KAISER FOUNDATION HEALTH PLAN OF WASHINGTON: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON (EIN 91-0511770)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-16
IRS object ID: 201623219349300017
Schema version: 2015v2.1
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 H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-16T08:48:40-06:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1918 Eighth Avenue Suite 2900	AddressLine1Txt
City	Seattle	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98101	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	910511770	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GROUP HEALTH COOPERATIVE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% MARTIN R DOPPS	InCareOfNm
Business Name Control	GROU	BusinessNameControlTxt
Phone	2064484683	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	320 WESTLAKE AVE N SUITE 100	AddressLine1Txt
City	SEATTLE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	981095233	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BRET MYERS	PersonNm
Person Title	ASSISTANT TREASURER	PersonTitleTxt
Phone	2064484683	PhoneNum
Signature	2016-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Sue Robison	PreparerPersonNm
PTIN	P00560072	PTIN
Phone	2069134000	PhoneNum
Preparation	2016-11-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	SCOTT ARMSTRONG	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	320 WESTLAKE AVE N STE 100	AddressLine1Txt
City	SEATTLE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	981095233	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$3,518,551,660	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GHC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1945	FormationYr
Legal Domicile State	WA	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE COMPREHENSIVE, PREVENTION- ORIENTED HEALTH CARE SERVICES TO ITS ENROLLEES AND OTHER PATIENTS IN A MANNER THAT REDUCES COST AS A BARRIER TO CARE.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	7843	TotalEmployeeCnt
Total Volunteers	624	TotalVolunteersCnt
Total Gross UBI	$2,483,044	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$143,708	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$43,361,597	PYContributionsGrantsAmt
CY Contributions Grants	$46,364,989	CYContributionsGrantsAmt
PY Program Service Revenue	$2,867,051,673	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,869,169,578	CYProgramServiceRevenueAmt
PY Investment Income	$53,307,207	PYInvestmentIncomeAmt
CY Investment Income	$42,865,145	CYInvestmentIncomeAmt
PY Other Revenue	$71,521,250	PYOtherRevenueAmt
CY Other Revenue	$69,441,225	CYOtherRevenueAmt
PY Total Revenue	$3,035,241,727	PYTotalRevenueAmt
CY Total Revenue	$3,027,840,937	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$603,375,486	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$567,848,372	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$2,316,546,268	PYOtherExpensesAmt
CY Other Expenses	$2,340,776,945	CYOtherExpensesAmt
PY Total Expenses	$2,919,921,755	PYTotalExpensesAmt
CY Total Expenses	$2,908,625,317	CYTotalExpensesAmt
PY Revenues Less Expenses	$115,319,972	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$119,215,620	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,855,357,995	TotalAssetsBOYAmt
Total Assets EOY	$1,877,474,544	TotalAssetsEOYAmt
Total Liabilities BOY	$896,265,502	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$838,748,423	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$959,092,493	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,038,726,121	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$2,315,935,910	ExpenseAmt
Revenue	$2,863,835,095	RevenueAmt
Desc	GROUP HEALTH COOPERATIVE (GROUP HEALTH) PROVIDED HEALTH CARE COVERAGE AND/OR SERVICES TO APPROXIMATELY 352,000 COMMERCIAL GROUP, MEDICARE, MEDICARE ADVANTAGE, MEDICAID, BASIC HEALTH PLAN, FEDERAL EMPLOYEE HEALTH BENEFIT PLAN AND INDIVIDUAL ENROLLEES IN WASHINGTON AND NORTH IDAHO. PLEASE REFER TO A DESCRIPTION OF THE PROGRAM'S OBJECTIVES IN SCHEDULE H, PART VI.2 AND PART VI.5.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$55,636,116	ExpenseAmt
Revenue	$21,499,107	RevenueAmt
Desc	CARE AND COVERAGE TO 32,816 PEOPLE IN NEED: HEALTH CARE COVERAGE AND SERVICES TO PATIENTS ENROLLED IN GOVERNMENT PROGRAMS. UNREIMBURSED CARE FOR INDIVIDUAL PATIENTS IN NEED. URGENT AND EMERGENCY CARE. PARTNERING WITH SAFETY-NET ORGANIZATIONS. PLEASE REFER TO A DESCRIPTION OF THE PROGRAM'S OBJECTIVES IN SCHEDULE H, PART VI.2 AND PART VI.5.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$64,090,025	ExpenseAmt
Revenue	$48,377,734	RevenueAmt
Desc	HEALTH RESEARCH AND EDUCATION FOR 439 PEOPLE INCLUDING: RESEARCH AND EVIDENCE-BASED CARE. PROFESSIONAL EDUCATION ACTIVITIES. CONSUMER HEALTH EDUCATION. PLEASE REFER TO A DESCRIPTION OF THE PROGRAM'S OBJECTIVES IN SCHEDULE H, PART VI.2 AND PART VI.5.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$1,863,775	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$37,079	RevenueAmt
Desc	HEALTHY COMMUNITIES	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$1,863,775	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$37,079	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$2,437,525,826	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	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	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	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
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	7074	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7843	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	11	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
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MARTIN R DOPPS	PersonNm
Phone	2064485146	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	320 WESTLAKE AVE N SUITE 100	AddressLine1Txt
City	SEATTLE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	981095233	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 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
SUSAN JOY BYINGTON
CHAIR, TRUSTEE	7.5	0.2	Yes (X)	Yes (X)	$39,813	$1,000	$0
ROBERT ALEXANDER WATT
VICE CHAIR, TRUSTEE	7.5	0.2	Yes (X)	Yes (X)	$33,313	$1,000	$0
PORSCHE EVERSON
TRUSTEE	6.5	0.25	Yes (X)		$36,563	$1,000	$0
JENNIFER ANN JOLY
TRUSTEE	6.5	0.2	Yes (X)		$16,875	$750	$0
HARRY HARRISON JR
TRUSTEE	6.5	0.2	Yes (X)		$28,438	$750	$0
DOROTHY ANNE RUZICKI
TRUSTEE	6.5	0.2	Yes (X)		$28,438	$1,000	$0
LEO FRANCIS GREENAWALT JR
TRUSTEE	6.5	0.2	Yes (X)		$22,500	$1,000	$0
RUTA ELMA FANNING
TRUSTEE	6.5	0.2	Yes (X)		$22,500	$1,000	$0
KATHERINE BELL
TRUSTEE	6.5	0.2	Yes (X)		$22,500	$750	$0
PHILLIP JEFFREY HAAS
TRUSTEE	6.5	0.2	Yes (X)		$28,438	$1,000	$0
JERRY FRANKLIN CAMPBELL
TRUSTEE	6.5	0.2	Yes (X)		$5,625	$250	$0
JUDITH EMILY SCHURKE
TRUSTEE	6.5	0.2	Yes (X)		$16,875	$750	$0
SCOTT ELLIOT ARMSTRONG
PRESIDENT & CEO	39.0	1.0		Yes (X)	$2,499,696	$0	$36,971
SARAH BARIAN YATES
EVP & GENERAL COUNSEL	40.0	0.0		Yes (X)	$629,260	$0	$25,246
CHRISTOPHER KNACKSTEDT
EVP; CHIEF FINANCIAL OFFICER	40.0	0.0		Yes (X)	$987,776	$0	$21,751
RICK DALE WOODS
EVP; SR ADVSR TO PRES/CEO	40.0	0.0		Yes (X)	$1,495,524	$0	$41,211
BRETON CLARK MYERS
VP; TREASURY	40.0	0.0			$366,785	$0	$11,271	Yes (X)
SUSAN S KOZIK
EVP; CHIEF INFORMATION OFFICER	40.0	0.0			$519,407	$0	$22,270	Yes (X)
ERIN LEFF
EVP; GROUP PRACTICE DIVISION	40.0	0.0			$627,419	$0	$13,855	Yes (X)
MARK SZALWINSKI
EVP; GROUP PRACTICE DIVISION	40.0	0.0			$1,115,164	$0	$22,496	Yes (X)
ROBERT O'BRIEN
EVP; HEALTH PLAN DIVISION	40.0	0.0			$1,193,607	$0	$16,819	Yes (X)
TAMI LAMP
EVP; HR	40.0	0.0			$380,957	$0	$15,999	Yes (X)
DIANA BIRKETT RAKOW
EVP; MARKETING & PUB. AFFAIRS	32.0	8.0			$448,854	$0	$25,714	Yes (X)
DAWN LOELIGER
EVP; STRAT PLANNING & DEPLOY	40.0	0.0			$462,606	$0	$25,714	Yes (X)
GERARD FISHER
VP; CLINICAL ANCILLARY SRVCS	40.0	0.0			$381,552	$0	$18,531	Yes (X)
BRIAN O'SHIELDS
VP; CHIEF ACTUARY	40.0	0.0			$449,512	$0	$25,245		Yes (X)
DONALD LEWIS
VP; CHIEF TECHNOLOGY OFFICER	40.0	0.0			$558,745	$0	$12,804		Yes (X)
BARBARA TREHEARNE
VP; CLIN EXCL &INT CHIEF NURSE	39.0	1.0			$505,198	$0	$139,974		Yes (X)
ERIC LARSON
VP; GROUP HEALTH RESEARCH INST	39.0	1.0			$555,741	$0	$18,874		Yes (X)
DEBORAH HUNTINGTON
VP; SALES	39.0	1.0			$474,957	$0	$25,246		Yes (X)
CYNTHIA JOHNSON
EVP; HR	40.0	0.0			$323,519	$0	$5,926			Yes (X)
BARBARA ANN BELT-LLOYD
VP; CHIEF ACCOUNTING OFFICER	40.0	0.0			$384,235	$0	$73,120			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$14,662,392	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$10,250	TotReportableCompRltdOrgAmt
Total Other Compensation	$599,037	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1229	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
GROUP HEALTH PERMANENTE
320 WESTLAKE AVE N SUITE 100	SEATTLE	WA	981095233	Medical Professional	$332,867,465
VIRGINIA MASON MED CTR
PO BOX 91046	SEATTLE	WA	98111	Hospital Services	$109,413,482
OVERLAKE HOSPITAL MED CTR
PO BOX 34224	SEATTLE	WA	98124	Hospital Services	$75,267,373
ST JOSEPH MEDICAL CENTER
1717 S J ST	TACOMA	WA	98405	Hospital Services	$65,271,609
PEACEHEALTH MEDICAL GROUP WR
DEPT 364	VANCOUVER	WA	98683	Hospital Services	$64,587,499

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1197	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,116,557	RelatedOrganizationsAmt
Government Grants	$36,095,069	GovernmentGrantsAmt
All Other Contributions	$8,153,363	AllOtherContributionsAmt
Noncash Contributions	$15,805	NoncashContributionsAmt
Total Contributions	$46,364,989	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEMBER DUES	524114	$2,393,719,450	$2,393,719,450
MEDICAL SERVICES REVENUE	621491	$372,253,792	$372,253,792
CAPITATION REVENUE	621491	$53,549,189	$53,549,189
CMA - PROGRAM SERVICE REVENUE	621491	$15,903,770	$15,903,770
SELF-FUNDED ADMINISTRATIVE FEES	524292	$13,628,959	$13,628,959

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$20,114,418	TotalRevenueColumnAmt
Related Or Exempt Func Income	$20,114,418	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,869,169,578	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,042,600	TotalRevenueColumnAmt
Exclusion	$37,042,600	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	$2,378,744	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,378,744	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,378,744	TotalRevenueColumnAmt
Exclusion	$2,378,744	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$496,360,760	SecuritiesAmt
Other	$99,985	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$490,598,639	SecuritiesAmt
Other	$39,561	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$5,762,121	SecuritiesAmt
Other	$60,424	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,822,545	TotalRevenueColumnAmt
Exclusion	$5,822,545	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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	$177,743	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$72,523	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$105,220	TotalRevenueColumnAmt
Unrelated Business Revenue	$105,220	UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
ADMIN CONTRACT	561000	$64,437,384	$64,437,384
SALES TO MEMBERS	446199	$51,244	$51,244
GROUP HEALTH RESEARCH INSTITUTE	541700	$2,269,640		$2,269,640

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$198,993	TotalRevenueColumnAmt
Related Or Exempt Func Income	$90,809	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$108,184	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$66,957,261	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,027,840,937	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,933,749,015	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,483,044	UnrelatedBusinessRevenueAmt
Exclusion	$45,243,889	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

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	$15,559,270	TotalAmt
Management And General	$15,559,270	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$447,715,014	TotalAmt
Program Services	$264,352,426	ProgramServicesAmt
Management And General	$183,362,588	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$53,218,095	TotalAmt
Program Services	$31,422,517	ProgramServicesAmt
Management And General	$21,795,578	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,287,323	TotalAmt
Program Services	$7,255,025	ProgramServicesAmt
Management And General	$5,032,298	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$39,068,670	TotalAmt
Program Services	$23,032,325	ProgramServicesAmt
Management And General	$16,036,345	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	$3,781,584	TotalAmt
Management And General	$3,781,584	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$127,651	TotalAmt
Management And General	$127,651	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$614,073	TotalAmt
Management And General	$614,073	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,935,667	TotalAmt
Management And General	$1,935,667	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,685,701,720	TotalAmt
Program Services	$1,594,415,417	ProgramServicesAmt
Management And General	$91,286,303	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,313,076	TotalAmt
Program Services	$105,703	ProgramServicesAmt
Management And General	$5,207,373	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$380,356,205	TotalAmt
Program Services	$352,881,973	ProgramServicesAmt
Management And General	$27,474,232	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$33,640,945	TotalAmt
Program Services	$12,791	ProgramServicesAmt
Management And General	$33,628,154	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$48,870,171	TotalAmt
Program Services	$17,044,723	ProgramServicesAmt
Management And General	$31,825,448	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,805,829	TotalAmt
Program Services	$1,172,920	ProgramServicesAmt
Management And General	$632,909	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	$5,218,267	TotalAmt
Program Services	$963,176	ProgramServicesAmt
Management And General	$4,255,091	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,364,962	TotalAmt
Management And General	$3,364,962	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$55,798,842	TotalAmt
Program Services	$32,947,774	ProgramServicesAmt
Management And General	$22,851,068	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$10,600,782	TotalAmt
Program Services	$9,504,292	ProgramServicesAmt
Management And General	$1,096,490	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PREMIUM AND BUSINESS TAX	$55,113,676	$65,279,482	-$10,165,806
CMA - PROGRAM SERVICE EXP.	$22,152,208	$22,152,208	$0
BAD DEBT EXPENSE	$13,636,068	$11,333,311	$2,302,757
ADMINISTRATIVE/ACCESS FEES	$9,261,740	$2,373,210	$6,888,530

