STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

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

View the entire original 990 at ProPublica ↗

Organization
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (EIN 93-0798039)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201243189349302264
Schema version
2011v1.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-13T11:33:46-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PRICEWATERHOUSCOOPERS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1700AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN930798039EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1KAISER FOUNDATION HEALTH PLANBusinessNameLine1
Business Name Line2OF THE NORTHWESTBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of Name% VP - NATIONAL TAX COMPLIANCEInCareOfName
Name ControlKAISNameControl
Phone5102716611Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE KAISER PLAZA 15LAddressLine1
CityOAKLANDCity
StateCAState
ZIP Code94612ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDEBORAH STOKESName
TitleSVP, CC & CAOTitle
Phone5102716385Phone
Date Signed2012-11-02DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone2673303000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonANDREW R MCCULLOCHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1ONE KAISER PLAZA 15LAddressLine1
CityOAKLANDCity
StateCAState
ZIP Code94612ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3202133905GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileORStateLegalDomicile
Activity Or Mission DescriptionTo provide high-quality, affordable health care services to improve the health of our members and the communities we serve.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees7000TotalNbrEmployees
Total Nbr Volunteers102TotalNbrVolunteers
Total Gross UBI6615880TotalGrossUBI
Contributions Grants Prior Year56498ContributionsGrantsPriorYear
Contributions Grants Current Year34240ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2682950846ProgramServiceRevenuePriorYear
Program Service Revenue CY2817773409ProgramServiceRevenueCY
Investment Income Prior Year29927694InvestmentIncomePriorYear
Investment Income Current Year21487196InvestmentIncomeCurrentYear
Other Revenue Prior Year13216018OtherRevenuePriorYear
Other Revenue Current Year24729746OtherRevenueCurrentYear
Total Revenue Prior Year2726151056TotalRevenuePriorYear
Total Revenue Current Year2864024591TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year338109GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY274273GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year661685670SalariesEtcPriorYear
Salaries Etc Current Year726642417SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2042758098OtherExpensePriorYear
Other Expenses Current Year2123400985OtherExpensesCurrentYear
Total Expenses Prior Year2704781877TotalExpensesPriorYear
Total Expenses Current Year2850317675TotalExpensesCurrentYear
Revenues Less Expenses Prior Year21369179RevenuesLessExpensesPriorYear
Revenues Less Expenses CY13706916RevenuesLessExpensesCY
Total Assets BOY1024197650TotalAssetsBOY
Total Assets EOY1228271737TotalAssetsEOY
Total Liabilities BOY941102794TotalLiabilitiesBOY
Total Liabilities EOY1266392539TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY83094856NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-38120802NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2670637561Expense
Grants0Grants
Revenue2796342897Revenue
DescriptionMEMBER HEALTH CARE SERVICES AND MEDICAL TRAINING FOR CARE IMPROVEMENT KAISER FOUNDATION HEALTH PLAN OF NORTHWEST (KFHP OF NORTHWEST) PROVIDES HOSPITAL, MEDICAL, AND SURGICAL CARE, INCLUDING URGENT CARE SERVICES, EXTENDED CARE AND HOME HEALTH CARE, FOR ITS MEMBERS WITHOUT REGARDS TO AGE, SEX, RACE, RELIGION OR NATIONAL ORIGIN OR THE ABILITY TO PAY. KFHP OF NORTHWEST EDUCATES AND TRAINS MEDICAL STUDENTS AND OTHER HEALTH CARE PROFESSIONALS AND PROMOTES SCIENTIFIC AND NURSING EDUCATION IN ORDER TO IMPROVE CARE. ADDITIONAL INFORMATION ABOUT NORTHWEST HEALTH PLAN'S CHARITABLE ACTIVITIES CAN BE FOUND IN SCHEDULE O.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense28071122Expense
Grants0Grants
Revenue14671517Revenue
DescriptionParticipation in Medicaid and Other Government Sponsored Programs Northwest Health Plan is committed to improving the way Medicaid beneficiaries receive care, not only in our facilities, but also in the communities we serve. In 2011, Northwest Health Plan participated in a number of government programs. Medicaid Managed Care - providing comprehensive care for more than 7,603 managed care members and the Medicaid FFS program. ADDITIONAL INFORMATION ABOUT NORTHWEST HEALTH PLAN'S CHARITABLE ACTIVITIES CAN BE FOUND IN SCHEDULE O.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense15596865Expense
Grants0Grants
Revenue150741Revenue
DescriptionCharitable Care (Medical Financial Assistance and Charitable Coverage) Health Plan provides charity care to low-income vulnerable patients through the Medical Financial Assistance (MFA) and Charitable Health Coverage (CHC) Programs. MFA - Health Plan offers financial assistance to help families and individuals that are unable to pay for all or part of the cost of urgent or emergent care provided in Kaiser Permanente facility. CHC - these programs are available to low income adults and children who are not eligible for other public or privately sponsored coverage. More than 4,583 patients received comprehensive care for up to four years through these programs. ADDITIONAL INFORMATION ABOUT NORTHWEST HEALTH PLAN'S CHARITABLE ACTIVITIES CAN BE FOUND IN SCHEDULE O.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense1947358Expense
Grants274273Grants
Revenue0Revenue
DescriptionSEE SCHEDULE O COMMUNITY BENEFIT REPORTDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1947358TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt274273TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense2716252906TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10964290NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees7000NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonVP - NATIONAL TAX COMPLIANCENamePerson
Telephone Number5102716385TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE KAISER PLAZA 15LAddressLine1
CityOAKLANDCity
StateCAState
ZIP Code94612ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (37 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Christine Cassel
Director0.5X01845000
Thomas Chapman
Director1.0X019169589109
Daniel Garcia
SVP, Chief Compliance Officer2.0X0122876573604
William Graber
Director0.5X02082690
J Eugene Grigsby III
Director1.0X02109000
George Halvorson
Chairman and CEO5.0X0786191574595X
Judith Johansen
Director0.5X02000750
Kim J Kaiser
Director0.5X01245000
Philip Marineau
Director0.5X02007690
Jenny Ming
Director0.3X01792690
Edward Pei
Director0.5X017300016500
Margaret Porfido
Director0.5X0350130
J Neal Purcell
Director0.5X02348580
Cynthia Telles
Director0.5X02046130
Sandra Thompkins
Director0.5X0390310
Kathryn Lancaster
EVP & CFO4.002109102289626X
Donna Lynne
Group President & Region Pres.4.001314917222947X
Andrew McCulloch
