STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (EIN 93-0798039)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-08
IRS object ID
201843129349302194
Schema version
2017v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-08T14:09:39-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1800AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN930798039EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KAISER FOUNDATION HEALTH PLANBusinessNameLine1Txt
Business Name Line2OF THE NORTHWESTBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% CHIEF ACCOUNTING OFFICERInCareOfNm
Business Name ControlKAISBusinessNameControlTxt
Phone5102716611PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE KAISER PLAZA SUITE 15LAddressLine1Txt
CityOAKLANDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94612ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALFONSE UPSHAWPersonNm
Person TitleSVP, CC AND CAOPersonTitleTxt
Phone5102716611PhoneNum
Signature2018-10-19SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT W FRIZPreparerPersonNm
PTINP00438748PTIN
Phone2673303000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address155.201.188.33IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id23522320183125000024FederalOriginalSubmissionId
Federal Original Submission Id2018-11-08FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id82EF70885BAE644EF1B1FCEB45264405E14EF6B4AtSubmissionCreationDeviceId
At Submission Filing Device Id6CFBC1E470B119DB9F0B0C745D98B714AAF1A9A1AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRUTH WILLIAMS-BRINKLEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE KAISER PLAZA SUITE 15LAddressLine1Txt
CityOAKLANDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94612ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,075,034,609GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.kp.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionTO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee9830TotalEmployeeCnt
Total Volunteers148TotalVolunteersCnt
Total Gross UBI$4,807,356TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$261,037NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$19,040PYContributionsGrantsAmt
CY Contributions Grants$18,090CYContributionsGrantsAmt
PY Program Service Revenue$3,730,426,021PYProgramServiceRevenueAmt
CY Program Service Revenue$3,949,010,310CYProgramServiceRevenueAmt
PY Investment Income$26,581,351PYInvestmentIncomeAmt
CY Investment Income$20,417,959CYInvestmentIncomeAmt
PY Other Revenue$378,147PYOtherRevenueAmt
CY Other Revenue$306,252CYOtherRevenueAmt
PY Total Revenue$3,757,404,559PYTotalRevenueAmt
CY Total Revenue$3,969,752,611CYTotalRevenueAmt
PY Grants And Similar Paid$140,236PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$199,934CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$861,997,565PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$899,914,933CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,803,584,838PYOtherExpensesAmt
CY Other Expenses$3,024,979,935CYOtherExpensesAmt
PY Total Expenses$3,665,722,639PYTotalExpensesAmt
CY Total Expenses$3,925,094,802CYTotalExpensesAmt
PY Revenues Less Expenses$91,681,920PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$44,657,809CYRevenuesLessExpensesAmt
Total Assets BOY$1,530,943,395TotalAssetsBOYAmt
Total Assets EOY$1,285,021,137TotalAssetsEOYAmt
Total Liabilities BOY$1,004,850,634TotalLiabilitiesBOYAmt
Total Liabilities EOY$887,066,676TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$526,092,761NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$397,954,461NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$3,523,392,919ExpenseAmt
Grant$199,934GrantAmt
Revenue$3,826,175,219RevenueAmt
DescMEMBER HEALTH CARE SERVICES AND MEDICAL TRAINING FOR CARE IMPROVEMENT KAISER FOUNDATION HEALTH PLAN OF NORTHWEST (KFHP-NW) PROVIDES HOSPITAL, 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 NORTHWEST 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

FieldValueIRS element (for citing)
Expense$176,921,388ExpenseAmt
Grant$0GrantAmt
Revenue$122,795,619RevenueAmt
DescMedicaid and Other Government Sponsored Programs Kaiser Foundation Health Plan of the Northwest (KFHP-NW) is committed to improving medical care for beneficiaries of Medicaid and other government sponsored programs, not only for KFHP-NW members, but also within the communities we serve. At the end of 2017, more than 29,000 individuals were receiving the benefits of full membership in KFHP-NW's Medicaid managed care program. Approximately 13,000 more individuals were members of the Children's Health Insurance Program (CHIP). In addition, KFHP-NW provided health care on a fee-for-service basis for Medicaid beneficiaries who were not enrolled as KFHP-NW members.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$26,489,749ExpenseAmt
Grant$0GrantAmt
Revenue$39,472RevenueAmt
DescCharity Care (Medical Financial Assistance and Charitable Health Coverage) Kaiser Foundation Health Plan of the Northwest (KFHP-NW) provides charity care to low-income vulnerable patients through the Medical Financial Assistance (MFA) and Charitable Health Coverage (CHC) Programs. KFHP-NW 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 2017, this program assisted more than 15,000 qualifying applicants, including nearly 2,200 patients who were not otherwise covered by a health plan offered by KFHP-NW. The CHC program offers regular Kaiser Foundation Health Plan membership at minimal cost to low income families who are not eligible for other public or privately sponsored coverage. More than 3,700 individuals were receiving comprehensive health care through this program at the end of 2017.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$2,215,559ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescSEE SCHEDULE O COMMUNITY BENEFIT REPORTDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$2,215,559TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$3,729,019,615TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document639IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee9830EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCHIEF ACCOUNTING OFFICERPersonNm
Phone5102716611PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE KAISER PLAZA SUITE 15LAddressLine1Txt
CityOAKLANDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94612ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (46 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Ramon F Baez
Director0.254.75Yes (X)$0$216,956$0
David Barger
Director0.56.5Yes (X)$0$129,258$0
Regina M Benjamin MD MBA
Director0.58.0Yes (X)$0$195,085$0
Jeffery E Epstein
Director0.58.0Yes (X)$0$209,793$0
Leslie S Heisz
Director0.254.75Yes (X)$0$221,011$0
David F Hoffmeister
Director0.259.25Yes (X)$0$228,956$0
Judith A Johansen JD
Director0.58.5Yes (X)$0$245,223$0
Kim J Kaiser
Director1.07.0Yes (X)$0$229,212$0
Edward Y W Pei
Director0.257.25Yes (X)$0$227,488$18,000
Margaret E Porfido JD
Director0.06.0Yes (X)$0$273,015$0
Richard Shannon MD
Director0.55.0Yes (X)$0$190,000$18,000
