
225 NORTH MICHIGAN AVE	CHICAGO	IL	60601	362167000	501(c)(3)	$40,528	Research Collaboration
THE TRUST FOR PUBLIC LAND
101 Montgomery St	Seattle	WA	94104	237222333	501(c)(3)	$925,000	Grant Parks for People
TRINITY PRESBYTERIAN CHURCH OF TACOMA
1615 6th Avenue	Tacoma	WA	98405	236393377	501(c)(3)	$10,000	Grant Trinity Outreach Programs
UC REGENTS
405 HILGARD AVE 5628	LOS ANGELES	CA	90024	956006143	501(c)(3)	$140,870	Research Collaboration
UNIVERSITY OF CA
225 DICKINSON STE H 802	SAN DIEGO	CA	92103	956006144	Gov't	$149,196	Research Collaboration
UNIVERSITY OF CA DAVIS
PO BOX 8709	DAVIS	CA	95616	946036494	Gov't	$51,000	Research Collaboration
UNIVERSITY OF CA SAN DIEGO
9500 GILMAN DR	LA JOLLA	CA	92093	330599494	501(c)(3)	$93,775	Research Collaboration
UNIVERSITY OF MASSACHUSETTS WORCESTER
55 LAKE AVE N	WORCESTER	MA	01655	043167352	501(c)(1)	$850,949	Research Collaboration
UNIVERSITY OF MIAMI
PO BOX 016960 D-53	MIAMI	FL	33101	590624458	501(c)(3)	$156,532	Research Collaboration
UNIVERSITY OF NORTH CAROLINA
104 AIRPORT DRIVE	CHAPEL HILL	NC	27599	566001393	GOV'T	$16,916	Research Collaboration
UNIVERSITY OF PITTSBURGH
LOCK BOX 371220	PITTSBURGH	PA	15251	250965591	501(c)(3)	$266,251	Research Collaboration
UNIVERSITY OF TEXAS
6655 TRAVIS ST SUITE 980	HOUSTON	TX	77030	741761309	501(c)(3)	$32,861	Research Collaboration
UNIVERSITY OF WASHINGTON
3917 UNIVERSITY WAY NE	SEATTLE	WA	98105	916001537	GOV'T	$2,988,518	Research Collaboration
UNIVERSITY OF WASHINGTON
407 Gerberding Hall 4101	Seattle	WA	98105	943079432	GOV'T	$40,000	Grant Forefront in the schools
VANDERBILT UNIVERSITY
PO BOX 30215	ATLANTA	GA	31192	620476822	501(c)(3)	$41,349	Research Collaboration
WASHINGTON BIKES
7787 62nd Ave NE	Seattle	WA	98115	912165219	501(c)(3)	$50,000	Grant Eastside Rail Corridor
WASHINGTON HEALTHCARE
PO Box 14506	Seattle	WA	98114	262096781	501(c)(3)	$10,000	Sponsorship Washington Free and Charitable Care Co
WASHINGTON POISON CENTER
155 NE 100th St Ste 100	Seattle	WA	98125	943214597	501(c)(3)	$10,000	Sponsorship Washington Poison Center Fair Share Pr
WASHINGTON WILDLIFE AND RECREATION
1402 3rd Ave 714	Seattle	WA	98101	911190821	501(c)(3)	$15,000	Grant Building a healthier and more active Washing
WITHIN REACH
155 NE 100th St Ste 100	Seattle	WA	98125	911443685	501(c)(3)	$80,000	Sponsorship 2018 Help Me Grow National Forum
YAKIMA NEIGHBORHOOD HEALTH SERVICES
12 S 8th St	Yakima	WA	98901	910928817	501(c)(3)	$30,000	Grant The Space ""Life on our Terms""
YWCA OF SEATTLE KING COUNTY
1118 5th Ave	Seattle	WA	98101	910482890	501(c)(3)	$85,000	Grant Mobile Health Care Access
WASHINGTON STATE UNIVERSITY
PO BOX 641024	PULLMAN	WA	991641024	916001108	501(c)(3)	$112,500	EDUCATIONAL ASSISTANCE

