KAISER FOUNDATION HEALTH PLAN OF WASHINGTON: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON (EIN 91-0511770)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2013-12-30
IRS object ID: 201400129349300250
Schema version: 2011v1.5
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-12-30T12:18:46-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1918 EIGHTH AVENUE SUITE 2900	AddressLine1
City	SEATTLE	City
State	WA	State
ZIP Code	98101	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	910511770	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	GROUP HEALTH COOPERATIVE	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% MARTIN R DOPPS	InCareOfName
Name Control	GROU	NameControl
Phone	2064485146	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	320 WESTLAKE AVE N	AddressLine1
City	SEATTLE	City
State	WA	State
ZIP Code	981095233	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Barbara Belt-Lloyd	Name
Title	Treasurer	Title
Date Signed	2013-12-20	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	2069134492	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Amended Return	X	AmendedReturn
Name Of Principal Officer Person	Scott Armstrong	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	320 Westlake Ave N STE 100	AddressLine1
City	Seattle	City
State	WA	State
ZIP Code	981095233	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	4194769971	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.GHC.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1945	YearFormation
State Legal Domicile	WA	StateLegalDomicile
Activity Or Mission Description	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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	9361	TotalNbrEmployees
Total Nbr Volunteers	451	TotalNbrVolunteers
Total Gross UBI	1488788	TotalGrossUBI
Net Unrelated Business Txbl Income	-127039	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	41172623	ContributionsGrantsPriorYear
Contributions Grants Current Year	44456337	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	2643644055	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2891301743	ProgramServiceRevenueCY
Investment Income Prior Year	45787560	InvestmentIncomePriorYear
Investment Income Current Year	72411076	InvestmentIncomeCurrentYear
Other Revenue Prior Year	76852387	OtherRevenuePriorYear
Other Revenue Current Year	90738959	OtherRevenueCurrentYear
Total Revenue Prior Year	2807456625	TotalRevenuePriorYear
Total Revenue Current Year	3098908115	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	588445825	SalariesEtcPriorYear
Salaries Etc Current Year	624072202	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	2242331298	OtherExpensePriorYear
Other Expenses Current Year	2487454099	OtherExpensesCurrentYear
Total Expenses Prior Year	2830777123	TotalExpensesPriorYear
Total Expenses Current Year	3111526301	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-23320498	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-12618186	RevenuesLessExpensesCY
Total Assets BOY	1559175867	TotalAssetsBOY
Total Assets EOY	1665696117	TotalAssetsEOY
Total Liabilities BOY	740164449	TotalLiabilitiesBOY
Total Liabilities EOY	982361157	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	819011418	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	683334960	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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 H	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	2391984316	Expense
Revenue	2892616434	Revenue
Description	Group Health Cooperative ("Group Health") provided health care coverage and/or services to commercial group, Medicare, Medicaid, Basic Health Plan, and individual enrollees in Washington and North Idaho. Many Medicare and Medicaid patients receive such services under capitation contracts between Group Health and government agencies.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	112185523	Expense
Grants	0	Grants
Revenue	71163085	Revenue
Description	CARE AND COVERAGE TO 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.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	56719023	Expense
Grants	0	Grants
Revenue	1416489	Revenue
Description	HEALTH RESEARCH AND EDUCATION: Research and evidence-based care. Professional education activities. Consumer health education.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	1368742	Expense
Grants	0	Grants
Revenue	0	Revenue
Description	Healthy Communities	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	1368742	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	0	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	0	TotalOfOtherProgramServiceRev
Total Program Service Expense	2562257604	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	6599	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	9361	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
Own Website	X	OwnWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	MARTIN R DOPPS	NamePerson
Telephone Number	2064485146	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	320 WESTLAKE AVE N SUITE 100	AddressLine1
City	SEATTLE	City
State	WA	State
ZIP Code	981095233	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Rosemary Daszkiewicz
Trustee-Chair	6.5	X	X	26290	500	0
Porsche Everson
Trustee-Vice Chair	6.5	X	X	21540	250	0
ChangMook Sohn
Trustee	5.5	X		17790	500	0
Ira M Fielding
Trustee	5.5	X		14875	500	0
Tracy E Garland
Trustee	5.5	X		17790	500	0
Harry Harrison Jr
Trustee	5.5	X		17790	500	0
Robert J Margulis
Trustee	5.5	X		17790	500	0
Jennifer A Joly
Trustee	5.5	X		17790	500	0
Dorothy Ruzicki
Trustee	5.5	X		17790	250	0
Robert Watt
Trustee	5.5	X		11415	0	0
Susan J Byington
Trustee	5.5	X		12750	250	0
Scott E Armstrong
President & CEO	40.0		X	1206881	0	168116
Richard E Magnuson
Treasurer, EVP, CFO	40.0		X	598661	0	40206
Rick D Woods
Secretary/EVP, General Counsel	40.0		X	538092	0	164385
Pamela A MacEwan
Asst. Secretary/EVP, Pub Affrs	40.0		X	360661	0	50018
Breton C Myers
Assistant Treasurer	40.0		X	245773	0	33842
Michael Erikson
VP, Primary Care Service Admin	40.0			343842	0	40031	X
Robert O'Brien
EVP, Health Plan Division	40.0			727673	0	43696	X
Cynthia Johnson
EVP, HR	40.0			417109	0	46962	X
Randy Barker
VP, Apple Division Admin.	40.0			269983	0	44389	X
Joel Suelzle
VP, Hlth Plan Administration	40.0			365744	0	153874		X
Scott Boyd
VP, Finance	40.0			314803	0	57683		X
Eric Larson
VP, Group Health Research Inst	40.0			337911	0	51356		X
Linda MacMaster
VP Marketing	40.0			300668	0	35087		X
Laura Rehrmann
VP; Community Responsibility	20.0			317907		34076		X
Barbara Belt Lloyd
Controller & Exec Dir. Fin Ops	0.0			218751		180579			X
James Herford
EVP, Strategic Svcs & Quality	0.0			380500	0	31733			X
Brian Harris
VP, Network Svc & Care Mgmt	0.0			285621		157428			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	7424190	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	4250	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1333461	TotalOtherCompensation
Number Individuals GT100 K	985	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
VIRGINIA MASON MEDICAL CENTER
PO BOX 91046	SEATTLE	WA	98111	HOSPITAL SERVICES	95309107
ST JOSEPH MEDICAL CENTER
PO Box 34936	SEATTLE	WA	98124	HOSPITAL SERVICES	74232771
OVERLAKE HOSPITAL
1035 116TH AVE NE	BELLEVUE	WA	98004	HOSPITAL SERVICES	62459082
PROVIDENCE HEALTH SERVICES-W
PO BOX 34954	SEATTLE	WA	981241954	HOSPITAL SERVICES	57547960
GROUP HEALTH PERMANENTE
320 WESTLAKE AVE N STE 100	SEATTLE	WA	981095233	MEDICAL PROFESSIONAL	321511428