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,483,479	TotalAmt
Program Services	$1,276,553	ProgramServicesAmt
Management And General	$2,206,926	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,908,625,317	TotalAmt
Program Services	$2,437,525,826	ProgramServicesAmt
Management And General	$471,099,491	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$105,037,075	BOYAmt
EOY	$135,584,246	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$30,129,073	BOYAmt
EOY	$37,790,013	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$9,683,476	BOYAmt
EOY	$10,358,480	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$100,493,819	BOYAmt
EOY	$102,956,256	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$16,764,175	BOYAmt
EOY	$18,071,621	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$39,991,159	BOYAmt
EOY	$18,053,764	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,077,432,054	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$680,800,056	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$414,865,750	BOYAmt
EOY	$396,631,998	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$815,709,588	BOYAmt
EOY	$839,172,118	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$247,131,334	BOYAmt
EOY	$249,370,094	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$23,219,041	BOYAmt
EOY	$16,937,197	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$427,094	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$52,333,505	BOYAmt
EOY	$52,121,663	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,855,357,995	BOYAmt
EOY	$1,877,474,544	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$403,055,830	BOYAmt
EOY	$364,256,063	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	$34,381,851	BOYAmt
EOY	$47,766,301	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$128,904,435	BOYAmt
EOY	$122,901,368	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	$329,923,386	BOYAmt
EOY	$303,824,691	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$896,265,502	BOYAmt
EOY	$838,748,423	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$942,405,809	BOYAmt
EOY	$1,022,866,977	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,209,171	BOYAmt
EOY	$6,218,997	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,477,513	BOYAmt
EOY	$9,640,147	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$959,092,493	BOYAmt
EOY	$1,038,726,121	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,855,357,995	BOYAmt
EOY	$1,877,474,544	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$119,215,620	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$28,771,867	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$10,810,125	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$795,952	FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$795,952	FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$2,907,829,365	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$2,908,625,317	FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt

Field	Value	IRS element (for citing)
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
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$935,937	CurrentYearMinus3Amt
Current Year Minus2	$840,359	CurrentYearMinus2Amt
Current Year Minus1	$804,876	CurrentYearMinus1Amt
Current Year	$795,952	CurrentYearAmt
Total	$3,377,124	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

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	$28,297,754	OtherCostOrOtherBasisAmt
Book Value	$28,297,754	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$605,706,355	OtherCostOrOtherBasisAmt
Depreciation	$346,930,739	DepreciationAmt
Book Value	$258,775,616	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$411,771,508	OtherCostOrOtherBasisAmt
Depreciation	$333,869,317	DepreciationAmt
Book Value	$77,902,191	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,656,437	OtherCostOrOtherBasisAmt
Book Value	$31,656,437	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$396,631,998	TotalBookValueLandBuildingsAmt

Financial Derivatives FinancialDerivativesGrp

Field	Value	IRS element (for citing)
Book Value	$29,061,478	BookValueAmt
Method Valuation	C	MethodValuationCd

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	$219,671,216	BookValueAmt
Method Valuation	C	MethodValuationCd

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	ONE HEALTH PORT	Desc
Book Value	$637,400	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$249,370,094	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
SELF INSURANCE	$57,591,093
RETIREE MEDICAL	$44,913,415
PENSION LIABILITY	$183,516,936
DEFERRED COMPENSATION	$7,446,089
LEASES	$4,396,149
RENT DIFFERENTIAL	$3,954,425
SECURITY CARE CLAIMS	$1,453,585
OTHER LIABILITIES	$552,999

Field	Value	IRS element (for citing)
Total Liability	$303,824,691	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$2,997,782,412	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$6,915,575	NetUnrealizedGainsInvstAmt
Other Revenue	-$5,303,513	OtherRevenueAmt
Revenue Not Reported	-$12,219,088	RevenueNotReportedAmt
Revenue Subtotal	$3,010,001,500	RevenueSubtotalAmt
Investment Expenses Not Incld	$1,935,667	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$15,903,770	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$17,839,437	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$3,027,840,937	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$2,884,861,801	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$324,359	OtherExpensesIncludedAmt
Expenses Not Reported	$324,359	ExpensesNotReportedAmt
Expenses Subtotal	$2,884,537,442	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$1,935,667	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$22,152,208	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$24,087,875	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$2,908,625,317	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART XI	LINE 2D OTHER THAN TEMP. IMPAIRED ($3,970,939) BOOK PARTNERSHIP EARNINGS ($1,406,945) COGS RECLASS $74,371 ---------- TOTAL ($5,303,513) LINE 4B CMA REVENUE $15,903,770 ------------- TOTAL $15,903,770
PART XII	LINE 2D LOSS ON SALE OF ASSETS $257,477 TAX PARTNERSHIP EARNINGS ($7,489) COGS RECLASS $74,371 ---------- TOTAL $324,359 LINE 4B CMA EXPENSES $22,152,208 ------------- TOTAL $22,152,208

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	false	FinancialAssistanceBudgetInd
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)
Persons Served	435	PersonsServedCnt
Total Community Benefit Expns	$386,819	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$386,819	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	37767	PersonsServedCnt
Total Community Benefit Expns	$56,308,833	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,499,468	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,809,365	NetCommunityBenefitExpnsAmt
Total Expense	0.01160	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Persons Served	1094	PersonsServedCnt
Total Community Benefit Expns	$801,086	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$801,086	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	39296	PersonsServedCnt
Total Community Benefit Expns	$57,496,738	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,499,468	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,997,270	NetCommunityBenefitExpnsAmt
Total Expense	0.01200	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	4472	PersonsServedCnt
Total Community Benefit Expns	$1,230,816	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,079	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,193,737	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	439	PersonsServedCnt
Total Community Benefit Expns	$11,710,149	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,710,149	NetCommunityBenefitExpnsAmt
Total Expense	0.00400	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	604	PersonsServedCnt
Total Community Benefit Expns	$1,687,933	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$277,503	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,410,430	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$52,379,876	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,377,734	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,002,142	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	667	PersonsServedCnt
Total Community Benefit Expns	$245,097	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$245,097	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	20	ActivitiesOrProgramsCnt
Persons Served	6182	PersonsServedCnt
Total Community Benefit Expns	$67,253,871	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,692,316	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,561,555	NetCommunityBenefitExpnsAmt
Total Expense	0.00640	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	20	ActivitiesOrProgramsCnt
Persons Served	45478	PersonsServedCnt
Total Community Benefit Expns	$124,750,609	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,191,784	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$53,558,825	NetCommunityBenefitExpnsAmt
Total Expense	0.01840	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$15,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,000	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$350,262	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$350,262	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$7,600	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,600	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$15,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,000	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$387,862	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$387,862	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$11,333,311	BadDebtExpenseAmt
Reimbursed By Medicare	$1,170,916	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$771,929	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$398,987	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	CAPITOL HILL MAIN BUILDING	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	www.ghc.org/locations	WebsiteAddressTxt
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	CAPITOL HILL MAIN BUILDING	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
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www1.ghc.org/html/public/about/community	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www1.ghc.org/html/public/about/community	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
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	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 5	THE CENTER FOR COMMUNITY HEALTH AND EVALUATION (CCHE) CONDUCTED KEY INFORMANT INTERVIEWS WITH 23 INDIVIDUALS REPRESENTING PUBLIC HEALTH, CITY GOVERNMENT, THE HEALTHCARE SAFETY NET, CULTURAL COMMUNITIES, SCHOOLS AND HEALTH ADVOCACY IN KING COUNTY. THE FINDINGS WERE ALSO INFORMED BY 8 KEY INFORMANT INTERVIEWS CONDUCTED EARLIER AS PART OF THE NEEDS ASSESSMENT FOR VIRGINIA MASON MEDICAL CENTER, ONE OF GROUP HEALTH'S HEALTH CARE PARTNERS AND 4 PUBLIC HEALTH DATA EXPERTS. THE LIST OF 35 KEY INFORMANTS/DATA EXPERTS IS AS FOLLOWS: -MARGUERITE RO, DRPH; CHIEF, ASSESMENT, POLICY DEVELOPMENT & EVALUATION UNIT - PUBLIC HEALTH-SEATTLE & KING COUNTY -JOE CAMPO, MPH; SENIOR FORECAST ANALYST - WASHINGTON STATE OFFICE OF FINANCIAL MANAGEMENT -EVA WONG, PHD; EPIDEMIOLOGIST - PUBLIC HEALTH-SEATTLE & KING COUNTY -CHRIS HALSELL; ASSESSMENT COORDINATOR - WASHINGTON STATE DEPT OF HEALTH -ANTOINETTE ANGULO, MPH; DIRECTOR, PREVENTIVE HEALTH SERVICES - SEA MAR COMMUNITY HEALTH CENTERS -PETER RETZTAGG; EXECUTIVE DIRECTOR - COMMUNITY FOR YOUTH -RICHARD BROOKS; EXECUTIVE DIRECTOR - RENTON AREA YOUTH AND FAMILY SERVICES -RALPH FORQUERA; EXECUTIVE DIRECTOR - SEATTLE INDIAN HEALTH BOARD -LISA YOHALEM; DIRECTOR, PLANNING & DEVELOPMENT - HEALTHPOINT -DAVE LEIBMAN; COMMANDER - RENTON POLICE DEPARTMENT -KEN WEINBERG; CEO - JEWISH FAMILY SERVICES REFUGEE & IMMIGRANT SERVICE CENTERS -CHRISTOPHER WILLIAMS; ACTING SUPERINTENDENT - SEATTLE PARKS & RECREATION -ADAM TAYLOR; PROJECT MANAGER, GLOBAL TO LOCAL INITIATIVE - PUBLIC HEALTH-SEATTLE & KING COUNTY -COLLEEN BRANDT-SCHLUTER; HUMAN RESOURCES MANAGER - CITY OF SEATAC -MANDI GEORGE; CHRONIC DISEASE PREVENTION DIRECTOR - YMCA OF GREATER SEATTLE -MARK SMITH; CHIEF OPERATING OFFICER - BOYS & GIRLS CLUBS OF KING COUNTY -PRAMILA JAYAPAL; EXECUTIVE DIRECTOR - ONE AMERICA -ABBIE ZAHLER; COMMUNITY ADVOCACY SUPERVISOR - INTERNATIONAL COMMUNITY HEALTH SERVICES -JASON BERRY; EXECUTIVE DIRECTOR - YMCA-AUBURN VALLEY -JANET ST. CLAIR; DEPUTY DIRECTOR - ASIAN COUNSELING & REFERRAL SERVICES -ALICE PARK; PROGRAM MANAGER - KING COUNTY FOOD & FITNESS INITIATIVE -JENNIFER RAMIREZ-ROBINSON; INTERIM DIRECTOR - NEW FUTURES -BLISHDA LACET; REACH PROGRAM COORDINATOR - PUBLIC HEALTH-SEATTLE & KING COUNTY -MATIAS VALENZUELA; KING COUNTY EQUITY & SOCIAL JUSTICE INITIATIVE - PUBLIC HEALTH-SEATTLE & KING COUNTY -ESTELA ORTEGA MIGUEL MAESTAS; EXECUTIVE DIRECTOR ASSOCIATE ADMINISTRATOR - EL CENTRO DE LA RAZA -TERRY HIGASHIYAMA; COMMUNITY SERVICES ADMINISTRATOR - CITY OF RENTON -GREG DOOTSON; NORTH PUGET SOUND DIRECTOR - LUTHERAN COMMUNITY SERVICES INTERNATIONAL -SUSAN MILLEDER; PROGRAMS DIRECTOR - AMERICAN DIABETES ASSOCIATION -EUDORA CARTER; CHRONIC DISEASE SELF MANAGEMENT - CENTER FOR MULTICULTURAL HEALTH -MARK SECORD; EXECUTIVE DIRECTOR - NEIGHBORCARE HEALTH -SONJA REID; LEAD NURSE - BELLEVUE SCHOOL DISTRICT -TRISE MOORE; FAMILY & COMMUNITY PARTNERSHIP ADVOCATE - FEDERAL WAY SCHOOL DISTRICT -EMILY LESLIE; HUMAN SERVICES MANAGER - CITY OF BELLEVUE -JAY BENNETT; COMMUNITY SERVICES MANAGER - CITY OF FEDERAL WAY -PATTY HAYES, RN, MN; DIRECTOR, COMMUNITY HEALTH SERVICES - PUBLIC HEALTH-SEATTLE & KING COUNTY
PART V, LINE 11	IN ITS 2013-2015 CHNA, GROUP HEALTH IDENTIFIED THE SIGNIFICANT HEALTH NEEDS TO BE ADDRESSED AS WELL AS THE IDENTIFIED HEALTH NEEDS WHICH WOULD NOT BE ADDRESSED BY GROUP HEALTH. EFFORTS MADE TOWARD IDENTIFIED HEALTH NEEDS THAT WERE ADDRESSED ARE SPELLED OUT IN THE CHNA AND ARE ENTIRELY CONSISTENT WITH GROUP HEALTHS MISSION AND NATURE AS AN INTEGRATED DELIVERY SYSTEM, ALIGNING COVERAGE AND CARE TO ENGAGE PATIENTS IN THEIR OWN HEALTH. ALTHOUGH THE FOLLOWING HEALTH ISSUES WERE IDENTIFIED IN THE 2013-2015 CHNA, THEY WERE NOT A GROUP HEALTH FOCUS DUE TO LIMITED EXPERTISE, THERE ARE OTHER ORGANIZATIONS ADDRESSING THE NEED, AND/OR GROUP HEALTH RESOURCE CONSTRAINTS PREVENTED EFFECTIVELY ADDRESSING THE NEED. -INJURY PREVENTION: FEEDBACK RECEIVED WAS TO FOCUS GROUP HEALTHS LIMITED RESOURCES ON ITS MOST EFFECTIVE AND EFFICIENT AREAS. THIS WAS NOT ONE OF THOSE AREAS. -TOBACCO CESSATION: THERE ARE OTHER ORGANIZATIONS IN THE COMMUNITY THAT ARE FOCUSED ON THIS HEALTH NEED AND ARE IN A BETTER POSITION TO PROVIDE THIS SERVICE. -MENTAL HEALTH AND SUBSTANCE ABUSE: WHILE GROUP HEALTH HAS A BEHAVIORAL HEALTH UNIT, THIS WAS NOT CONSIDERED EXPERTISE THAT IT COULD LEVERAGE EFFECTIVELY. -ORAL HEALTH: GROUP HEALTH DOES NOT OFFER ORAL HEALTH CARE. THE THREE HEALTH NEEDS CHOSEN FROM THE 2013-2015 CHNA TO BE ADDRESSED BY GROUP HEALTH ARE: 1. ACCESS TO CARE FOR UNDERSERVED POPULATIONS 2. PROMOTION OF PHYSICAL ACTIVITY, IMPROVED FITNESS, AND HEALTHY EATING 3. CHRONIC DISEASE MANAGEMENT AND PREVENTION OF DIABETES AND CARDIOVASCULAR DISEASE THESE NEEDS ARE BEING ADDRESSED BY: ACCESS TO CARE FOR UNDERSERVED POPULATIONS -PROMOTE ENROLLMENT AND PARTICIPATION IN THE HEALTH BENEFIT EXCHANGE AND MEDICAID -CREATE A MORE SYSTEMATIC APPROACH TO PROVIDING ACCESS TO PATIENTS OF SAFETY NET ORGANIZATIONS SERVING COMMUNITIES WITH THE HIGHEST HEALTH NEEDS -PROVIDE DIRECT CARE FOR UNDERSERVED PATIENTS -SHARE CLINICAL AND ORGANIZATIONAL EXPERTISE WITH SAFETY NET ORGANIZATIONS PROMOTION OF PHYSICAL ACTIVITY, IMPROVED FITNESS, AND HEALTHY EATING -COLLABORATE WITH SCHOOLSPARTICULARLY SCHOOL-BASED HEALTH CENTERSTO PROVIDE OPPORTUNITIES FOR YOUTH TO PARTICIPATE IN HEALTH-PROMOTING ACTIVITIES -PARTICIPATE IN KING COUNTY HEALTHY HOSPITAL INITIATIVES -ENSURE YOUTH ACCESS TO HEALTHY FOOD YEAR ROUND. CHRONIC DISEASE MANAGEMENT AND PREVENTION OF DIABETES AND CARDIOVASCULAR DISEASE -COLLABORATE WITH COMMUNITY AND GOVERNMENT PARTNERS TO PROMOTE BICYCLING AND WALKING AS A FORM OF EXERCISE AND TRANSPORTATION -PROMOTE PHYSICAL ACTIVITY AND FITNESS THROUGH PROGRAM SPONSORSHIPS -COLLABORATE WITH COMMUNITY ORGANIZATIONS TO SUPPORT NEWLY DIAGNOSED DIABETICS WITH TOOLS AND INFORMATION TO MANAGE THEIR DISEASE -SHARE CLINICAL AND ORGANIZATIONAL EXPERTISE, INCLUDING RESEARCH FROM THE GROUP HEALTH RESEARCH INSTITUTE, ABOUT THE PREVENTION, DETECTION, AND MANAGEMENT OF DIABETES AND CARDIOVASCULAR DISEASE, INCLUDING BEST PRACTICES AND EVIDENCE-BASED GUIDELINES
PART V, LINE 16	GROUP HEALTH COOPERATIVE'S FAP IS WIDELY AVAILABLE AT WWW1.GHC.ORG/HTML/PUBLIC/CUSTOMER-SERVICE/FINANCIAL-ASSISTANCE.
PART V, LINE 22D	GROUP HEALTH BILLING IS BASED ON USUAL, CUSTOMARY AND REASONABLE (UCR) CHARGES FOR THE GEOGRAPHIC AREA, WITH CONSIDERATION OF ACTUAL AVERAGE COSTS OF CARE PROVIDED BY GROUP HEALTH TO ALL PATIENTS. MAXIMUM CHARGES FOR FAP-ELIGIBLE INDIVIDUALS ARE NO MORE THAN THE AMOUNTS GENERALLY BILLED TO INSURED PATIENTS FOR EMERGENCY OR MEDICALLY NECESSARY CARE. FURTHER, CHARGES TO ELIGIBLE INDIVIDUALS FOR ANY OTHER CARE ARE LESS THAN THE GROSS CHARGES FOR THAT CARE.