Region President - Northwest25.00818911219483X
Thomas Meier
SVP, Corporate Treasurer3.00802247110802X
Donald Orndoff
SVP, NFS5.00634274137999X
Arthur Southam
EVP, HP Operations5.002649224348687X
Deborah Stokes
SVP, CC & CAO4.00720302118018X
Bernard Tyson
President & COO5.002800296482152X
William Wiechmann
VP, Regional Counsel - NW50.0043253578860X
Victoria Zatkin
VP, Off of Brd & Corp Gov Svcs4.0031476884531X
Mark Zemelman
SVP, Gen Counsel & Secretary3.00778576191923X
Mark Charpentier
VP, Mktg, Sls & Bus Devel30.0041340085710X
Mark Enger
VP, Chief Operations Officer30.00631009107523X
Susan Hennessy
VP, Strategic Planning & Hlth30.00805850293708X
Susan Mullaney
Hospital Admin - Sunnyside30.0030029841231X
Karen Schartman
VP & CFO30.0048469286025X
Stephen Shawn Barton
Exec Dir, Revenue Cycle - NW30.0028322430064X
Mary Durham
VP, The Center Health Research30.00332723106604X
Eleanor Godfrey
VP, Quality & Service30.0028028088227X
Michael Kinard
Ambulatory Care Svc Leader30.0031905474903X
Richie Smith
VP, HR - NW30.0035454070580X
Steven Zatkin
Consultant0.0057412176925X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs29431515TotalReportableCompFrmRltdOrgs
Total Other Compensation3600336TotalOtherCompensation
Number Individuals GT100 K761NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
NORTHWEST PERMANENTE PC
500 NE MULTNOMAH STREETPORTLANDOR97232MEDICAL SERVICES441565100
PERMANENTE DENTAL ASSOCIATES
500 NE MULTNOMAH STREETPORTLANDOR97232DENTAL SERVICES39239107
PEACEHEALTH
1615 DELAWARE STLONGVIEWWA98632HOSPITAL SERVICES20629206
OREGON HEALTH SCIENCE UNIVERSITY
3181 SW SAM JACKSON PARK RDPORTLANDOR97201HOSPITAL SERVICES22473400
KAISER FOUNDATION HOSPITALS
500 NE MULTNOMAH STREETPORTLANDOR97232HOSPITAL SERVICES641834284
FieldValueIRS element (for citing)
Number Of Contractors GT100 K286NumberOfContractorsGT100K
All Other Contributions34240AllOtherContributions
Total Contributions34240TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MBR HLTH CARE PREM62140020224145182022414518
SUPPL CHARGE/PHARM6214001364500991298418456608254
NON-PLAN & IND REV62140091940939194093
OTHER PRGRM SERV6214001918817519188175
MEDICARE621400630526524630526524
FieldValueIRS element (for citing)
Total Program Service Revenue2817773409TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column18183561TotalRevenueColumn
Exclusion$18,183,561ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1001936Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real551732Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real450204Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column450204TotalRevenueColumn
Unrelated Business Revenue7626UnrelatedBusinessRevenue
Exclusion$442,578ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities340732068Securities
Other129149Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities337222797Securities
Other334785Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3509271Securities
Other-205636Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3303635TotalRevenueColumn
Exclusion$3,303,635ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISC REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column24279542TotalRevenueColumn
Exclusion$24,279,542ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue24279542TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2864024591TotalRevenueColumn
Related Or Exempt Function Income2811165155RelatedOrExemptFunctionIncome
Unrelated Business Revenue6615880UnrelatedBusinessRevenue
Exclusion$46,209,316ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total274273Total
Program Services274273ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total436426262Total
Program Services405774686ProgramServices
Management And General30651576ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total69211288Total
Program Services69211288ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total185335023Total
Program Services166059275ProgramServices
Management And General19275748ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total35669844Total
Program Services35653423ProgramServices
Management And General16421ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1116760Total
Management And General1116760ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1613437Total
Management And General1613437ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total298078Total
Management And General298078ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total450352Total
Management And General450352ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total346068251Total
Program Services320843493ProgramServices
Management And General25224758ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3882013Total
Program Services337756ProgramServices
Management And General3544257ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7872798Total
Program Services7024772ProgramServices
Management And General848026ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total139434939Total
Program Services117507917ProgramServices
Management And General21927022ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total13204281Total
Program Services13202729ProgramServices
Management And General1552ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total2656153Total
Program Services2307966ProgramServices
Management And General348187ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total850651Total
Management And General850651ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2401994Total
Program Services2401994ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total34176808Total
Program Services34176808ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total14332964Total
Program Services14332796ProgramServices
Management And General168ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BASIC CONTRACT PAYMENTS11103209601110320960
SUPPLIES32884647730658531622261161
INTER-REGIONAL CHARGES65612688615069814105707
STATE & LOCAL TAXES2318345523183455

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total27077926Total
Program Services25547018ProgramServices
Management And General1530908ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2850317675Total
Program Services2716252906ProgramServices
Management And General134064769ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5377638BOY
EOY6752684EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY55396885BOY
EOY66729582EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY23191438BOY
EOY23583251EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4963066BOY
EOY4638486EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis588895530LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec331506718LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY246284447BOY
EOY257388812EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY686306705BOY
EOY820134401EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2677471BOY
EOY49044521EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1024197650BOY
EOY1228271737EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY142589262BOY
EOY181729185EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY26266333BOY
EOY24948898EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY772247199BOY
