KAISER FOUNDATION HEALTH PLAN OF WASHINGTON: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- KAISER FOUNDATION HEALTH PLAN OF WASHINGTON (EIN 91-0511770)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-13
- IRS object ID
- 201343179349306099
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-13T18:06:54-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | 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 | 2012-01-01 | 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 | 2064484683 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 320 WESTLAKE AVE N | AddressLine1 |
| Address Line2 | Suite 100 | AddressLine2 |
| 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 |
| Phone | 2064484683 | Phone |
| Date Signed | 2013-11-13 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBISON Sue | Name |
| Phone | 2069134000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 3534871758 | 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 | 9158 | TotalNbrEmployees |
| Total Nbr Volunteers | 411 | TotalNbrVolunteers |
| Total Gross UBI | 1241002 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -31018 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 44456337 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 46749715 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 2891301743 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 2653434840 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 72411076 | InvestmentIncomePriorYear |
| Investment Income Current Year | 25436484 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 90738959 | OtherRevenuePriorYear |
| Other Revenue Current Year | 99186151 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3098908115 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2824807190 | 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 | 624072202 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 674726988 | 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 | 2487454099 | OtherExpensePriorYear |
| Other Expenses Current Year | 2161251730 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 3111526301 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2835978718 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -12618186 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -11171528 | RevenuesLessExpensesCY |
| Total Assets BOY | 1665696117 | TotalAssetsBOY |
| Total Assets EOY | 1466981065 | TotalAssetsEOY |
| Total Liabilities BOY | 982361157 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 835358094 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 683334960 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 631622971 | 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 HEALH 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 PHSYICIANS, NURSES, AND OTHER HEALTH CARE PRACTITIONERS. THE SALARIED PHSYICIANS ARE EMPLOYED BY GROUP HEA | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 2122104931 | Expense |
| Revenue | 2699866238 | Revenue |
| Description | Group Health Cooperative ("Group Health") provided health care coverage and/or services to approximately 381,000 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. Please refer a description of the program's objectives in Schedule H, Part VI.2 and Part VI.5. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 86020133 | Expense |
| Revenue | 46316137 | Revenue |
| Description | Care and coverage to 27,961 people in need: Health care coverage and services to patients enrolled in government programs. Unreimbursed care for individual patients in need. Urgent and emergency care. Partnering with safety-net organizations. Please refer a description of the program's objectives in Schedule H, Part VI.2 and Part VI.5. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 60218253 | Expense |
| Revenue | 919371 | Revenue |
| Description | Health Research and Education for 358 people including: Research and Evidence-Based Care. Professional Education Activities. Consumer Health Education. Please refer a description of the program's objectives in Schedule H, Part VI.2 and Part VI.5. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1304094 | Expense |
| Description | Healthy Communities | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 1304094 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 2269647411 | 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 | true | 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 | false | 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 | 6861 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 9158 | 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 |
Form990 Part VII Section A Form990PartVIISectionA (31 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| Rosemary Daszkiewicz | |||||||||
| Chair, Trustee | 6.5 | 0.25 | X | X | 39152 | 1500 | |||
| Porsche Everson | |||||||||
| Vice Chair, Trustee | 6.5 | 0.25 | X | X | 32902 | 1750 | |||
| Robert Alexander Watt | |||||||||
| Trustee | 5.5 | 0.2 | X | 26652 | 1750 | ||||
| Susan Joy Byington | |||||||||
| Trustee | 5.5 | 0.2 | X | 26652 | 1750 | ||||
| ChangMook Sohn | |||||||||
| Trustee | 5.5 | 0.2 | X | 26652 | 1750 | ||||
| Jennifer Ann Joly | |||||||||
| Trustee | 5.5 | 0.2 | X | 26652 | 1750 | ||||
| Harry Harrison Jr | |||||||||
| Trustee | 5.5 | 0.2 | X | 26652 | 1750 | ||||
| Robert Joel Margulis | |||||||||
| Trustee | 5.5 | 0.2 | X | 26652 | 1500 | ||||
| Dorothy Anne Ruzicki | |||||||||
| Trustee | 5.5 | 0.2 | X | 26652 | 1750 | ||||
| Leo Francis Greenawalt Jr | |||||||||
| Trustee | 5.5 | 0.2 | X | 17000 | 500 | ||||
| Ruta Elma Fanning | |||||||||
| Trustee | 5.5 | 0.2 | X | 17000 | 750 | ||||
| Scott Elliot Armstrong | |||||||||
| CEO & President | 39.0 | 1.0 | X | 1109905 | 229672 | ||||
| Richard Edward Magnuson | |||||||||
| EVP; Chief Finl & Adm Officer | 40.0 | X | 731087 | 41107 | |||||
| Rick Dale Woods | |||||||||
| EVP & General Counsel | 40.0 | X | 503864 | 217318 | |||||
| Scott Boyd | |||||||||
| VP; Finance | 40.0 | X | 302082 | 34458 | |||||
| Sarah Barian Yates | |||||||||
| VP & Deputy General Counsel | 40.0 | X | 293615 | 46862 | |||||
| Breton Clark Myers | |||||||||
| Assistant Treasurer | 40.0 | X | 231449 | 32248 | |||||
| Pamela Ann MacEwan | |||||||||
| Asst Secretary | 40.0 | X | 374907 | 28654 | |||||
| Robert O'Brien | |||||||||
