TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) SUSAN JOY BYINGTON...................................................................... CHAIR, TRUSTEE	7.5 ................. 0.2	X	X		39,813	1,000	0
(2) ROBERT ALEXANDER WATT...................................................................... VICE CHAIR, TRUSTEE	7.5 ................. 0.2	X	X		33,313	1,000	0
(3) PORSCHE EVERSON...................................................................... TRUSTEE	6.5 ................. 0.25	X			36,563	1,000	0
(4) JENNIFER ANN JOLY...................................................................... TRUSTEE	6.5 ................. 0.2	X			16,875	750	0
(5) HARRY HARRISON JR...................................................................... TRUSTEE	6.5 ................. 0.2	X			28,438	750	0
(6) DOROTHY ANNE RUZICKI...................................................................... TRUSTEE	6.5 ................. 0.2	X			28,438	1,000	0
(7) LEO FRANCIS GREENAWALT JR...................................................................... TRUSTEE	6.5 ................. 0.2	X			22,500	1,000	0
(8) RUTA ELMA FANNING...................................................................... TRUSTEE	6.5 ................. 0.2	X			22,500	1,000	0
(9) KATHERINE BELL...................................................................... TRUSTEE	6.5 ................. 0.2	X			22,500	750	0
(10) PHILLIP JEFFREY HAAS...................................................................... TRUSTEE	6.5 ................. 0.2	X			28,438	1,000	0
(11) JERRY FRANKLIN CAMPBELL...................................................................... TRUSTEE	6.5 ................. 0.2	X			5,625	250	0
(12) JUDITH EMILY SCHURKE...................................................................... TRUSTEE	6.5 ................. 0.2	X			16,875	750	0
(13) SCOTT ELLIOT ARMSTRONG...................................................................... PRESIDENT & CEO	39.0 ................. 1.0		X		2,499,696	0	36,971
(14) SARAH BARIAN YATES...................................................................... EVP & GENERAL COUNSEL	40.0 ................. 0.0		X		629,260	0	25,246
(15) CHRISTOPHER KNACKSTEDT...................................................................... EVP; CHIEF FINANCIAL OFFICER	40.0 ................. 0.0		X		987,776	0	21,751
(16) RICK DALE WOODS...................................................................... EVP; SR ADVSR TO PRES/CEO	40.0 ................. 0.0		X		1,495,524	0	41,211
(17) BRETON CLARK MYERS...................................................................... VP; TREASURY	40.0 ................. 0.0			X	366,785	0	11,271

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(F) Estimated amount of other compensation from the organization and related organizations
(18) SUSAN S KOZIK........................................................................ EVP; CHIEF INFORMATION OFFICER	40.0 .......................0.0	X			519,407	22,270
(19) ERIN LEFF........................................................................ EVP; GROUP PRACTICE DIVISION	40.0 .......................0.0	X			627,419	13,855
(20) MARK SZALWINSKI........................................................................ EVP; GROUP PRACTICE DIVISION	40.0 .......................0.0	X			1,115,164	22,496
(21) ROBERT O'BRIEN........................................................................ EVP; HEALTH PLAN DIVISION	40.0 .......................0.0	X			1,193,607	16,819
(22) TAMI LAMP........................................................................ EVP; HR	40.0 .......................0.0	X			380,957	15,999
(23) DIANA BIRKETT RAKOW........................................................................ EVP; MARKETING & PUB. AFFAIRS	32.0 .......................8.0	X			448,854	25,714
(24) DAWN LOELIGER........................................................................ EVP; STRAT PLANNING & DEPLOY	40.0 .......................0.0	X			462,606	25,714
(25) GERARD FISHER........................................................................ VP; CLINICAL ANCILLARY SRVCS	40.0 .......................0.0	X			381,552	18,531
(26) BRIAN O'SHIELDS........................................................................ VP; CHIEF ACTUARY	40.0 .......................0.0		X		449,512	25,245
(27) DONALD LEWIS........................................................................ VP; CHIEF TECHNOLOGY OFFICER	40.0 .......................0.0		X		558,745	12,804
(28) BARBARA TREHEARNE........................................................................ VP; CLIN EXCL &INT CHIEF NURSE	39.0 .......................1.0		X		505,198	139,974
(29) ERIC LARSON........................................................................ VP; GROUP HEALTH RESEARCH INST	39.0 .......................1.0		X		555,741	18,874
(30) DEBORAH HUNTINGTON........................................................................ VP; SALES	39.0 .......................1.0		X		474,957	25,246
(31) CYNTHIA JOHNSON........................................................................ EVP; HR	40.0 .......................0.0			X	323,519	5,926
(32) BARBARA ANN BELT-LLOYD........................................................................ VP; CHIEF ACCOUNTING OFFICER	40.0 .......................0.0			X	384,235	73,120