Cynthia A Telles PHD
Director0.57.0Yes (X)$0$233,956$0
Bernard Tyson
Chairman & CEO4.046.0Yes (X)$0$10,709,503$5,373,250Yes (X)
Eugene Washington MD
Director0.256.75Yes (X)$0$193,495$0
Gregory Adams
EVP, Group President4.046.0$0$3,042,495$3,546,643Yes (X)
Kristin Bear
Assistant Secretary4.046.0$0$346,012$142,273Yes (X)
Maryann Bodayle
Assistant Secretary1.049.0$0$172,364$48,189Yes (X)
Bernice Gould
Assistant Secretary1.049.0$0$211,923$119,722Yes (X)
Kathryn Lancaster
EVP & CFO3.546.5$0$2,834,247$889,086Yes (X)
Andrew Mcculloch
Regional President - Northwest25.025.0$0$4,160,783$167,915Yes (X)
Thomas Meier
SVP, Corporate Treasurer1.548.5$0$1,125,095$191,167Yes (X)
Janet O'Hollaren
Interim Regional President50.00.0$0$522,090$361,570Yes (X)
Donald Orndoff
SVP, NFS4.046.0$0$974,157$230,435Yes (X)
Jacqueline Sellers
Assistant Secretary6.044.0$0$287,588$171,076Yes (X)
Arthur Southam
EVP, Health Plan Operations4.046.0$0$3,230,890$776,312Yes (X)
Alfonse Upshaw
SVP,Corporate Controller & CAO3.546.5$0$839,199$168,061Yes (X)
William Wiechmann
Assistant Secretary49.01.0$0$519,827$227,443Yes (X)
Ruth Williams-Brinkley
Regional President - Northwest25.025.0$0$48,611$35,651Yes (X)
Hong-Sze Yu
VP, Brd & Corp Gov & Asst Secy3.546.5$0$330,937$179,627Yes (X)
Mark Zemelman
SVP, General Counsel & Secy2.048.0$0$2,447,915$221,897Yes (X)
Keith Forrester
VP, MSBD - Northwest50.00.0$0$468,036$164,988Yes (X)
David Lake
VP, Strategy & Health Plan Ops50.00.0$0$438,813$137,802Yes (X)
Xuejun J Smith
Chief Financial Officer50.00.0$0$344,286$140,183Yes (X)
Stephen Shawn Barton
Exec Dir, Revenue Cycle - NW50.00.0$0$364,973$105,876Yes (X)
Francisco Hurtarte
VP, HR - Northwest50.00.0$0$438,878$209,497Yes (X)
Nancy L Lee
VP, Quality & Service - NW50.00.0$0$350,674$278,970Yes (X)
Wendy N Watson
VP, Ambulatory Care, Clin Svcs50.00.0$0$436,221$222,482Yes (X)
Kenneth R Wright
VP, Dental Care Svcs - NW50.00.0$0$400,252$114,647Yes (X)
George Halvorson
Chairman0.00.0$0$28,956$25,716Yes (X)
J Neal Purcell
Director0.00.0$0$48,745$0Yes (X)
Daniel Garcia
SVP, Chief Compliance Officer0.00.0$0$593,429$0Yes (X)
Deborah Stokes
SVP,Corporate Controller & CAO0.00.0$0$165,396$0Yes (X)
Victoria Zatkin
VP, Off of Brd & Corp Gov Svcs0.00.0$0$105,278$0Yes (X)
Mark Charpentier
VP, Mktg, Sls, Bus Dev & Comm0.00.0$0$174,160$23,856Yes (X)
Susan Mullaney
VP, COO - NW0.050.0$0$1,454,292$246,464Yes (X)
Karen Schartman
VP & CFO0.050.0$0$840,521$295,384Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$41,249,994TotReportableCompRltdOrgAmt
Total Other Compensation$14,852,182TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1604IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
KAISER FOUNDATION HOSPITALS
500 NE MULTNOMAH STREETPORTLANDOR972322099MEDICAL SERVICES$906,642,267
NORTHWEST PERMANENTE PC
500 NE MULTNOMAH ST 15TH FLOORPORTLANDOR972322099MEDICAL SERVICES$649,070,861
OREGON HEALTH SCIENCE UNIVERSITY
PO BOX 3595PORTLANDOR972083595MEDICAL SERVICES$76,513,595
LEGACY SALMON CREEK PROVIDERS
PO BOX 2077PORTLANDOR972082077MEDICAL SERVICES$53,674,536
PERMANENTE DENTAL ASSOCIATES
500 NE MULTNOMAH ST 16TH FLOORPORTLANDOR972322099DENTAL SERVICES$52,420,230
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K53CntrctRcvdGreaterThan100KCnt
All Other Contributions$18,090AllOtherContributionsAmt
Total Contributions$18,090TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MBR HLTH CARE PREM900099$2,638,591,957$2,638,591,957
MEDICARE900099$909,997,088$909,997,088
SUPPL CHARGE/PHARM900099$170,610,365$165,803,009$4,807,356
NON-PLAN & IND REV900099$8,652,809$8,652,809
OTHER PRGRM SERV900099$221,158,091$221,158,091
FieldValueIRS element (for citing)
Total Program Service Revenue$3,949,010,310TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,430,369TotalRevenueColumnAmt
Exclusion$21,430,369ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$306,252RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$306,252RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$306,252TotalRevenueColumnAmt
Exclusion$306,252ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,104,194,602SecuritiesAmt
Other$74,986OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,104,982,252SecuritiesAmt
Other$299,746OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$787,650SecuritiesAmt
Other-$224,760OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,012,410TotalRevenueColumnAmt
Exclusion-$1,012,410ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,969,752,611TotalRevenueColumnAmt
Related Or Exempt Func Income$3,944,202,954RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,807,356UnrelatedBusinessRevenueAmt
Exclusion$20,724,211ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$199,934TotalAmt
Program Services$199,934ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$614,582,505TotalAmt
Program Services$584,949,879ProgramServicesAmt
Management And General$29,632,626ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$80,260,868TotalAmt
Program Services$80,260,868ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$155,720,016TotalAmt
Program Services$143,525,451ProgramServicesAmt
Management And General$12,194,565ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$49,351,544TotalAmt
Program Services$49,351,544ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total-$96,517TotalAmt
Management And General-$96,517ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$748,902TotalAmt
Management And General$748,902ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$927,871TotalAmt
Management And General$927,871ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$495,912,458TotalAmt
Program Services$465,727,044ProgramServicesAmt
Management And General$30,185,414ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,879,363TotalAmt
Program Services$352,893ProgramServicesAmt
Management And General$4,526,470ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,553,681TotalAmt
Program Services$11,546,386ProgramServicesAmt
Management And General$1,007,295ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$209,229,800TotalAmt
Program Services$168,728,639ProgramServicesAmt
Management And General$40,501,161ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$16,107,665TotalAmt
Program Services$16,107,665ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,707,769TotalAmt
Program Services$2,349,306ProgramServicesAmt
Management And General$358,463ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,709,620TotalAmt
Management And General$1,709,620ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,649,083TotalAmt
Program Services$1,649,083ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$39,989,030TotalAmt
Program Services$39,989,030ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$18,032,615TotalAmt
Program Services$18,032,615ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SERVICE PAYMENTS$1,593,046,722$1,593,046,722$0
SUPPLIES$502,482,291$461,579,017$40,903,274
INTER-REGIONAL CHARGES$74,103,959$55,391,278$18,712,681
STATE & LOCAL TAXES$9,822,722$9,433,690$389,032

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$41,172,901TotalAmt