Field	Value	IRS element (for citing)
Facility	48	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (48 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CAPITOL HILL EAST BUILDING
1600 E JOHN ST	SEATTLE	WA	981125260	MEDICAL CLINIC
CAPITOL HILL NORTH BUILDING
310 15TH AVE E	SEATTLE	WA	981125260	MEDICAL CLINIC
CAPITOL HILL SOUTH BUILDING
125 16TH AVE E	SEATTLE	WA	981125260	MEDICAL CLINIC
CAPITOL HILL WEST BUILDING
201 16TH AVE E	SEATTLE	WA	981125260	MEDICAL CLINIC
CAPITOL HILL ANNEX BUILDING
122 16TH AVE E	SEATTLE	WA	981125260	MEDICAL CLINIC
BELLEVUE MEDICAL CENTER
11511 NE 10TH STREET	BELLEVUE	WA	98004	MEDICAL CENTER
BREMERTON BEHAVIORAL HEALTH SERVICES
555 PACIFIC AVE STE 202	BREMERTON	WA	98337	BEHAVIORAL HEALTH CLINIC
BREMERTON MEDICAL CENTER
2741 WHEATON WAY SUITE A	BREMERTON	WA	98310	MEDICAL CENTER
EVERETT MEDICAL CENTER
2930 MAPLE STREET	EVERETT	WA	982014261	MEDICAL CENTER
DOWNTOWN SEATTLE MEDICAL CENTER
1420 5TH AVE STE 375	SEATTLE	WA	98101	MEDICAL CENTER
FACTORIA MEDICAL CENTER
13451 SE 36TH STREET	BELLEVUE	WA	980061454	MEDICAL CENTER
KENT MEDICAL CENTER
26004 104TH AVE SE	KENT	WA	98031	MEDICAL CENTER
LIDGERWOOD MEDICAL CENTER
6002 N LIDGERWOOD	SPOKANE	WA	99208	MEDICAL CENTER
LYNNWOOD MEDICAL CENTER
20200 54TH AVENUE W	LYNNWOOD	WA	980366389	MEDICAL CENTER
NORTHGATE MEDICAL CENTER
9800 4TH AVENUE NE	SEATTLE	WA	981152158	MEDICAL CENTER
NORTHGATE SOUTH BUILDING
9720 4TH AVENUE NE	SEATTLE	WA	98115	MEDICAL CLINIC
NORTHSHORE MEDICAL CENTER
11913 NE 195TH STREET	BOTHELL	WA	980113147	MEDICAL CENTER
OLYMPIA MEDICAL CENTER
700 LILLY ROAD NE	OLYMPIA	WA	985065196	MEDICAL CENTER
PORT ORCHARD MEDICAL CENTER
1400 POTTERY AVENUE	PORT ORCHARD	WA	983663768	MEDICAL CENTER
POULSBO MEDICAL CENTER
19379 7TH AVENUE NE	POULSBO	WA	98370	MEDICAL CENTER
PUYALLUP MEDICAL CENTER
611 31ST AVE SW	PUYALLUP	WA	98374	MEDICAL CENTER
RAINIER MEDICAL CENTER
5316 RAINIER AVE S	SEATTLE	WA	981182398	MEDICAL CENTER
REDMOND MEDICAL CENTER
15809 BEAR CREEK PARKWAY SUITE 10	REDMOND	WA	980524370	MEDICAL CENTER
RENTON MEDICAL CENTER
275 BRONSON WAY NE	RENTON	WA	980564099	MEDICAL CENTER
BURIEN MEDICAL CENTER
140 SW 146TH STREET	BURIEN	WA	981661997	MEDICAL CENTER
RIVERFRONT MEDICAL CENTER
322 W NORTH RIVER DRIVE	SPOKANE	WA	99201	MEDICAL CENTER
SILVERDALE MEDICAL CENTER
10452 SILVERDALE WAY NW	SILVERDALE	WA	98383	MEDICAL CENTER
SOUTH HILL MEDICAL CENTER
4102 S REGAL STREET SUITE 101	SPOKANE	WA	992234733	MEDICAL CENTER
SILVERDALE EYE CARE SERVICES
10516 SILVERDALE WAY NW SUITE 104	SILVERDALE	WA	983838745	MEDICAL CLINIC
TACOMA HEAR CENTERAUDIOLOGY & EYE CARE
5821 S SPRAGUE COURT	TACOMA	WA	98409	MEDICAL CLINIC
ST JOSEPH
1708 S YAKIMA AVENUE	TACOMA	WA	98405	MEDICAL CLINIC
TACOMA MEDICAL CENTER
209 MARTIN LUTHER KING JR WAY	TACOMA	WA	984054267	MEDICAL CENTER
TACOMA SOUTH MEDICAL CENTER
9505 S STEELE ST	TACOMA	WA	984446858	MEDICAL CENTER
VERADALE MEDICAL CENTER
14402 E SPRAGUE AVENUE	SPOKANE VALLEY	WA	992162167	MEDICAL CENTER
METROPOLITAN PARK EAST RESEARCH FACILITY
1730 MINOR AVENUE	SEATTLE	WA	98101	RESEARCH FACILITY
TACOMA BEHAVIORAL HEALTH SERVICES
4301 S PINE STREET	TACOMA	WA	984097206	MEDICAL CLINIC
FEDERAL WAY MEDICAL CENTER
301 SOUTH 320TH STREET	FEDERAL WAY	WA	980035296	MEDICAL CENTER
CMA - SPOKANE BREAST CANCER
105 W 8TH AVE STE 122	SPOKANE	WA	99204	MEDICAL CENTER
CMA NEUROLOGY
610 S SHERMAN ST STE 208	SPOKANE	WA	99202	MEDICAL CENTER
CMA
6120 N MAYFAIR ST	SPOKANE	WA	99208	MEDICAL CENTER
ASSOCIATED FAMILY PHYSICIANS-FAIRFIELD
210 MAIN ST	FAIRFIELD	WA	99012	MEDICAL CENTER
ASSOCIATED FAMILY PHYSICIANS-SPOKANE
626 N MULLAN RD STE 16	SPOKANE	WA	99206	MEDICAL CENTER
SOUTH HILL FAMILY MEDICINE
3010 S SOUTHEAST BLVD STE A	SPOKANE	WA	992233540	MEDICAL CENTER
CMA LIBERTY LAKE FAMILY MEDICINE
1334 N WHITMAN LN STE 200	LIBERTY LAKE	WA	99019	MEDICAL CENTER
CMA WESTVIEW FAMILY MEDICINE
1111 E WESTVIEW CT STE B	SPOKANE	WA	99218	MEDICAL CENTER
FAMILY HEALTH CENTER
910 W 5TH AVE STE 600	SPOKANE	WA	99204	MEDICAL CENTER
CMA NORTH FAMILY MEDICINE
9631 N NEVADA ST STE 100	SPOKANE	WA	99218	MEDICAL CENTER
COLUMBIA DIAGNOSTIC IMAGING SOUTH
3010 S SOUTHEAST BLVD STE D	SPOKANE	WA	99223	MEDICAL CENTER