Field	Value	IRS element (for citing)
Total501c3 Org	94	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	AT THE END OF THEIR FUNDING CYCLE GRANTEES ARE REQUIRED TO SUBMIT A FINAL REPORT WHICH DELINEATES ACCOMPLISHMENTS RELATED TO STATED OBJECTIVES. LARGE 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 (41 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
EVP, Group President	$0	$1,224,496	$0	$3,466,327	$0	$4,391,419	$0	$1,114,562	$0	$29,740	$0	$10,226,544	$0	$4,383,200
Scott Armstrong
President & CEO	$0	$0	$0	$0	$1,703,471	$0	-$85,620	$0	$0	$0	$1,617,851	$0	$0	$0
Ramon F Baez
Director	$11,000	$197,500	$0	$0	$0	$13,681	$0	$13,477	$0	$0	$11,000	$224,658	$0	$0
Barbara Belt Lloyd
VP, Chief Accounting Officer	$0	$0	$1,500	$0	$433,890	$0	$0	$0	$0	$0	$435,390	$0	$0	$0
Maryann Bodayle
Assistant Secretary	$0	$156,315	$0	$17,468	$0	$2,229	$0	$7,903	$0	$9,726	$0	$193,641	$0	$0
Linda M Breard
EVP, Chief Financial Officer	$0	$0	$0	$0	$762,486	$0	$0	$0	$0	$0	$762,486	$0	$0	$0
Patrick Courneya
EVP, Chief Medical Officer	$0	$568,297	$0	$747,685	$0	$44,538	$0	$306,208	$0	$21,868	$0	$1,688,596	$0	$0
Alicia T Eng
VP,Clinic Ops & Mkt Integrat'n	$0	$288,357	$0	$288,856	$0	$114,424	$0	$177,568	$0	$14,930	$0	$884,135	$0	$0
Gerard C Fischer
VP, Ancillary & Business Svcs	$0	$297,476	$0	$308,393	$0	$74,664	$0	$84,930	$0	$16,268	$0	$781,731	$0	$57,571
Elizabeth Fleming
VP, Innovation & New Bus Dev	$0	$293,502	$0	$293,508	$0	$149,677	$0	$173,271	$0	$6,787	$0	$916,745	$0	$0
John F Harris
ED-Mkt & Prod Strat/VP KPWA Op	$0	$289,728	$0	$318,048	$0	$76,904	$0	$142,572	$0	$12,034	$0	$839,286	$0	$0
Judith A Johansen
Director	$3,000	$241,800	$0	$0	$0	$15,524	$0	-$18,131	$0	$0	$3,000	$239,193	$0	$0
Kim J Kaiser
Director	$14,500	$219,600	$0	$0	$0	$13,160	$0	-$11,160	$0	$0	$14,500	$221,600	$0	$0
Susan S Kozik
EVP, Chief Information Officer	$0	$0	$0	$0	$520,063	$0	$0	$0	$0	$0	$520,063	$0	$0	$0
Tami Lamp
EVP, HR	$0	$0	$0	$0	$583,956	$0	$0	$0	$0	$0	$583,956	$0	$0	$0
Kathryn Lancaster
EVP & CFO	$0	$1,042,302	$0	$1,776,268	$0	$402,535	$0	$332,280	$0	$21,033	$0	$3,574,418	$0	$0
Eric B Larson
VP, Health Research	$0	$396,288	$0	$259,859	$0	$153,929	$0	$107,458	$0	$24,485	$0	$942,019	$0	$0
Erin D Leff
VP, COO	$0	$310,873	$0	$699,494	$0	$1,007,531	$0	$53,706	$0	$13,849	$0	$2,085,453	$0	$47,810
Dawn Loeliger
EVP, Strat Planning & Deploy	$0	$0	$0	$0	$387,949	$0	$0	$0	$0	$0	$387,949	$0	$0	$0
Thomas Meier
SVP, Corporate Treasurer	$0	$462,542	$0	$633,581	$0	$115,824	$0	$8,208	$0	$33,258	$0	$1,253,413	$0	$0
Susan Mullaney
Regional President - WA	$0	$589,674	$0	$453,549	$0	$177,325	$0	$246,089	$0	$27,441	$0	$1,494,078	$0	$80,283