Program Services$26,798,571ProgramServicesAmt
Management And General$14,374,330ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,925,094,802TotalAmt
Program Services$3,729,019,615ProgramServicesAmt
Management And General$196,075,187ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,999,134BOYAmt
EOY$3,462,943EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$85,739,329BOYAmt
EOY$57,199,311EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$34,821,233BOYAmt
EOY$35,882,626EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,726,861BOYAmt
EOY$6,293,795EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$824,873,754LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$480,111,247LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$304,558,218BOYAmt
EOY$344,762,507EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,024,569,534BOYAmt
EOY$762,700,095EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$64,529,086BOYAmt
EOY$74,719,860EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,530,943,395BOYAmt
EOY$1,285,021,137EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$361,918,917BOYAmt
EOY$262,896,213EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$40,179,105BOYAmt
EOY$41,955,861EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$602,752,612BOYAmt
EOY$582,214,602EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,004,850,634BOYAmt
EOY$887,066,676EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$179,712,721BOYAmt
EOY$179,712,721EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$346,380,040BOYAmt
EOY$218,241,740EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$526,092,761BOYAmt
EOY$397,954,461EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,530,943,395BOYAmt
EOY$1,285,021,137EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$44,657,809ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,026,574NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$170,769,535OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$90,559CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$105,012CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,725CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,040CurrentTaxYearMinus1YearAmt
Current Tax Year$18,090CurrentTaxYearAmt
Total$246,426TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,143,279,380CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,315,037,313CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,520,930,084CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,724,760,440CurrentTaxYearMinus1YearAmt
Current Tax Year$3,944,202,954CurrentTaxYearAmt
Total$17,648,210,171TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,143,369,939CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,315,142,325CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,520,943,809CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,724,779,480CurrentTaxYearMinus1YearAmt
Current Tax Year$3,944,221,044CurrentTaxYearAmt
Total$17,648,456,597TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$17,648,456,597PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,364,423CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,526,894CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,139,668CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,608,662CurrentTaxYearMinus1YearAmt
Current Tax Year$21,736,621CurrentTaxYearAmt
Total$90,376,268TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Current Tax Year$172,284CurrentTaxYearAmt
Total$172,284TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,364,423CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,526,894CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,139,668CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,608,662CurrentTaxYearMinus1YearAmt
Current Tax Year$21,908,905CurrentTaxYearAmt
Total$90,548,552TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,157,734,362CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,329,669,219CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,539,083,477CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,746,388,142CurrentTaxYearMinus1YearAmt
Current Tax Year$3,966,129,949CurrentTaxYearAmt
Total$17,739,005,149TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99490PublicSupportCY509Pct
Public Support PY5090.99493PublicSupportPY509Pct
Investment Income CY0.00510InvestmentIncomeCYPct
Investment Income PY0.00507InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$120,000GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$68,068DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$47,934OtherActivitiesAmt
Total Lobbying Expenditures$236,002TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Lines 1a through 1iFormAndLineReferenceDesc
ExplanationLOBBYING ACTIVITY BY NONELECTING PUBLIC CHARITIES THE ORGANIZATION ("Health Plan") IS A MEMBER OF THE KAISER PERMANENTE MEDICAL CARE PROGRAM 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), Health Plan HAS A POLICY PROHIBITING ANY OF Health Plan'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. Health Plan 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. Health Plan EMPLOYS INDIVIDUALS, INCLUDING ONE OR MORE REGISTERED LOBBYISTS AND/OR MAY RETAIN ONE OR MORE PROFESSIONAL CONSULTANTS TO REPRESENT Health Plan'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 Health Plan'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 Health Plan, 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 Health Plan 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 Health Plan. INDIVIDUALS APPEARING AT SUCH HEARINGS AND MEETINGS FOR AND ON BEHALF OF Health Plan OFTEN ARE REPRESENTING THE INTERESTS OF COMMON INTEREST GROUPS AS WELL AS THE INTERESTS OF THE MEMBERS AND PATIENTS OF Health Plan. 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

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$33,782,175OtherCostOrOtherBasisAmt
Book Value$33,782,175BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$520,679,697OtherCostOrOtherBasisAmt
Depreciation$320,767,100DepreciationAmt
Book Value$199,912,597BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$48,914,940OtherCostOrOtherBasisAmt
Depreciation$26,888,495DepreciationAmt
Book Value$22,026,445BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$170,033,724OtherCostOrOtherBasisAmt
Depreciation$120,973,795DepreciationAmt
Book Value$49,059,929BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$51,463,218OtherCostOrOtherBasisAmt
Depreciation$11,481,857DepreciationAmt
Book Value$39,981,361BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$344,762,507TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
BROKER RECEIVABLES$140,738
DUE FROM AFFILIATES$70,818,708
OTHER CURRENT ASSETS$3,760,414
FieldValueIRS element (for citing)
Total Book Value Other Assets$74,719,860TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
PPL & OTHER INSURED LIABILITIES$90,126,325
POST RETIREMENT BENEFIT$476,733,782
OTHER LIABILITIES$13,984,495
BROKER PAYABLE$1,370,000
FieldValueIRS element (for citing)