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	571	NumberOfContractorsGT100K
Related Organizations	1277545	RelatedOrganizations
Government Grants	39217121	GovernmentGrants
All Other Contributions	3961671	AllOtherContributions
Noncash Contributions	19200	NoncashContributions
Total Contributions	44456337	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID PAYMENTS	900099	773328731	773328731
FEES AND CONTRACTS FROM GOV'T AGENCIES	900099	705864758	705864758
MEMBER DUES	900099	543360211	543360211
CAPITATION REVENUE	900099	584672745	584672745
NON-COVERED ENROLLEE SVC	900099	126399537	126399537

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	157675761	TotalRevenueColumn
Related Or Exempt Function Income	157675761	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	2891301743	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	32072408	TotalRevenueColumn
Exclusion	$32,072,408	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	1136196768	Securities
Other	3756	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	1095856510	Securities
Other	5346	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	40340258	Securities
Other	-1590	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	40338668	TotalRevenueColumn
Exclusion	$40,338,668	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
ADMIN CONTRACT	561000	84832978	84832978
SALES TO MEMBERS	446199	4222239		$4,222,239
GROUP HEALTH RESEARCH INSTITUTE	541700	1314691			1314691

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	369051	TotalRevenueColumn
Related Or Exempt Function Income	194954	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	174097	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	90738959	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3098908115	TotalRevenueColumn
Related Or Exempt Function Income	2976329675	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1488788	UnrelatedBusinessRevenue
Exclusion	$76,633,315	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	5543501	Total
Management And General	5543501	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	511488000	Total
Program Services	304260726	ProgramServices
Management And General	207227274	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	47004185	Total
Program Services	27960631	ProgramServices
Management And General	19043554	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	14349210	Total
Program Services	8535686	ProgramServices
Management And General	5813524	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	45687306	Total
Program Services	27186072	ProgramServices
Management And General	18501234	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1208000	Total
Management And General	1208000	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	921042	Total
Management And General	921042	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	614296	Total
Management And General	614296	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	1151156	Total
Management And General	1151156	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1945235971	Total
Program Services	1848948974	ProgramServices
Management And General	96286997	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	4616720	Total
Program Services	159065	ProgramServices
Management And General	4457655	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	306688726	Total
Program Services	280943977	ProgramServices
Management And General	25744749	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	22703037	Total
Program Services	198601	ProgramServices
Management And General	22504436	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	49199779	Total
Program Services	17756814	ProgramServices
Management And General	31442965	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	2631601	Total
Program Services	1692205	ProgramServices
Management And General	939396	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	7186255	Total
Program Services	1776317	ProgramServices
Management And General	5409938	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	3156	Total
Program Services	3156	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	56808111	Total
Program Services	30100990	ProgramServices
Management And General	26707121	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	7932561	Total
Program Services	7438402	ProgramServices
Management And General	494159	ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PREMIUM AND BUSINESS TAXES	48173460	1078502	47094958
MISCELLANEOUS	32380228	4217486	28162742

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	3111526301	Total
Program Services	2562257604	ProgramServices
Management And General	549268697	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	-325589	BOY
EOY	31201904	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	133415882	BOY
EOY	325819160	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	9518808	BOY
EOY	8669417	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	89905186	BOY
EOY	109928540	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	2653418	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	23313362	BOY
EOY	23770073	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	24995036	BOY
EOY	25833382	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1069378237	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	651418863	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	420296715	BOY
EOY	417959374	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	684912561	BOY
EOY	531100160	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	113673525	BOY
EOY	123289077	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	59470381	BOY
EOY	65471612	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1559175867	BOY
EOY	1665696117	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	314843416	BOY
EOY	500454934	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	50000	BOY
EOY	75000	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	37154963	BOY
EOY	44130612	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	149399217	BOY
EOY	144748221	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	40976382	BOY
EOY	8998375	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	197740471	BOY
EOY	283954015	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	740164449	BOY
EOY	982361157	EOY

Field	Value	IRS element (for citing)
Do Not Follow SFAS117	X	DoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

Field	Value	IRS element (for citing)
BOY	15105375	BOY
EOY	14957150	EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

Field	Value	IRS element (for citing)
BOY	803906043	BOY
EOY	668377810	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	819011418	BOY
EOY	683334960	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1559175867	BOY
EOY	1665696117	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-12618186	ReconcilationRevenueExpenses
Reconcilation Other Changes	-123058272	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

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

Total Direct Lobbying TotalDirectLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	811312	FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	811312	FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	3108698358	FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	3109509670	FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	1000000	FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	250000	FilingOrganizationsTotals

Field	Value	IRS element (for citing)
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	1000000	CurrentYearMinus3
Current Year Minus2	1000000	CurrentYearMinus2
Current Year Minus1	1000000	CurrentYearMinus1
Current Year	1000000	CurrentYear
Total	4000000	Total

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

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

Field	Value	IRS element (for citing)
Current Year Minus3	643742	CurrentYearMinus3
Current Year Minus2	823518	CurrentYearMinus2
Current Year Minus1	887298	CurrentYearMinus1
Current Year	811312	CurrentYear
Total	3165870	Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	250000	CurrentYearMinus3
Current Year Minus2	250000	CurrentYearMinus2
Current Year Minus1	250000	CurrentYearMinus1
Current Year	250000	CurrentYear
Total	1000000	Total

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

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Current Year Minus3 Years		CurrentYearMinus3Years