Breton C Myers
VP, Treasury	$0	$205,617	$0	$172,607	$0	$183,550	$0	$75,735	$0	$9,298	$0	$646,807	$0	$29,387
Robert V O'Brien
EVP, Health Plan Division	$0	$0	$0	$0	$835,581	$0	$0	$0	$0	$0	$835,581	$0	$0	$0
Janet O'Hollaren
VP, COO	$0	$422,336	$0	$614,398	$0	$38,316	$0	$116,324	$0	$27,105	$0	$1,218,479	$0	$0
Donald Orndoff
SVP, NFS	$0	$435,028	$0	$536,354	$0	$176,170	$0	$169,668	$0	$32,416	$0	$1,349,636	$0	$117,119
Brian S O'Shields
VP, Chief Actuary	$0	$0	$491,394	$0	$573,236	$0	$0	$0	$0	$0	$1,064,630	$0	$0	$0
Margaret E Porfido JD
Director	$13,500	$245,000	$0	$0	$0	$20,262	$0	-$9,170	$0	$0	$13,500	$256,092	$0	$0
Diana H Rakow
EVP Marketing & Public Affairs	$0	$0	$0	$0	$507,126	$0	$0	$0	$0	$0	$507,126	$0	$0	$0
Sheila M Rankin
VP Port Mgr & Strat Execution	$0	$283,594	$0	$227,365	$0	$148,082	$0	$56,490	$0	$20,401	$0	$735,932	$0	$0
John Rodgers
VP, Business Info Officer - WA	$0	$237,293	$0	$96,843	$0	$25,464	$0	$67,574	$0	$18,712	$0	$445,886	$0	$0
Karen Schartman
VP, CFO and Strategy - WA	$0	$411,085	$0	$328,292	$0	$22,524	$0	$59,844	$0	$17,744	$0	$839,489	$0	$0
Joseph Smith
VP, MSBD - WA	$0	$307,205	$0	$239,814	$0	$153,779	$0	$82,301	$0	$27,735	$0	$810,834	$0	$90,753
Arthur Southam
EVP, Health Plan Operations	$0	$1,041,658	$0	$1,897,457	$0	$431,827	$0	$536,245	$0	$36,844	$0	$3,944,031	$0	$0
Shawna Sweeney
Assistant Secretary	$0	$240,504	$0	$204,957	$0	$73,282	$0	$32,591	$0	$26,841	$0	$578,175	$0	$0
Barbara E Trehearne
VP, Clinical Excellence & Int	$0	$154,886	$0	$310,834	$0	$412,943	$0	$10,619	$0	$11,160	$0	$900,442	$0	$0
Bernard Tyson
Chairman & CEO	$0	$1,652,487	$0	$12,577,609	$0	$1,479,757	$0	$2,132,546	$0	$41,234	$0	$17,883,633	$0	$2,110,403
Alfonse Upshaw
SVP,Corporate Controller & CAO	$0	$438,858	$0	$356,406	$0	$18,380	$0	$99,558	$0	$28,853	$0	$942,055	$0	$0
Pamela Warren
VP, HP Services & Admin - WA	$0	$296,288	$0	$301,469	$0	$36,015	$0	$80,876	$0	$16,034	$0	$730,682	$0	$60,043
Sarah Yates
Assistant Secretary	$0	$434,558	$0	$393,694	$0	$141,111	$0	$91,757	$0	$26,047	$0	$1,087,167	$0	$0
Hong-Sze Yu
VP, Brd & Corp Gov & Asst Secy	$0	$249,307	$0	$94,714	$0	$17,313	$0	$60,176	$0	$25,870	$0	$447,380	$0	$0
Mark Zemelman
SVP, General Counsel & Secy	$0	$677,594	$0	$1,100,476	$0	$280,462	$0	-$12,297	$0	$34,354	$0	$2,080,589	$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 $1,685,250 Barbara Belt Lloyd 343,200 Linda M. Breard 700,000 Susan S. Kozik 489,500 Tami Lamp 578,200 Erin D Leff 712,532 Dawn Loeliger 387,949 Breton C Myers 64,660 Robert V O'Brien 820,397 Brain S O'Shields 506,300 Diana H Rakow 480,200 Barbara E Trehearne 252,000 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.