| EVP; Health Plan Division | 40.0 | 667431 | 42287 | X | |||||
| Mark Szalwinski | |||||||||
| EVP; Group Practice Division | 40.0 | 528462 | 49669 | X | |||||
| Cynthia Johnson | |||||||||
| EVP; HR | 40.0 | 395722 | 38160 | X | |||||
| Brian Harris | |||||||||
| VP; Network Svc & Care Mgmt | 40.0 | 358803 | 17906 | X | |||||
| Michael Erikson | |||||||||
| VP; Primary Care and Market De | 40.0 | 364224 | 40472 | X | |||||
| Randy Barker | |||||||||
| VP; APPLE Division | 40.0 | 290374 | 44663 | X | |||||
| Ellen Suzanne Daly | |||||||||
| VP; Ntwrk Svc & Provdr Reltns | 40.0 | 278537 | 50688 | X | |||||
| Laura McMillan | |||||||||
| VP Strategic Planning & Deploy | 40.0 | 253570 | 10208 | X | |||||
| Joel Suelzle | |||||||||
| VP; Health Plan Administration | 40.0 | 434261 | 204719 | X | |||||
| Eric Larson | |||||||||
| VP; Group Health Research Inst | 39.0 | 1.0 | 362708 | 56988 | X | ||||
| Hope Wiljanen | |||||||||
| Consult; Lean Sensei Sr | 40.0 | 323175 | 38587 | X | |||||
| Laura Rehrmann | |||||||||
| VP, Community Responsibility | 20.0 | 20.0 | 308931 | 34101 | X | ||||
| Deborah Huntington | |||||||||
| VP; Sales | 39.0 | 1.0 | 373104 | 46162 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 8778829 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 16500 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1304929 | TotalOtherCompensation |
| Number Individuals GT100 K | 1081 | NumberIndividualsGT100K |
| Formers Listed | false | 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 | |||||
| PO BOX 91046 | SEATTLE | WA | 98111 | Hospital Services | 98874419 |
| OVERLAKE HOSPITAL | |||||
| 1035 116TH AVE NE | BELLEVUE | WA | 98004 | Hospital Services | 74302878 |
| St JOSEPH FRANCISCAN HEALTH SYSTEM | |||||
| PO BOX 34936 | SEATTLE | WA | 98124 | Hospital Services | 70347731 |
| PROVIDENCE HEALTH SERVICES | |||||
| PO BOX 34439 | SEATTLE | WA | 98124 | Hospital Services | 48512227 |
| GROUP HEALTH PERMANENTE | |||||
| 320 WESTLAKE AVE N SUITE 100 | SEATTLE | WA | 981095233 | Medical Professional | 360367577 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 599 | NumberOfContractorsGT100K |
| Related Organizations | 2129659 | RelatedOrganizations |
| Government Grants | 39300844 | GovernmentGrants |
| All Other Contributions | 5319212 | AllOtherContributions |
| Noncash Contributions | 16200 | NoncashContributions |
| Total Contributions | 46749715 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICARE/MEDICAID PAYMENTS | 900099 | 897672932 | 897672932 |
| FEES AND CONTRACTS FROM GOV'T AGENCIES | 900099 | 675556005 | 675556005 |
| MEMBER DUES | 900099 | 579344314 | 579344314 |
| CAPITATION REVENUE | 900099 | 202975552 | 202975552 |
| NON-COVERED ENROLLEE SVC | 900099 | 133150468 | 133150468 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 164735569 | TotalRevenueColumn |
| Related Or Exempt Function Income | 164735569 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 2653434840 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 23452522 | TotalRevenueColumn |
| Exclusion | $23,452,522 | 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 |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 709507291 | Securities |
| Other | 2541239 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 709995062 | Securities |
| Other | 69506 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -487771 | Securities |
| Other | 2471733 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1983962 | TotalRevenueColumn |
| Exclusion | $1,983,962 | 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 | 93501104 | 93501104 | ||
| SALES TO MEMBERS | 446199 | 4278244 | $4,278,244 | ||
| GROUP HEALTH RESEARCH INSTITUTE | 541700 | 892126 | 892126 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 514677 | TotalRevenueColumn |
| Related Or Exempt Function Income | 165801 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 348876 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 99186151 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2824807190 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2747101745 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1241002 | UnrelatedBusinessRevenue |
| Exclusion | $29,714,728 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
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 | 8049339 | Total |
| Management And General | 8049339 | 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 | 541961937 | Total |
| Program Services | 315689849 | ProgramServices |
| Management And General | 226272088 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64830941 | Total |
| Program Services | 37763667 | ProgramServices |
| Management And General | 27067274 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13463804 | Total |
| Program Services | 7842592 | ProgramServices |
| Management And General | 5621212 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46420967 | Total |
| Program Services | 27149935 | ProgramServices |
| Management And General | 19271032 | 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 | 1814372 | Total |
| Management And General | 1814372 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 991717 | Total |
| Management And General | 991717 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 803888 | Total |
| Management And General | 803888 | 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 | 1090381 | Total |
| Management And General | 1090381 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1617309168 | Total |
| Program Services | 1518986616 | ProgramServices |
| Management And General | 98322552 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1535482 | Total |
| Program Services | 151267 | ProgramServices |
| Management And General | 1384215 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 312216950 | Total |
| Program Services | 286911477 | ProgramServices |
| Management And General | 25305473 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25311878 | Total |
| Program Services | 357384 | ProgramServices |
| Management And General | 24954494 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45885240 | Total |
| Program Services | 16010027 | ProgramServices |
| Management And General | 29875213 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2553374 | Total |
| Program Services | 1687320 | ProgramServices |