Total Liability$582,214,602TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2FormAndLineReferenceDesc
ExplanationASC 740 Footnote: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE UNDER ASC 740.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Community Action
1001 SW Baseline StHillsboroOR97123930554941501(c)(3)$6,500Kaleidoscope and 2017 Leadership Luncheon
Girls Inc
4800 SW Macadam Ave 309PortlandOR97239542073930501(c)(3)$6,825Power of the Purse and Day of the Girl
Good in the Hood
4815 NE 7th AvePortlandOR97211455165196501(c)(3)$6,000Multicultural Festival
March of Dimes
1220 SW Morrison St 510PortlandOR97205131846366501(c)(3)$11,500Nurse of the Year
Medical Fdn of Marion - Polk County
4985 Battle Ck Rd SE 130SalemOR97302931261633501(c)(3)$5,230Annual Fundraiser
North by Northeast
714 NE Alberta StreetPortlandOR97211721618287501(c)(3)$14,200Grand Opening
Oregon Center for Nursing
5000 N Willamette BlvdPortlandOR97203743052430501(c)(3)$7,129Through a Nurse's Eyes
Salem Keizer Education Foundation
233 Commercial St NESalemOR97301930831467501(c)(3)$7,500Back to School Award Lunch
Virginia Garcia Memorial Foundation
PO Box 6149AlohaOR97007912077840501(c)(3)$6,250Health Symposium
FieldValueIRS element (for citing)
Total501c3 Org9Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Question 2FormAndLineReferenceDesc
ExplanationAT 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

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (44 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Gregory Adams
EVP, Group President$0$1,049,401$0$1,616,205$0$376,889$0$3,517,776$0$28,867$0$6,589,138$0$0
Ramon F Baez
Director$0$204,500$0$0$0$12,456$0$0$0$0$0$216,956$0$0
Stephen Shawn Barton
Exec Dir, Revenue Cycle - NW$0$233,034$0$127,044$0$4,895$0$78,259$0$27,617$0$470,849$0$0
Kristin Bear
Assistant Secretary$0$224,693$0$116,173$0$5,146$0$124,717$0$17,556$0$488,285$0$0
Regina M Benjamin MD MBA
Director$0$187,000$0$0$0$8,085$0$0$0$0$0$195,085$0$0
Maryann Bodayle
Assistant Secretary$0$151,515$0$18,654$0$2,195$0$38,051$0$10,138$0$220,553$0$0
Mark Charpentier
VP, Mktg, Sls, Bus Dev & Comm$0$0$0$0$0$174,160$0$23,856$0$0$0$198,016$0$174,160
Jeffery E Epstein
Director$0$202,000$0$0$0$7,793$0$0$0$0$0$209,793$0$0
Keith Forrester
VP, MSBD - Northwest$0$234,742$0$197,997$0$35,297$0$144,142$0$20,846$0$633,024$0$0
Daniel Garcia
SVP, Chief Compliance Officer$0$0$0$537,870$0$55,559$0$0$0$0$0$593,429$0$45,739
Bernice Gould
Assistant Secretary$0$175,937$0$33,715$0$2,271$0$109,987$0$9,735$0$331,645$0$0
George Halvorson
Chairman$0$0$0$0$0$28,956$0$25,716$0$0$0$54,672$0$17,874
Leslie S Heisz
Director$0$204,500$0$0$0$16,511$0$0$0$0$0$221,011$0$0
David F Hoffmeister
Director$0$217,000$0$0$0$11,956$0$0$0$0$0$228,956$0$0
Francisco Hurtarte
VP, HR - Northwest$0$276,655$0$145,687$0$16,536$0$180,755$0$28,742$0$648,375$0$24,333
Judith A Johansen JD
Director$0$230,667$0$0$0$14,556$0$0$0$0$0$245,223$0$0
Kim J Kaiser
Director$0$216,667$0$0$0$12,545$0$0$0$0$0$229,212$0$0
David Lake
VP, Strategy & Health Plan Ops$0$208,904$0$131,647$0$98,262$0$108,287$0$29,515$0$576,615$0$49,388
Kathryn Lancaster
EVP & CFO$0$896,255$0$1,578,456$0$359,536$0$868,611$0$20,475$0$3,723,333$0$0
Nancy L Lee
VP, Quality & Service - NW$0$247,410$0$39,701$0$63,563$0$250,426$0$28,544$0$629,644$0$0
Andrew Mcculloch
Regional President - Northwest$0$253,998$0$1,067,227$0$2,839,558$0$152,671$0$15,244$0$4,328,698$0$2,174,291
Thomas Meier
SVP, Corporate Treasurer$0$415,802$0$569,121$0$140,172$0$161,620$0$29,547$0$1,316,262$0$32,787
Susan Mullaney
VP, COO - NW$0$481,871$0$677,978$0$294,443$0$216,652$0$29,812$0$1,700,756$0$0
Janet O'Hollaren
Interim Regional President$0$377,410$0$124,794$0$19,886$0$337,107$0$24,463$0$883,660$0$0
Donald Orndoff
SVP, NFS$0$425,896$0$521,871$0$26,390$0$198,216$0$32,219$0$1,204,592$0$0
Edward Y W Pei
Director$0$214,000$0$0$0$13,488$0$18,000$0$0$0$245,488$0$0
Margaret E Porfido JD
Director$0$254,167$0$0$0$18,848$0$0$0$0$0$273,015$0$0
J Neal Purcell
Director$0$11,000$0$0$0$37,745$0$0$0$0$0$48,745$0$20,937
Karen Schartman
VP & CFO$0$365,382$0$292,055$0$183,084$0$280,656$0$14,728$0$1,135,905$0$63,420
Jacqueline Sellers
Assistant Secretary$0$185,684$0$74,361$0$27,543$0$157,570$0$13,506$0$458,664$0$0
Richard Shannon MD
Director$0$190,000$0$0$0$0$0$18,000$0$0$0$208,000$0$0
Xuejun J Smith
Chief Financial Officer$0$239,641$0$100,696$0$3,949$0$111,060$0$29,123$0$484,469$0$0
Arthur Southam
EVP, Health Plan Operations$0$922,115$0$1,690,487$0$618,288$0$742,216$0$34,096$0$4,007,202$0$245,168
Deborah Stokes
SVP,Corporate Controller & CAO$0$0$0$156,115$0$9,281$0$0$0$0$0$165,396$0$0
Cynthia A Telles PHD
Director$0$222,000$0$0$0$11,956$0$0$0$0$0$233,956$0$0
Bernard Tyson
Chairman & CEO$0$1,436,935$0$7,978,527$0$1,294,041$0$5,335,702$0$37,548$0$16,082,753$0$0
Alfonse Upshaw
SVP,Corporate Controller & CAO$0$378,040$0$311,757$0$149,402$0$141,409$0$26,652$0$1,007,260$0$98,416
Eugene Washington MD
Director$0$193,000$0$0$0$495$0$0$0$0$0$193,495$0$0
Wendy N Watson
VP, Ambulatory Care, Clin Svcs$0$276,328$0$143,179$0$16,714$0$193,954$0$28,528$0$658,703$0$0
William Wiechmann
Assistant Secretary$0$261,849$0$173,091$0$84,887$0$199,471$0$27,972$0$747,270$0$56,131
Kenneth R Wright
VP, Dental Care Svcs - NW$0$226,921$0$128,212$0$45,119$0$79,749$0$34,898$0$514,899$0$0
Hong-Sze Yu
VP, Brd & Corp Gov & Asst Secy$0$225,517$0$88,592$0$16,828$0$155,892$0$23,735$0$510,564$0$0
Victoria Zatkin
VP, Off of Brd & Corp Gov Svcs$0$0$0$20,815$0$84,463$0$0$0$0$0$105,278$0$81,430
Mark Zemelman
SVP, General Counsel & Secy$0$577,508$0$1,031,758$0$838,649$0$190,188$0$31,709$0$2,669,812$0$556,159

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 4bSUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENT: Gregory Adams 325,791 David Lake 66,572 Kathryn Lancaster 309,860 Andrew Mcculloch 2,806,490 Thomas Meier 97,965 Karen Schartman 78,112 Arthur Southam 568,315 Bernard Tyson 789,552 Alfonse Upshaw 129,022 William Wiechmann 67,855 Victoria Zatkin 81,430 Mark Zemelman 773,564 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, LINE 1aThe Executive Committee, composed of the Directors that are the chairs of the Board's other standing committees, has authority to act for the Board between meetings except it has no authority to: a. Fill vacancies on the Board or the Committee; b. Fix the compensation of Directors for serving on the Board or any committee; c. Adopt, amend or repeal Bylaws; d. Amend or repeal any resolution of the Board which by its express terms cannot be amended or repealed by the Executive Committee; e. Appoint committees of the Board or appoint the members thereof; or f. 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 the law. FORM 990, PART VI, QUESTION 4 The Bylaws of the Corporation were amended in 2017 as follows: On March 17, 2017, Article E, Sections E-7 and E-9 were amended to reflect that the Executive Vice President and Group President instead of the Executive Vice President and Chief Financial Officer shall perform the duties of the President in the absence or disability of the President.