SCHEDULE J, PART I, LINE 4B	SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENT: Gregory Adams $ 4,338,278 Barbara Belt Lloyd 82,944 Alicia T Eng 20,626 Elizabeth Fleming 92,279 John F Harris 20,517 Kathryn Lancaster 351,081 Eric B Larson 28,610 Erin D Leff 318,544 Thomas Meier 72,501 Susan Mullaney 153,632 Breton C Myers 129,773 Donald Orndoff 149,555 Brian S O'Shields 32,696 Joseph Smith 116,501 Arthur Southam 380,295 Shawna Sweeney 17,828 Barbara E Trehearne 212,543 Bernard Tyson 999,157 Sarah Yates 31,499 Mark Zemelman 232,150 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 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.
SCHEDULE J, PART II, COLUMN C	THE ACTUARIAL VALUE FOR SOME INDIVIDUALS' DEFINED BENEFIT PLAN DECLINED IN 2018, RESULTING IN NEGATIVE VALUES IN COLUMN (C) IN SOME INSTANCES. Certain board members are eligible for a retiree medical benefit following retirement from the board. While this benefit is subject to change and may be reduced or eliminated, the 2018 change in the actuarial determined value of this benefit for each board member has been included in Form 990, Part VII, Column (f) and Schedule J, Part II, Column C. Amounts for this benefit have also been deferred for prior years. The actuarial increase or decrease in value may change for various reasons, including continued service, age, and changes in assumptions.
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 (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, LINE 1A	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, QUESTION 6	THE SOLE CORPORATE MEMBER OF THE CORPORATION IS KFHPW HOLDINGS, A WASHINGTON NONPROFIT CORPORATION.
Form 990, PART VI, QUESTION 7A	KFHPW HOLDINGS APPOINTS THE DIRECTORS (AND FILLS VACANCIES AND HAS AUTHORITY TO REMOVE DIRECTORS).
Form 990, PART VI, QUESTION 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, QUESTIONS 12C	COMPLIANCE ENFORCEMENT A. REGULARLY AND CONSISTENTLY MONITORS COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY - KAISER PERMANENTE REGULARLY MONITORS COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY IN 3 KEY WAYS: A1. THE KAISER PERMANENTE COMPLIANCE HOTLINE IS AVAILABLE TO ALL EMPLOYEES AND VENDORS TO REPORT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. ALL CALLS ARE ANSWERED BY A THIRD PARTY AND PROVIDED TO KAISER PERMANENTE'S NATIONAL COMPLIANCE OFFICE FOR REVIEW AND APPROPRIATE ACTION. EMPLOYEES CAN REPORT ANONYMOUSLY. RETALIATION IS PROHIBITED. REPORTS OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST ARE GENERATED AND INVESTIGATIONS ARE CONDUCTED AS REQUIRED AND INFORMATION IS