| Management And General | 866054 | 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 | 6163528 | Total |
| Program Services | 1294653 | ProgramServices |
| Management And General | 4868875 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1196298 | Total |
| Program Services | 1947 | ProgramServices |
| Management And General | 1194351 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56063690 | Total |
| Program Services | 31063656 | ProgramServices |
| Management And General | 25000034 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16241922 | Total |
| Program Services | 15700925 | ProgramServices |
| Management And General | 540997 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| ADMINISTRATIVE/ACCESS FEES | 7811608 | 7041229 | 770379 |
| BAD DEBT EXPENSE | 16928136 | 169776 | 16758360 |
| DUES/LICENSES/PERMITS | 3849443 | 700249 | 3149194 |
| PREMIUM AND BUSINESS TAX | 41679194 | 611122 | 41068072 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1805461 | Total |
| Program Services | 513720 | ProgramServices |
| Management And General | 1291741 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2835978718 | Total |
| Program Services | 2269647411 | ProgramServices |
| Management And General | 566331307 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31201904 | BOY |
| EOY | 41794036 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 325819160 | BOY |
| EOY | 31748248 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8669417 | BOY |
| EOY | 6790364 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 109928540 | BOY |
| EOY | 93794184 | 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 | 2653418 | BOY |
| EOY | 1768945 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23770073 | BOY |
| EOY | 17957077 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25833382 | BOY |
| EOY | 24491412 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1132168851 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 703745813 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 417959374 | BOY |
| EOY | 428423038 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 531100160 | BOY |
| EOY | 622005017 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 123289077 | BOY |
| EOY | 120251891 | 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 | 65471612 | BOY |
| EOY | 77956853 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1665696117 | BOY |
| EOY | 1466981065 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500454934 | BOY |
| EOY | 307174879 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75000 | BOY |
| EOY | 160000 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44130612 | BOY |
| EOY | 27201955 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 144748221 | BOY |
| EOY | 139903363 | 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 | 8998375 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 283954015 | BOY |
| EOY | 360917897 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 982361157 | BOY |
| EOY | 835358094 | 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 | 14957150 | BOY |
| EOY | 14836400 | EOY |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 668377810 | BOY |
| EOY | 616786571 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 683334960 | BOY |
| EOY | 631622971 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1665696117 | BOY |
| EOY | 1466981065 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -11171528 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 1750471 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -42290932 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| 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 | 935937 | FilingOrganizationsTotals |
Total Lobbying Expenditures TotalLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 935937 | FilingOrganizationsTotals |
Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 2835042781 | FilingOrganizationsTotals |
Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 2835978718 | 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 | 823518 | CurrentYearMinus3 |
| Current Year Minus2 | 887298 | CurrentYearMinus2 |
| Current Year Minus1 | 811312 | CurrentYearMinus1 |
| Current Year | 935937 | CurrentYear |
| Total | 3458065 | 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 | |
| Current Year Minus4 Years | CurrentYearMinus4Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 23585914 | OtherCostOrOtherBasis |
| Book Value | 23585914 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 616054889 | OtherCostOrOtherBasis |
| Depreciation | 334325733 | Depreciation |
| Book Value | 281729156 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 470532605 | OtherCostOrOtherBasis |
| Depreciation | 369420080 | Depreciation |
| Book Value | 101112525 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 21995443 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 21995443 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 428423038 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| GROUP HEALTH OPTIONS | 119614491 | C |
| ONE HEALTH PORT | 637400 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 120251891 | TotalOfBookValueSecurities |
Other Assets OtherAssets (8 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INVESTMENT IN SUBSIDIARIES | 39588827 |
| 457(B) PLAN ASSETS | 4591508 |
| SELF INSURANCE | 1631043 |
| FUNDS HELD | 14834336 |
| DERIVATIVES | 9701210 |
| INTEREST RECEIVABLE | 3435893 |
| INVESTMENT IN LLC'S | 3610301 |
| OTHER ASSETS | 563735 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 77956853 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (8 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| SELF INSURANCE | $69,547,161 |
| RETIREE MEDICAL | $50,016,000 |
| PENSION LIABILITY | $214,634,583 |
| DEFERRED COMPENSATION | $5,425,783 |
| LEASES | $12,823,931 |
| RENT DIFFERENTIAL | $5,621,154 |
| SECURITY CARE CLAIMS | $2,472,038 |
| OTHER LIABILITIES | $377,248 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 360917898 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 2822388865 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1750471 | NetUnrealizedGainsInvestments |
| Other Revenues | -3078415 | OtherRevenues |
| Revenue Not Rptd F990 | -1327944 | RevenueNotRptdF990 |
| Revenue Subtotal | 2823716809 | RevenueSubtotal |