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	26553247	OtherCostOrOtherBasis
Book Value	26553247	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	576738468	OtherCostOrOtherBasis
Depreciation	311802379	Depreciation
Book Value	264936088	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	444198095	OtherCostOrOtherBasis
Depreciation	339616484	Depreciation
Book Value	104581611	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	21888427	OtherCostOrOtherBasis
Book Value	21888427	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	417959373	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	INVEST IN GROUP HEALTH OPTIONS	Description
Book Value	123289077	BookValue
Method Of Valuation	C	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	123289077	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
SELF INSURANCE	$60,830,378
RETIREMENT BENEFIT	$158,756,242
RETIREE MEDICAL BENEFIT	$44,411,000
LEASES	$6,317,657
OTHER LIABILITIES	$13,638,738

Field	Value	IRS element (for citing)
Total Of Amounts	283954015	TotalOfAmounts
Total Revenue	3098908115	TotalRevenue
Total Expenses	3111526301	TotalExpenses
Excess Or Deficit For Year	-12618186	ExcessOrDeficitForYear
Net Unrealized GL On Investments	8706910	NetUnrealizedGLOnInvestments
Other	-$1,889,013	OtherAmount
Total Adjustments	6817897	TotalAdjustments
Excess Or Deficit Per FS	-5800289	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	3102389493	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	8706910	NetUnrealizedGainsInvestments
Other Revenues	-1151155	OtherRevenues
Revenue Not Rptd F990	7555755	RevenueNotRptdF990
Revenue Subtotal	3094833738	RevenueSubtotal
Other Revenues Not Included	4074377	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	4074377	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	3098908115	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	3108189783	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	-1927063	OtherExpensesIncluded
Expenses Not Rptd F990	-1927063	ExpensesNotRptdF990
Expenses Subtotal	3110116846	ExpensesSubtotal
Other Expenses Not Included	1409455	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	1409455	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	3111526301	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Other-Reconciliation of Change in Net Assets from Form 990 to Fin Stmts	Schedule D, Part XI, Line 8	- LOSS ON SALE OF ASSETS ($89,568) - PREMIER PURCHASING PARTNERS ($565,761) - WESTLAKE TERRY LLC ($1,233,684)
Other Revenue Included on Fin Stmt but not on Form 990	Schedule D, Part XII, Line 2d	- Investment Management Fees $1,151,155
Other Revenue included on Form 990 but not on Fin Stmts	Schedule D, Part XII, Line 4b	- Premier Purchasing Partnership K-1 $566,067 - Westlake Terry LLC K-1 $1,491,679 - BOND SWAP INTEREST $2,016,631
Other Expenses Included on Fin Stmts but not on Form 990	Schedule D, Part XIII, Line 2d	- Loss on sale of Assets $89,568 - Bond Swap Interest ($2,016,631)
Other Expenses Included on Form 990 but not on Financial Statements	Schedule D, Part XIII, Line 4b	- INVESTMENT MANAGEMENT FEES $1,151,155 - WESTLAKE TERRY LLC K-1 $257,995 - CHARITABLE CONTRIBUTIONS-PREMIER PURCHASING PARTNERS, L.P. K-1 $305

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent250	X	Pcent250
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	false	AmountsBudgetedForCharityCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	761	PersonsServed
Total Community Benefit Expense	879950	TotalCommunityBenefitExpense
Net Community Benefit Expense	879950	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	21166	PersonsServed
Total Community Benefit Expense	76526000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	46175000	DirectOffsettingRevenue
Net Community Benefit Expense	30351000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00980	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Persons Served	11161	PersonsServed
Total Community Benefit Expense	36515827	TotalCommunityBenefitExpense
Direct Offsetting Revenue	25967000	DirectOffsettingRevenue
Net Community Benefit Expense	10548827	NetCommunityBenefitExpense
Percent Of Total Expense	0.00340	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	33088	PersonsServed
Total Community Benefit Expense	113921777	TotalCommunityBenefitExpense
Direct Offsetting Revenue	72142000	DirectOffsettingRevenue
Net Community Benefit Expense	41779777	NetCommunityBenefitExpense
Percent Of Total Expense	0.01350	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	20188	PersonsServed
Total Community Benefit Expense	816760	TotalCommunityBenefitExpense
Net Community Benefit Expense	816790	NetCommunityBenefitExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	11	NumberOfActivitiesOrPrograms
Persons Served	603	PersonsServed
Total Community Benefit Expense	8553100	TotalCommunityBenefitExpense
Net Community Benefit Expense	8553100	NetCommunityBenefitExpense
Percent Of Total Expense	0.00270	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Persons Served	1891	PersonsServed
Total Community Benefit Expense	7740260	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3471630	DirectOffsettingRevenue
Net Community Benefit Expense	4268630	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	48165923	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1416489	DirectOffsettingRevenue
Net Community Benefit Expense	46749434	NetCommunityBenefitExpense
Percent Of Total Expense	0.01500	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	9800	TotalCommunityBenefitExpense
Net Community Benefit Expense	9800	NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	25	NumberOfActivitiesOrPrograms
Persons Served	22682	PersonsServed
Total Community Benefit Expense	65285843	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4888119	DirectOffsettingRevenue
Net Community Benefit Expense	60397754	NetCommunityBenefitExpense
Percent Of Total Expense	0.01910	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	25	NumberOfActivitiesOrPrograms
Persons Served	55770	PersonsServed
Total Community Benefit Expense	179207620	TotalCommunityBenefitExpense
Direct Offsetting Revenue	77030119	DirectOffsettingRevenue
Net Community Benefit Expense	102177531	NetCommunityBenefitExpense
Percent Of Total Expense	0.03260	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	50	PersonsServed
Total Community Building Expense	460850	TotalCommunityBuildingExpense
Net Community Building Expense	460850	NetCommunityBuildingExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	81302	TotalCommunityBuildingExpense
Net Community Building Expense	81302	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	50	PersonsServed
Total Community Building Expense	542152	TotalCommunityBuildingExpense
Net Community Building Expense	542152	NetCommunityBuildingExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$11,342,541	BadDebtExpenseAmount
Amount Reimbursed By Medicare	852540	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	2042271	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1189731	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CAPITOL HILL MAIN BUILDING	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	201 16TH AVE E	AddressLine1
City	SEATTLE	City
State	WA	State
ZIP Code	981125260	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CAPITOL HILL MAIN BUILDING	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	false	CHNAConducted
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	250.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Insurance Status	X	InsuranceStatus
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	true	ExplainsApplicationMethod
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	38	NumberOfOtherFacilities