EOY1059714456EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY941102794BOY
EOY1266392539EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY4712722BOY
EOY4712722EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY78382134BOY
EOY-42833524EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY83094856BOY
EOY-38120802EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1024197650BOY
EOY1228271737EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses13706916ReconcilationRevenueExpenses
Reconcilation Other Changes-134922574ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year56498CurrentTaxYearMinus1Year
Current Tax Year34240CurrentTaxYear
Total90738Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2346496968CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2461397785CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2573087902CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2682950846CurrentTaxYearMinus1Year
Current Tax Year2817773409CurrentTaxYear
Total12881706910Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2346496968CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2461397785CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2573087902CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2683007344CurrentTaxYearMinus1Year
Current Tax Year2817807649CurrentTaxYear
Total12881797648Total
FieldValueIRS element (for citing)
Public Support Total50912881797648PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31794233CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years30524341CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26785941CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22587692CurrentTaxYearMinus1Year
Current Tax Year19185497CurrentTaxYear
Total130877704Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31794233CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years30524341CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26785941CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22587692CurrentTaxYearMinus1Year
Current Tax Year19185497CurrentTaxYear
Total130877704Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2378291201CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2491922126CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2599873843CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2705595036CurrentTaxYearMinus1Year
Current Tax Year2836993146CurrentTaxYear
Total13012675352Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98994PublicSupportPercentage509
Prior Year Support Percentage0.98846PriorYearSupportPercentage
Investment Income Percentage0.01006InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01154PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
Form4720 FiledfalseForm4720Filed
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$184,721DirectContactLegislatorsAmount
Rallies DemonstrationstrueRalliesDemonstrations
Rallies Demonstrations$40,408RalliesDemonstrationsAmount
Other ActivitiestrueOtherActivities
Other Activities$72,949OtherActivitiesAmount
Total Lobbying Expenditures IIB298078TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSchedule C, Part II-B, Lines 1a through 1iIdentifier
ExplanationLOBBYING ACTIVITY BY NONELECTING PUBLIC CHARITIES The Organization is a member of the Kaiser Permanente Medical Care Program and participated and benefited from lobbying activities conducted at the regional and national level for the benefit of its enrolled members and for the health care industry as a whole. As an organization generally exempt from income tax under Internal Revenue Code Section 501(c)(3), Health Plan has a policy prohibiting internal involvement in any political campaigns. This policy is closely monitored for compliance. During the year this Organization may have made comments or statements concerning legislation which may affect the health care industry. Health Plan may have engaged in telephone conversations and/or written letters to various federal, state, and local officials regarding matters which affected the healthcare industry as a whole. The amount of time and money involved in the activities is detailed on lines a through i. Health Plan has several employees and/or may retain a professional consultant to represent Health Plan's interests in various legislative and regulatory bodies and from time-to-time to keep informed of Federal and State legislation having an impact on Health Plan's charitable activities as an exempt Health Maintenance Organization. These individuals attempt to ensure that proposed legislation and enacted laws are compatible with the Interest of Health Plan and its members by performing the following activities: (i) Collecting, analyzing and distributing within the Organization, public and private policy recommendations regarding proposed legislation that affect the operation of Health Plan and its ability to provide quality health and medical care services to its members in a cost effective environment. (ii) Providing appropriate informational materials to legislators and to their staffs that pertain to matters of common interest in the health care community and in the not-for-profit community. (iii) Also by preparing written and oral testimony, these individuals appear at legislative hearings, monitor legislative proceedings and meet with legislators and/or their staffs regarding issues pertinent to the mission of Health Plan. Those individuals appearing at such hearings and meetings for and on behalf of Health Plan often are representing the interests of common interest groups as well as the interests of the members of Health Plan. (iv) Other employees and officers perform services by delivering speeches at various public and private functions and in serving as faculty in healthcare related educational programs throughout the community.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis31777408OtherCostOrOtherBasis
Book Value31777408BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis380880969OtherCostOrOtherBasis
Depreciation226201341Depreciation
Book Value154679628BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis21853088OtherCostOrOtherBasis
Depreciation10290595Depreciation
Book Value11562493BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis136630922OtherCostOrOtherBasis
Depreciation85496900Depreciation
Book Value51134022BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis17753143OtherCostOrOtherBasis
Depreciation9517882Depreciation
Book Value8235261BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings257388812TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
SELF-INSURED RISK - PPL$63,394,920
SELF-INSURED RISK - AUTO & UNEMPLOYMENT$385,000
SELF-INSURED RISK - WORKERS COMP$5,174,515
POST RETIREMENT BENEFIT-LT$953,994,770
POST RETIREMENT BENEFIT-CURRT$9,506,014
OTHER LIABILITIES$27,259,237
FieldValueIRS element (for citing)
Total Of Amounts1059714456TotalOfAmounts
Total Revenue2864024591TotalRevenue
Total Expenses2850317675TotalExpenses
Excess Or Deficit For Year13706916ExcessOrDeficitForYear
Net Unrealized GL On Investments-2800671NetUnrealizedGLOnInvestments
Other-$132,121,903OtherAmount
Total Adjustments-134922574TotalAdjustments