| Investment Expenses Not Included | 1090381 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 1090381 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 2824807190 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 2834386701 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | -501636 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | -501636 | ExpensesNotRptdF990 |
| Expenses Subtotal | 2834888337 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 1090381 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 1090381 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 2835978718 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PART XI | LINE 2D | OTHER THAN TEMP. INVESTMENTS ($384,810) BOOK PARTNERSHIP EARNINGS ($2,391,687) LOSS ON SALE OF ASSETS $2,355 DISSOLUTION TRANSFER - AUX ($304,274) ------------- TOTAL ($3,078,416) |
| PART XII | LINE 2D | Loss on Sale of Assets $20,581 TAX PARTNERSHIP EARNINGS ($217,943) DISSOLUTION TRANSFER - AUX ($304,274) ----------- TOTAL ($501,636) |
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 | false | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 838 | PersonsServed |
| Total Community Benefit Expense | 1064297 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1064297 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 19322 | PersonsServed |
| Total Community Benefit Expense | 60457517 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 33580431 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 26877086 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00950 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 5788 | PersonsServed |
| Total Community Benefit Expense | 16642123 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10055291 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6586832 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00230 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 25948 | PersonsServed |
| Total Community Benefit Expense | 78163937 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 43635722 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 34528215 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01220 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 8 | NumberOfActivitiesOrPrograms |
| Persons Served | 2326 | PersonsServed |
| Total Community Benefit Expense | 823861 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 823861 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 12 | NumberOfActivitiesOrPrograms |
| Persons Served | 358 | PersonsServed |
| Total Community Benefit Expense | 9532542 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 9532542 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00340 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 8 | NumberOfActivitiesOrPrograms |
| Persons Served | 2013 | PersonsServed |
| Total Community Benefit Expense | 7856196 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2680415 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5175781 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 50685711 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 919371 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 49766340 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01760 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 25394 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 25394 | NetCommunityBenefitExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 31 | NumberOfActivitiesOrPrograms |
| Persons Served | 4697 | PersonsServed |
| Total Community Benefit Expense | 68923704 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3599786 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 65323918 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02310 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 31 | NumberOfActivitiesOrPrograms |
| Persons Served | 30645 | PersonsServed |
| Total Community Benefit Expense | 147087641 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 47235508 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 99852133 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03530 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 419600 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 419600 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 35239 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 35239 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 454839 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 454839 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $11,168,287 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 799535 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 1477295 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -677760 | 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) |
|---|---|---|
| Website Address | WWW.GHC.ORG/LOCATIONS/ | WebsiteAddress |
| 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 BUILDING | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| 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 |
| State Regulation | X | StateRegulation |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| 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 | SEATTE | WA | 981125260 | MEDICAL CLINIC |
| CAPITOL HILL WEST BUILDING | ||||
| 201 16TH AVE E | SEATTLE | WA | 981125260 | MEDICAL CLINIC |
| CAPITOL HILL ANNEX BUILDING | ||||
| 112 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 | BELLEVUE | WA | 980061454 | MEDICAL CENTER |
| KENT MEDICAL CENTER | ||||
| 26004 104TH AVE SE | KENT | WA | 98031 | MEDICAL CENTER |
| LIDGERWOOD MEDICAL CENTER | ||||
| 6002 N LIDGERWOOD | SPOKANE | WA | 99208 | MEDICAL CENTER |
| LYNNWOOD MEDICAL CENTER | ||||
| 20200 54TH AVENUE W | LYNNWOOD | WA | 980366389 | MEDICAL CENTER |
| NORTHGATE MEDICAL CENTER | ||||
| 9800 4TH AVENUE NE | SEATTLE | WA | 981152158 | MEDICAL CENTER |
| NORTHGATE SOUTH BUILDING | ||||
| 9720 4TH AVENUE NE | SEATTLE | WA | 98115 | MEDICAL CLINIC |
| NORTHSHORE MEDICAL CENTER | ||||
| 11913 NE 195TH STREET | BOTHELL | WA | 980113147 | MEDICAL CENTER |
| OLYMPIA MEDICAL CENTER | ||||
| 700 LILLY ROAD NE | OLYMPIA | WA | 985065196 | MEDICAL CENTER |
| PORT ORCHARD MEDICAL CENTER | ||||
| 1400 POTTERY AVENUE | PORT ORCHARD | WA | 983663768 | MEDICAL CENTER |
| POULSBO MEDICAL CENTER | ||||
| 19379 7TH AVENUE NE | POULSBO | WA | 98370 | MEDICAL CENTER |
| PUYALLUP MEDICAL CENTER | ||||