TRACKED AND TRENDED TO DETERMINE IF ADDITIONAL GUIDANCE IS REQUIRED TO AVOID OR MANAGE CONFLICTS OF INTEREST. COMPLIANCE HOTLINE REPORTS ARE PROVIDED FOR REVIEW AND ACTION TO THE KAISER FOUNDATION HEALTH PLAN/HOSPITALS BOARDS OF DIRECTORS ANNUALLY. A2. THE NATIONAL COMPLIANCE OFFICE AND INTERNAL AUDIT SERVICES ANNUALLY REVIEW THE DIRECTORS', OFFICERS', KEY EMPLOYEES', AND EXECUTIVES' ANNUAL CONFLICTS OF INTEREST QUESTIONNAIRE DISCLOSURES AND PROVIDE DIRECTION ON ANY INVESTIGATIONS REQUIRED. INVESTIGATIONS ARE DOCUMENTED, TRACKED AND TRENDED TO DETERMINE IF ADDITIONAL CONTROLS OR EDUCATION IS REQUIRED. IN ADDITION, CONFLICTS OF INTEREST QUESTIONNAIRE REPORTS ARE PROVIDED FOR REVIEW AND ACTION TO THE KAISER FOUNDATION HEALTH PLAN/HOSPITALS BOARDS OF DIRECTORS ANNUALLY; AND A3. ANNUALLY, AS A COMPONENT OF THE EXTERNAL AUDIT, AN OUTSIDE CERTIFIED PUBLIC ACCOUNTING FIRM REVIEWS THE ANNUAL CONFLICTS OF INTEREST QUESTIONNAIRES PROCESS COMPLETED BY DIRECTORS, OFFICERS, KEY EMPLOYEES, AND EXECUTIVES, AND ACTIONS TAKEN AS A RESULT OF THE DISCLOSURES. THE RESULTS OF THE ANNUAL AUDIT, INCLUDING ANY FINDINGS IN THIS AREA ARE PRESENTED TO THE KAISER FOUNDATION HEALTH PLAN/HOSPITALS AUDIT AND COMPLIANCE COMMITTEE. B. REGULARLY AND CONSISTENTLY ENFORCES COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY - TO ENSURE CONSISTENCY IN THE ENFORCEMENT OF THE POLICY KAISER PERMANENTE USES THE FOLLOWING STEPS AS A GENERAL GUIDELINE: B1. REPRESENTED EMPLOYEES ARE SUBJECT TO ANY CORRECTIVE/DISCIPLINARY ACTION PROVISIONS DESCRIBED IN SPECIFIC REGIONAL/NATIONAL COLLECTIVE BARGAINING AGREEMENTS AND/OR ORGANIZATIONAL POLICIES AND PRACTICES. B2. KAISER PERMANENTE NOTIFIES EMPLOYEES OF THE NATIONAL HUMAN RESOURCES POLICY NO. 14. CORRECTIVE/DISCIPLINARY ACTION POLICY DURING NEW EMPLOYEE ORIENTATION AND IN ANNUAL COMPLIANCE TRAINING. B3. IN THE EVENT THAT IT IS NECESSARY TO DISCIPLINE ANY EMPLOYEE BECAUSE OF, BUT NOT LIMITED TO, FAILURE TO COMPLY WITH APPLICABLE LEGAL/REGULATORY REQUIREMENTS, KAISER PERMANENTE POLICIES AND PROCEDURES, OR THE PRINCIPLES OF RESPONSIBILITY, OR FOR UNSATISFACTORY PERFORMANCE OR MISCONDUCT, COACHING/COUNSELING AND/OR CORRECTIVE/DISCIPLINARY ACTION MAY INCLUDE, BUT IS NOT LIMITED TO: - ORAL DISCUSSION AND/OR WARNING BY THE EMPLOYEE'S IMMEDIATE SUPERVISOR OR HIGHER LEVEL MANAGER TO CORRECT THE PROBLEM; - WRITTEN NOTICE, WITH OR WITHOUT FINAL WARNING; - PAID OR UNPAID SUSPENSION, WITH OR WITHOUT FINAL WARNING; - TERMINATION OF EMPLOYMENT.
Form 990, PART VI, QUESTION 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, QUESTION 18	Forms 990 are available on www.guidestar.org.