Excess Or Deficit Per FS-121215658ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt2854462266TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-2800671NetUnrealizedGainsInvestments
Other Revenues1773342OtherRevenues
Revenue Not Rptd F990-1027329RevenueNotRptdF990
Revenue Subtotal2855489595RevenueSubtotal
Other Revenues Not Included8534996OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt8534996RevenueNotRptdOnFinStmt
Total Revenue Per Form9902864024591TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2975677926TotExpensesEtcAuditedFinclStmt
Other Expenses Included133678499OtherExpensesIncluded
Expenses Not Rptd F990133678499ExpensesNotRptdF990
Expenses Subtotal2841999427ExpensesSubtotal
Other Expenses Not Included8318248OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt8318248ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902850317675TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierExplanationExplanation
Schedule D, Part XI, Line 8Change in Other Comprehensive Income $ (131,015,961) Gain/loss on sale of investments - tax (3,509,271) Gain/loss on sale of investments - book 4,954,272 See "note 1" (2,550,943) TOTAL $ (132,121,903) note 1: other than temporary impairment ("OTTI") of investment recognized for financial statement purposes, which will be tax-reported when realized
Schedule D, Part XII, Line 2dGain/loss on sale of investments - book $ 4,954,272 OTTI Losses (2,550,943) Interentity revenue reclass 7,688,261 Net Internal Interest reclass (2,060,062) Investment management fee reclass (450,352) Bad Debt expense reclass (5,807,834) total $ 1,773,342
Schedule D, Part XII, Line 4bGain/loss on sale of investments - tax 3,509,271 Rental expenses reclass (551,732) Gain/loss on sale of fixed assets reclass (209,330) Miscellaneous revenue reclass 5,786,787 Total $ 8,534,996
Schedule D, Part XIII, Line 2dCHANGE IN OTHER COMPREHENSIVE INCOME $ 131,015,963 Interentity Expense reclass 7,688,261 Misc Expenses reclass (5,786,787) RENTAL EXPENSES RECLASS 551,732 GAIN/LOSS ON SALE OF FIXED ASSETS RECLASS 209,330 Total $ 133,678,499
Schedule D, Part XIII, Line 4bBad Debt expense reclass $ 5,807,834 INVESTMENT MANAGEMENT FEE RECLASS 450,352 Net Internal Interest reclass 2,060,062 Total $ 8,318,248
Schedule D, Part X, QUESTION 2NOT REQUIRED

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Albertina Kerr Centers
424 NE 22nd AvenuePortlandOR97232930386780501(c)(3)7100Spotlight at Kerr 2011 Event Support\Annual Fundra
American Heart Assoc - Pacific Mtn Affiliate
1200 NW Naito Pkwy 220PortlandOR97209135613797501(c)(3)25000Start! Greater Portland Heart & Stroke Walk 2011 E
City of Hillsboro
150 E Main StreetHillsboroOR97123936002183Government7825Celebrate Hillsboro 2011 Other
Dental Foundation of Oregon
PO Box 3710WilsonvilleOR97070930818476501(c)(3)10000Oregon Mission of Mercy (MOM II) Event Support\Hea
Morrison Center
9911 SE Mt Scott BlvdPortlandOR97266930354176501(c)(3)5600Cooking for Kids Series 2011 Event Support\Dinner
Portland Schools Foundation
2069 NE HoytPortlandOR97232931149789501(c)(3)9600Roast Festival 2011 Event Support\Annual Fundraise
CareOregon Community Health LLC
315 SW 5th Ave 900PortlandOR97204272429270501(c)(3)50000Oral Health Initiat
Upstream Public Health
240 N BroadwayPortlandOR97214421579435501(c)(3)50000Water fluoridation
Yamhill County
412 Ford StMcMinnvilleOR97128936002318Government20000Yamhill Cty Dental
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants9TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSchedule I, Part I, Question 2Identifier
ExplanationAt the end of their funding cycle grantees are required to submit a final REPORT WHICH DELINEATES ACCOMPLISHMENTS RELATED TO STATED OBJECTIVES. LARGE GRANTS (TYPICALLY OVER $100,000) MAY REQUIRE QUARTERLY PROGRESS REPORTS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (34 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Stephen Shawn Barton
021188806770903627015728014336031328800
Christine Cassel
018450000000000018450000
Thomas Chapman
0191695000008910900028080400
Mark Charpentier
02298190150739032842071374014336049911000
Mary Durham
0200558097418034747091932014672043932700
Mark Enger
034263401876860100689092851014672073853200
Daniel Garcia
056255106400000262140613080122960130236900
Eleanor Godfrey
0183329065555031396073555014672036850700
William Graber
020826900000000020826900
J Eugene Grigsby III
021090000000000021090000
George Halvorson
0121561305039506016067960613080132870793651000
Susan Hennessy
0289806016291303531310279036014672010995580286854
Judith Johansen
020007500000000020007500
Michael Kinard
023819507602804831060231014672039395700
Kathryn Lancaster
0630520090795305706290276632012994023987280529003
Donna Lynne
0476108047500003638090208108014839015378640323554
Philip Marineau
020076900000000020076900
Andrew McCulloch
0388769035451807562402048110146720103839400
Thomas Meier
03144710339188014858809780801299409130490113944
Jenny Ming
017926900000000017926900
Susan Mullaney
024609305070203503025944015287034152900
Donald Orndoff
037629702353280226490124482013517077227300
Edward Pei
0173000000001650000018950000
J Neal Purcell
023485800000000023485800
Karen Schartman
027679301181440897550730310129940570717073895
Richie Smith
0256676081885015979055630014950042512000
Arthur Southam
07413740117500007328500336623012064029979110688121
Deborah Stokes
0315132033757506759501050240129940838320048521
Cynthia Telles
020461300000000020461300
Bernard Tyson
08926050129000006176910469158012994032824480587707
William Wiechmann
022997701109920915660641880146720511395075817
Steven Zatkin
045000542685026936066393010532065104600
Victoria Zatkin
019267508569203640108257001961039929900
Mark Zemelman
03985020259500012057401793380125850970499080051

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierExplanationExplanation
Schedule J, Part IISteven Zatkin- general council to 6/30/10; consultant 3/4/11 to present. Sandra Thompkins- board of directors to 4/1/11. Schedule J, line 3 kaiser foundation health plan of the northwest relied on kaiser foundation health plan, inc. that used one or more of the methods described below to establish the top management officials' compensation: - Compensation committee - Independent compensation consultant - form 990 of other organizations - written employment contract - compensation survey or study, and - approval by the board or compensation committee
Schedule J, Line 4bGeorge Halvorson $ 1,500,000 Bernard Tyson 587,707 Kathryn Lancaster 529,350 Thomas Meier 114,428 Arthur Southam 688,121 Deborah Stokes 48,521 Steven Zatkin 4,891 Mark Zemelman 81,133 Donna Lynne 323,554 William Wiechmann 75,817 Susan Hennessy 286,854 Karen Schartman 73,895 Some of the listed persons participated in nonqualified supplemental retirement plans. Under these plans, the organization makes annual contributions to accounts held in the name of individual participants. Contributions vary by position level and pay, and vest over time based on age and/or service. Participant accounts are credited with actual investment returns from up to four mutual funds and/or with a fixed rate of interest or a combination thereof. Unvested amounts are subject to risk of forfeiture.