Form 990, PART VI, QUESTION 6Kaiser foundation health plan, inc. is the sole member. Upon dissolution, remaining assets shall be distributed to a 501(c)(3) organization.
Form 990, PART VI, QUESTION 7AKAISER FOUNDATION HEALTH PLAN, INC. APPOINTS THE DIRECTORS (AND FILLS VACANCIES AND HAS AUTHORITY TO REMOVE DIRECTORS). THE SAME INDIVIDUALS WHO COMPRISE THE BOARD OF DIRECTORS OF KFHP ALSO SERVE AS THE DIRECTORS OF KFHP COLORADO, NORTHWEST, MID-ATLANTIC STATES, AND KFHPW HOLDINGS.
Form 990, PART VI, QUESTION 7BTHE FOLLOWING ACTIONS OF THE CORPORATION REQUIRE APPROVAL OF THE SOLE MEMBER: A) REMOVAL OF THE CHAIRMAN OF THE BOARD OR THE PRESIDENT, THE GROUP PRESIDENT OR REGIONAL PRESIDENT; B) AMENDMENT OF ARTICLE D, SECTION D-4 OF THE BYLAWS - ELECTION AND TERM OF OFFICE.
Form, PART VI, QUESTION 11BForm 990 Review Process: 1. Key information necessary for the preparation of the tax return is obtained and/or confirmed with internal sources including regional finance, executive compensation, community benefits, treasury, government relations, and legal. 2. Prior to finalization, the return is reviewed by an external tax advisor. 3. Once signed by an external tax advisor, the return and underlying data are reviewed by an officer or a member of management designated by an officer for signature and filing. 4. Copies are then provided to board members prior to filing.
Form 990, PART VI, QUESTIONS 12CCOMPLIANCE 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/BCOMPENSATION 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 18Forms 990 are available on www.guidestar.org.
Form 990, PART VI, QUESTION 19Public 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, Communication 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 9CHANGE IN pension and other retirement liabilities $(169,531,224) BOOK-TO-TAX DIFFERENCE ON SALE OF INVESTMENTS 2,302,453 OTHER THAN TEMPORARY IMPAIRMENT LOSS (3,540,764) ---------------- TOTAL (170,769,535)
FORM 990, PART III, LINES 4A - 4D2017 Community Benefit Report Kaiser Foundation Health Plan of the Northwests Commitment to the Community Kaiser Foundation Health Plan of the Northwest (Northwest Health Plan or KFHP-NW) provides and arranges comprehensive health care services for members on a predominantly prepaid basis. Its contractual obligations to group and individual members are fulfilled by contracting with Kaiser Foundation Hospitals (KFH) and Permanente Medical Group physicians to provide health care services for its members. KFHP-NW strives for excellence in serving its members through market-leading performance in quality and service. As a subsidiary of Kaiser Foundation Health Plan, Inc. (KFHP, Inc.), membership is available without regard to age, sex, race, religion, or national origin, or to the individuals ability to pay. Northwest Health Plan members are broadly representative of the communities served. Once enrolled, a member may maintain membership regardless of health or employment status. As related nonprofit organizations, Kaiser Foundation Health Plan, Inc. and Kaiser Foundation Health Plan of the Northwest are committed to improving the health of communities beyond enrolled membership. Annual investments in a range of Community Benefit programs are a fundamental embodiment of the organizations ongoing commitment to improve the general wellbeing within the broader community. These investments result in intentional, planned, measurable, and accountable benefits intended to address many of the health challenges faced at the individual, local, state, and national levels. In 2007, Kaiser Foundation Health Plan, Inc.s board of directors refined the focus of the organizations Community Benefit programs and established the following four priority areas which have come to be known as "Streams of Work": A. Care and Coverage for Low-Income People Creates and supports programs that lower the financial barriers for the under- and uninsured. B. Community Health Initiatives (CHI) Seeks to measurably improve the health of the communities we serve. Designs, delivers, and sustains long-term programs that engage communities in work to improve conditions in their neighborhoods. C. Safety Net Partnerships Builds partnerships with community clinics, local health departments, and public hospitals. Provides funding, technical assistance, dissemination of care management, and quality improvements technology to help improve care and expand treatment capacity for vulnerable populations. D. Developing and Disseminating Knowledge Improves health care by sharing our knowledge educating practitioners, advancing research, empowering consumers, and informing policymakers about evidence-based care and health. In addition to the streams of work above, KFHP-NW also made contributions to benefit the communities served in the following areas: E. Other Community Benefit Investments Support Community Benefit activities and programs beyond the national streams of work, including the administrative expenses of regional Community Benefit departments dedicated to supporting the organizations Community Benefit programs and services and coordinating related initiatives. F. Environmental Stewardship Protecting and improving the natural environment is a key component of KFHP-NWs mission to improve the health of the community it serves. Although costs associated with this initiative are not included in the dollars reported as Community Benefit investments, efforts in this area contribute to advancing a broader vision emphasizing healthy people and healthy environments while also improving health care quality and affordability. The following are details of the Community Benefit activities provided by Kaiser Foundation Health Plan of the Northwest: In 2017, Northwest Health Plan served nearly 580,000 members and expended approximately $82.8 million (at cost, net of $122.8 million of related revenues) to support Community Benefit activities. The following summarizes many of the signature Community Benefit programs and services grouped according to the national Streams of Work. A. Care and Coverage for Low-Income People Improving health care access for those with limited incomes and resources is fundamental to Kaiser Foundation Health Plan of the Northwests mission. In 2017, Northwest Health Plan spent approximately $80.6 million (at cost, net of $122.8 million of related revenues) to address the financing and delivery of health care for populations vulnerable due to socio-economic status, illness, ethnicity, age or other factors. Program beneficiaries (under- and uninsured) received free or discounted care in a Kaiser Permanente facility or by a Permanente provider. A.1. Charitable Care (Medical Financial Assistance and Charitable Health Coverage Programs) In Oregon and Washington, Northwest Health Plan provides charity care to low-income vulnerable populations through the Medical Financial Assistance (MFA) and Charitable Health Coverage (CHC) programs. In 2017, Northwest Health Plan spent approximately $26.5 million (at cost, net of $39 thousand of related revenues) on under- and uninsured patients.