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7(F) PERCENT OF TOTAL EXPENSE	BAD DEBT EXPENSE IS INCLUDED ON FORM 990, PART IX LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE FOR PART I, LINE 7, COLUMN (F).
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: CHARITY CARE AT COST UNREIMBURSED COSTS-OTHER-MEANS TESTED GOVERNMENT PROGRAMS (HEALTHCARE ASSISTANCE) GROUP HEALTH 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) DELIVERY SYSTEM REPRESENTING MEDICAL SERVICES PROVIDED TO CONSUMERS; 2) HEALTH PLAN REPRESENTING INSURANCE SERVICES; OR 3) OVERHEAD REPRESENTING ADMINISTRATIVE SUPPORT SERVICES TO BOTH DELIVERY SYSTEM AND HEALTH PLAN. OVERHEAD IS ALLOCATED TO EITHER 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 DELIVERY SYSTEM AND HEALTH PLAN ARE DETERMINED AND MAINTAINED BY THE CMD COSTING AND COSTING METHODOLOGY REVIEW TEAM.
PART II, COMMUNITY BUILDING	IN 2015, GROUP HEALTH MADE SIGNIFICANT CONTRIBUTIONS TO THE COMMUNITY, BOTH FINANCIAL AND THROUGH STAFF VOLUNTEER EFFORTS. GROUP HEALTH PLAYED A KEY ROLE IN THE SEATTLE/KING COUNTY CLINIC WHICH PROVIDED FREE DENTAL, VISION, AND MEDICAL SERVICES TO MORE THAN 4,000 PATIENTS. IN ADDITION TO THE 148 STAFF VOLUNTEERS, GROUP HEALTH PROVIDED NEARLY $128,000 IN LAB SERVICES VALUE FOR THE 4-DAY CLINIC, ALONG WITH 1,700 FLU SHOTS AND MEDICAL SUPPLIES. THROUGHOUT THE YEAR, GROUP HEALTH PROVIDED FREE LAB SERVICES TO THE OLYMPIA FREE CLINIC. CARE PROVIDERS FROM THE CLINIC ARE ABLE TO REFER PATIENTS TO THE NEARBY GROUP HEALTH MEDICAL CENTER IN OLYMPIA FOR LAB DRAWS AND THE RESULTS WERE RETURNED TO THE CLINIC. GROUP HEALTH CONTINUES TO PROVIDE FINANCIAL SUPPORT TO FURTHER THE IMPORTANT WORK OF PUBLIC ORGANIZATIONS IN OUR SERVICE AREA INCLUDING THE PUGET SOUND BLOOD CENTER, SKAGIT COUNTY PUBLIC HEALTH, THE CRISIS CLINIC, KING COUNTY PUBLIC HEALTH, COUNTRY DOCTOR, THE NORTHWEST CENTER, YOUTHCARE, PROJECT ACCESS NW AND PROJECT ACCESS PIERCE COUNTY, THE KING COUNTY SEXUAL ASSAULT RESOURCE CENTER, AND SENIOR SERVICES OF KING AND SNOHOMISH COUNTIES. GROUP HEALTH SUPPORTED ECONOMIC AND WORKFORCE DEVELOPMENT EFFORTS THROUGH SUPPORT FOR THE ECONOMIC OPPORTUNITY INSTITUTE, THE ALLIANCE FOR EDUCATION, THE GREATER SEATTLE BUSINESS ASSOCIATION, THE SEATTLE CHAMBER OF COMMERCE, THE WASHINGTON ROUNDTABLE, THE BELLEVUE DOWNTOWN ASSOCIATION AND THE BELLEVUE COLLEGE FOUNDATION TO HELP FOSTER OPPORTUNITIES FOR EDUCATION. IN THE AREA OF COMMUNITY HEALTH IMPROVEMENT ADVOCACY, GROUP HEALTH SUPPORTED THE HUMAN RIGHTS CAMPAIGN WHICH HELPS PASS LEGISLATION THAT PROMOTES EQUALITY IN THE WORKPLACE. GROUP HEALTH PROVIDES COMMUNITY SUPPORT THROUGH OUR SPONSORSHIPS OF MANY ORGANIZATIONS WHICH HOST ACTIVITIES AND EVENTS THAT SUPPORT HEALTHY LIVING, SPECIFICALLY PHYSICAL ACTIVITY, HEALTHY EATING, AND CHRONIC DISEASE MANAGEMENT. GROUP HEALTH SUPPORTS A WIDE RANGE OF COMMUNITY ORGANIZATIONS AND ACTIVITIES SUCH AS CASCADE BICYCLE CLUB'S SEATTLE-TO-PORTLAND BICYCLE CLASSIC, THE MAJOR TAYLOR YOUTH DEVELOPMENT CYCLING PROGRAM, THE AMERICAN HEART ASSOCIATION DIABETIC COOKING CLASSES, THE SEATTLE STORM'S SUMMER BASKETBALL CAMPS, BLOOMSDAY ROAD RACE TRAINING CLINICS, THE KING COUNTY PARKS DIVISION BIG BACKYARD AND YMCA'S HEALTHY KIDS DAY WHICH PROVIDED OVER 3,000 KIDS BIKE HELMETS FREE OF CHARGE IN 20 DIFFERENT YMCAS ACROSS THE STATE.
PART III, LINE 2, BAD DEBT EXPENSE METHODOLOGY	BAD DEBT IS RECORDED WHEN A PATIENT DOES NOT SETTLE THE BILL FOR SERVICES AND THE ACCOUNT IS ASSIGNED TO THE EXTERNAL COLLECTION AGENCY. BAD DEBT ASSIGNMENTS INCLUDE: STANDARD: PATIENTS/GUARANTORS WHO DO NOT PAY FOR LEGITIMATE SERVICES AFTER 3 STATEMENTS AND A DELINQUENCY LETTER EXCEPTIONS TO STANDARD: -PATIENTS/GUARANTORS WHOSE MAIL IS RETURNED TO GROUP HEALTH AND WHO CANNOT BE CONTACTED -PATIENTS/GUARANTORS WHO DECLARE BANKRUPTCY -DECEASED PATIENTS/GUARANTORS -PATIENTS/GUARANTORS WHO FAIL TO MEET THE REQUIREMENTS OF A NEGOTIATED PAYMENT ARRANGEMENTS THE FOLLOWING IS THE BAD DEBT POLICY IN PLACE DURING THE 2015 TAX YEAR: IF NO PAYMENT IS RECEIVED, AND THE BALANCE IS AT LEAST 45 DAYS AFTER THE 3RD CYCLE BILL DATE AND NOT MORE THAN 105 DAYS FROM THE FIRST STATEMENT DATE, STANDARD BALANCES ARE SYSTEMATICALLY REFERRED TO THE COLLECTION EXTERNAL AGENCY AND WRITTEN OFF TO BAD DEBT EXPENSE. EXCEPTIONS TO STANDARD BAD DEBT ACCOUNTS, INCLUDING RETURNED MAIL, LAPSED PAYMENT ARRANGEMENTS, DECEASED PATIENTS AND BANKRUPTCIES ARE MANUALLY ASSIGNED TO BAD DEBT EXPENSE AND FORWARDED TO THE COLLECTION AGENCY. COLLECTION AGENCY IS INSTRUCTED TO NOT REPORT ACCOUNTS TO THE CREDIT BUREAUS UNTIL AFTER THE FIRST 3 MONTHS OF COLLECTION ACTIVITY. JUSTIFICATION FOR MANUALLY ASSIGNED (NON STANDARD) BAD DEBT WRITE-OFFS IS RECORDED IN THE PATIENT'S ELECTRONIC BILLING RECORD. STAFF MEMBERS ARE AUTHORIZED TO REVERSE THE DECISION TO REFER AN ACCOUNT TO A COLLECTION AGENCY WHEN A MISTAKE IS DISCOVERED THAT CAUSED THE ASSIGNMENT TO BE MADE IN ERROR OR WHEN NEW INFORMATION ABOUT INSURANCE COVERAGE IS RECEIVED. AT ANY TIME DURING THE BILLING CYCLES, FINANCIAL ASSISTANCE MAY BE OFFERED BY GROUP HEALTH TO ANY PATIENT WHO INDICATES A CONCERN ABOUT SETTLING THE BALANCE. AFTER BAD DEBT ASSIGNMENT, FINANCIAL ASSISTANCE IS OFFERED IF PATIENT STATES THEY CANNOT PAY. PATIENTS MUST SUBMIT REQUIRED DOCUMENTATION OF NEED WHICH WILL BE REVIEWED TO DETERMINE IF THE ELIGIBILITY REQUIREMENTS ARE MET. IF APPROVED, THE APPROPRIATE BALANCES WILL BE TRANSFERRED TO THE GENERAL LEDGER ACCOUNT FOR FINANCIAL ASSISTANCE.
PART III, LINE 4, BAD DEBT EXPENSE	BAD DEBT EXPENSE IS DESCRIBED IN THE AUDITED FINANCIAL STATEMENT FOOTNOTES ON PAGE 9 UNDER SECTION (G) ACCOUNTS RECEIVABLE AND (H) PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND RETROACTIVITY.
PART III, LINE 8, MEDICARE SHORTFALL	GROUP HEALTH FILES A LOW VOLUME MEDICARE COST REPORT WHICH INCLUDES ONLY STATISTICAL USAGE INFORMATION. THE LOW VOLUME REPORT DOES NOT INCLUDE THE PAYMENT FROM CMS OR COST INFORMATION FOUND IN FULL COST REPORTS. GROUP HEALTH USES INTERNAL MEDICARE CHARGE AND REVENUE INFORMATION TO COMPUTE A COST TO CHARGE RATIO FOR ITS CENTRAL HOSPITAL MEDICARE COSTS. GROUP HEALTH DOES NOT INCLUDE ANY MEDICARE SHORTFALL AS COMMUNITY BENEFIT.
PART III, LINE 9, COLLECTION POLICY	BAD DEBT EXPENSE IS RECOGNIZED WHEN A PATIENT WHO IS DETERMINED TO HAVE THE FINANCIAL CAPACITY TO PAY FOR SERVICES IS UNWILLING TO SETTLE THE BILL. STANDARD PRACTICE IS TO REFER ACCOUNTS FOR COLLECTION 45 DAYS AFTER THE THIRD BILLING CYCLE HAS PASSED WITHOUT PAYMENT. DURING EACH MONTH-END CLOSE THE BAD DEBT RESERVE AND EXPENSE ACCOUNTS ARE ADJUSTED UP OR DOWN BASED ON AN ANALYSIS OF THE ACCOUNTS RECEIVABLE AGING. EACH BILLING STATEMENT INCLUDES INFORMATION ON HOW PATIENTS CAN CONTACT GROUP HEALTH'S SPONSORED CARE DEPARTMENT TO INQUIRE ABOUT PAYMENT ASSISTANCE. AT ANY POINT IN THE BILLING PROCESS WHEN THE PATIENT INFORMS GROUP HEALTH THEY ARE UNABLE TO PAY, THEY ARE SCREENED FOR LIKELY ELIGIBILITY FOR FINANCIAL ASSISTANCE AND SENT A FINANCIAL ASSISTANCE APPLICATION, WHICH COLLECTS INCOME AND OTHER FINANCIAL INFORMATION. IF A PATIENT IS ELIGIBLE FOR FREE OR DISCOUNTED CARE, THE CHARGES ARE WRITTEN OFF AS ADJUSTMENTS TO REVENUE AND NOT RECOGNIZED AS BAD DEBT. THE COLLECTIONS PROCESS IS TERMINATED.
PART VI, LINE 2, NEEDS ASSESSMENT	GROUP HEALTH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE 3-YEAR PERIOD OF 2013-2015. BASED ON THE RESULTS OF THE CHNA, GROUP HEALTH IDENTIFIED THREE HEALTH NEEDS THAT COULD BE MOST EFFECTIVELY ADDRESSED GIVEN OUR RESOURCES AND EXPERTISE: IMPROVING ACCESS TO CARE, INCREASING PHYSICAL ACTIVITY AND HEALTHY EATING AND MANAGING CHRONIC DISEASES, ESPECIALLY DIABETES AND CARDIOVASCULAR DISEASE. THIS IMPLEMENTATION STRATEGY WAS APPROVED BY THE BOARD OF TRUSTEES IN 2013 AND OVER THE NEXT 3 YEARS, GROUP HEALTH'S COMMUNITY ENGAGEMENT FOCUSED ON SUPPORT FOR INITIATIVES, PROGRAMS AND SERVICES THAT ADDRESSED THE HEALTH OF OUR COMMUNITIES, PARTICULARLY IN THESE AREAS. IN ADDITION, GROUP HEALTH LEADERS WITH THE SUPPORT OF THE ORGANIZATION CONTINUE TO SERVE ON A NUMBER OF COALITIONS, COLLABORATIVES AND BOARDS TO ASSESS AND IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. THESE INCLUDE THE WASHINGTON VACCINE ASSOCIATION, THE HEALTH INNOVATION LEADERSHIP NETWORK, THE PUGET SOUND HEALTH ALLIANCE, KING COUNTY HOSPITALS FOR A HEALTHIER COMMUNITY, THE BREE COLLABORATIVE, HEALTHIER WASHINGTON, VAX NW, U.S. PREVENTIVE SERVICES TASK FORCE, COMMUNITY HEALTH ADVISORY COMMITTEE, BOYS AND GIRLS CLUBS, YMCA, ALLIANCE FOR EDUCATION, AND THE WASHINGTON ACCOUNTABLE COMMUNITIES OF HEALTH (ACH'S) TO NAME A FEW. GROUP HEALTH 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 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 OF ELIGIBILITY FOR ASSISTANCE	GROUP HEALTH'S FINANCIAL ASSISTANCE PROGRAM, ALSO REFERRED TO AS THE CHARITY CARE PROGRAM, IS FOR MEMBERS OR NON-MEMBERS OF GROUP HEALTH. PATIENTS SEEKING HOSPITAL SERVICES AT GROUP HEALTH CENTRAL HOSPITAL OR ANOTHER STATE-LICENSED HOSPITAL WHEN SERVICES ARE DELIVERED BY A GROUP HEALTH PROVIDER, WHO HAVE INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL) ARE ELIGIBLE FOR CHARITY CARE ASSISTANCE. GROUP HEALTH INFORMS PATIENTS ABOUT SPONSORED CARE AS FOLLOWS: 1. GROUP HEALTH DISPLAYS SIGNS AT ALL OF ITS HOSPITAL SERVICES CHECK-IN DESKS INFORMING PATIENTS THAT THEY MAY BE ELIGIBLE FOR FREE CARE. HARD COPIES OF OUR FINANCIAL ASSISTANCE POLICY ONE-PAGE PLAIN LANGUAGE SUMMARY AND CHARITY CARE APPLICATION FORM ARE AVAILABLE AT EACH HOSPITAL SERVICE LOCATION IN PLAIN SIGHT WITHOUT NEEDING TO ASK STAFF. 2. GROUP HEALTH HOSPITAL URGENT CARE, BUSINESS OFFICE, INFORMATION DESK AND HOSPITAL SERVICES CHECK-IN STAFF PROVIDE FINANCIAL INFORMATION AND APPLICATION FORMS UPON REQUEST TO PATIENTS SEEKING CHARITY CARE OR HEALTH CARE ASSISTANCE AT THE TIME OF REGISTRATION FOR SERVICES. 3. AS PART OF THEIR STANDARD OPERATING PROCEDURES, CLINICAL, CUSTOMER SERVICE AND PATIENT BILLING STAFF THROUGHOUT GROUP HEALTH ARE ABLE TO PROVIDE INFORMATION ABOUT AND ASSISTANCE WITH PATIENT QUALIFICATION FOR SPONSORED CARE PROGRAMS AT THE TIME OF SERVICE OR VIA TELEPHONE. 4. ADMINISTRATIVE AND BILLING OFFICE STAFF AT ALL 25 GROUP HEALTH MEDICAL CENTERS PROVIDE PATIENTS WITH SPONSORED CARE APPLICATIONS AND/OR THE CHARITY CARE FINANCIAL ASSISTANCE POLICY UPON REQUEST AT THE TIME OF SERVICE. 5. THERE IS A STANDARD NOTICE ON ALL GROUP HEALTH BILLS FOR PATIENT CARE WHICH STATES THAT THE PATIENT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE AND PROVIDES CONTACT INFORMATION FOR ASSISTANCE. THE HEALTH CARE ASSISTANCE PROGRAM IS FOR ENROLLEES SEEKING ANY MEDICAL CARE OR SERVICE AT A GROUP HEALTH FACILITY AND WHO ARE AT OR BELOW 250% FPL. HEALTH CARE ASSISTANCE IS A SHORT-TERM PROGRAM PROVIDING ASSISTANCE WITH INPATIENT AND OUTPATIENT FEES, COPAYS, PRESCRIPTION COSTS, GLASSES AND HEARING AIDS. IN Q4 2015, GROUP HEALTH COMPLETED WORK AND IMPLEMENTED CHANGES INTRODUCED IN THE CODE OF FEDERAL REGULATIONS 26 CFR 1.501(R).
PART VI, LINE 4, COMMUNITY INFORMATION	GROUP HEALTH'S SERVICE AREAS INCLUDE ALL OR PART OF 20 COUNTIES IN WASHINGTON AND 2 COUNTIES IN IDAHO. BETWEEN 2010 AND 2015, THE MINORITY POPULATION OF WASHINGTON GREW FROM 27% TO 30%. COUNTIES IN THE GROUP HEALTH SERVICE AREA WITH THE HIGHEST PERCENTAGE OF NONWHITE RESIDENTS ARE FRANKLIN (59%), YAKIMA (56%), KING (46%), AND PIERCE (32%). THE HIGHEST SHARES OF HISPANIC POPULATION ARE IN FRANKLIN COUNTY (65%) AND YAKIMA COUNTY (49%). IN THE GROUP HEALTH SERVICE AREA, THE COUNTIES WITH THE HIGHEST CONCENTRATIONS OF MINORITY POPULATION BY RACE ARE ASIAN: KING (16%), BLACK: PIERCE (7%), AMERICAN INDIAN/ALASKA NATIVE: YAKIMA (6%), NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER: PIERCE (2%). IN 2015, AN ESTIMATED 51% OF WASHINGTON'S BLACK POPULATION AND 59% OF THE ASIAN POPULATION LIVED IN KING COUNTY (THE LARGEST AND MOST URBAN COUNTY IN THE STATE WHERE 12 OF GROUP HEALTH'S 25 MEDICAL CENTERS ARE LOCATED). THE RACIAL AND ETHNIC MAKEUP OF MEMBERS RECEIVING CARE AT GROUP HEALTH CLINICS IS WHITE (76%), ASIAN/PACIFIC ISLANDER (11%), BLACK (5%), AMERICAN INDIAN/ALASKA NATIVE (1%) AND OTHER/UNKNOWN (7%); 5% ARE HISPANIC. IN 2015, GROUP HEALTH COOPERATIVE AND ITS WHOLLY-OWNED SUBSIDIARIES, GROUP HEALTH OPTIONS, INC. AND KPS HEALTH PLANS, PROVIDED HEALTH CARE COVERAGE AND SERVICES TO APPROXIMATELY 593,000 INDIVIDUALS. GROUP HEALTH WAS ABLE TO REACH THESE INDIVIDUALS VIA INDIVIDUAL AND FAMILY, COMMERCIAL GROUP, FEDERAL EMPLOYEE HEALTH BENEFIT PLAN, PUBLIC EMPLOYEE BENEFIT BOARD PLAN (FOR WASHINGTON STATE EMPLOYEES), AND MEDICARE ADVANTAGE PLAN ENROLLEES. GROUP HEALTH EXTENDS ITS HEALTH CARE SERVICES TO THE COMMUNITY, PROVIDING CARE TO PEOPLE IN NEED REGARDLESS OF THEIR ENROLLMENT STATUS OR ABILITY TO PAY. SPECIAL ATTENTION IS DEVOTED TO UNDERSERVED, AT-RISK POPULATIONS. IN 2015, SPECIFICALLY RELATED TO LOW-INCOME INDIVIDUALS, GROUP HEALTH PROVIDED CARE TO APPROXIMATELY 25,000 APPLE HEALTH PLUS (WASHINGTON STATE-MANAGED MEDICAID) PATIENTS IN 6 COUNTIES AROUND THE STATE. THIS WAS ACCOMPLISHED THROUGH GROUP HEALTH CONTRACTING TO DELIVER HEALTH CARE SERVICES IN GROUP HEALTH OWNED AND OPERATED MEDICAL CENTERS TO PATIENTS ENROLLED IN MOLINA HEALTHCARE OF WASHINGTON'S PLAN. GROUP HEALTH, IN ADDITION, PROVIDED CARE TO MEDICAID FEE-FOR-SERVICE PATIENTS WHO WERE UNABLE TO ACCESS GROUP HEALTH THROUGH THE MANAGED MEDICAID PROGRAM. FINALLY, THE GROUP HEALTH TEEN PREGNANCY AND PARENTING CLINIC PROVIDES COMPREHENSIVE SERVICES TO WOMEN, INFANTS AND CHILDREN AND OTHER HEALTH CARE SERVICES TO BOTH ENROLLED GROUP HEALTH MEMBERS AND NON-ENROLLED LOW-INCOME TEENAGERS AND YOUNG ADULTS. IN 2015, THE TOTAL NUMBER OF PATIENT VISITS WAS 482.