Schedule J, Line 7The organization provided non-fixed payments to some of the persons listed. Payments were made under incentive plans, based on attainment of organizational performance goals and individual performance, designed to support the organization's mission to provide high-quality, affordable care and improve the health of its members and the communities it serves.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (49 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part III, Lines 4a - 4d2011 COMMUNITY BENEFIT REPORT KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST Kaiser Foundation Health Plan of the Northwest or "Northwest Health Plan" is a tax-exempt subsidiary health plan of Kaiser Foundation Health Plan, Inc. (KFHP). Northwest Health Plan as well as Kaiser Foundation Hospitals (KFH) are nonprofit corporations that are part of the integrated health care delivery system known as the Kaiser Permanente Medical Care Program or "Kaiser Permanente." In 2011, Northwest Health Plan served 480,386 medical members and another 195,673 dental members. Kaiser Permanente is an integrated health care delivery system that combines the provision and financing of health care services. People who elect to enroll in a Kaiser Permanente health plan receive a full range of prepaid health care services, including hospital care, professional care in hospitals and physicians' offices, x-ray and laboratory services, physical therapy, emergency, ambulance transportation, preventive services, health education, and certain prescribed drugs. More comprehensive drug coverage is also provided through a separate coverage rider. Membership in KFHP and its health plan subsidiaries is available without regard to sex, race, religion, ethnic background, sexual orientation, occupational status, or income level. Health Plan members are broadly representative of the various ages, social, and income groups within the areas served. Once enrolled, a member is free to maintain membership regardless of age, health status or employment. KAISER PERMANENTE'S COMMITMENT TO THE COMMUNITY Kaiser Permanente believes its Direct Community Benefit Investment (DCBI), is fundamental to being a nonprofit organization. It embodies the organization's commitment to improve the health of communities beyond services to Health Plan members. It is more than traditional corporate citizenship or corporate philanthropy. It is an intentional, planned, budgeted, measurable, accountable creation for better health in our communities. It is done in collaboration with, not in isolation from, the community. DCBI serves to fulfill Kaiser Permanente's social purpose, justify its tax-exempt status, and differentiate it from other health care organizations. This tradition of community benefit dates from the earliest days of the Program, when charitable care to non-employees, and later, nonmembers, was initiated. That heritage has continued through the years in Kaiser Permanente's early participation in publicly financed programs such as Medicaid and Medicare, establishment of residency training and medical research programs, and later, in the development of the Educational Theatre Programs, Safety Net Partnerships, Community Health Initiatives and Charitable Health Coverage Programs. In 2007, the KFHP/H Board of Directors refined the focus of the organization's Community Benefit Program and established the following four priority areas which have come to be known as "streams of work": - Care and Coverage for Low-Income People - Creates and supports programs that lower the financial barriers for the under- and uninsured. - Community Health Initiatives - Designs, delivers, and sustains long-term programs that engage communities in work to improve conditions in their neighborhoods. - Safety Net Partnerships - Builds partnerships with community clinics, local health departments, and public hospitals. Provides funding, technical assistance, dissemination of care management and quality improvements technology to help improve care and expand treatment capacity for vulnerable populations. - Developing and Disseminating Knowledge - Improves health care by sharing our knowledge- educating practitioners, advancing research, empowering consumers and informing policymakers about the evidence base for care and health. The Board elaborated that at least 75% of total community benefit funding will be directed to program priorities within the four streams of work and the remaining 25% of funding will be directed by local regions to respond to local community benefit needs and opportunities that may or may not be within the four priority areas. THE COMMUNITY BENEFIT PROGRAM IN THE NORTHWEST REGION In 2011, Northwest Health Plan expended $51.9 million to support Community Benefit activities. A breakdown of the 2011 Community Benefit dollars attributable to Northwest Health Plan in Oregon and Washington is described in Attachment A. The following identifies many of the signature community benefit programs and services grouped according to the national streams of work funded by Northwest Health Plan in Oregon and Washington. CARE AND COVERAGE FOR LOW-INCOME PEOPLE There are roughly 49 million people in America without access to health care or coverage. Uninsured, low-income individuals and families who are not eligible for public programs often have to rely on traditional charity care. Frequently, individuals in this situation may wait to seek medical care until their conditions become critical, and end up in hospital emergency rooms for treatment of conditions that are preventable or easily treated in earlier stages. In 2011, Health Plan in the Northwest spent approximately $51 million to address the financing and delivery of health care for populations vulnerable due to socio-economic status, illness, ethnicity, age or other factors. Program beneficiaries (under- and uninsured) received free or discounted care in a Kaiser Permanente facility or by a Kaiser Permanente provider. Charitable Care (Financial Assistance Program and Charitable Health Coverage) In Oregon and Washington, Northwest Health Plan provided charity care to low-income vulnerable populations through the Financial Assistance and Charitable Health Coverage Programs. In 2011, the Northwest Health Plan spent $15 million to serve under- and uninsured residents in Oregon and Washington. Financial Assistance Program This program helps pay the medical and dental expenses of patients, both member and nonmember, who meet qualifying guidelines by paying for services at facilities owned and/or operated by the Northwest Health Plan. The length of financial assistance is based on individual need. At the end of the financial assistance award period, the patient may apply for an extension. Kaiser Permanente's charity care program also includes discounted charges for uninsured patients below 400% of the federal poverty guidelines. In 2011, Northwest Health Plan spent $8.0 million and served 5,328 applicants who qualified for medical assistance or the uninsured discount. Charitable Coverage Program Charitable Health Coverage (CHC) is a unique approach to caring for low-income uninsured persons in the community. Participants receive a regular Kaiser Permanente membership card and access to the full range of our service and providers-a much better alternative to a brief and costly emergency room visit or hospitalization. This allows us to invest in the longer term health of patients and the community. Since inception in the early 1980s, CHC programs have made a real difference in the lives of persons who might otherwise have no other source of care. The Northwest Health Plan provided coverage and services valued at $7.5 million to provide subsidized coverage to more than 4,500 low-income adults and children who are not eligible for standard Medicaid or privately funded coverage. The Charitable Health Coverage Program consists of Transitions, Child Health Plan, and Washington Basic Health. - Transitions - The Transitions Program is a fully subsidized health insurance program for eligible low-income families. Eight college campuses currently participate within the Portland Metropolitan area. Students must be enrolled in a participating school, meet financial criterion, and cannot be enrolled in another private or public health care plan. Graduates are eligible for an additional six months coverage or until employer-paid coverage is activated. (not to exceed 48 months). - Child Health Plan -The Child Health Program is a fully subsidized health insurance program for eligible low-income students. 397 schools currently participate within the Multnomah Education Service District, Salem-Keizer School District and Hillsboro School District, Beaverton School District and Clackamas School District. Students must be enrolled in a participating school, meet financial criterion, and cannot be enrolled in another private or public health care plan. The participating school districts act as the administrator for the program and are responsible for outreach, eligibility determination and enrollment.