(A) Name and business address	(B) Description of services	(C) Compensation
GROUP HEALTH PERMANENTE, 320 WESTLAKE AVE N SUITE 100 SEATTLE,WA981095233	Medical Professional	332,867,465
VIRGINIA MASON MED CTR, PO BOX 91046 SEATTLE,WA98111	Hospital Services	109,413,482
OVERLAKE HOSPITAL MED CTR, PO BOX 34224 SEATTLE,WA98124	Hospital Services	75,267,373
ST JOSEPH MEDICAL CENTER, 1717 S J ST TACOMA,WA98405	Hospital Services	65,271,609
PEACEHEALTH MEDICAL GROUP WR, DEPT 364 VANCOUVER,WA98683	Hospital Services	64,587,499
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 1,197

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

GROUP HEALTH COOPERATIVE

Employer identification number

91-0511770

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

GROUP HEALTH COOPERATIVE

Employer identification number

91-0511770

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization GROUP HEALTH COOPERATIVE

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization GROUP HEALTH COOPERATIVE		Employer identification number 91-0511770

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization GROUP HEALTH COOPERATIVE			Employer identification number 91-0511770
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

GROUP HEALTH COOPERATIVE

Employer identification number

91-0511770

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(a) Filing organization's totals	(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................	795,952
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................	795,952
d	Other exempt purpose expenditures .........................................................................................	2,907,829,365
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................	2,908,625,317
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................	250,000
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ..............................................................................................................		Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount	1,000,000	1,000,000	1,000,000	1,000,000	4,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					6,000,000

c	Total lobbying expenditures	935,937	840,359	804,876	795,952	3,377,124

d	Grassroots nontaxable amount	250,000	250,000	250,000	250,000	1,000,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,500,000

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

GROUP HEALTH COOPERATIVE

Employer identification number

91-0511770

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	28,297,754		28,297,754
b	Buildings	605,706,355	346,930,739	258,775,616
c	Leasehold improvements
d	Equipment ...	411,771,508	333,869,317	77,902,191
e	Other ...	31,656,437		31,656,437
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				396,631,998

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives	29,061,478	C
(2)Closely-held equity interests	219,671,216	C
(3)Other (A) ONE HEALTH PORT	637,400	C
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	249,370,094

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
SELF INSURANCE	57,591,093
RETIREE MEDICAL	44,913,415
PENSION LIABILITY	183,516,936
DEFERRED COMPENSATION	7,446,089
LEASES	4,396,149
RENT DIFFERENTIAL	3,954,425
SECURITY CARE CLAIMS	1,453,585
OTHER LIABILITIES	552,999
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	303,824,691
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	2,997,782,412
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-6,915,575
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	-5,303,513
e	Add lines 2a through 2d .....................			2e	-12,219,088
3	Subtract line 2e from line 1..................			3	3,010,001,500
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a	1,935,667
b	Other (Describe in Part XIII.) ...........	4b	15,903,770
c	Add lines 4a and 4b....................			4c	17,839,437
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	3,027,840,937

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	2,884,861,801
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	324,359
e	Add lines 2a through 2d....................			2e	324,359
3	Subtract line 2e from line 1...................			3	2,884,537,442
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a	1,935,667
b	Other (Describe in Part XIII.) ............	4b	22,152,208
c	Add lines 4a and 4b.....................			4c	24,087,875
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	2,908,625,317