Form 990, PART VI, QUESTION 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 DONATED CAPITAL $ 280,645 CHANGE IN OCI (PENSION & RETIREMENT LIA) 38,328,123 OTTI LOSSES - BOOK (27,821,828) ------------------ $10,786,940
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 America's 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 electronic 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 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 Permanente's Approach to Community Health For more than 70 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 doctor's 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 Permanente's workforce and assets; and - Advancing the future of community health by innovating with technology and social solutions. C. Kaiser Permanente's Total Contribution Kaiser Permanente provided $2.8 billion in community benefits in 2018. The amounts attributable to Kaiser Foundation Health Plan of Washington are: - Financial Assistance at cost - $15.9 million - Medicaid - $33.7 million - Community health improvement services and community benefit operations - $4.3 million - Health Professions Education - $9 million - Research - $1.7 million - Cash and in-kind contributions from community benefit - $4.3 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 access to high quality health care services for low-income populations within the communities we serve is core to our mission and tax-exempt status. Access to healthcare for vulnerable low-income populations is routinely identified in our Community Health Needs Assessments as one of the top health needs in the communities Kaiser Permanente serves. There are two main access challenges: coverage and care. Without access to adequate health insurance coverage, people may not receive the comprehensive and continuous medical care needed to help achieve maximum health outcomes. And without access to convenient and high-quality care by trusted providers, they are less likely to get and/or stay healthy. Over time, access challenges can compromise health outcomes as well as create additional burden on government to provide necessary social services. 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 Children's 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 Permanente's traditional charity care or financial assistance program (FAP). For Kaiser Foundation Health Plan, Inc. and all of its subsidiary health plans, the main way to address health access challenges is by absorbing the cost of the coverage programs described above. In 2018, Kaiser Foundation Health Plan of Washington spent a total of $49.7 million on our coverage and care programs (at cost, net of all related revenues). In addition, it provided $1.1 million in grants to help improve health access challenges, including but not limited to funding key safety-net partner organizations. B. Coverage Adequate health coverage means consistent access to comprehensive and continuous medical and preventative services for people to get and stay healthy, a much better and thorough 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 2018, Kaiser Foundation Health Plan of Washington was providing benefits to over 24,600 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 2018 due to Kaiser Permanente's participation in these government programs, Kaiser Foundation Health Plan of Washington also subsidized care to people who are enrolled in these programs but not formally assigned to Kaiser Permanente. ii. Care subsidized by MFA The MFA program helps low-income, uninsured, and underserved patients receive access to care. MFA provides temporary financial assistance or free care to qualified patients who receive health care services from our providers, regardless of whether they have health coverage or are uninsured. MFA is open to all eligible patients (members and nonmembers) who meet financial criteria based on household size and income and have exhausted all private or public health care coverage options. The program also includes support for programs that are designed to enable access to Kaiser Permanente services through coordination with community-based organizations that address the health needs of low-income, primarily uninsured populations. Over the course of 2018, Kaiser Foundation Health Plan of Washington subsidized care for over 11,000 people through the MFA program. D. Safety-Net Partnerships Kaiser Permanente is committed to building partnerships with the institutions that play a critical role in delivering health care for the uninsured and underserved, often referred to as the health care "safety-net." Through grants, training and technical assistance, we're working with safety-net hospitals and health centers to help these institutions reach those who are low-income, uninsured or under-resourced in our communities, and move the needle in eliminating health disparities. We do this by investing in quality improvement and other support efforts that aim to transform care and improve health access for those most in need. Specific examples of our efforts in 2018 include: - Kaiser Foundation Health Plan of Washington funded $200,000, part of a 3-year grant for $600,000, to Project Access Northwest to connect patients served by the safety-net with vital specialty care services. In addition to operational support for the organization, Kaiser Foundation Health Plan of Washington clinics accepted specialty care referrals and provided clinical services for 400 low-income and uninsured patients in 2018.