Participation in Medicaid and Other Government-Sponsored ProgramsThe Northwest Health Plan provided coverage and services valued at $13.4 million (in excess of reimbursement) for members and nonmembers in government-sponsored programs. Medicaid Member Programs The Northwest Health Plan participated in three Medicaid programs in Oregon and Washington. The following describe the programs and target populations. - Oregon Health Plan - Northwest Health Plan receives monthly capitated premiums from the Division of Medical Assistance Program (DMAP). Members are enrolled based on eligibility criteria. Health Plan provides services to eligible participants who reside in Clackamas, Multnomah, Polk, and Marion counties. - Healthy Options - Healthy Options is a Medicaid program for low income individuals that meet eligibility guidelines for Medicaid. It is a state program managed by the Washington State Health Care Authority (HCA). Kaiser Permanente provides services to eligible participants who reside in either Clark or Cowlitz counties. Medicaid to Nonmembers Northwest Health Plan contributed $ 0.9 million in subsidized care to Medicaid Fee-for-Service patients. When a Medicaid nonmember receives services from Kaiser Permanente providers at contract hospitals or outpatient services as a result of hospital visit follow-up, or in-patient services for Medicaid members in Oregon, these expenses are recorded as non-capitated services and are reported as professional and non-professional losses for Medicaid nonmembers. Other Government Programs The Oregon and Washington Medical Insurance Pools are insurance pools for the States of Oregon and Washington for individuals who do not have access to individual insurance due to pre-existing conditions that disqualify them from other group plans. Legislation allows the states to spread a portion of the program expenses for enrollees across the individuals who are insured wholly or in part by all health insurers, re-insurers and stop-loss carriers licensed in the state. COMMUNITY HEALTH INITIATIVES As an innovator in health, Kaiser Permanente designs, delivers and sustains long-term programs that engage communities in work to improve conditions in their neighborhoods, workplaces and schools to support good health, particularly Healthy Eating, Active Living (HEAL). In 2011 the Northwest Health Plan provided human and in-kind support to more than 15 nonprofit organizations. SAFETY NET PARTNERSHIPS Through funding, technical assistance, public policy advocacy, training and volunteering, dissemination of care-management and quality improvement technologies, Kaiser Permanente helps these vital health care providers improve care and expand treatment capacity for the communities and vulnerable people they serve. During 2011, Northwest Health Plan provided staff and in-kind support to more than 22 nonprofit safety net organizations. - CareOregon Community Health received a $50,000 grant to support the Oral Health Initiative in Clackamas County. - Upstream Public Health received a $50,000 grant to support water fluoridation. - Yamhill County received a $50,000 grant to support the Yamhill County Dental Health Project. OTHER COMMUNITY BENEFITS The Northwest Health Plan expended more than $229 thousand on community benefits activities and programs beyond the national streams of work. ATTACHMENT A 2011 COMMUNITY BENEFIT INVESTMENT - NORTHWEST HEALTH PLAN The following chart summarizes 2011 Community Benefit investments in Oregon and Washington States Health Plan. The investments in the community reflected in the chart are unaudited. CARE AND COVERAGE Charitable Care & Coverage Programs $ 15,446,124 Government Sponsored Program 34,474,704 Care & Coverage CB Operations 1,450,527 Subtotal: $ 51,371,355 COMMUNITY HEALTH INITIATIVES Community Health Initiatives CB Operations $ 402 Subtotal: $ 402 SAFETY NET PARTNERSHIPS Grants/Donations for Safety Net Partnerships $ 220,000 Safety Net CB Operations 28,561 Subtotal: $ 248,561 KNOWLEDGE DISSEMINATION Knowledge Dissemination CB Operations $ 18,630 Subtotal: $ 18,630 OTHER COMMUNITY BENEFITS Grants/Donations for Other Community Benefits $ 117,945 Other CB Operations 111,292 Subtotal: $ 229,237 TOTAL $ 51,868,185
Form 990, Part VI, Question 4On March 3, 2011, Article E., Officers, of the Bylaws of the Corporation was amended on March 3, 2011 to (a) provide that the officers of the Corporation may include one or more Group Presidents (Section E-1, Officers); (b) add a new Section E-8, Group President and/or Regional President, to describe the duties and responsibilities of those positions; (c) provide that the President shall be the Chief Operating Officer of the Corporation (Section E-7); (d) provide clarification regarding leadership in the event of the absence or disability of the President (Section D-9, Executive Vice President or National Senior Vice President); and (e) change the reference to "the President" in Sections E-3, E-4 and E-11 to "any President"; and On June 23, 2011, minor technical amendments were made to the Bylaws of the Corporation to make them more consistent with the Bylaws of Kaiser Foundation Health Plan, Inc. and its Health Plan subsidiaries and with organizational policies and current law. None of the changes were significant; and On December 1, 2011, Article A, Purpose, of the Bylaws of the Corporation was amended to (a) more clearly state the purposes in one Purpose section (A-1, former section A-2 was deleted); (b) expressly state that the corporation is prohibited from engaging in activities not permitted by Section 501(c)(3) of the Internal Revenue Code and to specifically state that the corporation shall not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office (Section A-3 Nonprofit Character - now A-2); (c) make a reference to the Internal Revenue Code consistent with other references in the Bylaws (Section A-4 Disposition of Assets on Liquidation or Dissolution - now A-3); and (d) be consistent with current legal standards (Section A-5 Non-discrimination - now A-4).
Form 990, Part VI, Question 6Kaiser foundation health plan, inc is the sole member.
Form 990, Part VI, Questions 7aKFHP appoints the directors (and fills vacancies and has authority to remove directors). The same 14 individuals who comprise the board of directors of KFHP also serve as the 14 directors of KFHP-CO, OH, NW, MAS
Form 990, Part VI, Question 7bTHE FOLLOWING ACTIONS OF THE CORPORATION REQUIRE APPROVAL OF THE SOLE MEMBER: A) REMOVAL OF THE CHAIRMAN OF THE BOARD OR ANY PRESIDENT; B) Amendment of article d, section d-4 of the bylaws - election and term of office of directors
Form 990, Part VI, Question 11bform 990 review process 1. Key information necessary for the preparation of the tax return is obtained and/or confirmed with internal sources including regional finance, executive compensation, community benefits, treasury, government relations, and legal. 2. Community benefits details are presented to the community benefit committee of the board for review. 3. Executive compensation details are presented to the compensation committee of the board for review. 4. The complete tax return is reviewed and signed by a Pricewaterhousecoopers tax advisor. 5. The complete tax return is reviewed and signed by an officer or a member of management designated by an officer. 6. The tax return is discussed with the full board of directors. A copy of the return is provided to each board member in electronic format prior to filing.