PART VI, LINE 5, PROMOTION OF COMMUNITY HEALTH	GROUP HEALTH'S PRIMARY EXEMPT PURPOSE IS TO PROVIDE COMPREHENSIVE, PREVENTION-ORIENTED HEALTH CARE SERVICES. BENEFICIARIES OF THIS PURPOSE ARE GROUP HEALTH ENROLLEES AND NON-ENROLLED PATIENTS. GROUP HEALTH 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, GROUP HEALTH PROVIDES 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 GROUP HEALTH PERMANENTE, P.C., AN ORGANIZATION WITH WHOM GROUP HEALTH HAS AN EXCLUSIVE CONTRACT. AS OF YEAR-END 2015, GROUP HEALTH OPERATED ONE HOSPITAL, 25 PRIMARY CARE MEDICAL CENTERS, SIX SPECIALTY CARE UNITS AND SEVEN BEHAVIORAL HEALTH CLINICS. GROUP HEALTH ALSO CONTRACTS WITH COMMUNITY HEALTH CARE PROVIDERS FOR SERVICES WHERE GROUP HEALTH DOES NOT OPERATE ITS OWN FACILITIES AND FOR MEDICAL SERVICES NOT PROVIDED AT GROUP HEALTH FACILITIES. GROUP HEALTH CONDUCTS PRACTICAL, PUBLIC DOMAIN RESEARCH TO IMPROVE HEALTH AND HEALTH CARE THROUGHOUT THE COMMUNITY AND NATION THROUGH THE GROUP HEALTH RESEARCH INSTITUTE (GHRI) INVESTING MORE THAN $45M IN 2015. SINCE GHRI'S INCEPTION IN 1983, GHRI INVESTIGATORS HAVE PUBLISHED MORE THAN 5,000 SCIENTIFIC PAPERS AND HAVE MADE MAJOR CONTRIBUTIONS TO EFFECTIVE CARE OF CHRONIC CONDITIONS SUCH AS DIABETES, BACK PAIN, CARDIOVASCULAR DISEASE, AND DEPRESSION. GHRI RESEARCHERS DEVELOP AND STUDY WAYS TO HELP THE POPULATION MAKE INFORMED MEDICAL DECISIONS, QUIT SMOKING, AND FIGHT OBESITY. GHRI 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), GHRI PLACES A HIGH PRIORITY ON QUICKLY DISSEMINATING AND TRANSLATING ITS FINDINGS WITHIN GROUP HEALTH AND ACROSS OUR COMMUNITIES LOCALLY AND NATIONALLY. GHRI IS A GLOBALLY RECOGNIZED LEADER IN PREVENTIVE MEDICINE, HEALTHY AGING, WOMEN'S HEALTH, AND CANCER CONTROL, ALL USING CUTTING-EDGE DATA ANALYSIS AND HEALTH INFORMATION TECHNOLOGY. GHRI INVESTIGATORS ARE HELPING DEVELOP, EVALUATE AND DISSEMINATE EFFECTIVE MODELS OF CARE. IN ADDITION, GHRI'S 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, GROUP HEALTH 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 2,200 STUDENTS DURING OVER 10,700 VISITS IN 2015 AND ARE A HUGE BOOST TO THE HEALTH AND WELLNESS OF THE STUDENT COMMUNITY. GROUP HEALTH PARTNERS WITH PROJECT ACCESS, AN ORGANIZATION WHICH WORKS WITH MEDICAL PROVIDERS IN HEALTH CARE COMMUNITIES ACROSS THE COUNTRY TO PROVIDE MEDICAL CARE TO INDIVIDUALS THAT MEET COUNTY-SPECIFIC MEDICAL AND FINANCIAL ELIGIBILITY CRITERIA. GROUP HEALTH COORDINATES WITH PROJECT ACCESS TO PROVIDE CARE TO THESE PATIENTS AT DESIGNATED MEDICAL CENTERS AND SPECIALTY DEPARTMENTS. GROUP HEALTH SHARED EXPERTISE IN THE COMMUNITY BY DISSEMINATING INFORMATION ABOUT OUR ONLINE DIABETES MANAGEMENT CONTINUING MEDICAL EDUCATION (CME), HOSTING ONLINE A FREE CME ON THE TOPIC OF COLORECTAL CANCER SCREENING WHICH DREW NEARLY 50 PARTICIPANTS, AND "LIVE WELL, DIE WELL" A FREE COMMUNITY HEALTH PROGRAM IN SPOKANE.
PART VI, LINE 6, AFFILIATED HEALTH CARE SYSTEM	GROUP HEALTH COOPERATIVE IS ONE OF THE NATION'S LARGEST CONSUMER GOVERNED HEALTH CARE ORGANIZATIONS. GROUP HEALTH IS GOVERNED BY AN INDEPENDENT BOARD OF TRUSTEES COMPRISED OF 11 ENROLLED MEMBERS ALL OF WHOM RESIDE IN THE GROUP HEALTH SERVICE AREA AND ARE ELECTED BY GROUP HEALTH'S VOTING MEMBERSHIP. VOTING MEMBERSHIP IS OPEN TO ALL GROUP HEALTH ENROLLEES OVER THE AGE OF 18. GROUP HEALTH COOPERATIVE HAS A WHOLLY-OWNED SUBSIDIARY, THE GROUP HEALTH FOUNDATION, WHICH IS ALSO A 501(C)(3) ORGANIZATION. THE PURPOSE OF THE GROUP HEALTH FOUNDATION IS TO IMPROVE THE HEALTH OF COMMUNITIES IN PARTNERSHIP WITH GROUP HEALTH COOPERATIVE AND GROUP HEALTH RESEARCH INSTITUTE. GROUP HEALTH FOUNDATION INVESTS IN RESEARCH RELATED TO HEALTH CARE INNOVATION, QUALITY OUTCOMES AND COMMUNITY PARTNERSHIPS AND PROVIDES TECHNICAL ASSISTANCE AND GRANTS, AS WELL AS SPONSORING SPECIFIC PROGRAMS TO PROMOTE CHILDREN'S HEALTH AND FITNESS, PREVENTIVE CARE AND HEALTH EDUCATION AND DIVERSITY. THE GROUP HEALTH FOUNDATION IS CURRENTLY ENGAGED IN A MULTI-YEAR PROGRAM WITH ORGANIZATIONS AND SCHOOL-BASED PARTNERS IN COMMUNITIES ACROSS THE STATE TO ADDRESS THE EFFECTS OF PARENTAL HESITANCY ON LOW VACCINATION RATES OF WASHINGTON'S CHILDREN. THIS INCLUDES PROCURING AND PROVIDING VACCINES TO CHILDREN, AS WELL AS SPONSORING SOCIAL MARKETING AND OTHER ACTIVITIES TO INCREASE VACCINATION RATES IN WASHINGTON STATE. GROUP HEALTH COOPERATIVE HAS AN EXCLUSIVE CONTRACT WITH GROUP HEALTH PERMANENTE, P.C., A GROUP PRACTICE WITH NEARLY 1,000 SALARIED CLINICIANS. GROUP HEALTH PERMANENTE IS NOT UNDER COMMON GOVERNANCE OR CONTROL WITH GROUP HEALTH COOPERATIVE, BUT THE TWO ORGANIZATIONS COLLABORATE TO SERVE THE COMMUNITY. BOTH GROUP HEALTH COOPERATIVE AND GROUP HEALTH PERMANENTE 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 GROUP HEALTH PERMANENTE PHYSICIANS SERVE AS FACULTY) AND AN OPTOMETRY RESIDENCY IN 2 MEDICAL CENTER LOCATIONS, GROUP HEALTH COOPERATIVE AND GROUP HEALTH PERMANENTE 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 2015, GROUP HEALTH PHYSICIANS AND STAFF VOLUNTEERED MEDICAL SERVICES TO HOMELESS SHELTERS, COMMUNITY CLINICS AND OTHER RELIEF EFFORTS IN THE U.S. AND AROUND THE WORLD. AS AN INTEGRATED CARE ORGANIZATION AND ONE OF THE LARGEST PROVIDERS IN WASHINGTON STATE, GROUP HEALTH COOPERATIVE PURSUES INNOVATIVE NEW APPROACHES TO CARE. THIS HAS INCLUDED BEING A NATIONAL LEADER IN THE WIDESPREAD ADOPTION OF ELECTRONIC MEDICAL RECORDS, FOCUSING ON PREVENTION AND ADOPTING A PATIENT-CENTERED MEDICAL HOME MODEL OF CARE. GROUP HEALTH IS A FOUNDING MEMBER OF THE WASHINGTON HEALTH ALLIANCE WHOSE MISSION IS TO PROMOTE HEALTH AND IMPROVE THE QUALITY AND AFFORDABILITY OF THE HEALTH CARE SYSTEM BY REDUCING OVERUSE, UNDERUSE AND MISUSE OF HEALTH CARE SERVICES. THE ALLIANCE CONDUCTS COMMUNITY CHECKUPS AND ISSUES PUBLIC REPORTS ON PROVIDER QUALITY MEASURES. PHYSICIAN AND NON-PHYSICIAN LEADERS AT GROUP HEALTH 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, GROUP HEALTH CURRENTLY STAFFS 10 CARECLINICS WITH GROUP HEALTH PHYSICIAN ASSISTANTS AND ADVANCED REGISTERED NURSE PRACTITIONERS. RETAIL-BASED WALK-IN MEDICAL CARE IS AVAILABLE SEVEN DAYS A WEEK FOR ANYONE AGED TWO AND OLDER, NOT JUST GROUP HEALTH 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 CARECLINIC 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 J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
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	false	AnyNonFixedPaymentsInd
Initial Contract Exception	Yes (true)	InitialContractExceptionInd
Rebuttable Presumption Proc	Yes (true)	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 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
SCOTT ELLIOT ARMSTRONG
PRESIDENT & CEO	$1,089,910	$0	$1,216,485	$0	$193,301	$0	$11,800	$0	$26,011	$0	$2,537,507	$0	$0	$0
SARAH BARIAN YATES
EVP & GENERAL COUNSEL	$422,725	$0	$165,038	$0	$41,497	$0	$5,300	$0	$21,021	$0	$655,581	$0	$0	$0
CHRISTOPHER KNACKSTEDT
EVP; CHIEF FINANCIAL OFFICER	$710,106	$0	$270,000	$0	$7,670	$0	$69,399	$0	$17,717	$0	$1,074,892	$0	$0	$0
RICK DALE WOODS
EVP; SR ADVSR TO PRES/CEO	$632,393	$0	$794,251	$0	$68,880	$0	$27,788	$0	$14,345	$0	$1,537,657	$0	$0	$0
BRETON CLARK MYERS
VP; TREASURY	$267,943	$0	$95,264	$0	$3,578	$0	$29,107	$0	$7,394	$0	$403,286	$0	$0	$0
SUSAN S KOZIK
EVP; CHIEF INFORMATION OFFICER	$382,835	$0	$125,050	$0	$11,522	$0	$43,474	$0	$18,218	$0	$581,099	$0	$0	$0
ERIN LEFF
EVP; GROUP PRACTICE DIVISION	$472,350	$0	$122,887	$0	$32,182	$0	$5,300	$0	$9,304	$0	$642,023	$0	$0	$0
MARK SZALWINSKI
EVP; GROUP PRACTICE DIVISION	$645,930	$0	$306,625	$0	$162,609	$0	$5,300	$0	$0	$0	$1,120,464	$0	$0	$0
ROBERT O'BRIEN
EVP; HEALTH PLAN DIVISION	$727,661	$0	$390,874	$0	$75,072	$0	$0	$0	$18,024	$0	$1,211,631	$0	$0	$0
TAMI LAMP
EVP; HR	$315,978	$0	$60,000	$0	$4,979	$0	$28,859	$0	$16,626	$0	$426,442	$0	$0	$0
DIANA BIRKETT RAKOW
EVP; MARKETING & PUB. AFFAIRS	$318,213	$0	$127,033	$0	$3,608	$0	$34,855	$0	$21,090	$0	$504,799	$0	$0	$0
DAWN LOELIGER
EVP; STRAT PLANNING & DEPLOY	$315,752	$0	$141,026	$0	$5,828	$0	$34,187	$0	$21,542	$0	$518,335	$0	$0	$0
GERARD FISHER
VP; CLINICAL ANCILLARY SRVCS	$307,659	$0	$67,570	$0	$6,323	$0	$33,100	$0	$14,397	$0	$429,049	$0	$0	$0
BRIAN O'SHIELDS
VP; CHIEF ACTUARY	$332,303	$0	$114,125	$0	$3,084	$0	$36,052	$0	$20,814	$0	$506,378	$0	$0	$0
DONALD LEWIS
VP; CHIEF TECHNOLOGY OFFICER	$304,447	$0	$122,279	$0	$132,019	$0	$0	$0	$9,424	$0	$568,169	$0	$0	$0
BARBARA TREHEARNE
VP; CLIN EXCL &INT CHIEF NURSE	$342,678	$0	$121,876	$0	$40,644	$0	$0	$0	$15,172	$0	$520,370	$0	$0	$0
ERIC LARSON
VP; GROUP HEALTH RESEARCH INST	$389,601	$0	$111,763	$0	$54,377	$0	$0	$0	$15,374	$0	$571,115	$0	$0	$0
DEBORAH HUNTINGTON
VP; SALES	$317,379	$0	$122,764	$0	$34,814	$0	$0	$0	$20,786	$0	$495,743	$0	$0	$0
CYNTHIA JOHNSON
EVP; HR	$323,519	$0	$0	$0	$0	$0	$0	$0	$0	$0	$323,519	$0	$0	$0
BARBARA ANN BELT-LLOYD
VP; CHIEF ACCOUNTING OFFICER	$258,950	$0	$93,057	$0	$32,228	$0	$0	$0	$18,418	$0	$402,653	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FIRST CLASS TRAVEL	SCHEDULE J, PART I, LINE 1A PER THE GROUP HEALTH EXPENSE REIMBURSEMENT POLICY, AIR TRAVEL IS TO BE BOOKED AT COACH CLASS UNLESS PRE-AUTHORIZED BY THE APPROVING MANAGER. THE COMPENSATION COMMITTEE OF THE BOARD OF GROUP HEALTH AUTHORIZED FIRST-CLASS TRAVEL FOR THE PRESIDENT/CEO DUE TO EXTENSIVE AMOUNT OF REQUIRED BUSINESS TRAVEL DURING 2015. FIRST CLASS TRAVEL EXPENSE IS NOT REPORTED AS TAXABLE COMPENSATION AS IT IS ONLY REIMBURSED WHEN INCURRED FOR BUSINESS PURPOSES.
SOCIAL CLUB DUES	SCHEDULE J, PART 1, LINE 1A ALL EMPLOYEES ARE RESPONSIBLE FOR FOLLOWING ALL OF GROUP HEALTH'S EXPENSE REIMBURSEMENT GUIDELINES AND BEING GOOD STEWARDS OF THE COMPANY'S RESOURCES. THE COMPANY WILL PAY FOR CERTAIN EXECUTIVES' SOCIAL CLUB DUES IF THE EXPENSE COMPLIES WITH THE EXPENSE REIMBURSEMENT POLICY AND THE BUSINESS EXPENSES ARE RELATED TO A LEGITIMATE BUSINESS PURPOSE AND ARE REASONABLE FOR THE SITUATION IN WHICH THEY WERE INCURRED. SOCIAL CLUB DUES ARE NOT TREATED AS TAXABLE COMPENSATION WHEN STRICTLY INCURRED FOR BUSINESS PURPOSES.
SEVERANCE PAYMENT	SCHEDULE J, PART 1, LINE 4A THE GROUP HEALTH PRESIDENT AND CEO IS A PARTY TO A WRITTEN EMPLOYMENT AGREEMENT WITH GROUP HEALTH COOPERATIVE THAT PROVIDES FOR SEVERANCE BENEFITS IN THE EVENT OF TERMINATION OF EMPLOYMENT UNDER CERTAIN CONDITIONS. THE EMPLOYMENT AGREEMENT IS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE PRESIDENT AND CEO IS NOT ENTITLED TO SEVERANCE BENEFITS IF HE IS TERMINATED FOR CAUSE, OR IF HE ELECTS TO TERMINATE HIS EMPLOYMENT RELATIONSHIP WITHOUT CAUSE (MEANING HE VOLUNTARILY RESIGNS), EXCEPT FOR A RESIGNATION FOLLOWING CERTAIN CIRCUMSTANCES THAT AFFECT THE TERMS AND CONDITIONS OF HIS EMPLOYMENT AND CONSTITUTE GOOD REASON AS DEFINED IN THE AGREEMENT (SUCH AS CERTAIN REDUCTIONS IN COMPENSATION OR AUTHORITY, CERTAIN CHANGES IN REPORTING STRUCTURES, OR GROUP HEALTHS MATERIAL BREACH OF THE EMPLOYMENT AGREEMENT). EXCEPT IN THE EVENT OF AN ELIGIBLE TERMINATION OF EMPLOYMENT OCCURRING WITHIN TWENTY-FOUR (24) MONTHS AFTER A CHANGE OF CONTROL, MAXIMUM SEVERANCE PAYMENTS TO THE PRESIDENT AND CEO ARE IN A TOTAL AMOUNT EQUIVALENT TO EIGHTEEN (18) MONTHS OF BASE SALARY, PLUS MEDICAL AND DENTAL COVERAGE (AT THE SAME LEVEL PROVIDED AS OF THE DATE OF SEPARATION) FOR A MAXIMUM PERIOD OF EIGHTEEN (18) MONTHS; AND A PAYMENT EQUIVALENT TO THE PRESIDENT AND CEOS TARGET INCENTIVE COMPENSATION UNDER GROUP HEALTHS ANNUAL INCENTIVE COMPENSATION PLAN FOR THE YEAR IN WHICH THE TERMINATION OF EMPLOYMENT OCCURRED, PRO-RATED BASED ON THE PROPORTION OF THE YEAR DURING WHICH THE PRESIDENT AND CEO WAS EMPLOYED. IN THE EVENT OF AN ELIGIBLE TERMINATION OF EMPLOYMENT OCCURRING WITHIN TWENTY-FOUR (24) MONTHS FOLLOWING A CHANGE OF CONTROL OF GROUP HEALTH (AS DEFINED IN THE AGREEMENT), MAXIMUM SEVERANCE PAYMENTS TO THE PRESIDENT AND CEO ARE IN A TOTAL AMOUNT EQUIVALENT TO MONTHLY BASE SALARY PLUS ONE-TWELFTH OF THE PRESIDENT AND CEOS TARGET INCENTIVE COMPENSATION UNDER GROUP HEALTHS ANNUAL INCENTIVE COMPENSATION PLAN, PAYABLE FOR TWENTY-FOUR (24) MONTHS, PLUS MEDICAL AND DENTAL COVERAGE (AT THE SAME LEVEL PROVIDED AS OF THE DATE OF SEPARATION) FOR A MAXIMUM EIGHTEEN (18) MONTHS); A PAYMENT EQUIVALENT TO THE PRESIDENT AND CEOS TARGET INCENTIVE COMPENSATION UNDER GROUP HEALTHS ANNUAL INCENTIVE COMPENSATION PLAN FOR THE YEAR IN WHICH THE TERMINATION OF EMPLOYMENT OCCURRED, PRO-RATED BASED ON THE PROPORTION OF THE YEAR DURING WHICH GROUP HEALTH EMPLOYED THE PRESIDENT AND CEO; AND PAYMENT OF UP TO $20,000 IN OUTPLACEMENT SERVICES EXPENSES INCURRED BY THE PRESIDENT AND CEO. IN ADDITION, THE PRESIDENT AND CEOS EMPLOYMENT AGREEMENT PROVIDES FOR ADDITIONAL SEVERANCE PAYMENTS IN THE FORM OF (1) A PAYMENT OF 15.3 PERCENT OF BASE SALARY EARNED DURING THE YEAR THAT TERMINATION OCCURS (IN LIEU OF A CONTRIBUTION TO GROUP HEALTHS SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR SUCH YEAR); AND (2) A PAYMENT EQUIVALENT TO THE PRESIDENT AND CEOS TARGET INCENTIVE COMPENSATION UNDER THE ORGANIZATIONS LONG-TERM INCENTIVE COMPENSATION PLAN WITH RESPECT TO PERFORMANCE CYCLES UNDER THE PLAN THAT WERE UNCOMPLETED AS OF THE DATE OF TERMINATION, PRO-RATED BASED ON THE PROPORTION OF THE CYCLE(S) DURING WHICH GROUP HEALTH EMPLOYED THE PRESIDENT AND CEO. THE PRESIDENT AND CEO MUST SIGN A RELEASE ACCEPTABLE TO GROUP HEALTH AS A CONDITION OF RECEIVING SEVERANCE BENEFITS. FURTHER, ALL SEVERANCE BENEFITS WILL CEASE IF THE PRESIDENT AND CEO VIOLATES THE TERMS OF THE NON-COMPETITION, NON-SOLICITATION, NON-DISPARAGEMENT, CONFIDENTIALITY OR COOPERATION COMMITMENTS IN HIS EMPLOYMENT AGREEMENT. SEVERANCE BENEFITS ARE PROVIDED TO EXECUTIVE VICE PRESIDENTS AND VICE PRESIDENTS IN THE EVENT OF TERMINATION OF EMPLOYMENT UNDER CERTAIN CONDITIONS PURSUANT TO A WRITTEN EXECUTIVE SEVERANCE PLAN, WHICH IS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. UNDER THE PLAN, EXECUTIVES WHO ARE TERMINATED FOR CAUSE, OR WHO ELECT TO TERMINATE THEIR EMPLOYMENT RELATIONSHIP WITHOUT CAUSE (MEANING THEY VOLUNTARILY RESIGN), ARE NOT ENTITLED TO SEVERANCE BENEFITS EXCEPT FOR RESIGNATIONS THAT OCCUR WITHIN EIGHTEEN (18) MONTHS AFTER A CHANGE OF CONTROL OF GROUP HEALTH (AS DEFINED IN THE PLAN) AND FOLLOW CERTAIN CIRCUMSTANCES AFFECTING TERMS AND CONDITIONS OF THE EXECUTIVES EMPLOYMENT THAT CONSTITUTE GOOD REASON AS DEFINED IN THE PLAN (SUCH AS CERTAIN REDUCTIONS IN COMPENSATION OR AUTHORITY, CERTAIN RELOCATIONS OF THE PRIMARY WORK LOCATION, OR GROUP HEALTHS MATERIAL BREACH OF THE EXECUTIVES EMPLOYMENT AGREEMENT). IN ADDITION, EXECUTIVES ARE NOT ENTITLED TO SEVERANCE BENEFITS IF THEY ARE OFFERED A COMPARABLE POSITION (AS DEFINED BY THE PLAN) BEFORE THE TERMINATION OF THEIR EMPLOYMENT. EXCEPT FOR ELIGIBLE TERMINATIONS OCCURRING WITHIN EIGHTEEN (18) MONTHS AFTER A CHANGE OF CONTROL, MAXIMUM SEVERANCE PAYMENTS TO EXECUTIVE VICE PRESIDENTS AND VICE PRESIDENTS ARE IN A TOTAL AMOUNT EQUIVALENT TO TWELVE (12) MONTHS OF BASE SALARY, PLUS MEDICAL AND DENTAL COVERAGE (AT THE SAME LEVEL PROVIDED AS OF THE DATE OF SEPARATION) FOR A MAXIMUM PERIOD OF TWELVE (12) MONTHS, PLUS PAYMENT OF UP TO $10,000 IN OUTPLACEMENT SERVICES EXPENSES INCURRED BY THE EXECUTIVE. IN THE EVENT OF AN ELIGIBLE TERMINATION OF EMPLOYMENT OCCURRING WITHIN EIGHTEEN (18) MONTHS AFTER A CHANGE OF CONTROL OF GROUP HEALTH (AS DEFINED IN THE PLAN), MAXIMUM SEVERANCE PAYMENTS FOR THE EXECUTIVE VICE PRESIDENTS AND VICE PRESIDENTS ARE IN A TOTAL AMOUNT EQUIVALENT TO THE MONTHLY BASE SALARY PLUS ONE-TWELFTH OF THE EXECUTIVES TARGET INCENTIVE COMPENSATION UNDER GROUP HEALTHS ANNUAL INCENTIVE COMPENSATION PLAN), PAYABLE FOR TWELVE (12) MONTHS FOR VICE PRESIDENTS AND EIGHTEEN (18) MONTHS FOR EXECUTIVE VICE PRESIDENTS, PLUS MEDICAL AND DENTAL COVERAGE (AT THE SAME LEVEL PROVIDED AS OF THE DATE OF SEPARATION) FOR A MAXIMUM OF TWELVE (12) MONTHS (EIGHTEEN (18) MONTHS FOR EXECUTIVE VICE PRESIDENTS); A PAYMENT EQUIVALENT TO THE EXECUTIVES TARGET INCENTIVE COMPENSATION UNDER GROUP HEALTHS ANNUAL INCENTIVE COMPENSATION PLAN FOR THE YEAR IN WHICH THE TERMINATION OF EMPLOYMENT OCCURRED, PRO-RATED BASED ON THE PROPORTION OF THE YEAR DURING WHICH THE EXECUTIVE WAS EMPLOYED; AND PAYMENT OF UP TO $10,000 IN OUTPLACEMENT SERVICE EXPENSES INCURRED BY THE EXECUTIVE. A VICE PRESIDENT OR EXECUTIVE VICE PRESIDENT MUST SIGN A RELEASE ACCEPTABLE TO GROUP HEALTH AS A CONDITION OF RECEIVING SEVERANCE BENEFITS. FURTHER, ALL SEVERANCE BENEFITS WILL CEASE IF THE EXECUTIVE IS HIRED AS AN EMPLOYEE OF GROUP HEALTH OR A PURCHASER OF GROUP HEALTH (OR AN AFFILIATE OF EITHER) OR GROUP HEALTH PERMANENTE (SUBJECT TO A MINIMUM OF SIX MONTHS SEVERANCE PAYMENTS FOLLOWING A TERMINATION THAT DOES NOT OCCUR WITHIN EIGHTEEN (18) MONTHS AFTER A CHANGE OF CONTROL), OR IF THE EXECUTIVE VIOLATES THE TERMS OF THE NON-COMPETITION, NON-SOLICITATION, NON-DISPARAGEMENT, OR CONFIDENTIALITY PROVISIONS OF THE SEVERANCE PLAN. EXECUTIVES RECEIVING SEVERANCE PAYMENTS IN 2015: CYNTHIA JOHNSON, EVP, HR 323,519 MARK SZALWINSKI, EVP, GROUP PRACTICE DIVISION 398,769
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	SCHEDULE J, PART I, LINE 4B THE GROUP HEALTH PRESIDENT AND CEO, THE EXECUTIVE VICE PRESIDENTS, AND THE VICE PRESIDENTS ARE ELIGIBLE TO PARTICIPATE IN A NONQUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (THE PLAN) APPROVED BY THE GROUP HEALTH COOPERATIVE BOARD OF TRUSTEES COMPENSATION COMMITTEE AND ADMINISTERED BY THE COMPENSATION COMMITTEE. GROUP HEALTH CREDITS TO THE ACCOUNT OF EACH ACTIVE PARTICIPANT AN ANNUAL CONTRIBUTION AMOUNT OF NINE PERCENT OF THE PARTICIPANT'S BASE SALARY (15.3% FOR THE PRESIDENT AND CEO). THE FORMULA FOR THE ANNUAL CONTRIBUTION IS BASED ON THE PARTICIPANT'S BASE SALARY AND EXCLUDES ANY INCENTIVE PLAN OR BONUS PAYMENT AMOUNTS. THE PLAN BALANCES ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE UNTIL THE PARTICIPANT HAS VESTED AND MET OTHER PLAN REQUIREMENTS. VESTING OCCURS EITHER FIVE YEARS AFTER THE DATE ON WHICH A PARTICIPANT ENTERS THE PLAN, OR ON THE DATE ON WHICH A PARTICIPANT COMPLETES TEN CONSECUTIVE YEARS OF EMPLOYMENT WITH GROUP HEALTH COOPERATIVE, WHICHEVER OCCURS FIRST, PROVIDED THAT THE PARTICIPANT DOES NOT EXPERIENCE A SEPARATION FROM SERVICE BEFORE THE VESTING DATE. A PARTICIPANT REMAINS ELIGIBLE TO PARTICIPATE UNTIL HIS OR HER ACCOUNT BALANCE IS EITHER FULLY DISTRIBUTED OR FORFEITED. GROUP HEALTH MADE SERP PLAN CONTRIBUTIONS AND DISTRIBUTIONS IN 2015 AS FOLLOWS: SERP DISTRIBUTIONS MARK SZALWINSKI, EVP, GROUP HEALTH DIVISION 148,441 SERP CONTRIBUTIONS - VESTED SCOTT ELLIOT ARMSTRONG, PRESIDENT & CEO 154,942 RICK DALE WOODS, EVP, SR ADVSR TO THE PRES/CEO 57,579 SARAH BARIAN YATES, EVP & GENERAL COUNSEL 33,681 ROBERT O'BRIEN, EVP, HEALTH PLAN DIVISION 62,342 DONALD LEWIS, VP, CHIEF TECHNOLOGY OFFICER 126,983 ERIC LARSON, VP, GROUP HEALTH RESEARCH INSTITUTE 32,975 ERIN LEFF, EVP, GROUP PRACTICE DIVISION 28,828 BARBARA ANN BELT-LLOYD, VP, CHIEF ACCOUNTING OFFICER 21,945 BARBARA TREHEARNE, VP CLIN EXCEL & INT CHIEF NURSE 29,098 DEBORAH HUNTINGTON, VP, SALES 27,561 SERP CONTRIBUTIONS - NONVESTED BRETON CLARK MYERS, VP, TREASURY 24,227 CHRISTOPHER KNACKSTEDT, EVP, CHIEF FINANCIAL OFFICER 64,468 DAWN LOELIGER, EVP, STRATEGIC PLANNING & DEPLOYMENT 28,887 DIANA BIRKETT RAKOW, EVP, MARKETING & PUBLIC AFFAIRS 29,555 TAMI LAMP, EVP, HR 28,859 SUSAN KOZIK, EVP, CHIEF INFORMATION OFFICER 38,174 GERARD C FISCHER, VP, CLINICAL ANCILLARY SRVCS 27,800 BRIAN O'SHIELDS, VP, CHIEF ACTUARY 30,752
PAYMENTS SUBJECT TO THE INITAL CONTRACT EXCEPTION	SCHEDULE J, PART I, LINE 8 A PORTION OF THE COMPENSATION REPORTED IN PART VII WAS PAID PURSUANT TO WRITTEN CONTRACTS THAT WERE THE INITIAL CONTRACT (WITHIN THE MEANING OF REGULATIONS SECTION 53.4958.4(A)(3)) BETWEEN GROUP HEALTH COOPERATIVE AND THE FOLLOWING INDIVIDUALS, WHO WERE NOT DISQUALIFIED PERSONS (WITHIN THE MEANING OF REGULATIONS SECTION 53.4958.3) IMMEDIATELY BEFORE ENTERING INTO THE CONTRACT: GERARD FISCHER, SUSAN KOZIK AND TAMI LAMP. THE ORGANIZATION FOLLOWED THE REBUTTABLE PRESUMPTION PROCEDURE IN ESTABLISHING THAT COMPENSATION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	911108929	BondIssuerEIN
CUSIP	97978EE24	CUSIPNum
Bond Issued	2006-11-08	BondIssuedDt
Issue Price	$99,995,662	IssuePriceAmt
Purpose	FUND MEDICAL CENTER BUILDING COSTS	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$99,995,662	TotalProceedsAmt
In Reserve Fund	$8,848,163	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$1,999,913	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$89,147,586	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2008	SubstantialCompletionYr
Current Refunding	false	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	Yes (true)	Form8038TFiledInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	Yes (true)	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	Citibank NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Term Of Hedge	30.	TermOfHedgePct
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	Yes (true)	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	MassMutual	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Term Of GIC	10.	TermOfGICPct
Regulatory Safe Harbor Stsfd	Yes (true)	RegulatorySafeHarborStsfdInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ORGANIZATION'S MEMBERSHIP	FORM 990, PART VI, SECTION A, LINE 6 GROUP HEALTH COOPERATIVE (GHC) HAS VOTING MEMBERS. THE GHC BYLAWS OUTLINE A NUMBER OF PURPOSES, INCLUDING TO SERVE THE GREATEST POSSIBLE NUMBER OF PEOPLE UNDER CONSUMER COOPERATIVE PRINCIPLES WITHOUT DISCRIMINATION. ELIGIBLE CONSUMERS WHO BELIEVE IN THIS PURPOSE ARE ENCOURAGED TO BECOME VOTING MEMBERS AND PARTICIPATE IN GOVERNING GHC. TO BE ELIGIBLE FOR MEMBERSHIP, A CONSUMER MUST BE EIGHTEEN YEARS OF AGE OR OLDER AND CURRENT IN MONTHLY PREMIUMS.
ORGANIZATION'S VOTING MEMBERSHIP	FORM 990, PART VI, SECTION A, LINE 7A GHC HAS VOTING MEMBERS. THE RIGHTS OF MEMBERS ARE DELINEATED IN GHC'S BYLAWS AND INCLUDE THE DETERMINATION OF QUALIFICATIONS FOR MEMBERSHIP; THE ELECTION OF MEMBERS OF THE BOARD OF TRUSTEES (GHC'S GOVERNING BODY); THE ELECTION OF THE CHAIR OF THE STANDING NOMINATING COMMITTEE OF THE MEMBERSHIP (WHICH EVALUATES AND NOMINATES CANDIDATES FOR ELECTION TO THE BOARD); ADOPTION OF RESOLUTIONS THAT ARE ADVISORY TO THE BOARD; APPROVAL OF EXTRAORDINARY ACTIONS; AND AMENDMENT OF THE PREAMBLE, MEMBERSHIP, AND MEMBERSHIP RIGHTS SECTIONS OF THE BYLAWS.
APPROVAL BY VOTE OF MEMBERS	FORM 990, PART VI, SECTION A, LINE 7B GHC BYLAWS PROVIDE THAT THE MERGER OR CONSOLIDATION OF GHC WITH ANOTHER ENTITY, THE VOLUNTARY DISSOLUTION OF GHC, OR THE SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF GHC MUST BE APPROVED BY VOTE OF THE MEMBERS. THE BOARD OF TRUSTEES PRESENTS A PROPOSED PLAN OF MERGER, CONSOLIDATION, DISSOLUTION, OR SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF GHC TO THE MEMBERS FOR APPROVAL. SUCH RESOLUTION IS FIRST CONSIDERED AT AN ANNUAL OR SPECIAL MEETING. ALSO, AMENDMENTS TO ARTICLE 2 OF THE GHC BYLAWS (ADDRESSING MEMBERSHIP AND MEMBERSHIP RIGHTS) MAY ONLY BE APPROVED BY VOTE OF THE MEMBERS. THE BOARD OF TRUSTEES MAY PROPOSE AMENDMENTS TO ARTICLE 2 BY RESOLUTION.
ORGANIZATION'S FORM 990 REVIEW PROCESS	FORM 990, PART VI, SECTION A, LINE 11A THE FORM 990 UNDERGOES A ROBUST PREPARATION AND REVIEW PROCESS BEFORE IT IS SIGNED. THE ORGANIZATION'S FINANCE TEAM WORKS CLOSELY WITH THE OUTSIDE ACCOUNTING FIRM IT ENGAGES TO PREPARE THE RETURN AND INVOLVES MANY MEMBERS OF MANAGEMENT IN REVIEW OF THE RETURN. THE FORM 990 IS THEN REVIEWED BY GHC MANAGEMENT FOR ACCURACY AND COMPLETENESS PRIOR TO BEING PRESENTED TO GHC'S AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES (A DULY CONSTITUTED COMMITTEE OF THE BOARD). THE FINAL DRAFT FORM 990 IS PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW AND DISCUSSION. THE FINAL DRAFT FORM 990 IS ALSO PROVIDED TO THE FULL BOARD OF TRUSTEES FOR REVIEW AND INFORMATION BEFORE THE RETURN IS FILED.