Other Facilities OtherFacilities (38 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
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	MIDICAL 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
COEUR D'ALENE MEDICAL CENTER
1090 W PARK PLACE	COEUR DALENE	ID	838142664	MEDICAL CENTER
DOWNTOWN SEATTLE MEDICAL CENTER
1420 5TH AVE STE 375	SEATTLE	WA	98101	MEDICAL CENTER
FACTORIA MEDICAL CENTER
13451 SE 36TH STREET	SEATTLE	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 MEDICAL CLINIC
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
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

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PART I, LINE 3(C) CHARITY CARE ELIGIBILITY CRITERIA	SCHEDULE H, PART I, LINE 3(C) CHARITY CARE ELIGIBILITY CRITERIA	GROUP HEALTH PROVIDES FREE CARE TO LOW INCOME INDIVIDUALS AT 200% OF FEDERAL POVERTY GUIDELINES BUT DOES NOT OFFER DISCOUNTED CARE.
PART I, LINE 7(F) PERCENT OF TOTAL EXPENSE	Schedule H, Part I, Line 7(f) Percent of Total Expense	BAD DEBT EXPENSE 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	SCHEDULE H, PART I, LINE 7	COST-TO CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO CHARGES, WAS USED TO REPORT THE FOLLIWNG COMMUNITY BENEFIT EXPENSES: CHARITY CARE AT COST UNREIMBURSED COSTS-OTHER-MEANS TESTED GOVERNMENT PROGRAMS (HEALTHCARE ASSISTANCE) GROUP HEALTH UTILIZED THE MARKET SEGMENT REPORT (MSR), AN INTERNAL MANAGEMENT REPORT THAT PROVIDES DETAILED REVENUE AND EXPENSE BY LINE OF BUSINESS USING GAAP 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. THE FOLLOWING COMMUNITY BENEFIT EXPENSES ARE REPORTED BASED ON THE MSR: UNREIMBURSED MEDICAID UNREIMBURSED COST-OTHER MEANS-TESTED GOVERNMENT PROGRAMS (BASIC HEALTH PLAN) COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS HEALTH PROFESSIONS EDUCATION SUBSIDIZED HEALTH SERVICES RESEARCH CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS
PART III, LINE 4, BAD DEBT EXPENSE	SCHEDULE H, PART III, LINE 4, BAD DEBT EXPENSE	Bad debt is recorded when a patient who is determined to have the financial capacity to pay for services is unwilling to settle the bill. Bad debt includes patients/guarantors: -who do not pay for legitimate services after 3 statements. -whose mail is returned to Group Health and who cannot be contacted -who declare bankruptcy -who fail to meet in-house payment arrangements -who agree to long-term billing services provided by a contracted collection agency. Accounts are reviewed for referral to collection agencies if: 1) After 3 cycle bills no payment has been received, and 2) The balances are 90 days from the date of first statement. The account will then remain in pre-collect status for the first 30 days after assignment, during which time no collection activities are initiated by the agencies. Other bad debt accounts, including returned mail and lapsed payment arrangements, are manually assigned to collection agencies. Other bad debt accounts, including returned mail and lapsed payment arrangements, are manually assigned to collection agencies. The collection agency assignment process generates the appropriate write-off to bad debt expense. Accounts for bankruptcies are written off to bad debt expense when a notice of bankruptcy filing is received. Justification for all bad debt write-offs is recorded in the patient's electronic billing record. Following is the footnote from the consolidated audited financial statement related to provision for uncollectible account: (f)ACCOUNTS RECEIVABLE PRIMARILY CONSIST OF PREMIUMS, RECEIVABLES FOR NONCOVERED HEALTH CARE SERVICES, COPAYS AND DEDUCTIBLES, AND RECEIVABLES FOR FEE-FOR-SERVICE CLINICAL SERVICES PROVIDED TO NONENROLLEES. THE GROUP RECORDS A REDUCTION IN THE RELATED PREMIUM REVENUES FOR AN ESTIMATE OF AMOUNTS RELATED TO RETROACTIVE ENROLLMENT CHANGES. PROVISIONS FOR CONTRACTUAL ADJUSTMENTS ARE RECORDED ON AN ACCRUAL BASIS AND ARE DEDUCTED FROM GROSS REVENUES. BAD DEBTS RELATED TO SERVICES PROVIDED ARE RECORDED AS OPERATING EXPENSES IN THE CONSOLIDATED STATEMENTS OF OPERATIONS. (f)PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND RETROACTIVITY THE GROUP PROVIDES AN ALLOWANCE FOR POTENTIAL UNCOLLECTIBLE ACCOUNTS RECEIVABLE WHEREBY SUCH RECEIVEABLES ARE REDUCED TO THEIR ESTIMATED NET REALIZABLE VALUE. THE GROUP ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE, ENROLLMENT RETROACTIVITY AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS AND THE ESTIMATION PROCESS, SUCH AS CHANGES IN THE ECONOMY, THE INCREASED BURDEN OF COPAYS AND DEDUCTIBLES TO BE MADE BY ENROLLEES AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND RETROACTIVITY WAS $9,791,000 AND $12,622,000 AS OF DECEMBER 31, 2011 AND 2010, RESPECTIVELY. Group Health does not count any bad debt as community benefit.
PART III, LINE 8, MEDICARE SHORTFALL	SCHEDULE H, 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 charge or cost information found in full cost reports. Group Health uses internal cost and charge 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	SCHEDULE H, 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 after three 30 day billing cycles have passed without payment. 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 V, QUESTION 13	SCHEDULE H, PART V, QUESTION 13	OTHER MEASURE TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY: GROUP HEALTH PUBLICIZES ITS FINANCIAL ASSISTANCE POLICY IN A VARIETY OF WAYS. THE POLICY IS POSTED ON THE GROUP HEALTH WEBSITE, INCLUDED WITH BILLING INVOICES, POSTED IN THE HOSPITAL'S EMERGENCY ROOM/URGENT CARE CENTER AND ADMISSIONS OFFICE. THE FAP IS AVAILABLE ON REQUEST. THE FAP IS ALSO PROVIDED DURING THE PRE-ADMISSION PROCESS TO PATIENTS WHO MAY BE ELIGIBLE. THIS IS DONE ON A CASE-BY-CASE BASIS BY PRE-ADMIT STAFF, BASED ON THE PATIENT'S LIKELY NEED AND ELIGIBILITY TO QUALIFY. IF A PATIENT IS NOT PRE-ADMITTED, THE POLICY IS DISCUSSED AT THE TIME OF BEDSIDE REGISTRATION FOR ADMISSION TO OUR HOSPITAL FACILITY. IF A PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE, S/HE IS PROVIDED WITH A FORM TO SIGN IN ORDER TO RECEIVE FREE CARE UNDER THE CHARITY CARE POLICY.
PART V, QUESTION 19	SCHEDULE H, PART V, QUESTION 19	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.