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

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

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

GROUP HEALTH COOPERATIVE

Employer identification number

91-0511770

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .		435	386,819		386,819	0.010 %
b	Medicaid (from Worksheet 3, column a) . . . . .		37,767	56,308,833	22,499,468	33,809,365	1.160 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .		1,094	801,086		801,086	0.030 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .		39,296	57,496,738	22,499,468	34,997,270	1.200 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	5	4,472	1,230,816	37,079	1,193,737	0.040 %
f	Health professions education (from Worksheet 5) . . .	9	439	11,710,149		11,710,149	0.400 %
g	Subsidized health services (from Worksheet 6) . . . .	4	604	1,687,933	277,503	1,410,430	0.050 %
h	Research (from Worksheet 7) .	1		52,379,876	48,377,734	4,002,142	0.140 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	1	667	245,097		245,097	0.010 %
j	Total. Other Benefits . .	20	6,182	67,253,871	48,692,316	18,561,555	0.640 %
k	Total. Add lines 7d and 7j .	20	45,478	124,750,609	71,191,784	53,558,825	1.840 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	1	15,000	15,000
3	Community support	2	350,262	350,262	0.010 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	1	7,600	7,600
8	Workforce development	1	15,000	15,000
9	Other
10	Total	5	387,862	387,862	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

11,333,311

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

1,170,916

Enter Medicare allowable costs of care relating to payments on line 5.....

771,929

Subtract line 6 from line 5. This is the surplus (or shortfall)........

398,987

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	CAPITOL HILL MAIN BUILDING 201 16TH AVE E SEATTLE,WA981125260 www.ghc.org/locations	X	X

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	CAPITOL HILL MAIN BUILDING
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): www1.ghc.org/html/public/about/community

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): www1.ghc.org/html/public/about/community

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	CAPITOL HILL MAIN BUILDING
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 250.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE SECTION C

The FAP application form was widely available on a website (list url):