ORGANIZATION'S MONITORING AND ENFORCEMENT OF CONFLICT OF INTEREST POLICY	FORM 990, PART VI, SECTION B, LINE 12C GROUP HEALTH HAS A CONFLICT OF INTEREST POLICY (BOARD POLICY 100-202, CONFLICT OF INTEREST - BOARD OF TRUSTEES, COOPERATIVE OFFICERS, AND EMPLOYEES) THAT APPLIES TO TRUSTEES, OFFICERS, EMPLOYEES AND GROUP HEALTH PERMANENTE (GHP) MEDICAL AND ADMINISTRATIVE STAFF WHEN THEY ARE PERFORMING WORK ON BEHALF OF GROUP HEALTH OR ARE REPRESENTING GROUP HEALTH IN ANY TRANSACTION THAT INVOLVES GROUP HEALTH. UNDER THIS POLICY: -THE GROUP HEALTH OFFICE OF COMPLIANCE AND ETHICS IS RESPONSIBLE FOR DEVELOPING COMPLIANCE PROCEDURES FOR ADMINISTERING THIS POLICY, DEVELOPING PROCEDURES FOR THE DISCLOSURE STATEMENTS TO BE COMPLETED BY KEY PERSONS (FOR THE PURPOSES OF THIS POLICY, KEY PERSONS INCLUDE MANAGERS, INDIVIDUALS HOLDING CERTAIN HIGH-LEVEL POSITIONS, AND THOSE IN SENSITIVE ROLES OR POSITIONS INVOLVING TRANSACTIONS WITH OUTSIDE PARTIES THAT MAY GIVE RISE TO POTENTIAL CONFLICTS OF INTEREST OR THE APPEARANCE OF CONFLICTS), AND FOR PROVIDING GENERAL GUIDANCE TO GROUP HEALTH MANAGEMENT AND EMPLOYEES REGARDING COMPLIANCE WITH THIS POLICY. THE OFFICE OF COMPLIANCE AND ETHICS CONSULTS WITH GROUP HEALTH EXECUTIVE MANAGEMENT TO ENSURE SUPPORT FOR THE IMPLEMENTATION AND ADMINISTRATION OF THIS POLICY. THE CHIEF COMPLIANCE AND ETHICS OFFICER PROVIDES PERIODIC REPORTS TO THE AUDIT AND COMPLIANCE COMMITTEE ON THE IMPLEMENTATION AND ADMINISTRATION OF THIS POLICY. -TRUSTEES AND COOPERATIVE OFFICERS PROVIDE A WRITTEN DECLARATION OF ANY ACTUAL OR POTENTIAL AREAS OF CONFLICT OF INTEREST ON AN ANNUAL BASIS USING FORMS AND PROCEDURES DEVELOPED BY THE OFFICE OF COMPLIANCE AND ETHICS. THESE DECLARATIONS ARE SUBMITTED BY TRUSTEES AND OFFICERS TO THE OFFICE OF COMPLIANCE AND ETHICS FOR REVIEW. THE OFFICE OF COMPLIANCE AND ETHICS EVALUATES THE DECLARATIONS AND PROVIDES A SUMMARY OF DISCLOSURES THAT IS FORWARDED TO THE AUDIT AND COMPLIANCE COMMITTEE FOR ITS CONSIDERATION. ANY APPARENT CONFLICTS OF INTEREST AND/OR OTHER INSTANCES OF NONCOMPLIANCE WITH THIS POLICY ARE REFERRED BY THE AUDIT AND COMPLIANCE COMMITTEE TO THE CHAIR OF THE COOPERATIVE FOR RESOLUTION. -DURING THE YEAR, TRUSTEES AND COOPERATIVE OFFICERS REPORT MATERIAL ADDITIONS OR CHANGES TO THE INFORMATION PROVIDED ON ANNUAL CONFLICT OF INTEREST DECLARATIONS. THESE ADDITIONS OR CHANGES TO THE DECLARATIONS ARE SUBMITTED TO THE OFFICE OF COMPLIANCE AND ETHICS FOR REVIEW. IF THE REVIEW INDICATES THAT THERE IS A CONFLICT OF INTEREST OR THE APPEARANCE OF ONE, A SUMMARY OF THE ADDITIONS OR CHANGES IS FORWARDED TO THE AUDIT AND COMPLIANCE COMMITTEE, FOLLOWING THE PROCESS USED FOR ANNUAL DECLARATIONS. -THE CHAIR OF THE COOPERATIVE COUNSELS ANY TRUSTEE OR OFFICER ABOUT PROHIBITED CONFLICTS OF INTEREST AND OTHER INSTANCES OF NONCOMPLIANCE WITH THE POLICY, INCLUDING APPARENT UNDISCLOSED CONFLICTS OF INTEREST AND, IF NOT RESOLVED TO HIS/HER SATISFACTION, PLACES THE MATTER ON THE AGENDA OF AN EXECUTIVE SESSION. THE CHIEF COMPLIANCE AND ETHICS OFFICER SUPPORTS THE CHAIR OF THE COOPERATIVE IN FULFILLING THIS RESPONSIBILITY. -TRUSTEES DISCLOSE AN ACTUAL CONFLICT OF INTEREST, OR THE APPEARANCE OF SUCH A CONFLICT, WHEN SUCH AN INTEREST BECOMES A MATTER FOR BOARD ACTION. ANY TRUSTEE HAVING AN ACTUAL CONFLICT OF INTEREST, OR THE APPEARANCE OF A CONFLICT OF INTEREST, RELATED TO A MATTER AT ISSUE DOES NOT VOTE, TAKE OTHER ACTION, OR USE HIS/HER PERSONAL INFLUENCE ON THE MATTER BEYOND THAT DESCRIBED BELOW. THE MINUTES OF THE MEETING REFLECT THAT A DISCLOSURE WAS MADE AND THAT THE TRUSTEE ABSTAINED FROM PARTICIPATION IN THE DISCUSSION EXCEPT AS DESCRIBED BELOW. IF ANY TRUSTEE HAS REASON TO BELIEVE S/HE OR ANOTHER TRUSTEE MAY HAVE AN ACTUAL CONFLICT OF INTEREST, OR THE APPEARANCE OF SUCH A CONFLICT, THE TRUSTEE RAISES THE QUESTION FOR CONSIDERATION. IF THERE IS ANY DISAGREEMENT REGARDING THE EXISTENCE OF AN ACTUAL CONFLICT OF INTEREST, OR THE APPEARANCE OF SUCH A CONFLICT, THE CHAIR OF THE COOPERATIVE POLLS OTHER TRUSTEES TO DETERMINE IF THE BOARD CONCLUDES THAT AN ACTUAL CONFLICT OR THE APPEARANCE OF A CONFLICT OF INTEREST EXISTS. IF THE BOARD CONCLUDES THERE IS A CONFLICT OR THE APPEARANCE OF A CONFLICT, THEN THE TRUSTEE ABSTAINS FROM VOTING OR DISCUSSIONS ON THE MATTER. THE REQUIREMENTS OF THIS PARAGRAPH SHOULD NOT BE CONSTRUED AS PREVENTING THE TRUSTEE WITH AN ACTUAL CONFLICT OF INTEREST, OR THE APPEARANCE OF SUCH A CONFLICT, FROM BRIEFLY STATING HIS/HER POSITION IN THE MATTER, NOR FROM ANSWERING PERTINENT QUESTIONS OF OTHER TRUSTEES OR OFFICERS SINCE HIS/HER KNOWLEDGE MAY BE OF ASSISTANCE. -GROUP HEALTH OFFICERS, OTHER EMPLOYEES, AND GHP EMPLOYEES ACTING ON BEHALF OF GROUP HEALTH DISCLOSE AN ACTUAL CONFLICT OF INTEREST, OR THE APPEARANCE OF SUCH A CONFLICT, WHEN SUCH AN INTEREST IS RELEVANT TO A MATTER IN WHICH THEY HAVE A ROLE, EITHER DIRECTLY OR THROUGH SUBORDINATES ACTING AT THEIR DIRECTION. GROUP HEALTH OFFICERS, OTHER EMPLOYEES, OR GHP EMPLOYEES ACTING ON BEHALF OF GROUP HEALTH HAVING AN ACTUAL CONFLICT OF INTEREST, OR THE APPEARANCE OF A CONFLICT OF INTEREST, RELATED TO A MATTER AT ISSUE DO NOT PARTICIPATE IN THE MATTER OR USE HIS/HER PERSONAL OR PROFESSIONAL INFLUENCE ON THE MATTER. ANY GROUP HEALTH OFFICER, OTHER EMPLOYEE, OR GHP EMPLOYEE ACTING ON BEHALF OF GROUP HEALTH WHO BELIEVES HE/SHE MAY HAVE AN ACTUAL CONFLICT OF INTEREST, OR THE APPEARANCE OF SUCH A CONFLICT, IS EXPECTED TO ABSTAIN FROM PARTICIPATION OR STATING HIS/HER POSITION IN THE MATTER, OR MAY ASK HIS/HER DIRECT SUPERVISOR TO DETERMINE IF THE SUPERVISOR BELIEVES THAT AN ACTUAL CONFLICT OR THE APPEARANCE OF A CONFLICT OF INTEREST EXISTS. IF THE SUPERVISOR DETERMINES THAT A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT EXISTS, THE INDIVIDUAL ABSTAINS FROM PARTICIPATION IN THE MATTER. CONSULTATION WITH THE OFFICE OF COMPLIANCE AND ETHICS IS RECOMMENDED WHEN IT IS DIFFICULT TO DETERMINE WHETHER THE CIRCUMSTANCES CONSTITUTE A CONFLICT OF INTEREST. -ALL KEY PERSONS MUST COMPLETE AN ANNUAL DISCLOSURE STATEMENT TO IDENTIFY ACTUAL CONFLICTS OF INTEREST, OR CIRCUMSTANCES THAT MIGHT GIVE THE APPEARANCE OF A CONFLICT OF INTEREST, OR TO ATTEST THAT NO SUCH CONFLICT EXISTS. DURING THE YEAR, KEY PERSONS REPORT MATERIAL ADDITIONS OR CHANGES TO THE INFORMATION PROVIDED ON ANNUAL CONFLICT OF INTEREST DECLARATIONS. THESE ADDITIONS OR CHANGES TO THE DECLARATIONS ARE SUBMITTED TO THE OFFICE OF COMPLIANCE AND ETHICS, FOLLOWING THE PROCESS USED FOR ANNUAL DECLARATIONS. -ALL DISCLOSURE STATEMENTS OF KEY PERSONS ARE SUBMITTED TO THE OFFICE OF COMPLIANCE AND ETHICS AND ANY DISCLOSURES ARE REVIEWED. NOT EVERY DISCLOSURE WILL WARRANT ACTION. FOR THOSE THAT DO, THE OFFICE OF COMPLIANCE AND ETHICS WORKS WITH MANAGEMENT TO MITIGATE OR CORRECT ANY ACTUAL OR APPARENT CONFLICTS OF INTEREST.
ORGANIZATION'S COMPENSATION SETTING PROCESS	FORM 990, PART VI, SECTION B, LINE 15 GROUP HEALTH COOPERATIVE (GHC) IS GOVERNED BY AN INDEPENDENT BOARD OF TRUSTEES ("THE BOARD"), COMPRISED OF 11 CONSUMERS ELECTED BY GHC'S VOTING MEMBERS. THE BOARD HAS DELEGATED TO THE COMPENSATION COMMITTEE OF THE BOARD (THE "COMMITTEE") THE RESPONSIBILITY FOR NEGOTIATING AND APPROVING THE EMPLOYMENT AGREEMENT AND COMPENSATION PACKAGE FOR THE GHC PRESIDENT AND CHIEF EXECUTIVE OFFICER ("CEO"); APPROVING THE EXECUTIVE TOTAL COMPENSATION PHILOSOPHY THAT DRIVES ALL EXECUTIVE COMPENSATION DECISIONS; AND APPROVING COMPENSATION FOR THE EXECUTIVE VICE PRESIDENTS AND VICE PRESIDENTS OF GHC (EXCEPT FOR COMPENSATION ESTABLISHED IN THE INITIAL WRITTEN CONTRACTS OFFERED TO CANDIDATES FOR VICE PRESIDENT POSITIONS WHO ARE NOT THEN EMPLOYED BY GHC AND WHO HAVE NOT BEEN DETERMINED TO BE A "DISQUALIFIED PERSON" UNDER APPLICABLE IRS REGULATIONS, AS TO WHOM THE BOARD HAS DELEGATED SUCH AUTHORITY TO THE CEO). THE FIVE MEMBERS OF THE COMMITTEE ARE THE CHAIR OF THE BOARD OF TRUSTEES, THE VICE CHAIR, AND THREE ADDITIONAL TRUSTEES SELECTED BY THE CHAIR. AS ADOPTED BY THE COMMITTEE, THE EXECUTIVE TOTAL COMPENSATION PHILOSOPHY PROVIDES THAT GHC WILL MAINTAIN AN EXECUTIVE TOTAL COMPENSATION PROGRAM DESIGNED TO FACILITATE THE ACHIEVEMENT OF ITS CHARITABLE MISSION, VALUES AND ORGANIZATIONAL GOALS. EXECUTIVE COMPENSATION IS SET AT A LEVEL THAT ENABLES THE ORGANIZATION TO ATTRACT, RETAIN, MOTIVATE AND REWARD THE HIGHEST CALIBER EXECUTIVES AT A COST THAT IS CONSISTENT WITH OUR PERFORMANCE AND CHARITABLE MISSION. BASED UPON THOSE PRINCIPLES, THE PHILOSOPHY CONFIRMS THAT COMPENSATION WILL BE COMPARED TO COMPARABLE ORGANIZATIONS (HMOS AND MANAGED CARE, HEALTH CARE, AND HEALTH INSURANCE ORGANIZATIONS), AND THAT BASE SALARY RANGES WILL BE BUILT AROUND 50TH PERCENTILE MARKET BASE PAY LEVELS (WITH FLEXIBILITY TO RECOGNIZE INDIVIDUAL SKILLS, EXPERIENCE AND CONTRIBUTIONS) , ANNUAL AND LONG-TERM INCENTIVES WILL BE TARGETED AT THE 50TH PERCENTILE (WITH AN OPPORTUNITY TO EARN ABOVE THAT LEVEL BASED ON PERFORMANCE), AND BENEFITS AND PERQUISITES WILL BE ESTABLISHED CONSISTENT WITH MARKET PRACTICES. A SIGNIFICANT PORTION OF EXECUTIVES' TOTAL COMPENSATION IS CONTINGENT ON ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE. CONSISTENT WITH GHC'S PHILOSOPHY, THE COMMITTEE REVIEWS AND APPROVES THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING SALARY INCREASES AND INCENTIVE COMPENSATION CRITERIA FOR THE GHC CEO, EXECUTIVE VICE PRESIDENTS AND VICE PRESIDENTS (WHICH GROUP INCLUDES ALL GHC KEY EMPLOYEES AND GHC OFFICERS, EXCLUDING THE CHAIR OF THE BOARD AND THE VICE CHAIR, WHO ARE NOT EMPLOYED BY GHC). THE COMMITTEE ALSO HIRES A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT (AN INDEPENDENT EXPERT) TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES OF THE CEO, EXECUTIVE VICE PRESIDENTS AND VICE PRESIDENTS. APPROPRIATE COMPARABILITY DATA IS OBTAINED FROM THE INDEPENDENT EXPERT, I.E., COMPENSATION PAID BY SIMILARLY SITUATED ORGANIZATIONS (BOTH TAXABLE AND TAX- EXEMPT, OF SIMILAR SIZE AND IN THE SAME INDUSTRY) FOR SIMILAR JOB RESPONSIBILITIES. THE COMMITTEE'S WRITTEN RECORDS AND MINUTES INCLUDE THE (1) TERMS OF THE ARRANGEMENT WITH THE DISQUALIFIED PERSON (INCLUDING THE DATE THE ARRANGEMENT WAS APPROVED); (2) A LIST OF MEMBERS PRESENT DURING THE DEBATE ON THE TRANSACTION (AND HOW THE MEMBERS VOTED WHEN IT WAS APPROVED); AND (3) A DESCRIPTION OF THE COMPARABLE DATA RELIED ON BY THE COMMITTEE. KEY DELIBERATIONS OF THE COMMITTEE ARE ALSO DOCUMENTED IN MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING. THE COMMITTEE'S COMPENSATION DECISIONS ARE SHARED WITH THE BOARD. THE FOLLOWING ARE THE OFFICES AND POSITIONS FOR WHICH THE ABOVE-DESCRIBED PROCESS WAS USED IN 2015 TO ESTABLISH COMPENSATION FOR THE PERSONS WHO HELD THESE POSITIONS: PRESIDENT & CHIEF EXECUTIVE OFFICER (CEO); VICE PRESIDENT (VP), ADMINISTRATIVE SERVICES DIVISION; EXECUTIVE VICE PRESIDENT (EVP), GROUP PRACTICE DIVISION; EVP & SENIOR ADVISOR TO THE PRESIDENT & CEO; VP, NETWORK SERVICES & PROVIDER RELATIONS; VP, SALES; EVP, HUMAN RESOURCES; VP, GROUP HEALTH RESEARCH INSTITUTE; VP, CHIEF TECHNOLOGY OFFICER; EVP & CHIEF INFORMATION OFFICER; EVP, MARKETING & PUBLIC AFFAIRS; EVP & CHIEF FINANCIAL OFFICER; EVP, STRATEGIC PLANNING & DEPLOYMENT; EVP, HEALTH PLAN DIVISION; VP, HEALTH PLAN ADMINISTRATION; VP, CLINICAL EXCELLENCE & INTEGRATION, CHIEF NURSE; VP, EMPLOYEE & LABOR RELATIONS; EVP & GENERAL COUNSEL; VP & DEPUTY GENERAL COUNSEL; VP, ANALYTICS & CHIEF MEDICAL INFORMATION OFFICER; VP, MARKET DEVELOPMENT; VP, CHIEF ACTUARY; VP, FINANCIAL PLANNING & ANALYSIS; VP, TREASURY; VP & CHIEF ACCOUNTING OFFICER; VP, INNOVATION, DEVELOPMENT & BUSINESS SERVICES; VP, CLINICAL ANCILLARY SERVICES; VP, LINES OF BUSINESS & PRODUCT MANAGEMENT; VP, HUMAN RESOURCES SERVICES & SYSTEMS; VP, HEALTH PLAN INFORMATION TECHNOLOGY; AND VP, CLINICAL OPERATIONS & MARKET INTEGRATION. THIS PROCESS WAS ALSO USED IN 2014.
ORGANIZATION'S DOCUMENTS AVAILABLE TO THE PUBLIC	FORM 990, PART VI, SECTION C, LINE 19 BYLAWS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND THE FORM 990 AND 990-T ARE MADE AVAILABLE TO THE GENERAL PUBLIC THROUGH GHC'S WEBSITE AND BY PROVIDING PAPER COPIES UPON REQUEST. COPIES OF THE CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST.
RECONCILIATION OF NET ASSETS	PART XI, LINE 9 MEMBERSHIP $(50,100) CAPITAL DUES $(66,800) TEMP RESTRICTED $(990,174) PERM RESTRICTED $161,392 OTHER COMPREHENSIVE INCOME $955,745 CMA ADJUSTMENT $6,249,680 RETAINED EARNINGS $(17,069,868) --------------- TOTAL OTHER CHANGES IN NET ASSETS $(10,810,125)
FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION	GROUP HEALTH COOPERATIVE ("GROUP HEALTH") IS ONE OF THE NATION'S LARGEST CONSUMER GOVERNED HEALTH CARE ORGANIZATIONS. GROUP HEALTH IS GOVERNED BY AN INDEPENDENT BOARD OF TRUSTEES COMPRISED OF 11 CONSUMERS ELECTED BY GROUP HEALTH'S VOTING MEMBERSHIP. ANY PERSON 18 YEARS AND OLDER WHO IS ENROLLED IN A PREPAID HEALTH PLAN OFFERED BY GROUP HEALTH OR A DESIGNATED AFFILIATE OR A SUBSIDIARY ("ENROLLEE") IS ELIGIBLE TO BE A VOTING MEMBER. GROUP HEALTH'S PRIMARY EXEMPT PURPOSE IS TO PROVIDE COMPREHENSIVE, PREVENTION-ORIENTED HEALTH CARE SERVICES TO ITS ENROLLEES AND OTHER PATIENTS IN A MANNER THAT REDUCES COST AS A BARRIER TO CARE AND TO PROVIDE HEALTH-RELATED EDUCATION AND RESEARCH ACTIVITIES THAT BENEFIT THE BROADER COMMUNITY. TO FULFILL THIS PURPOSE, GROUP HEALTH PROVIDES OUTPATIENT PRIMARY AND SPECIALTY CARE AS WELL AS INPATIENT ACUTE AND SUB-ACUTE CARE, THROUGH THE SERVICES OF SALARIED PHYSICIANS, NURSES, AND OTHER HEALTH CARE PRACTITIONERS. THE SALARIED PHYSICIANS ARE EMPLOYED BY GROUP HEALTH PERMANENTE, P.C., AN ORGANIZATION WITH WHOM GROUP HEALTH HAS AN EXCLUSIVE CONTRACT. IN 2015, GROUP HEALTH OPERATED ONE HOSPITAL, 25 PRIMARY CARE MEDICAL CENTERS, SIX SPECIALTY CARE UNITS, SEVEN BEHAVIORAL HEALTH CLINICS, 13 EYE CARE CLINICS, FIVE AUDIOLOGY/HEAR CENTERS, AND EIGHT SPEECH, LANGUAGE AND LEARNING CLINICS. GROUP HEALTH ALSO CONTRACTS WITH COMMUNITY HEALTH CARE PROVIDERS FOR SERVICES WHERE GROUP HEALTH DOES NOT OPERATE ITS OWN FACILITIES AND FOR SUB-SPECIALTY MEDICAL SERVICES NOT PROVIDED AT GROUP HEALTH FACILITIES.
FORM 990 PART IX LINE 11G	DESCRIPTION:O/S Labor TOTAL FEES:4240607
FORM 990 PART IX LINE 11G	DESCRIPTION:Inpatient Services TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:Hospice Services TOTAL FEES:4080216
FORM 990 PART IX LINE 11G	DESCRIPTION:Outpatient Services TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:Home Care Services TOTAL FEES:9829947
FORM 990 PART IX LINE 11G	DESCRIPTION:GH Perm Med Services TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:Facility Support Services TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:Pharmacy TOTAL FEES:72430980
FORM 990 PART IX LINE 11G	DESCRIPTION:Other Fees TOTAL FEES:-37310881