III. Improve Conditions for Health and Equity	A. Summary of the Strategy Healthy communities are critical to the health and wellness of every person - and this has always been central to our mission. That's why our strategy includes efforts to address the root causes of health, such as economic opportunity. Where community needs are greatest, we make direct investments to create conditions for health and equity, because healthy individuals need healthy communities, and healthy communities need healthy people to thrive. In 2018, Kaiser Foundation Health Plan of Washington spent a total of $3.2 million on charitable contributions designed to improve conditions for health and equity. B. Health and Wellness in 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 one's 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. That's 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 country's 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 examples of our efforts in 2018 include: - Kaiser Permanente continued its ongoing support of Healthy Eating, Active Living (HEAL), a school-based intervention aimed at making changes to the policies and systems in school environments to promote improved health behaviors of students, teachers, and staff. An additional 44 schools across Kaiser Permanente's Washington region started this work in 2018, bringing the total to 370 new schools across Kaiser Permanente's footprint working to change student and adult behaviors related to nutrition and physical activity in 2018. - Kaiser Foundation Health Plan of Washington launched the school employee-focused "Way to Wellbeing" 3-part workplace wellness workshop reaching 14 school districts representing thousands of school employees. The workshops focused on strategies for physical and mental wellbeing during the school day. Some of the attendees applied for and received modest grants to support them in implementing efforts on their school site in order to achieve the wellbeing goals covered in the workshops. C. Health and Wellness in 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 how 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 Permanente's ongoing partnerships with community organizations, municipal leaders, and public health champions, we are working to incorporate health, equity and sustainability considerations into public policy and the built environment in ways that influence how neighborhoods take shape and grow. Specific examples of our efforts in 2018 include: - Kaiser Permanente joined the de Beaumont Foundation to support CityHealth. CityHealth advances nine policies that can make real, lasting impacts in people's health and quality of life in America's 40 largest cities. In 2018, CityHealth assessed 40 cities including Seattle, Washington on their policies and began to engage with city leaders to help them improve policies for Pre-K, inclusionary zoning, complete streets, smoke-free indoor air, and healthy food procurement. - Kaiser Foundation Health Plan of Washington provided the Seattle Parks Foundation with a $250,000 grant to support park renovations and improvements to Duwamish Waterway Park and Concord International Elementary School. These park enhancements are projected to positively impact 4,000 residents near the waterway park and over 400 students at the elementary school by providing a safe and accessible environment for physical activity. Both projects are located in neighborhoods with a large concentration of families of low-incomes and substantial immigrant populations. D. 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. Specific examples of our efforts in 2018 include: - Kaiser Permanente continued its commitment to source goods and services from the minority, women, veteran, 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, and LGBTQ-owned business community. Furthermore, we also began to measure job creation that resulted from our procurement spending. In 2018, we found that our procurement spending led our supplier partners to create new jobs. - Kaiser Foundation Health Plan of Washington provided two grants totaling over $190,000 to two organizations, Arivva and Pierce County Pre-Apprenticeship Center, to engage unemployed, underemployed and disconnected youth and adults. They program participants are supported in achieving certification and getting into a registered apprenticeship training program for jobs in HVAC (heating ventilation air conditioning), construction and health care. Kaiser Permanente also partnered with Year Up, a nonprofit organization that provides young adults with the skills, experience, and support that will empower them to reach their potential through professional careers and higher education, to place 6 economically disadvantaged young people of color into administrative and business operations internships in Seattle. E. Housing and Homelessness Housing stability is a key factor in a person's 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 examples of our efforts in 2018 include: - Kaiser Permanente committed to address the housing and homelessness crisis in our communities. As part of that commitment, and working with Enterprise Community Partners, we developed the RxHome Fund, which will create and preserve multifamily rental homes for low-income residents throughout Kaiser Permanente's service areas. This strategy will protect current residents and preserve affordable units in the current housing stock. Also, with Enterprise Community Partners, we are supporting affordable housing development and preservation across all the communities in our service footprint.