PART VI, LINE 2, NEEDS ASSESSMENT	SCHEDULE H, PART VI, LINE 2, NEEDS ASSESSMENT	Community Needs Assessment Methodology: Group Health Cooperative (Group Health) uses a number of methods to assess and meet the needs of the communities served. To develop the foundation for its community health initiative, Group Health performed a secondary data assessment in 2009. Using data from Washington State Local Health Departments and Districts (http://www.doh.wa.gov/LHJMap/LHJMAP.htm), United Way of King County's Community Assessment (http://www.uwkc.org/kcca/), and Seattle/King County's Community Health Indicators report (http://www.kingcounty.gov/healthservices/health/data/chi2009.aspx) a localized assessment of the needs within the Group Health service area was compiled. In 2010, Group Health employed the Center for Community Health and Evaluation to interview 29 key community informants. Questions addressed unmet and/or unaddressed health needs of children and families, as well as perspectives on effective strategies that might involve Group Health and that have the potential for charting progress and success toward community health outcomes. These perspectives provided the guidance and direction necessary for Group Health's Community Health Initiative. The Initiative puts particular focus on providing community support tools to manage chronic disease and overweight/obesity in young adults and families through increased physical activity and improved nutrition. Group Health also participates in policy and advocacy efforts to ensure greater access to appropriate, timely and comprehensive coverage and care for low-income populations. This includes assuring that the Group Health care delivery system is included with other safety net and community providers in both Medicaid and Basic Health programs, a state developed coverage program offering subsidized premiums for low-income adults and families. In addition to spreading a proven delivery system philosophy, Group Health has participated in the identification and fulfillment of necessary public-domain research related to prevention, diagnosis and treatment of major health problems. Lastly, Group Health continues to train necessary and critically-important health professionals for more than 40 different medical and ancillary health professions, especially in high-demand shortage professions such as primary care and ambulatory nursing.
PART VI, LINE 3, PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	SCHEDULE H, PART VI, LINE 3, PATIENT EDUCATION OF ELIG. FOR ASSISTANCE	Group Health has two financial assistance programs which are administered as the Sponsored Care program. The Charity Care program is for patients seeking hospital services who have incomes at or below 200% FPL. The Health Care Assistance program is for enrollees or former enrollees seeking any medical care or service at a Group Health facility and who are at or below 250% FPL. Group Health informs patients about Sponsored Care as follows: 1. Group Health displays large posters at the main entrances of Group Health Hospital, as well as at the hospital's Urgent Care Center and at its Labor/Delivery Unit. Each poster repeats the following message in seven different languages: "You may be eligible for free hospital care Group Health Cooperative provides free hospital care to low-income patients as "charity care." You must meet certain income standards to qualify. If you think you may qualify, please ask about charity care at the registration desk." Desk cards at the reception and registration areas in the hospital repeat the message (in English), and include the financial guidelines. 2. Group Health Hospital Urgent Care staff provides financial information and attestation forms to patients seeking Charity Care 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 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.
PART VI, LINE 4, COMMUNITY INFORMATION	SCHEDULE H, PART VI, LINE 4, COMMUNITY INFORMATION	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-related education and 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 2011, 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's service areas include all, or parts of, 19 counties in Washington and 2 counties in Idaho. In the last decade, the minority population in Washington as a whole grew from 20.6% of the state population to 25.2 %. Eleven counties have minority populations above the state average. For the counties in Group Health's service area, Franklin (51.2%), Yakima (45.0%), King (8.9%), Pierce (9.2%) and Walla-Walla (19.7%) counties consistently have the highest percent of Hispanic populations. Franklin County and Yakima County have the largest shares of Non-White racial groups. Current data indicates 49.5% of Washington's Black population resides in King County and 22.5% in Pierce County. With respect to the Asian and Pacific Islander population, 58.6% reside in King County, with 9.8% in Pierce County, and 13.1% in Snohomish County. Yakima County's ranking as home to the second largest concentration of the American Indian and Alaska Native population in 2000 was overtaken by Pierce County in 2008. Group Health serves all of these communities. The ethnic and racial makeup of our members are as follows: Caucasian, 80%; African American/Black, 3%; Asian/Pacific Islander, 8%; Hispanic, 5%; Alaska Native/American Indian, 1%; Other 3%. In 2011, Group Health and its wholly-owned subsidiaries, Group Health Options, Inc. and KPS Health Plans, provided health care coverage and services to approximately 660,000 individuals. Group Health was able to reach these individuals via individual and family, commercial group, Medicare, Medicaid, and State-subsidized low-income ("Basic Health") enrollees in Washington and North Idaho. Most Medicare and Medicaid patients receive such services under capitation contracts between Group Health and state and federal government agencies, and others receive care on a fee-for-service basis. 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. Specifically related to low-income enrollees, in 2011, Group Health provided coverage to Healthy Options (Washington State Managed Medicaid) enrollees in 6 counties around the State as well as providing care to Medicaid fee-for-service patients who were unable to access Group Health through the managed Medicaid program. Group Health's 2011 Medicaid enrollment averaged 20,000. In addition, in 2011, Group Health served approximately 8,000 Basic Health members, largely low-income adults, in 5 counties across the state. While Group Health covers between 3-4% of the total Managed Medicaid population in Washington State, we have a much higher proportion of the population in two specific counties. In Kitsap County we have approximately 3,000 enrollees or 19% of the total Medicaid managed care population. In Spokane County we have 11,000 enrollees or 21% of the Medicaid managed care population. In addition, Group Health's Family Beginnings Unit (FBU) in Seattle provides labor and delivery and neonatal intensive care unit services to Medicaid patients through two different contracting models. The first contract model is through the Group Health Healthy Options Medicaid program enrollees, with Group Health physicians and nurse midwives delivering newborns. The second model consists of contracts with several community health clinics and federally qualified health centers to allow community providers to deliver the patients of these community clinics at the FBU, with back-up and support provided by Group Health OB-Gyn physicians. In addition to Medicaid patients, the Group Health FBU is one of a few birthing facilities in Seattle that allows certified nurse midwife birthing for all patients. Finally, the Group Health Teen Pregnancy and Parenting Clinic (TPPC) provides comprehensive Women Infants and Children (WIC) and other health care services to both Group Health and non-Group Health low-income teenagers and young adults.