| 611 31ST AVE SW | PUYALLUP | WA | 98374 | MEDICAL CENTER |
| RAINIER MEDICAL CENTER | ||||
| 5316 RAINIER AVE S | SEATTLE | WA | 981182398 | MEDICAL CENTER |
| REDMOND MEDICAL CENTER | ||||
| 15809 BEAR CREEK PARKWAY SUITE 10 | REDMOND | WA | 980524370 | MEDICAL CENTER |
| RENTON MEDICAL CENTER | ||||
| 275 BRONSON WAY NE | RENTON | WA | 980564099 | MEDICAL CENTER |
| BURIEN MEDICAL CENTER | ||||
| 140 SW 146TH STREET | BURIEN | WA | 981661997 | MEDICAL CENTER |
| RIVERFRONT MEDICAL CENTER | ||||
| 322 W NORTH RIVER DRIVE | SPOKANE | WA | 99201 | MEDICAL CENTER |
| SILVERDALE MEDICAL CENTER | ||||
| 10452 SILVERDALE WAY NW | SILVERDALE | WA | 98383 | MEDICAL CENTER |
| SOUTH HILL MEDICAL CENTER | ||||
| 4102 S REGAL STREET SUITE 101 | SPOKANE | WA | 992234733 | MEDICAL CENTER |
| SILVERDALE EYE CARE SERVICES | ||||
| 10516 SILVERDALE WAY NW SUITE 104 | SILVERDALE | WA | 983838745 | MEDICAL CLINIC |
| TACOMA HEAR CENTERAUDIOIGLY & EYE CARE | ||||
| 5821 S SPRAGUE COURT | TACOMA | WA | 98409 | MEDICAL CLINIC |
| ST JOSEPH | ||||
| 1708 S YAKIMA AVENUE | TACOMA | WA | 98405 | MEDICAL CLINIC |
| TACOMA MEDICAL CENTER | ||||
| 209 MARTIN LUTHER KING JR WAY | TACOMA | WA | 984054267 | MEDICAL CENTER |
| TACOMA SOUTH MEDICAL CENTER | ||||
| 9505 S STEELE ST | TACOMA | WA | 984446858 | MEDICAL CENTER |
| VERADALE MEDICAL CENTER | ||||
| 14402 E SPRAGUE AVENUE | SPOKANE VALLEY | WA | 992162167 | MEDICAL CENTER |
| METROPOLITAN PARK EAST RESEARCH FACILITY | ||||
| 1730 MINOR AVENUE | SEATTLE | WA | 98101 | RESEARCH FACILITY |
| TACOMA BEHAVIORAL HEALTH SERVICES | ||||
| 4301 S PINE STREET | TACOMA | WA | 984097206 | MEDICAL CLINIC |
| FEDERAL WAY MEDICAL CENTER | ||||
| 301 SOUTH 320TH STREET | FEDERAL WAY | WA | 980035296 | MEDICAL CENTER |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| 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 | BAD DEBT EXPENSE IS INCLUDED ON FORM 990, PART IX LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE FOR PART I, LINE 7, COLUMN (F). |
| PART I, LINE 7 PERCENT OF TOTAL EXPENSE | COST-TO CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO CHARGES, WAS USED TO REPORT THE FOLLOWING COMMUNITY BENEFIT EXPENSES: CHARITY CARE AT COST UNREIMBURSED COSTS-OTHER-MEANS TESTED GOVERNMENT PROGRAMS (HEALTHCARE ASSISTANCE) GROUP HEALTH UTILIZED THE STATUTORY LINE OF BUSINESS REPORT AND OTHER INTERNAL REPORTS, THAT PROVIDE DETAILED REVENUE AND EXPENSE BY LINE OF BUSINESS USING THE INCOME STATEMENT AND COST MANAGEMENT DATA (CMD) EXPENSE AND UTILIZATION INFORMATION. ON A MONTHLY BASIS, ALL GAAP GENERAL LEDGER EXPENSES ARE LOADED INTO THE CMD COSTING SYSTEM AT THE ACCOUNTING UNIT (AU) AND ACCOUNT LEVEL ALONG WITH PATIENT UTILIZATION INFORMATION FROM VARIOUS UTILIZATION SYSTEMS. EACH AU IS CATEGORIZED WITHIN CMD AS ONE OF THREE TYPES OF EXPENSES: 1) DELIVERY SYSTEM REPRESENTING MEDICAL SERVICES PROVIDED TO CONSUMERS; 2) HEALTH PLAN REPRESENTING INSURANCE SERVICES; OR 3) OVERHEAD REPRESENTING ADMINISTRATIVE SUPPORT SERVICES TO BOTH DELIVERY SYSTEM AND HEALTH PLAN. OVERHEAD IS ALLOCATED TO EITHER DELIVERY SYSTEM OR HEALTH PLAN USING A STEP DOWN PROCESS BASED ON RELEVANT STATISTICS SUCH AS NUMBER OF FTES, LABOR COST, SQUARE FEET, ETC. THE OVERHEAD ALLOCATION PERCENTAGE BETWEEN DELIVERY SYSTEM AND HEALTH PLAN ARE DETERMINED AND MAINTAINED BY THE CMD COSTING AND COSTING METHODOLOGY REVIEW TEAM. |
| PART II, COMMUNITY BUILDING | GROUP HEALTH LEADERS WITH THE SUPPORT OF THE ORGANIZATION CONTINUE TO SERVE ON A NUMBER OF COALITIONS, COLLABORATIVES AND BOARDS TO IMPROVE THE HEALTH OF COMMUNITIES WE SERVE. THESE INCLUDE THE PUGET SOUND HEALTH ALLIANCE, THE KING COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT COLLABORATIVE, THE COMMUNITY TRANSFORMATION GRANTS STEERING COMMITTEES AND THEIR TEAMS, YOUTH CARE, YMCA, ALLIANCE FOR EDUCATION AND THE WASHINGTON CHILDREN'S ALLIANCE TO NAME A FEW. GROUP HEALTH JOINED A COALITION TO PUBLICIZE AND VACCINATE THE PUBLIC DURING THE PERTUSSIS OUTBREAK IN WASHINGTON IN 2012. GROUP HEALTH HOSTED TWO CONTINUING MEDICAL EDUCATION CONFERENCES IN 2012 ON THE SUBJECTS OF HEREDITARY BREAST AND OVARIAN CANCER AND CHRONIC OPIOID THERAPY TO NON-GROUP HEALTH COMMUNITY HEALTH LEADERS FOR FREE OR REDUCED COST. |
| PART III, LINE 2, BAD DEBT EXPENSE METHODOLOGY | 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 ASSIGNMENTS INCLUDE STANDARD: -PATIENTS/GUARANTORS WHO DO NOT PAY FOR LEGITIMATE SERVICES AFTER 3 STATEMENTS EXCEPTIONS TO STANDARD: -PATIENTS/GUARANTORS WHOSE MAIL IS RETURNED TO GROUP HEALTH AND WHO CANNOT BE CONTACTED -PATIENTS/GUARANTORS WHO DECLARE BANKRUPTCY -DECEASED PATIENTS/GUARANTORS -PATIENTS/GUARANTORS WHO FAIL TO MEET THE REQUIREMENTS OF A NEGOTIATED PAYMENT ARRANGEMENT THE FOLLOWING IS THE BAD DEBT POLICY: -IF NO PAYMENT IS RECEIVED AFTER THE THIRD STATEMENT, AND THE BALANCE IS AT LEAST 15 DAYS AFTER THE 3RD CYCLE BILL DATE AND NOT MORE THAN 90 DAYS FROM THE FIRST STATEMENT DATE, STANDARD BALANCES ARE SYSTEMATICALLY REFERRED TO THE COLLECTION EXTERNAL AGENCY AND WRITTEN OFF TO BAD DEBT EXPENSE. -EXCEPTIONS TO STANDARD BAD DEBT ACCOUNTS, INCLUDING RETURNED MAIL, LAPSED PAYMENT ARRANGEMENTS, DECEASED PATIENTS AND BANKRUPTCIES ARE MANUALLY ASSIGNED TO BAD DEBT EXPENSE AND FORWARDED TO THE COLLECTION AGENCY. -COLLECTION AGENCY IS INSTRUCTED TO NOT REPORT ACCOUNTS TO THE CREDIT BUREAUS UNTIL AFTER THE FIRST 3 MONTHS OF COLLECTION ACTIVITY. -JUSTIFICATION FOR MANUALLY ASSIGNED (NON STANDARD) BAD DEBT WRITE-OFFS IS RECORDED IN THE PATIENT'S ELECTRONIC BILLING RECORD. -STAFF MEMBERS ARE AUTHORIZED TO REVERSE THE DECISION TO REFER AN ACCOUNT TO A COLLECTION AGENCY WHEN A MISTAKE IS DISCOVERED THAT CAUSED THE ASSIGNMENT TO BE MADE IN ERROR OR WHEN NEW INFORMATION ABOUT INSURANCE COVERAGE IS RECEIVED. -AFTER BAD DEBT ASSIGNMENT, SPONSORED CARE IS OFFERED BY AGENCY IF PATIENT CONTACTS THEM AND STATES THEY CANNOT PAY. |
| PART III, LINE 4, BAD DEBT EXPENSE | BAD DEBT EXPENSE IS DESCRIBED IN THE AUDITED FINANCIAL STATEMENT FOOTNOTES ON PAGE 9 UNDER SECTION (F) ACCOUNTS RECEIVABLE AND (G) PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND RETROACTIVITY. |
| PART III, LINE 8, MEDICARE SHORTFALL | GROUP HEALTH FILES A LOW VOLUME MEDICARE COST REPORT WHICH INCLUDES ONLY STATISTICAL USAGE INFORMATION. THE LOW VOLUME REPORT DOES NOT INCLUDE THE PAYMENT FROM CMS OR COST INFORMATION FOUND IN FULL COST REPORTS. GROUP HEALTH USES INTERNAL MEDICARE CHARGE AND REVENUE INFORMATION TO COMPUTE A COST TO CHARGE RATIO FOR ITS CENTRAL HOSPITAL MEDICARE COSTS. GROUP HEALTH DOES NOT INCLUDE ANY MEDICARE SHORTFALL AS COMMUNITY BENEFIT. |