F. 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 organization - 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 examples of our efforts in 2018 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 14% of overall spending on products to items that met our Environmentally Preferable Purchasing standards and dedicated 34% 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 responsibly reused, recycled or composted over 718 tons of materials and sent 42 of our waste to recycling. IV. Advance the Future of Community Health A. Summary of the Strategy Kaiser Permanente advances the future of community health by innovating with technology and social solutions. We need to increase our speed and capacity to respond to community needs and achieve equitable health outcomes. Innovation will increase our ability to identify, incubate and implement solutions to difficult community health problems. We work 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 2018, Kaiser Foundation Health Plan of Washington spent $10.7 million on programs to advance the future of community health (at cost, net of all related revenues). This included $9 million in health professional education and $1.7 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 2018, Kaiser Foundation Health Plan of Washington supported 39 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 Permanente's research efforts are core to the organization's mission to improve population health, and its commitment to continued learning. Research activities are conducted at Kaiser Permanente's 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 2018, Kaiser Foundation Health Plan of Washington engaged in 289 active studies including 39 clinical trials, and published 284 journal articles. The following is an example of a research project conducted in 2018: - Kaiser Foundation Health Plan of Washington's Research Center, Kaiser Permanente Washington Health Research Institute, published: Association Between Bariatric Surgery and Macrovascular Disease Outcomes in Patients with Type 2 Diabetes and Severe obesity. The objective of the study was to investigate the relationship between bariatric surgery and incident macrovascular (coronary artery disease and cerebrovascular diseases) events in patients with severe obesity and type 2 diabetes. The authors concluded that bariatric surgery was associated with a lower risk of incident major macrovascular events. D. Advancing Innovation Despite our nation's 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, we're 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 examples of our efforts in 2018 include: - Kaiser Permanente partnered with The Public Good Projects (PGP) to launch a strategy to reduce stigma and raise awareness around mental health conditions. PGP Mental Health campaign has three components which include Therapy Pets, Like One Another, and Mental Health Champions and each has its own audience.

Schedule R IRS990ScheduleR

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RYAN-GHC ONE LLC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	474197735	REAL ESTATE	DE	$0	$30,000	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)

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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)
KAISER PERMANENTE SCHOOL OF MEDICINEINC
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
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RYAN-GHC TWO LLC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	810725477	REAL ESTATE	DE	KFHPW	N/A	$0	$432,630	$0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

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OAK TREE ASSURANCE LTD
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	030329760	INSURANCE	VT	NA	C CORP	Yes (true)
KAISER PERMANENTE INSURANCE COMPANY
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943203402	INSURANCE	CA	NA	C CORP	Yes (true)
KAISER PROPERTIES SERVICES INC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943259432	REAL ESTATE	CA	NA	C CORP	Yes (true)
KAISER PERMANENTE INTERNATIONAL
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943245176	CONSULTING	CA	NA	C CORP	Yes (true)
GROUP HEALTH OF SERVICES INC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	911392222	INACTIVE	WA	NA	C CORP	Yes (true)	$0	$0	1.00000
KFHP OF WASHINGTON OPTIONS INC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	911467158	INSURANCE	WA	NA	C CORP	Yes (true)	$943,047,728	$289,888,112	1.00000

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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 (23 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
KAISER FDN HEALTH PLAN OF WA OPTIONS INC
J	$57,849	PER AGREEMENT
KAISER FDN HEALTH PLAN OF WA OPTIONS INC
L	$108,663,487	PER AGREEMENT
KAISER FDN HEALTH PLAN OF WA OPTIONS INC
P	$33,308,570	PER AGREEMENT
KAISER FDN HEALTH PLAN OF WA OPTIONS INC
R	$182,874,237	PER AGREEMENT
KAISER FOUNDATION HOSPITALS
A	$658,613	PER AGREEMENT
KAISER FOUNDATION HOSPITALS
P	$28,089,542	PER AGREEMENT
KAISER FOUNDATION HOSPITALS
Q	$7,332,776	PER AGREEMENT
KAISER FOUNDATION HOSPITALS
R	$3,188,265,151	PER AGREEMENT
KAISER FOUNDATION HOSPITALS
S	$2,470,384,408	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
L	$180,000	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
M	$25,674,588	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
P	$69,287,927	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
Q	$43,182,910	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
R	$55,113,810	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
S	$212,045,204	PER AGREEMENT
LOKAHI ASSURANCE LTD
L	$7,068,900	PER AGREEMENT
LOKAHI ASSURANCE LTD
M	$45,899,000	PER AGREEMENT
LOKAHI ASSURANCE LTD
Q	$10,628,485	PER AGREEMENT
LOKAHI ASSURANCE LTD
S	$2,427,969	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE NW
L	$6,379,967	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE NW
Q	$1,204,995	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF COLORADO
P	$142,894	PER AGREEMENT
KAISER FDN HEALTH PLAN OF WA HOLDINGS
R	$34,719,389	PER AGREEMENT