PART VI, LINE 5, PROMOTION OF COMMUNITY HEALTH	SCHEDULE H, PART VI, LINE 5, PROMOTION OF COMMUNITY HEALTH	GHC conducts public-domain research through one of its divisions, the Group Health Research Institute (GHRI). Since its inception in 1983, GHRI investigators have published more than 2,000 scientific papers and have made major contributions in injury prevention, large scale interventions in smoking cessation, breast cancer screening, treatment of depression, the safety and efficacy of immunizations, osteoarthritis and joint disease, cancer, diabetes, mental health, and effective treatment of cardiovascular disease. Most recent research has focused on the improvements and cost-reductions of an advanced primary care medical home model. This research, particularly the latest research on advanced primary care, directly addresses the need for information and evidence on high performing health systems able to contain the escalating and unsustainable costs of care. These costs are certain to increase with the overall aging of the population as well as the increased demand of newly insured populations brought about by health reform. GHRI's comparative effectiveness research, in contrast to controlled experimental studies, directly addresses the care needs and efficacy of treatment models in populations served in widespread community practices. Group Health engages in a variety of health promotion activities. In addition to providing staff volunteers to support a wide range of activities and events, Group Health donated over $879,000 in 2011 for community building activities. These included supporting safety net organizations, such as Crisis Clinic, King County Project Access and Eldercare NW; promoting healthy active lifestyles, such as supporting the Cascade Bicycle Club, Major Taylor Program, and the YMCA; and educating the public about healthy choices, such as supporting programs at the Pacific Science Center, the Pride Foundation, and Washington Health Foundation. Group Health, in partnership with several state and federal agencies, piloted and continues to expand an innovative Patient Medication Disposal Program which allows patients with discontinued or expired medications to dispose of them in a safe and environmentally sound manner. This system involves secure, convenient drop-boxes located in 25 Group Health pharmacies across the state to allow members and patients to recycle in a way that keeps them out of landfills and water systems. In addition to environmental benefits, this program also helps prevent risks to the safety of participants through abuse and accidental poisoning. Last, Group Health's Board of Trustees serves as the governing board of Group Health's hospital. The Board is comprised of 11 independent trustees who are elected by Group Health's voting membership. The members of the board represent a cross-section of the community.
PART VI, LINE 6, AFFILIATED HEALTH CARE SYSTEM	SCHEDULE H, 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 eighteen. Group Health Cooperative has a wholly owned subsidiary, the Group Health Foundation, which is also 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. Group Health Foundation is currently engaged in a multi-year program with organizational 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 reduce parental hesitancy related to childhood vaccination. Group Health Cooperative has an exclusive contract with Group Health Permanente, P.C., a group practice with 1,400 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 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), 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. As an integrated care organization and one of the largest providers in Washington State, Group Health has innovative new approaches to care that contribute to Washington State having higher health care quality and lower costs than the national average. This has included being a national leader in the widespread adoption of electronic medical records, focus on prevention and a patient-centered medical home model of care. Physician and non-physician leaders at Group Health also contribute to the expansion 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 and other care innovations. Group Health is a leader in the Puget Sound Health Alliance, which publicly and transparently reports provider quality measures through its Community Checkup. In addition to the above mentioned programs in Washington State, in 2011 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.
PART VII, LINE 7, STATE OF FILING OF COMMUNITY BENEFIT REPORT	SCHEDULE H, PART VII, LINE 7, STATE OF FILING OF COMMUNITY BENEFIT REPORT	This question is not applicable.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Scott E Armstrong
905728	0	147735	0	153418	0	137600	0	31188	0	1375669	0	0	0
Richard E Magnuson
514548	0	73281	0	10832	0	28212	0	12690	0	639563	0	0	0
Rick D Woods
432934	0	62436	0	42722	0	152100	0	13019	0	703211	0	0	0
Pamela A MacEwan
289845	0	41917	0	28899	0	28212	0	22574	0	411447	0	0	0
Breton C Myers
220106	0	17856	0	7811	0	26696	0	7156	0	279625	0	0	0
Michael Erikson
308396	0	31658	0	3788	0	27746	0	13086	0	384674	0	0	0
Robert O'Brien
629701	0	90576	0	7396	0	23312	0	21344	0	772329	0	0	0
Cynthia Johnson
335011	0	48073	0	34025	0	0	0	0	0	417109	0	0	0
Randy Barker
247862	0	19687	0	2434	0	25551	0	19516	0	315050	0	0	0
Joel Suelzle
299330	0	36683	0	29731	0	135500	0	19142	0	520386	0	0	0
Scott Boyd
277048	0	34296	0	3459	0	28107	0	30176	0	373086	0	0	0
Eric Larson
308255	0	25159	0	4497	0	28212	0	24305	0	390428	0	0	0
Linda MacMaster
262017	0	35678	0	2973	0	26457	0	9358	0	336483	0	0	0
James Herford
252263	0	60823	0	67414	0	23312	0	8668	0	412480	0	0	0
Brian Harris
251070		31406		3145		138200		18374		442195
Barbara Belt Lloyd
200553		16957		1241		155973		25422		400146
Laura Rehrmann
259426		32034		26447		27790		7217		352914