| PART III, LINE 9, COLLECTION POLICY | BAD DEBT EXPENSE IS RECOGNIZED WHEN A PATIENT WHO IS DETERMINED TO HAVE THE FINANCIAL CAPACITY TO PAY FOR SERVICES IS UNWILLING TO SETTLE THE BILL. STANDARD PRACTICE IS TO REFER ACCOUNTS FOR COLLECTION 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, LINE 20D | 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 | WORK HAS BEGUN TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE. GROUP HEALTH HAS STARTED CONVERSTIONS AND INTERVIEWS WITH BOTH INTERNAL AND EXTERNAL INDIVIDUALS REPRESENTING PUBLIC HEALTH, CITY GOVERNMENT, THE HEALTHCARE SAFETY NET, CULTURAL COMMUNITIES, SCHOOLS AND HEALTH ADVOCACY IN KING COUNTY. GROUP HEALTH 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 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 | 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% OF THE FEDERAL POVERTY LEVEL (FPL). THE HEALTH CARE ASSISTANCE PROGRAM IS FOR ENROLLEES SEEKING ANY MEDICAL CARE OR SERVICE AT A GROUP HEALTH FACILITY AND WHO ARE AT OR BELOW 250% FPL. GROUP HEALTH INFORMS PATIENTS ABOUT SPONSORED CARE AS FOLLOWS: 1. GROUP HEALTH DISPLAYS POSTERS AT THE MAIN ENTRANCES OF GROUP HEALTH HOSPITAL, AND 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 | GROUP HEALTH'S PRIMARY EXEMPT PURPOSE IS TO PROVIDE COMPREHENSIVE, PREVENTION-ORIENTED HEALTH CARE SERVICES. BENEFICIARIES OF THIS PURPOSE ARE GROUP HEALTH ENROLLEES AND NON-ENROLLED PATIENTS. GROUP HEALTH ALSO PROVIDES HEALTH IMPROVEMENT-RELATED EDUCATION AND INFORMATION, FINANCIAL AND OTHER SUPPORT TO COMMUNITY-BASED ORGANIZATIONS, WITH A FOCUS ON PREVENTION AND WELLNESS, AND CONDUCTS RESEARCH ACTIVITIES THAT BENEFIT THE BROADER COMMUNITY. TO FULFILL ITS PURPOSE, GROUP HEALTH PROVIDES OUTPATIENT PRIMARY AND SPECIALTY CARE AS WELL AS SOME INPATIENT ACUTE AND SUB-ACUTE CARE THROUGH THE SERVICES OF SALARIED PHYSICIANS, NURSES, AND OTHER HEALTH CARE PROVIDERS. THE SALARIED PHYSICIANS ARE EMPLOYED BY GROUP HEALTH PERMANENTE, P.C., AN ORGANIZATION WITH WHOM GROUP HEALTH HAS AN EXCLUSIVE CONTRACT. AS OF YEAR-END 2012, 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, 20 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%) AND OTHER (3%). IN 2012, GROUP HEALTH AND ITS WHOLLY-OWNED SUBSIDIARIES, GROUP HEALTH OPTIONS, INC. AND KPS HEALTH PLANS, PROVIDED HEALTH CARE COVERAGE AND SERVICES TO APPROXIMATELY 644,000 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 2012, 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 2012 MEDICAID ENROLLMENT AVERAGED 18,000. IN ADDITION, IN 2012, GROUP HEALTH SERVICED APPROXIMATELY 7,500 BASIC HEALTH MEMBERS, LARGELY LOW-INCOME ADULTS IN 5 COUNTIES ACROSS THE STATE. GROUP HEALTH HELD A HEALTHY OPTIONS AND A BASIC HEALTH CONTRACT BUT ONLY FOR THE FIRST 6 MONTHS OF 2012. DURING THE LAST 6 MONTHS OF 2012, WASHINGTON STATE CHANGED AND NARROWED ITS CONTRACTING PRACTICE FOR THESE PROGRAMS, AND GROUP HEALTH DISCONTINUED ITS RELATIONSHIP WITH THE STATE OF WASHINGTON AS A HEALTH PLAN IN THESE TWO LINES OF BUSINESS. INSTEAD, GROUP HEALTH'S DELIVERY SYSTEM SERVED PATIENTS AS A CONTRACTOR FOR SERVICES THROUGH MOLINA HEALTHCARE OF WASHINGTON. FOR THE LAST 6 MONTHS OF 2012, AN AVERAGE OF 13,000 HEALTHY OPTIONS AND 5,000 BASIC HEALTH PATIENTS RECEIVED CARE THROUGH GROUP HEALTH PRIMARY CARE AND SPECIALTY CARE PROVIDERS VIA THIS CONTRACT. IN ADDITION, GROUP HEALTH'S FAMILY BEGINNINGS UNIT (FBU) IN SEATTLE PROVIDES LABOR AND DELIVERY AND NEONATAL INTENSIVE CARE UNIT SERVICES TO MEDICAID PATIENTS, WITH GROUP HEALTH PHYSICIANS AND NURSE MIDWIVES DELIVERING NEWBORNS. CONTRACTS WITH SEVERAL COMMUNITY HEALTH CLINICS AND FEDERALLY QUALIFIED HEALTH CENTERS 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 2012, OVER 1,700 PATIENTS WERE TREATED IN OUR BIRTHING FACILITY, ONE OF THE FEW IN SEATTLE THAT ALLOWS CERTIFIED NURSE MIDWIFE BIRTHING FOR ALL PATIENTS. FINALLY, THE GROUP HEALTH TEEN PREGNANCY AND PARENTING CLINIC PROVIDES COMPREHENSIVE WOMEN, INFANTS AND CHILDREN AND OTHER HEALTH CARE SERVICES TO BOTH GROUP HEALTH AND NON-GROUP HEALTH LOW-INCOME TEENAGERS AND YOUNG ADULTS. IN 2012, THE TOTAL NUMBER OF PATIENTS TREATED WAS 3,366. |
| PART VI, LINE 5, PROMOTION OF COMMUNITY HEALTH | GROUP HEALTH CONDUCTS PRACTICAL, PUBLIC DOMAIN RESEARCH TO IMPROVE HEALTH CARE THROUGHOUT THE COMMUNITY AND NATION THROUGH THE GROUP HEALTH RESEARCH INSTITUTE (GHRI). SINCE GHRI'S INCEPTION IN 1983, GHRI INVESTIGATORS HAVE PUBLISHED MORE THAN 3,700 SCIENTIFIC PAPERS AND HAVE MADE MAJOR CONTRIBUTIONS TO EFFECTIVE CARE OF CHRONIC CONDITIONS SUCH AS DIABETES, BACK PAIN, CARDIOVASCULAR DISEASE, AND DEPRESSION. GHRI RESEARCHERS DEVELOP AND STUDY WAYS TO HELP PEOPLE MAKE INFORMED MEDICAL DECISIONS, QUIT SMOKING, AND FIGHT OBESITY. OTHER RESEARCH IS IMPROVING THE SAFETY AND EFFICACY OF MEDICATIONS, IMMUNIZATIONS, MEDICAL IMAGING, AND CANCER SCREENING. GHRI IS A GLOBALLY RECOGNIZED LEADER IN PREVENTIVE MEDICINE, HEALTHY AGING, WOMEN'S HEALTH, AND CANCER CONTROL, ALL USING CUTTING-EDGE DATA ANALYSIS AND HEALTH INFORMATION TECHNOLOGY. GHRI INVESTIGATORS ARE HELPING DEVELOP AND EVALUATE GROUP HEALTH'S ADVANCED PRIMARY CARE MEDICAL HOME MODEL, WHICH IMPROVES PATIENT EXPERIENCES WHILE DIRECTLY ADDRESSING THE NEED FOR EVIDENCE ON HOW HEALTH SYSTEMS CAN CONTAIN UNSUSTAINABLE COSTS WHILE PROVIDING HIGH-QUALITY CARE. GHRI'S PATIENT-CENTERED, COMPARATIVE EFFECTIVENESS RESEARCH ALIGNS WITH NATIONAL CHANGES BROUGHT ABOUT BY HEALTH REFORM AS WELL AS THE CARE NEEDS OF ITS COMMUNITY. IN ADDITION, GHRI'S CENTER FOR COMMUNITY HEALTH AND EVALUATION LEADS EVALUATIONS OF HEALTH-RELATED PROGRAMS AND INITIATIVES NATIONALLY, CONTRIBUTING TO IMPROVEMENTS IN HEALTH OUTCOMES FOR THE MYRIAD OF COMMUNITIES IT SERVES. GROUP HEALTH ENGAGES IN A VARIETY OF HEALTH PROMOTION ACTIVITIES. GROUP HEALTH PHYSICIAN AND STAFF VOLUNTEERS PROVIDED NO-COST MEDICAL SUPPORT AT MEDICAL TENTS SET UP AT THE SITES OF SEVERAL ACTIVITIES AND EVENTS WITH WIDE PUBLIC PARTICIPATION. THIS SUPPORT RANGED FROM BASIC FIRST AID TO ADVANCED MEDICAL SUPPORT AND STABILIZATION FOR PARTICIPANTS NEEDING TO BE TRANSFERRED TO A HIGHER LEVEL OF CARE. GROUP HEALTH ALSO ACTIVELY PROMOTES HEALTHY LIFESTYLES BY SPONSORING ACTIVITIES HOSTED BY ORGANIZATIONS SUCH AS THE CASCADE BICYCLE CLUB AND THE YOUTH PROGRAMS OF THE YMCA DESIGNED TO HELP AT-RISK YOUTH AND LOW INCOME COMMUNITIES STAY SAFE AND HEALTHY AND ACCESS RESOURCES TO IMPROVE THEIR HEALTH. 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 SUCH AS ABUSE AND ACCIDENTAL POISONING. IN 2012, GROUP HEALTH DISPOSED OF OVER 19,000 POUNDS OF UNUSED MEDICATIONS. |