Form 990, Part VI, Questions 12cRegularly and Consistently Monitors Compliance with the Conflicts of Interest Policy Kaiser Permanente regularly monitors compliance with the Conflicts of Interest Policy in 3 key ways: 1. The Kaiser Permanente Compliance Hotline is available to all employees and vendors to report actual or potential conflicts of interest. All calls are answered by a third party and provided to Kaiser Permanente's National Compliance office for review and appropriate action. Employees can report anonymously and without fear of retaliation. Reports of actual or potential Conflicts of Interest are generated and investigations are conducted as required and information is tracked and trended to determine if additional guidance is required to avoid conflicts of interest. Compliance Hotline Reports are provided for review and action to the Kaiser Foundation Health Plan/ Hospitals Boards of Directors annually. 2. The Chief Compliance Officer and the VP of Internal Audit Services annually review the directors', officers', key employees', and executives' Annual Conflicts of Interest Questionnaire disclosures and provide direction on any investigations required. Investigations are documented, tracked and trended to determine if additional controls or education is required; In addition, Conflicts of Interest Questionnaire Reports are provided for review and action to the Kaiser Foundation Health Plan/ Hospitals Boards of Directors annually; and 3. Annually, as a component of the external audit, KPMG reviews the Annual Conflicts of Interest Questionnaires completed by Directors, Officers, Key Employees, and Executives, and actions taken as a result of the disclosures. The results of the annual audit, including any findings in this area are presented to the Kaiser Foundation Health Plan/ Hospitals Audit and Compliance Committee. Regularly and Consistently Enforces Compliance with the Conflicts of Interest Policy To ensure consistency in the enforcement of the policy Kaiser Permanente uses the following steps as a general guideline: A. Represented employees are subject to any corrective/disciplinary action provisions described in specific regional/national collective bargaining agreements and/or organizational policies and practices. B. Kaiser Permanente notifies employees of the National Human Resources Policy No. 14. Corrective/Disciplinary Action Policy during new employee orientation and in annual compliance training. C. In the event that it is necessary to discipline any employee because of, but not limited to, failure to comply with applicable legal/regulatory requirements, Kaiser Permanente policies and procedures, or the Principles of Responsibility, or for unsatisfactory performance or misconduct, coaching/counseling and/or corrective/disciplinary action may include, but is not limited to: (I) Oral discussion and/or warning by the employee's immediate supervisor or higher level manager to correct the problem (II) Written notice, with or without final warning (III) Paid or unpaid suspension, with or without final warning (IV) Termination of employment
Form 990, Part VI, Question 15a/bThe executive compensation program is designed to recruit, retain and motivate qualified senior management personnel. Senior management personnel have a significant impact on the strategic and policy direction and results of the organization. Therefore, the executive compensation program is, to a significant degree, performance-based. The compensation program is reviewed annually by the Compensation Committee of the Board of Directors which evaluates and approves, prior to payment, all programs and payments to CEO, Executive Director and top management officials (executives). Base pay for executive positions is established at a level comparable to the relevant market. In addition, other components of the compensation program bear 'at-risk' features designed to focus on strategically important performance goals and to assist in attracting and retaining top performers. The executive compensation program is targeted at the median of the comparable external market in which the organization competes for executive leadership. Evaluation of comparable pay data is performed by an Independent Compensation, Benefit & Human Resource Consulting firm. The compensation program focuses on objectives in the areas of quality of member care and service, financial soundness, and the community and social mission of the organization.
Form 990, Part VI, Question 19Governing documents - are available as provided to state Dept. of Insurance and maintained on state agency website or upon request. COI is available on KP website under vendor Principles of Responsibility or upon request. Financial Statements are on file with state insurance agency on a statutory basis (stand alone entity). Combined data is published for Kaiser Foundation Health Plan Inc. and subsidiaries and Kaiser Foundation Hospitals and Subsidiaries with audit opinion by KPMG and is available upon request. To request copies contact: VP - National Tax Compliance Kaiser Foundation Health Plan and Hospitals One Kaiser Plaza, 15L Oakland, CA 94612
Form 990, Part VII, Section A, Column BIndividuals who are both officers and members of Boards of Directors work full time as employees as well as fulfill their board assignment. All officers work full time in their employee capacity. Full time work may require in excess of the traditional 40 hour week. Given the integrated nature of our organization, employees may provide support for various Kaiser Permanente companies. The average hours per week reported for the filing organization and related organizations was estimated.
Form 990, Part XI, Line 5Change in Other Comprehensive Income $ (131,015,961) Change in Unrealized Gain/Loss (2,800,671) Gain/loss on sale of investments - tax (3,509,271) Gain/loss on sale of investments - book 4,954,272 Other than temporary impairment loss (2,550,943) TOTAL $ (134,922,574)
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Christine Cassel TITLE:Director HOURS:7FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Thomas Chapman TITLE:Director HOURS:10FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Daniel Garcia TITLE:SVP, Chief Compliance Officer HOURS:48FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:William Graber TITLE:Director HOURS:8FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:J. Eugene Grigsby III TITLE:Director HOURS:7FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:George Halvorson TITLE:Chairman and CEO HOURS:45FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Judith Johansen TITLE:Director HOURS:6FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Kim J. Kaiser TITLE:Director HOURS:8FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Philip Marineau TITLE:Director HOURS:6FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Jenny Ming TITLE:Director HOURS:5FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Edward Pei TITLE:Director HOURS:8FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Margaret Porfido TITLE:Director HOURS:6FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:J. Neal Purcell TITLE:Director HOURS:9FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Cynthia Telles TITLE:Director HOURS:7FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Sandra Thompkins TITLE:Director HOURS:5FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Kathryn Lancaster TITLE:EVP & CFO