A.1.1. Medical Financial Assistance (MFA) ProgramNorthwest Health Plans Medical Financial Assistance program provides financial assistance for emergency and medically necessary services, medications, and supplies to patients with a demonstrated financial need. Patients must receive health care services at a Kaiser Permanente facility and/or from a Kaiser Permanente provider. Eligibility is based upon prescribed levels of income to patients who have exhausted other private and public sources of support. In 2017, KFHP-NW provided approximately $18 million (at cost, net of related revenues of $0) of services under this program. At KFHP-NW, patients who are eligible for medical financial assistance, but do not receive an MFA award, are not charged more than amounts generally billed. Contracted collection agency practices are aligned with the organizations social values and IRC section 501(r). Additionally, any patient experiencing financial hardship due to high medical expenses relative to their income level may qualify for the program under KPs high medical expense criteria. Northwest Health Plans MFA eligibility criteria allows all insured patients falling at or below 300% of the Federal Poverty Guidelines (FPG) to receive full (100%) write off of medical charges. Any patient who does not meet income-based eligibility criteria, but is experiencing financial hardship due to high medical expenses relative to their income may qualify for MFA under high medical expense criteria. Eligibility for high medical expenses exists when the patients incurred out-of-pocket medical and pharmacy expenses over the previous 12-month period is equal to or exceeds 10% of annual income. High medical expenses can apply to any income level. In Oregon and Washington, the MFA program also covers full or partial expenses for dental services if applicants meet qualifying guidelines. Promoting this medical-dental integration within the community is a priority for Kaiser Foundation Health Plan of the Northwest. The Health Plan supports the Oregon Primary Care Association in its efforts to bring dental directors together from Federally Qualified Health Centers to share best practices. Health Plan also employs a Community Benefit dentist for several hours each week to work with safety net partners to increase dental access and medical-dental integration in our community. In 2017, the MFA program assisted more than 15,000 qualified applicants, including nearly 2,200 patients who were not otherwise covered by a health care plan offered by Kaiser Foundation Health Plan of the Northwest. This population received full or partial forgiveness for nearly 133,000 outpatient visits and over 137,000 prescriptions. A.1.1.1. Community Medical Financial Assistance (CMFA) The MFA program also includes support for community based initiatives, known as Community Medical Financial Assistance (CMFA) programs. CMFA programs are designed to broaden access to health care within the community and help KFHP-NW fulfill its objectives to reduce the financial barriers that limit access to care for qualified low income populations. Northwest Health Plan is partnering with Project Access NOW (PAN) in Multnomah, Clackamas and Washington Counties and The Free Clinics of Clark County and Cowlitz County in Washington in a broad based community initiative that builds access to health care for low income and uninsured people through the provision of donated medical services. Patients referred to Kaiser Permanente facilities from the partnering organizations are set up with a Health Record Number, Primary Care Provider and Home Clinic for a period of one year. These patients then have access to the full range of Kaiser Permanente services. Services may include primary care, specialty care and hospitalizations. This prevents medical emergencies, alleviates the burden on clinics and emergency rooms when medical conditions persist untreated, and enables patients to be treated for the root causes of their symptoms. A.1.2. Charitable Health Coverage (CHC) Program Charitable Health Coverage is a unique approach to caring for low-income uninsured persons in the community. Eligible participants receive a regular Kaiser Permanente Health Plan membership card and access to the full range of services and providers a much better alternative to potentially costly emergency room visits or hospitalization. This allows Northwest Health Plan to invest in the longer term health of patients and the community. KFHP-NWs CHC programs have a long history of making a real difference in the lives of low-income people who might otherwise have no permanent medical home. During 2017, KFHP-NW invested approximately $8.3 million (at cost, net of $39 thousand of related revenues) to support the CHC program. The CHC program includes a separately administered premium subsidy that CHC members use for the purchase of a standard off-exchange Kaiser Permanente Individual/Family (KPIF) gold level plan. Applicants must not be eligible or enrolled in any private or public health plan. Eligible siblings age 3 to 19 can also receive services. To ensure that patient cost share obligations do not become a barrier to care, a Medical Financial Assistance award is provided to CHC members at the time of enrollment in the CHC program. Recertification takes place about every two years to confirm that members remain eligible to participate. A.1.2.1. Child Health Plan Plus The Child Health Plan Plus targets eligible students. This program is open to children of low-income families who reside in one of six school districts and who do not have access to other health insurance options. The program provides comprehensive medical, dental and prescription coverage to children between kindergarten and 12th grade, and these children must come from a household with income is at or below 350% of the Federal Poverty Guidelines. At the end of 2017, more than 3,700 children were covered by membership in this program. In 2014, Health Plan started offering dental as part of the Child Health Plan Plus. Child Health Plan has been in place as a medical-only plan for many years, but added the essential dental benefit for new enrollees. In addition, all members in the existing plan (without a dental benefit) converted to the new plan (with a dental benefit) on October 1, 2014. All basic dental treatment is covered, but implants or orthodontia treatment are not. These members can receive care at any Kaiser Foundation Health Plan of the Northwest dental office. A.2. Participation in Medicaid and Other Government-Sponsored Programs Kaiser Foundation Health Plan of the Northwest has a long history of providing access to low- and moderate-income individuals as a nonprofit organization. KFHP-NW participates in Medicaid and other government-sponsored programs under a variety of models, depending on the structure of these programs in each state. In 2017, the Northwest Health Plan provided coverage and services valued at $54.1 million (at cost, net of $122.8 million of related revenues) for members and nonmembers in programs sponsored by the federal and state governments. As of December 2017, KFHP-NWs membership in Medicaid programs was approximately 43,000. The Affordable Care Act has had a far-reaching impact on the landscape of government-sponsored programs. These options have become a key source of health coverage for a significant portion of the American population. KFHP-NW has responded to this challenge by developing organizational strategies to enable individuals whose coverage is changing due to personal or financial circumstances to enroll in a Medicaid program offered by KFHP-NW. Realized and anticipated growth in the organizations Medicaid offerings closely aligns with and supports KFHP-NWs core mission, tax exempt status, credibility in state and federal policy arenas, and community health needs focusing on access to care. To better cope with the expansion of KFHP-NWs Medicaid program, a Medicaid Assistance Center (MAC) was opened for operation in 2014. Center representatives provide specialized enrollment services by assisting callers in understanding Medicaid in their state and the qualifications to enroll in Medicaid with KFHP-NW, with an emphasis on availability of bilingual support. A proactive follow-up process has been implemented to nurture a good foundational relationship with those prospects that elect to receive communications.