| PART VI, LINE 6, AFFILIATED HEALTH CARE SYSTEM | GROUP HEALTH COOPERATIVE IS ONE OF THE NATION'S LARGEST CONSUMER GOVERNED HEALTH CARE ORGANIZATIONS. GROUP HEALTH IS GOVERNED BY AN INDEPENDENT BOARD OF TRUSTEES COMPRISED OF 11 ENROLLED MEMBERS ALL OF WHOM RESIDE IN THE GROUP HEALTH SERVICE AREA AND ARE ELECTED BY GROUP HEALTH'S VOTING MEMBERSHIP. VOTING MEMBERSHIP IS OPEN TO ALL GROUP HEALTH ENROLLEES OVER THE AGE OF 18. GROUP HEALTH COOPERATIVE HAS A WHOLLY-OWNED SUBSIDIARY, THE GROUP HEALTH FOUNDATION, WHICH IS ALSO A 501(C)(3) ORGANIZATION. THE PURPOSE OF THE GROUP HEALTH FOUNDATION IS TO IMPROVE THE HEALTH OF COMMUNITIES IN PARTNERSHIP WITH GROUP HEALTH COOPERATIVE AND GROUP HEALTH RESEARCH INSTITUTE. GROUP HEALTH FOUNDATION INVESTS IN RESEARCH RELATED TO HEALTH CARE INNOVATION, QUALITY OUTCOMES AND COMMUNITY PARTNERSHIPS AND PROVIDES TECHNICAL ASSISTANCE AND GRANTS, AS WELL AS SPONSORING SPECIFIC PROGRAMS, TO PROMOTE CHILDREN'S HEALTH AND FITNESS, PREVENTIVE CARE AND HEALTH EDUCATION AND DIVERSITY. GROUP HEALTH FOUNDATION IS CURRENTLY ENGAGED IN A MULTI-YEAR PROGRAM WITH ORGANIZATION 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 OVER 1,300 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) AND AN OPTOMETRY RESIDENCY IN 2 MEDICAL CENTER LOCATIONS, GROUP HEALTH COOPERATIVE AND GROUP HEALTH PERMANENTE PARTICIPATE IN THE TRAINING OF OVER A DOZEN MEDICAL SPECIALTIES AND AN ADDITIONAL 20+ MID-LEVEL AND NON-PHYSICIAN TRAINING PROGRAMS, INCLUDING THOSE FOR CRITICAL SHORTAGE PROFESSIONS SUCH AS NURSING, PHYSICAL THERAPY AND PHARMACY. 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 DISSEMINATION AND COMMUNITY-WIDE PRACTICE OF EVIDENCE-BASED MEDICINE AND OUTCOMES IMPROVEMENT BY SHARING CLINICAL GUIDELINES, QUALITY IMPROVEMENT EFFORTS AND PROTOCOLS RELATED TO SHARED DECISION-MAKING AND OTHER PATIENT ENGAGEMENT TOOLS, LEAN PROCESS IMPROVEMENTS IN CLINICAL CARE, THE MEDICAL HOME TEAM-BASED CARE MODEL, THE CHRONIC CARE MODEL, AND OTHER CARE INNOVATIONS. 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 2012, 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 VI, LINE 7, STATE FILING OF COMMUNITY BENEFIT REPORT | THIS QUESTION IS NOT APPLICABLE. |
| PART VI, LINE 8, FACILITY REPORTING GROUP(S) | 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 (20 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg |
|---|---|---|---|---|---|---|
| Scott Elliot Armstrong | ||||||
| CEO & President | 946108 | 163797 | 201900 | 28444 | 1340249 | |
| Richard Edward Magnuson | ||||||
| EVP; Chief Finl & Adm Officer | 537406 | 193681 | 28724 | 13079 | 772890 | |
| Rick Dale Woods | ||||||
| EVP & General Counsel | 456845 | 47019 | 205100 | 12953 | 721917 | |
| Scott Boyd | ||||||
| VP; Finance | 299458 | 2624 | 56116 | 6400 | 364598 | |
| Sarah Barian Yates | ||||||
| VP & Deputy General Counsel | 280334 | 13281 | 28724 | 18992 | 341331 | |
| Breton Clark Myers | ||||||
| Assistant Treasurer | 231136 | 313 | 25790 | 6458 | 263697 | |
| Robert O'Brien | ||||||
| EVP; Health Plan Division | 655223 | 12208 | 83214 | 19523 | 770168 | |
| Mark Szalwinski | ||||||
| EVP; Group Practice Division | 387645 | 40817 | 62782 | 22816 | 614060 | 100000 |
| Cynthia Johnson | ||||||
| EVP; HR | 353780 | 41942 | 28724 | 10309 | 434755 | |
| Brian Harris | ||||||
| VP; Network Svc & Care Mgmt | 279206 | 79597 | 2404 | 15858 | 377065 | |
| Michael Erikson | ||||||
| VP; Primary Care and Market De | 302583 | 61641 | 28254 | 13020 | 405498 | |
| Randy Barker | ||||||
| VP; APPLE Division | 268828 | 21546 | 26033 | 19590 | 335997 | |
| Ellen Suzanne Daly | ||||||
| VP; Ntwrk Svc & Provdr Reltns | 236040 | 2497 | 48959 | 24034 | 351530 | 40000 |
| Laura McMillan | ||||||
| VP Strategic Planning & Deploy | 216898 | 36672 | 4408 | 6535 | 264513 | |
| Joel Suelzle | ||||||
| VP; Health Plan Administration | 369055 | 65206 | 189450 | 15782 | 639493 | |
| Eric Larson | ||||||
| VP; Group Health Research Inst | 326854 | 35854 | 28724 | 29704 | 421136 | |
| Hope Wiljanen | ||||||
| Consult; Lean Sensei Sr | 247469 | 706 | 26807 | 11780 | 361762 | 75000 |
| Laura Rehrmann | ||||||
| VP, Community Responsibility | 274356 | 34575 | 28270 | 6762 | 343963 | |
| Deborah Huntington | ||||||
| VP; Sales | 279557 | 93547 | 28025 | 18810 | 419939 | |
| Pamela Ann MacEwan | ||||||
| Asst Secretary | 327212 | 47695 | 13734 | 15209 | 403850 | |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| First Class Travel | Schedule J, Part I, Line 1a | Per the Group Health expense reimbursement policy, air travel is to be booked at coach class unless pre-authorized by the approving manager. The compensation committee of the board of Group Health authorized first-class travel for the President/CEO due to extensive amount of required business travel during 2012. First-class travel expense is not reported as taxable compensation as it is only reimbursed when incurred for business purposes. |
| Social Club Dues | Schedule J, Part 1, Line 1a | All employees are responsible for following all of Group Healths 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 1, 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 calendar 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. Executive receiving severance payments in 2012: Pamela MacEwan, Asst Secretary 183,019 Brian Harris, VP, Network Svc & Care Mgmt, 134,000 Joel Suelzle, VP, Health Plan Administration, 91,442 |