HOURS:46FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Donna Lynne TITLE:Group President & Region Pres. HOURS:46FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Andrew McCulloch TITLE:Region President - Northwest HOURS:25FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Thomas Meier TITLE:SVP, Corporate Treasurer HOURS:47FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Donald Orndoff TITLE:SVP, NFS HOURS:45FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Arthur Southam TITLE:EVP, HP Operations HOURS:45FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Deborah Stokes TITLE:SVP, CC & CAO HOURS:46FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Bernard Tyson TITLE:President & COO HOURS:45FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:William Wiechmann TITLE:VP, Regional Counsel - NW HOURS:FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Victoria Zatkin TITLE:VP, Off of Brd & Corp Gov Svcs HOURS:46FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Mark Zemelman TITLE:SVP, Gen Counsel & Secretary HOURS:47FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Mark Charpentier TITLE:VP, Mktg, Sls & Bus Devel HOURS:20FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Mark Enger TITLE:VP, Chief Operations Officer HOURS:20FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Susan Hennessy TITLE:VP, Strategic Planning & Hlth HOURS:20FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Susan Mullaney TITLE:Hospital Admin - Sunnyside HOURS:20FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Karen Schartman TITLE:VP & CFO HOURS:20FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Stephen Shawn Barton TITLE:Exec Dir, Revenue Cycle - NW HOURS:20FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Mary Durham TITLE:VP, The Center Health Research HOURS:20FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Eleanor Godfrey TITLE:VP, Quality & Service HOURS:20FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Michael Kinard TITLE:Ambulatory Care Svc Leader HOURS:20FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Richie Smith TITLE:VP, HR - NW HOURS:20FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Steven Zatkin TITLE:Consultant HOURS:FORM 990 PART VII

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Kaiser Permanente Oregon Plus LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE KAISER PLAZA 15LAddressLine1
CityOAKLANDCity
StateCAState
ZIP Code94612ZIPCode
FieldValueIRS element (for citing)
EIN202396517EIN
Primary ActivitiesHEALTH CAREPrimaryActivities
Legal Domicile StateORLegalDomicileState
Total Income0TotalIncome
EOY Assets0EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1naBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Kaiser Foundation Health Plan Inc
ONE KAISER PLAZA 15LOAKLANDCA94612941340523HEALTH CARECA501(c)(3)9NAfalse
Kaiser Foundation Health Plan of CO Inc
ONE KAISER PLAZA 15LOAKLANDCA94612840591617HEALTH CARECO501(c)(3)9KFHP INCtrue
Kaiser Foundation Health Plan of GA Inc
ONE KAISER PLAZA 15LOAKLANDCA94612581592076HEALTH CAREGA501(c)(3)9KFHP INCtrue
Kaiser Foundation Health Plan of the MAS
ONE KAISER PLAZA 15LOAKLANDCA94612520954463HEALTH CAREMD501(c)(3)9KFHP INCtrue
Kaiser Foundation Health Plan of OH Inc
ONE KAISER PLAZA 15LOAKLANDCA94612340922268HEALTH CAREOH501(c)(3)9KFHP INCtrue
Kaiser Foundation Hospitals
ONE KAISER PLAZA 15LOAKLANDCA94612941105628HEALTH CARECA501(c)(3)3KFHP INCtrue
Camp Bowie Service Center
ONE KAISER PLAZA 15LOAKLANDCA94612943299123ADMINCA501(c)(3)11 - IKFHP INCtrue
Kaiser Health Alternatives
ONE KAISER PLAZA 15LOAKLANDCA94612930954562HEALTH CAREOR501(c)(3)9KFHP INCtrue
Kaiser Hospital Asset Management Inc
ONE KAISER PLAZA 15LOAKLANDCA94612943299125ASSET MGMTCA501(c)(3)11 - IKFHtrue
Kaiser Health Plan Asset Management Inc
ONE KAISER PLAZA 15LOAKLANDCA94612943299124ASSET MGMTCA501(c)(3)11 - IKFHP INCtrue
Lokahi Assurance Ltd
ONE KAISER PLAZA 15LOAKLANDCA94612912171891risk mgmtHI501(c)(3)11 - IKFHP INCtrue
OHP
ONE KAISER PLAZA 15LOAKLANDCA94612930480268LEASINGWA501(c)(3)11 - IKFHP INCtrue
1800 Harrison Foundation
ONE KAISER PLAZA 15LOAKLANDCA94612943317484FINANCINGCA501(c)(3)11 - IIKFHP INCtrue
KAISER HOSPITAL ASSISTANCE CORPORATION
ONE KAISER PLAZA 15LOAKLANDCA94612311779500FINANCINGCA501(c)(3)11 - III-OKFHtrue

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
HCMS LLC
ONE KAISER PLAZA 15LOAKLANDCA94607203924985CONSULTINGCANANONE00false$0false0.00000
KAISER PERMANENTE VENTURES LLC
ONE KAISER PLAZA 15LOAKLANDCA94612272252521INVESTMENTS SVCCANANONE00false$0false0.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
Archimedes Inc
ONE KAISER PLAZA 15LOAKLANDCA94612203774729CONSULTINGCANAC CORP000.00000
Kaiser Permanente International
ONE KAISER PLAZA 15LOAKLANDCA94612943245176CONSULTINGCANAC CORP000.00000
Kaiser Permanente Insurance Company
ONE KAISER PLAZA 15LOAKLANDCA94612943203402INSURANCECANAC CORP000.00000
Kaiser Properties Services Inc
ONE KAISER PLAZA 15LOAKLANDCA94612943259432REAL ESTATECANAC CORP000.00000
Oak Tree Assurance Ltd
ONE KAISER PLAZA 15LOAKLANDCA94612030329760INSURANCEVTNAC CORP000.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (38 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
KAISER FOUNDATION HOSPITALS
H2814672PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
I1115720PER AGREEMENT
LOKAHI ASSURANCE LTD
I47040800PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
K9190099PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF COLORADO
K166527PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF GEORGIA
K15328PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE MAS
K83706PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF OHIO
K19416PER AGREEMENT
KAISER PERMANENTE INSURANCE COMPANY
K1811905PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
L66654185PER AGREEMENT
KAISER FOUNDATION HOSPITALS
L788095500PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF COLORADO
L250733PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF GEORGIA
L163772PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE MAS
L292592PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN of OHIO
L46729PER AGREEMENT
CAMP BOWIE SERVICE CENTER
L7693049PER AGREEMENT
LOKAHI ASSURANCE LTD
L11587199PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
N19827PER AGREEMENT
KAISER FOUNDATION HOSPITALS
N5056PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
O31449396PER AGREEMENT
KAISER FOUNDATION HOSPITALS
O520135510PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF COLORADO
O104688PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF GEORGIA
O14647PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE MAS
O17657PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF OHIO
O35590PER AGREEMENT
CAMP BOWIE SERVICE CENTER
O223711PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
P16398616PER AGREEMENT
KAISER FOUNDATION HOSPITALS
P658537537PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF COLORADO
P9513PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF GEORGIA
P2654PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE MAS
P6832PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF OHIO
P3733PER AGREEMENT
LOKAHI ASSURANCE LTD
P12170103PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
Q355498PER AGREEMENT
KAISER FOUNDATION HOSPITALS
Q11604721PER AGREEMENT
LOKAHI ASSURANCE LTD
Q15238398PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
R3173PER AGREEMENT
KAISER FOUNDATION HOSPITALS
R594762702PER AGREEMENT