A.2.1. Medicaid ProgramsNorthwest Health Plan participated in three Medicaid managed care programs in Oregon and Washington as well as a fee-for-service provider for patients who have no formal affiliation with KFHP-NW. In 2017, KFHP-NW expended approximately $52.5million (at cost, net of $122.8 million of related revenues) to subsidize care under Medicaid. In Oregon, Health Plan partners with the Health Share of Oregon as a fully capitated, risk-accepting entity and Trillium Community Health as a fee for service provider. In Washington, Health Plan participates as a fully capitated contractor of Molina Healthcare of Washington. The following describe the programs and target populations. A.2.1.1. Medicaid Managed Care Programs A.2.1.1.1. Health Share of Oregon Northwest Health Plan is a direct contractor with Health Share of Oregon under a Provider Care Organization contract to deliver primary and specialty care paid by the state. All reporting, analysis, auditing, and member administration is performed by KFHP-NW as a Managed Care Organization. As a result, KFHP-NW is engaged in policy development, program structure, and technical capabilities in partnership with the Health Share of Oregon. Currently, Northwest Health Plan, along with other regional health care providers, Tuality Healthcare, Care Oregon, and Providence Health Services, is a risk-accepting entity and a founding partner of Health Share of Oregon for Multnomah, Clackamas, and Washington counties. This is the largest Coordinated Care Organization in the state. A.2.1.1.2. Washington Apple Health Care Washington Apple Health program is a Medicaid program offered by Molina Healthcare for low-income individuals that meet eligibility requirements for Medicaid. It is a fully-capitated state program managed by the Washington State Health Care Authority (HCA). Northwest Health Plan provides services to eligible participants who reside in either Clark or Cowlitz counties through a subcontract with Molina Healthcare. A.2.1.2. Medicaid Fee-for-Service Northwest Health Plan contributed $5.6 million (at cost, net of $4.3 million of related revenues) in subsidized care to Medicaid Fee-for-Service patients during 2017. These patients have no formal membership affiliation with KFHP-NW. When a Medicaid nonmember receives services from Kaiser Permanente providers at hospitals or outpatient services as a result of hospital visit follow-up, these expenses are recorded as non-capitated services and billed to the Medicaid program on a fee-for-service basis. A.2.1.3. Child Health Insurance Program (CHIP) In both Oregon and Washington, KFHP-NW participates as a provider in the states Child Health Insurance Program. The program provides health insurance to children whose family income is between 200 percent and 300 percent of the federal poverty level, and who are not eligible for Medicaid. Subsidies are provided on a sliding scale based on income. In both states, the program is governed by the Medicaid contract, and offers the same benefits. Northwest Health Plan incurred net losses of $7.9 million (at cost, net of $16.8 million of related revenues) under this program in 2017. A.2.2. Other Government Programs The Oregon Transitional Reinsurance Program supplements the federal program by helping to pay for high claims costs associated with individuals in previous high risk programs. The Washington Medical Insurance Pool provides coverage to individuals who were enrolled in the prior insurance pool program. Legislation allows the states to spread a portion of the expenses for enrollees across the pools of individuals who are insured wholly or in-part by all health insurers, re-insurers, and stop-loss carriers licensed in each state. Northwest Health Plan paid $1.2 million to these programs in 2017. A.3. Care and Coverage Programs and Services A.3.1. On-site Wellness Center at Faubion Elementary School Kaiser Permanente openned an on-site Wellness Center at Faubion Elementary School in North Portland in August 2017. It provides students and, eventually, faculty, staff and students families a full range of primary care, dental, and behavioral health services in partnership with Concordia University, Trillium Family Services, and Portland Public Schools. The center is part of an education program called 3 to PhD, where Faubion and Concordias School of Education will be co-located, providing early childhood education through grade 8 and teacher training opportunities for Concordia University students. Kaiser Permanente is the provider of Medical and Dental services, and Trillium provides outpatient mental health treatment.
B. Other Community Benefit InvestmentsDuring 2017, Northwest Health Plan spent $2.2 million to support Community Benefit activities and programs beyond the national streams of work. This included the administrative expenses of a Community Benefit department dedicated to supporting regional Community Benefit programs and services and coordinating related initiatives. KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST RECOGNIZED NO SIGNIFICANT FINANCIAL INVESTMENTS IN THE FOLLOWING STREAMS OF WORK DURING 2017: C. - SAFETY NET PARTNERSHIPS D. - DEVELOPING AND DISSEMINATING KNOWLEDGE E. OTHER COMMUNITY BENEFIT INVESTMENTS F. Environmental Stewardship A stable and non-toxic environment contributes to health and wellness. Safeguarding and healing the natural environment is therefore a key component of Kaiser Permanentes multifaceted efforts to improve the total health of our members and the communities we serve. Kaiser Permanente maintains a governance structure for environmental stewardship that steers actions across our organization to detoxify the ways in which healthcare is delivered while catalyzing environmental improvement throughout society. This structure includes clearly defined roles, responsibilities, plans and routines, and has resulted in five organization-wide focus areas that have been selected based on their ability to have the most impact on the forces that shape environmental- and human-health: - Responding to climate change - Promoting sustainable farming and food choices - Reducing, reusing, and recycling to eliminate waste - Finding safe alternatives to harmful industrial chemicals - Conserving water In each of these focus areas, Kaiser Permanente has established ambitious goals (including a 2025 target to remove more greenhouse gases from the atmosphere than we emit); implemented initiatives; achieved measurable improvements; and regularly reported progress to our Board of Directors, our staff, and the communities we serve. F.1. Performance Metrics During 2017, key performance indicators for Kaiser Foundation Health Plan of the Northwest included: F.1.1. Reduced our greenhouse gas emissions associated with routine use of anesthetic agents by over 1,800 metrics tons of carbon dioxide equivalent, compared to our 2014 baseline. F.1.2. Improved our energy use intensity (kBtu/rentable square foot) by 8% compared to our 2010 baseline. F.1.3. Improved our water use intensity (gallons/rentable square foot) by 3% compared to our 2013 baseline. F.1.4. Responsibly reused, recycled or composted over 1,700 tons of materials.