SEE SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	CAPITOL HILL MAIN BUILDING
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, LINE 5	THE CENTER FOR COMMUNITY HEALTH AND EVALUATION (CCHE) CONDUCTED KEY INFORMANT INTERVIEWS WITH 23 INDIVIDUALS REPRESENTING PUBLIC HEALTH, CITY GOVERNMENT, THE HEALTHCARE SAFETY NET, CULTURAL COMMUNITIES, SCHOOLS AND HEALTH ADVOCACY IN KING COUNTY. THE FINDINGS WERE ALSO INFORMED BY 8 KEY INFORMANT INTERVIEWS CONDUCTED EARLIER AS PART OF THE NEEDS ASSESSMENT FOR VIRGINIA MASON MEDICAL CENTER, ONE OF GROUP HEALTH'S HEALTH CARE PARTNERS AND 4 PUBLIC HEALTH DATA EXPERTS. THE LIST OF 35 KEY INFORMANTS/DATA EXPERTS IS AS FOLLOWS: -MARGUERITE RO, DRPH; CHIEF, ASSESMENT, POLICY DEVELOPMENT & EVALUATION UNIT - PUBLIC HEALTH-SEATTLE & KING COUNTY -JOE CAMPO, MPH; SENIOR FORECAST ANALYST - WASHINGTON STATE OFFICE OF FINANCIAL MANAGEMENT -EVA WONG, PHD; EPIDEMIOLOGIST - PUBLIC HEALTH-SEATTLE & KING COUNTY -CHRIS HALSELL; ASSESSMENT COORDINATOR - WASHINGTON STATE DEPT OF HEALTH -ANTOINETTE ANGULO, MPH; DIRECTOR, PREVENTIVE HEALTH SERVICES - SEA MAR COMMUNITY HEALTH CENTERS -PETER RETZTAGG; EXECUTIVE DIRECTOR - COMMUNITY FOR YOUTH -RICHARD BROOKS; EXECUTIVE DIRECTOR - RENTON AREA YOUTH AND FAMILY SERVICES -RALPH FORQUERA; EXECUTIVE DIRECTOR - SEATTLE INDIAN HEALTH BOARD -LISA YOHALEM; DIRECTOR, PLANNING & DEVELOPMENT - HEALTHPOINT -DAVE LEIBMAN; COMMANDER - RENTON POLICE DEPARTMENT -KEN WEINBERG; CEO - JEWISH FAMILY SERVICES REFUGEE & IMMIGRANT SERVICE CENTERS -CHRISTOPHER WILLIAMS; ACTING SUPERINTENDENT - SEATTLE PARKS & RECREATION -ADAM TAYLOR; PROJECT MANAGER, GLOBAL TO LOCAL INITIATIVE - PUBLIC HEALTH-SEATTLE & KING COUNTY -COLLEEN BRANDT-SCHLUTER; HUMAN RESOURCES MANAGER - CITY OF SEATAC -MANDI GEORGE; CHRONIC DISEASE PREVENTION DIRECTOR - YMCA OF GREATER SEATTLE -MARK SMITH; CHIEF OPERATING OFFICER - BOYS & GIRLS CLUBS OF KING COUNTY -PRAMILA JAYAPAL; EXECUTIVE DIRECTOR - ONE AMERICA -ABBIE ZAHLER; COMMUNITY ADVOCACY SUPERVISOR - INTERNATIONAL COMMUNITY HEALTH SERVICES -JASON BERRY; EXECUTIVE DIRECTOR - YMCA-AUBURN VALLEY -JANET ST. CLAIR; DEPUTY DIRECTOR - ASIAN COUNSELING & REFERRAL SERVICES -ALICE PARK; PROGRAM MANAGER - KING COUNTY FOOD & FITNESS INITIATIVE -JENNIFER RAMIREZ-ROBINSON; INTERIM DIRECTOR - NEW FUTURES -BLISHDA LACET; REACH PROGRAM COORDINATOR - PUBLIC HEALTH-SEATTLE & KING COUNTY -MATIAS VALENZUELA; KING COUNTY EQUITY & SOCIAL JUSTICE INITIATIVE - PUBLIC HEALTH-SEATTLE & KING COUNTY -ESTELA ORTEGA MIGUEL MAESTAS; EXECUTIVE DIRECTOR ASSOCIATE ADMINISTRATOR - EL CENTRO DE LA RAZA -TERRY HIGASHIYAMA; COMMUNITY SERVICES ADMINISTRATOR - CITY OF RENTON -GREG DOOTSON; NORTH PUGET SOUND DIRECTOR - LUTHERAN COMMUNITY SERVICES INTERNATIONAL -SUSAN MILLEDER; PROGRAMS DIRECTOR - AMERICAN DIABETES ASSOCIATION -EUDORA CARTER; CHRONIC DISEASE SELF MANAGEMENT - CENTER FOR MULTICULTURAL HEALTH -MARK SECORD; EXECUTIVE DIRECTOR - NEIGHBORCARE HEALTH -SONJA REID; LEAD NURSE - BELLEVUE SCHOOL DISTRICT -TRISE MOORE; FAMILY & COMMUNITY PARTNERSHIP ADVOCATE - FEDERAL WAY SCHOOL DISTRICT -EMILY LESLIE; HUMAN SERVICES MANAGER - CITY OF BELLEVUE -JAY BENNETT; COMMUNITY SERVICES MANAGER - CITY OF FEDERAL WAY -PATTY HAYES, RN, MN; DIRECTOR, COMMUNITY HEALTH SERVICES - PUBLIC HEALTH-SEATTLE & KING COUNTY