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FIRST CLASS TRAVEL	SCHEDULE J, PART I, LINE 1A	Per 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 2011. 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 I, 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 purpose.
SEVERANCE PAYMENT	SCHEDULE J, PART I, LINE 4A	The Group Health President and CEO, the Executive Vice Presidents, and the Vice Presidents are each parties to written employment agreements with Group Health Cooperative that provide for severance benefits under certain conditions. The President and CEO's employment agreement is approved by the Compensation Committee of the Board of Trustees. Executives who are terminated for cause, or who elect to terminate their employment relationship without cause (meaning they voluntarily quit), are not entitled to severance benefits. In the event the executive is eligible for severance benefits, the severance benefits are as follows: severance payments in the maximum, total amount of twelve (12) months of base salary, (eighteen (18) months for the President and CEO), plus medical and dental coverage (at the same level provided to the executive as of the date of separation) for a maximum of twelve (12) months (eighteen (18) months for the president and CEO). These benefits are forfeited if the executive violates the terms of the non-competition, non-solicitation, and confidentiality commitments in the employment agreement. Further, with respect to the executive vice presidents and vice presidents, the severance payments (and medical and dental coverage) will cease after six months of the executive's separation date in the event and as of the date that the executive provides services, or enters into an agreement to provide services, as an employee or independent contractor to Group Health, any of its subsidiaries, Group Health Permanente, or any other organization in a comparable position (meaning an executive level position with compensation that is at least 80% of the executive's compensation as of the separation date). Last, the President and CEO's employment agreement also provides for severance payments in the event of a change in control, which the employment agreement defines as (1) the acquisition by another organization of ownership or control of all or substantially all of the assets or operations of Group Health, by merger, consolidation, dissolution, liquidation, joint venture, partnership, affiliation, management agreement, sale or transfer of assets, or otherwise; (2) a conversion of Group Health to a stock-based corporation; (3) a fifty percent (50%) or greater change in the composition of the board of trustees that occurs within any single calendary year; or (4) any other change in the management or operational control of Group Health that is determined by the Group Health Board of Trustees by majority vote to be a change in control for purposes of the CEO's employment agreement. Peter Morgan, EVP, Group Practice Division, Severance Payment of $18,501.
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 after either three years or five years from the date on which a participant enters the plan, based on the participant's date of hire (as of January 1, 2008, all new executive vice president and vice president hires are subject to a five-year vesting schedule). Participants who incur a separation from service prior to their vesting date are not eligible for plan distributions unless certain plan conditions are met. 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 2011 as follows: Scott Armstrong, President and CEO, $132,969. Rick Woods, Secretary/EVP, General Counsel, $37,758. Pamela MacEwan, Asst. Secretary/EVP, Pub Affrs, $25,270. James Hereford, EVP, Strategic Services & Qlty, $63,127. Joel Suezle, VP, Hlth Plan Administration, $26,031. Cynthia Johnson, EVP, HR, $28,191.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Washington Health Care Facilities Authority	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	911108929	IssuerEIN
CUSIP Number	97978EE24	CUSIPNumber
Date Issued	2006-11-08	DateIssued
Issue Price	99995662	IssuePrice
Description Of Purpose	Revenue Bond 2006	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	0	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	99995662	TotalProceeds
Amount In Reserve Fund	8848163	AmountInReserveFund
Capitalized Interest	0	CapitalizedInterest
Refunding Escrow	0	RefundingEscrow
Issuance Costs From Proceeds	1999913	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	89147586	CapitalExpenditures
Other Spent Proceeds	0	OtherSpentProceeds
Amount Unspent	0	AmountUnspent
Year Of Subst Completion	2008	YearOfSubstCompletion
Current Refunding	false	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts	false	EngageBondCounselContracts
Any Research Agreements	false	AnyResearchAgreements
Engage Bond Counsel Research	false	EngageBondCounselResearch
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	true	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	true	Form8038TFiled
Variable Rate Issue	false	VariableRateIssue
Hedge Identified In Books And Recds	true	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