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED MEDICAL SERVICES TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED OTHER NON-MEDICAL SV TOTAL FEES:78982743

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
KAISER FOUNDATION HOSPITALS
ONE KAISER PLAZA 15LOAKLANDCA94612941105628HEALTH CARECA501(c)(3)3NAfalse
KAISER FOUNDATION HEALTH PLAN INC
ONE KAISER PLAZA 15LOAKLANDCA94612941340523HEALTH CARECA501(c)(3)10NAfalse
KAISER FOUNDATION HEALTH PLAN OF CO
ONE KAISER PLAZA 15LOAKLANDCA94612840591617HEALTH CARECO501(c)(3)10KFHP INCYes (true)
KAISER FOUNDATION HEALTH PLAN OF GA INC
ONE KAISER PLAZA 15LOAKLANDCA94612581592076HEALTH CAREGA501(c)(3)10KFHP INCYes (true)
KAISER FOUNDATION HEALTH PLAN OF THE MAS
ONE KAISER PLAZA 15LOAKLANDCA94612520954463HEALTH CAREMD501(c)(3)10KFHP INCYes (true)
KAISER FDN HEALTH PLAN OF WASHINGTON
ONE KAISER PLAZA 15LOAKLANDCA94612910511770HEALTH CAREWA501(c)(3)3KFHPW HLDINGYes (true)
KAISER HOSPITAL ASSET MANAGEMENT INC
ONE KAISER PLAZA 15LOAKLANDCA94612943299125ASSET MGMTCA501(c)(3)12-IKFHYes (true)
KAISER HEALTH PLAN ASSET MANAGEMENT INC
ONE KAISER PLAZA 15LOAKLANDCA94612943299124ASSET MGMTCA501(c)(3)12-IKFHP INCYes (true)
CAMP BOWIE SERVICE CENTER
ONE KAISER PLAZA 15LOAKLANDCA94612943299123ADMINCA501(c)(3)12-IKFHP INCYes (true)
LOKAHI ASSURANCE LTD
ONE KAISER PLAZA 15LOAKLANDCA94612912171891WC PLACEMENTHI501(c)(3)12-IKFHP INCYes (true)
1800 HARRISON FOUNDATION
ONE KAISER PLAZA 15LOAKLANDCA94612943317484FINANCINGCA501(c)(3)12-IKFHP INCYes (true)
KAISER HOSPITAL ASSISTANCE CORPORATION
ONE KAISER PLAZA 15LOAKLANDCA94612311779500FINANCINGCA501(c)(3)12-IKFHYes (true)
KAISER HEALTH ALTERNATIVES
ONE KAISER PLAZA 15LOAKLANDCA94612930954562HEALTH CAREOR501(c)(3)10KFHP INCYes (true)
KAISER PERMANENTE SCHOOL OF MEDICINEINC
ONE KAISER PLAZA 15LOAKLANDCA94612814053028MEDICAL EDUCA501(C)(3)2KFHYes (true)
KFHPW HOLDINGS
ONE KAISER PLAZA 15LOAKLANDCA94612930480268HEALTH CAREWA501(C)(3)12-IKFHP INCYes (true)
GROUP HEALTH NORTHWEST
ONE KAISER PLAZA 15LOAKLANDCA94612911216856INACTIVEWA501(C)(3)12-IKFHP OF WAYes (true)
KAISER FDN FOR THE ADV OF INTEGRATED HC
ONE KAISER PLAZA 15LOAKLANDCA94612823819611ADVOCACYCA501(C)(4)N/AKFHP INCYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NXT CAP SR FD ILLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1191 N Wacker Dr 1200AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
EIN371651297EIN
Primary ActivitiesINVESTMENTPrimaryActivitiesTxt
Legal Domicile StateDELegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeN/APredominantIncomeTypeTxt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
OAK TREE ASSURANCE LTD
ONE KAISER PLAZA 15LOAKLANDCA94612030329760INSURANCEVTNAC CORPYes (true)
KAISER PERMANENTE INSURANCE COMPANY
ONE KAISER PLAZA 15LOAKLANDCA94612943203402INSURANCECANAC CORPYes (true)
KAISER PROPERTIES SERVICES INC
ONE KAISER PLAZA 15LOAKLANDCA94612943259432REAL ESTATECANAC CORPYes (true)
KAISER COLORADO HOLDINGS
One Kaiser Plaza 15LOAKLANDCA94612814691154HEALTH CARECONAC CORPYes (true)
KAISER PERMANENTE INTERNATIONAL
ONE KAISER PLAZA 15LOAKLANDCA94612943245176CONSULTINGCANAC CORPYes (true)
GROUP HEALTH OF WASHINGTON
ONE KAISER PLAZA 15LOAKLANDCA94612911314907INACTIVEWANAC CORPYes (true)
GROUP HEALTH SERVICES INC
ONE KAISER PLAZA 15LOAKLANDCA94612911392222INACTIVEWANAC CORPYes (true)
KFHP OF WASHINGTON OPTIONS INC
ONE KAISER PLAZA 15LOAKLANDCA94612911467158INSURANCEWANAC CORPYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (28 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
KAISER FOUNDATION HEALTH PLAN INC
L$254,480,675PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
M$347,449,352PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
P$78,804,041PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
Q$31,451,355PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
R$28,248,549PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
S$1,221,535,270PER AGREEMENT
KAISER FOUNDATION HOSPITALS
L$191,937PER AGREEMENT
KAISER FOUNDATION HOSPITALS
M$2,022,810,722PER AGREEMENT
KAISER FOUNDATION HOSPITALS
P$3,509,932,767PER AGREEMENT
KAISER FOUNDATION HOSPITALS
Q$617,479,909PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF COLORADO
L$494,485PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF COLORADO
M$525,370PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF COLORADO
Q$987,780PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF COLORADO
R$535,645PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE MAS INC
L$469,876PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE MAS INC
M$519,634PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE MAS INC
P$225,416PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE MAS INC
Q$211,019PER AGREEMENT
CAMP BOWIE SERVICE CENTER
M$8,956,918PER AGREEMENT
CAMP BOWIE SERVICE CENTER
P$14,346,000PER AGREEMENT
KAISER PERMANENTE INSURANCE COMPANY
L$11,638,004PER AGREEMENT
LOKAHI ASSURANCE LTD
L$9,118,991PER AGREEMENT
LOKAHI ASSURANCE LTD
M$16,077,711PER AGREEMENT
LOKAHI ASSURANCE LTD
Q$13,129,521PER AGREEMENT
LOKAHI ASSURANCE LTD
S$2,767,606PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC
L$195,862PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC
M$265,971PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC
P$140,637PER AGREEMENT