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
COLUMBIA MEDICAL ASSOCIATES LLC
1003 EAST TRENT SUITE 150	SPOKANE	WA	99202	200986848	COMP MED CARE	WA	$18,449,818	$5,659,895	GHC
COLUMBIA CLINIC LLC
1003 EAST TRENT SUITE 150	SPOKANE	WA	99202		INACTIVE	WA	$0	$0	CMA LLC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
GROUP HEALTH FOUNDATION
320 WESTLAKE AVE N STE 100	SEATTLE	WA	981095233	911246278	FOUNDATION	WA	501(c)(3)	7	GHC	Yes (true)
GROUP HEALTH NORTHWEST
320 WESTLAKE AVE N STE 100	SEATTLE	WA	981095233	911216856	INACTIVE	WA	501(c)(3)	11,TYPE I	GHC	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
GROUP HEALTH OPTIONS INC
320 WESTLAKE AVE N STE 100	SEATTLE	WA	981095233	911467158	INSURANCE	WA	GHC	C Corp	$547,198,329	$292,251,206	1.00000
KPS HEALTH PLANS
400 WARRAN AVENUE	BREMERTON	WA	98337	910540525	INSURANCE	WA	GHC	C Corp	$0	$0	1.00000
GROUP HEALTH SERVICES INC
320 WESTLAKE AVE N STE 100	SEATTLE	WA	981095233	911392222	INACTIVE	WA	GHC	C CORP	$0	$0	1.00000
GROUP HEALTH OF WASHINGTON
320 WESTLAKE AVE N STE 100	SEATTLE	WA	981095233	911314907	INACTIVE	WA	GHC	C CORP	$0	$0	1.00000

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

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GROUP HEALTH OPTIONS INC
l	$163,426,965	FMV
GROUP HEALTH OPTIONS INC
m	$69,622	FMV
GROUP HEALTH OPTIONS INC
a(iv)	$1,186	FMV
KPS HEALTH PLANS
l	$2,602,198	FMV
KPS HEALTH PLANS
m	-$264,823	FMV
KPS HEALTH PLANS
a(iv)	$26,507	FMV
GROUP HEALTH FOUNDATION
c	$2,116,557	CASH