| 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 2012 as follows: SERP Distributions Pamela Ann MacEwan, Asst Secretary, 17,108 Brian Harris, VP, Network Svc & Care Mgmt, 3,801 Joel Suelzle, VP, Health Plan Administration, 31,404 SERP Contributions - Vested Scott Elliot Armstrong, CEO & President, 139,617 Richard Edward Magnuson, EVP, Chief Fin'l & Adm Officer, 179,004 Rick Dale Woods, EVP & General Counsel, 39,462 Sarah Barian Yates, VP & Deputy General Cousel, 9,519 Pamela Ann MacEwan, Asst Secretary, 26,488 Cynthia Johnson, EVP, HR, 30,579 Brian Harris, VP, Network Svc & Care Mgmt, 71,552 Michael Erikson, VP, Primary Care and Mkt Development, 50,700 Randy Barker, VP, Apple Division, 16,138 Laura McMillan, VP Strategic Planning & Deployment, 34,404 Joel Suelzle, VP, Health Plan Administration, 27,215 Eric Larson, VP, Group Health Research Institute, 20,579 Laura Rehrmann, VP, Community Responsibility, 23,760 Deborah Huntington, VP, Sales, 87,556 SERP Contributions - NonVested Scott Boyd, VP, Finance, 27,459 Robert O'Brien, EVP, Health Plan Division, 59,490 Mark Szalwinski, EVP, Group Practice Division, 35,308 Ellen Suzanne Daly, VP, Network Svc & Provider Rltns, 21,704 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Washington Health Care Facilities Authority | 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) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| 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) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0 | PrcntgePrvtBusinessUseByOthers |
| Bond Iss Meet Prvt Security Pay Test | true | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedProp |
| Remedial Action Taken | false | RemedialActionTaken |
| Non Qualified Bond Remed Procdrs | true | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of GIC | 10. | TermOfGIC |
| Regulatory Safe Harbor Satisfied | true | RegulatorySafeHarborSatisfied |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | true | ProcToUndertkCorrectiveAction |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (17 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 PREPARE THE RETURN AND INVOLVES MANY MEMBERS OF MANAGEMENT IN REVIEW OF THE RETURN. THE FORM 990 IS THEN REVIEWED BY GHC MANAGEMENT FOR ACCURACY AND COMPLETENESS PRIOR TO BEING PRESENTED TO GHC'S AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES (A DULY CONSTITUTED COMMITTEE OF THE BOARD). THE FINAL DRAFT FORM 990 IS PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW AND DISCUSSION. THE FINAL DRAFT FORM 990 IS ALSO PROVIDED TO THE FULL BOARD OF TRUSTEES FOR REVIEW AND INFORMATION BEFORE THE RETURN IS FILED. |
| ORGANIZATION'S MONITORING AND ENFORCEMENT OF CONFLICT OF INTEREST POLICY | FORM 990, PART VI, SECTION B, LINE 12C | GROUP HEALTH 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 2012 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 2011. |
| ORGANIZATION'S DOCUMENTS AVAILABLE TO THE PUBLIC | FORM 990, PART VI, SECTION C, LINE 19 | BYLAWS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND THE FORM 990 AND 990-T ARE MADE AVAILABLE TO THE GENERAL PUBLIC THROUGH GHC'S WEBSITE AND BY PROVIDING PAPER COPIES UPON REQUEST. COPIES OF THE CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST. |
| RECONCILIATION OF NET ASSETS | PART XI, LINE 9 | MEMBERSHIP $(56,625) CAPITAL DUES $(64,125) TEMP RESTRICTED $1,395,134 PERM RESTRICTED $79,198 OTHER COMPREHENSIVE INCOME $(68,096,331) RETAINED EARNINGS $(1,974,246) UNREALIZED GAIN/(LOSS) FROM AFFILIATES $26,426,063 ------------- TOTAL OTHER CHANGES IN NET ASSETS $(42,290,932) |
| OTHER FEES FOR SERVICES FOR NON-EMPLOYEES | FORM 990 PART IX LINE 11G | DESCRIPTION:FACILITY SUPPORT SERVICES TOTAL FEES:XXX-XX-XXXX |
| OTHER FEES FOR SERVICES FOR NON-EMPLOYEES | FORM 990 PART IX LINE 11G | DESCRIPTION:HOME CARE SERVICES TOTAL FEES:8354953 |
| OTHER FEES FOR SERVICES FOR NON-EMPLOYEES | FORM 990 PART IX LINE 11G | DESCRIPTION:HOSPICE SERVICES TOTAL FEES:5361487 |
| OTHER FEES FOR SERVICES FOR NON-EMPLOYEES | FORM 990 PART IX LINE 11G | DESCRIPTION:INPATIENT SERVICES TOTAL FEES:XXX-XX-XXXX |
| OTHER FEES FOR SERVICES FOR NON-EMPLOYEES | FORM 990 PART IX LINE 11G | DESCRIPTION:O/S LABOR TOTAL FEES:12848520 |
| OTHER FEES FOR SERVICES FOR NON-EMPLOYEES | FORM 990 PART IX LINE 11G | DESCRIPTION:OUTPATIENT SERVICES TOTAL FEES:XXX-XX-XXXX |
| OTHER FEES FOR SERVICES FOR NON-EMPLOYEES | FORM 990 PART IX LINE 11G | DESCRIPTION:PERMANENT MEDICAL SERVICES TOTAL FEES:XXX-XX-XXXX |
| OTHER FEES FOR SERVICES FOR NON-EMPLOYEES | FORM 990 PART IX LINE 11G | DESCRIPTION:PHARMACY TOTAL FEES:49966904 |
| OTHER FEES FOR SERVICES FOR NON-EMPLOYEES | FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER TOTAL FEES:6402407 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| Columbia Medical Associates LLC | |||||||||
| 1003 East Trent Suite 150 | Spokane | WA | 99202 | 200986848 | COMP MED CARE | WA | 19655825 | 5826034 | GHC |
| Columbia Clinic LLC | |||||||||
| 1003 East Trent Suite 150 | Spokane | WA | 99202 | Inactive | WA | CMA LLC | |||
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 Ste 100 | Seattle | WA | 981095233 | 911246278 | Foundation | WA | 501(c)(3) | 7 | GHC | true |
| Auxiliary of Group Health Cooperative | ||||||||||
| 320 Westlake Ave N Ste 100 | Seattle | WA | 981095233 | 237438071 | Auxiliary | WA | 501(c)(3) | 11, Type I | GHC | true |
| Group Health Northwest | ||||||||||
| 320 Westlake Ave N Ste 100 | Seattle | WA | 981095233 | 911216856 | Inactive | WA | 501(c)(3) | 11, Type I | GHC | 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 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Group Health Options Inc | ||||||||||||
| 320 Westlake Ave North Suite 100 | Seattle | WA | 981095233 | 911467158 | Insurance | WA | GHC | C Corp | 1015725640 | 219237606 | 1.00000 | true |
| KPS Health Plans | ||||||||||||
| 400 Warren Ave | Bremerton | WA | 98337 | 910540525 | Insurance | WA | GHC | C Corp | 126085745 | 53824635 | 1.00000 | true |
| Group Health Services Inc | ||||||||||||
| 320 Westlake Ave North Suite 100 | Seattle | WA | 981095233 | 911392222 | Inactive | WA | GHC | C Corp | 1.00000 | true | ||
| Group Health of Washington | ||||||||||||
| 320 Westlake Ave North Suite 100 | Seattle | WA | 981095233 | 911314907 | Inactive | WA | GHC | C Corp | 1.00000 | true | ||
| 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 |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| 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 | true | 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 (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Group Health Options Inc | ||
| L | 309902064 | FMV |
| Group Health Options Inc | ||
| A | 31857 | FMV |
| KPS Health Plans | ||
| L | 3103719 | FMV |
| Group Health Foundation | ||
| C | 1774421 | Cash |
| AUXILIARY OF GROUP HEALTH COOPERATIVE | ||
| C | 304274 | CASH |
| GROUP HEALTH FOUNDATION | ||
| B | 304274 | CASH |