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

Field	Value	IRS element (for citing)
Term Of Hedge	30.	TermOfHedge
Superintegrated Hedge	false	SuperintegratedHedge
Hedge Terminated	false	HedgeTerminated
Gross Proceeds Invested In GIC	true	GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

Field	Value	IRS element (for citing)
Business Name Line1	Trinity Plus Funding	BusinessNameLine1

Field	Value	IRS element (for citing)
Term Of GIC	10.	TermOfGIC
Regulatory Safe Harbor Satisfied	true	RegulatorySafeHarborSatisfied
Gross Proceeds Invested	false	GrossProceedsInvested
Exception To Rebate	false	ExceptionToRebate

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	TODD CAMPBELL	NamePerson

Field	Value	IRS element (for citing)
Relationship	SON OF FORMER TRUSTEE	Relationship
Amount Of Transaction	52625	AmountOfTransaction
Description Of Transaction	INDEPENDENT CONTRACTOR	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (38 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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 review the return and involves many members of management in preparation of the return. The Form 990 is then reviewed by GHC management and the outside CPA firm 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 Cooperative has an organization-wide conflict of interest policy that covers trustees, officers, and employees. It also applies to certain independent contractors when they perform work on behalf of Group Health. The policy includes required disclosure procedures which are applied to all Group Health trustees and Group Health officers, including: - Providing a written declaration of any actual or potential areas of conflict of interest on an annual basis using forms and procedures developed by the chief compliance officer. These declarations are reviewed by the Audit and Compliance Committee of the Board of Trustees. - Subsequent reporting of material additions or changes to the information provided on the conflict of interest declarations. These additions or changes are reviewed by the Audit and Compliance Committee, following the process used for annual declarations. - At each Board meeting, disclosure by trustees of actual or potential conflicts of interest when such interests become a matter for Board action. Any trustee having an actual conflict of interest related to a matter at issue first discloses the conflict and then does not vote, take other action, or use his/her personal influence on the matter. Group Health officers, other employees, and certain independent contractors acting on behalf of Group Health shall disclose an actual or potential conflict of interest when such an interest is relevant to a matter in which they have a role, either directly or through subordinates acting at their direction. Certain high-level management positions and other positions involving transactions with outside parties are also subject to disclosure procedures. Individuals in these positions must complete an annual disclosure statement to identify any actual or potential areas of conflict of interest. During the year, these persons report material additions or changes to the information provided on annual conflict of interest declarations. Managers of persons not required under the policy to complete an annual disclosure are responsible for reviewing and responding to any potential conflicts of interest among their staff and for escalating issues as necessary to ensure they are addressed.
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. 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 justifiable to the Board of Trustees and our members and consistent with our charitable mission." Based upon those principles, the philosophy confirms that although compensation will be competitive as compared to comparable health care organizations, base salary ranges will be built around 50th percentile market base pay levels, annual 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. Consistent with this 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 experts, 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 full Board of Trustees. The following are the 2011 offices and positions for which the above-described process was used to establish compensation for the persons who held these positions: President & CEO; Vice President (VP), Acute, Post-acute, Pharmacy, Lab and EPRO (Apple Division); VP, Administrative Services Division; VP, Finance; Interim VP, Primary Care Services; Interim Executive Vice President (EVP), Group Practice Division; VP, Primary Care Service; VP, Network Services & Care Management; EVP, Group Practice Division; VP, Sales; EVP, Human Resources; VP, Group Health Research Institute; VP, Consultative Specialty & Acute Care Services; VP, Chief Technology Officer; EVP, Public Affairs & Governance; VP, Marketing; EVP, Chief Financial & Administrative Officer; VP, Strategic Planning & Deployment; EVP, Health Plan Division; VP, Community Responsibility; VP, Health Plan Administration; VP, Clinical Excellence & Nursing Operations; EVP & General Counsel; VP & Deputy General Counsel. This process was also used in 2010.
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	Form 990, Part XI, Line 5, Other changes in net assets or fund balances	Membership ($63,525) Capital Dues ($84,700) Unrealized G/L on Investments ($41,195,486) Temp Restricted ($852,705) Perm Restricted $410,738 Other Comprehensive Income ($88,532,457) Retained Earnings $7,259,863 Total ($123,058,272)
Amended Return Adjustments, , Schedule H, Part I	SCHEDULE H PART 1,ITEM 7	ITEM 7b columns (c), (d) and (e) were amended to reflect additional Medicaid activity not previously reported. Based on the change in expense, percentages in column (f) were also amended.
Amended Return Adjustments, Schedule H, Part II	Schedule H, Part II	Amounts on Part II of Schedule H were reported on incorrect lines. As a result, amounts in Item 2 were moved to Item 3 and Item 3 balances were moved to Item 4. There was no change in the totals on Schedule H, Part II.
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Rosemary Daszkiewicz TITLE:Trustee-Chair HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Porsche Everson TITLE:Trustee-Vice Chair HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:ChangMook Sohn TITLE:Trustee HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Ira M Fielding TITLE:Trustee HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Tracy E Garland TITLE:Trustee HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Harry Harrison, Jr TITLE:Trustee HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Robert J Margulis TITLE:Trustee HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Jennifer A Joly TITLE:Trustee HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Dorothy Ruzicki TITLE:Trustee HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Robert Watt TITLE:Trustee HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Susan J Byington TITLE:Trustee HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Scott E Armstrong TITLE:President & CEO HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Richard E Magnuson TITLE:Treasurer, EVP, CFO HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Rick D Woods TITLE:Secretary/EVP, General Counsel HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Pamela A MacEwan TITLE:Asst. Secretary/EVP, Pub Affrs HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Breton C Myers TITLE:Assistant Treasurer HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Michael Erikson TITLE:VP, Primary Care Service Admin HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Robert O'Brien TITLE:EVP, Health Plan Division HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Cynthia Johnson TITLE:EVP, HR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Randy Barker TITLE:VP, Apple Division Admin. HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Joel Suelzle TITLE:VP, Hlth Plan Administration HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Scott Boyd TITLE:VP, Finance HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Eric Larson TITLE:VP, Group Health Research Inst HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Linda MacMaster TITLE:VP Marketing HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Laura Rehrmann TITLE:VP; Community Responsibility HOURS:20
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Barbara Belt Lloyd TITLE:Controller & Exec Dir. Fin Ops HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:James Herford TITLE:EVP, Strategic Svcs & Quality HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Brian Harris TITLE:VP, Network Svc & Care Mgmt HOURS:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	Columbia Medical Associates	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1003 East Trent Suite 150	AddressLine1
City	Spokane	City
State	WA	State
ZIP Code	99202	ZIPCode

Field	Value	IRS element (for citing)
EIN	200986848	EIN
Primary Activities	Comp Med Care	PrimaryActivities
Legal Domicile State	WA	LegalDomicileState
EOY Assets	2323305	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
Group Health Foundation
320 Westlake Ave N Suite 100	Seattle	WA	98109	911246278	Foundation	WA	170B1AVI	7	NA	true
Auxiliary of Group Health Cooperative
320 Westlake Ave N Suite 100	Seattle	WA	98109	237438071	Auxiliary	WA	509A3-TypeI	N/A	NA	true
Group Health Northwest
320 Westlake Ave N Ste 100	Seattle	WA	98109	911216856	Inactive	WA	509A3-TypeI	N/A	NA	true

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
GROUP HEALTH OPTIONS INC
320 WESTLAKE AVE N STE 100	SEATTLE	WA	981095233	911467158	INSURANCE	WA	NA	C CORP	0	200049102	1.00000
KPS HEALTH PLANS
400 WARREN AVE	BREMERTON	WA	98337	910540525	INSURANCE	WA	NA	C CORP	0	45511545	1.00000
GROUP HEALTH SERVICES INC
320 WESTLAKE AVE N STE 100	SEATTLE	WA	981095233	911392222	INACTIVE	WA	NA	C CORP	0	0	1.00000
GROUP HEALTH OF WASHINGTON
320 WESTLAKE AVE N STE 100	SEATTLE	WA	981095233	911314907	INACTIVE	WA	NA	C CORP	0	0	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
GROUP HEALTH OPTIONS INC
K	686675963	FMV
KPS HEALTH PLANS
K	1603649	FMV
GROUP HEALTH FOUNDATION
C	695440	CASH
GROUP HEALTH OPTIONS INC
A	31084	FMV
COLUMBIA MEDICAL ASSOCIATES LLC
B	1550000	CASH