PART V, LINE 11	IN ITS 2013-2015 CHNA, GROUP HEALTH IDENTIFIED THE SIGNIFICANT HEALTH NEEDS TO BE ADDRESSED AS WELL AS THE IDENTIFIED HEALTH NEEDS WHICH WOULD NOT BE ADDRESSED BY GROUP HEALTH. EFFORTS MADE TOWARD IDENTIFIED HEALTH NEEDS THAT WERE ADDRESSED ARE SPELLED OUT IN THE CHNA AND ARE ENTIRELY CONSISTENT WITH GROUP HEALTHS MISSION AND NATURE AS AN INTEGRATED DELIVERY SYSTEM, ALIGNING COVERAGE AND CARE TO ENGAGE PATIENTS IN THEIR OWN HEALTH. ALTHOUGH THE FOLLOWING HEALTH ISSUES WERE IDENTIFIED IN THE 2013-2015 CHNA, THEY WERE NOT A GROUP HEALTH FOCUS DUE TO LIMITED EXPERTISE, THERE ARE OTHER ORGANIZATIONS ADDRESSING THE NEED, AND/OR GROUP HEALTH RESOURCE CONSTRAINTS PREVENTED EFFECTIVELY ADDRESSING THE NEED. -INJURY PREVENTION: FEEDBACK RECEIVED WAS TO FOCUS GROUP HEALTHS LIMITED RESOURCES ON ITS MOST EFFECTIVE AND EFFICIENT AREAS. THIS WAS NOT ONE OF THOSE AREAS. -TOBACCO CESSATION: THERE ARE OTHER ORGANIZATIONS IN THE COMMUNITY THAT ARE FOCUSED ON THIS HEALTH NEED AND ARE IN A BETTER POSITION TO PROVIDE THIS SERVICE. -MENTAL HEALTH AND SUBSTANCE ABUSE: WHILE GROUP HEALTH HAS A BEHAVIORAL HEALTH UNIT, THIS WAS NOT CONSIDERED EXPERTISE THAT IT COULD LEVERAGE EFFECTIVELY. -ORAL HEALTH: GROUP HEALTH DOES NOT OFFER ORAL HEALTH CARE. THE THREE HEALTH NEEDS CHOSEN FROM THE 2013-2015 CHNA TO BE ADDRESSED BY GROUP HEALTH ARE: 1. ACCESS TO CARE FOR UNDERSERVED POPULATIONS 2. PROMOTION OF PHYSICAL ACTIVITY, IMPROVED FITNESS, AND HEALTHY EATING 3. CHRONIC DISEASE MANAGEMENT AND PREVENTION OF DIABETES AND CARDIOVASCULAR DISEASE THESE NEEDS ARE BEING ADDRESSED BY: ACCESS TO CARE FOR UNDERSERVED POPULATIONS -PROMOTE ENROLLMENT AND PARTICIPATION IN THE HEALTH BENEFIT EXCHANGE AND MEDICAID -CREATE A MORE SYSTEMATIC APPROACH TO PROVIDING ACCESS TO PATIENTS OF SAFETY NET ORGANIZATIONS SERVING COMMUNITIES WITH THE HIGHEST HEALTH NEEDS -PROVIDE DIRECT CARE FOR UNDERSERVED PATIENTS -SHARE CLINICAL AND ORGANIZATIONAL EXPERTISE WITH SAFETY NET ORGANIZATIONS PROMOTION OF PHYSICAL ACTIVITY, IMPROVED FITNESS, AND HEALTHY EATING -COLLABORATE WITH SCHOOLSPARTICULARLY SCHOOL-BASED HEALTH CENTERSTO PROVIDE OPPORTUNITIES FOR YOUTH TO PARTICIPATE IN HEALTH-PROMOTING ACTIVITIES -PARTICIPATE IN KING COUNTY HEALTHY HOSPITAL INITIATIVES -ENSURE YOUTH ACCESS TO HEALTHY FOOD YEAR ROUND. CHRONIC DISEASE MANAGEMENT AND PREVENTION OF DIABETES AND CARDIOVASCULAR DISEASE -COLLABORATE WITH COMMUNITY AND GOVERNMENT PARTNERS TO PROMOTE BICYCLING AND WALKING AS A FORM OF EXERCISE AND TRANSPORTATION -PROMOTE PHYSICAL ACTIVITY AND FITNESS THROUGH PROGRAM SPONSORSHIPS -COLLABORATE WITH COMMUNITY ORGANIZATIONS TO SUPPORT NEWLY DIAGNOSED DIABETICS WITH TOOLS AND INFORMATION TO MANAGE THEIR DISEASE -SHARE CLINICAL AND ORGANIZATIONAL EXPERTISE, INCLUDING RESEARCH FROM THE GROUP HEALTH RESEARCH INSTITUTE, ABOUT THE PREVENTION, DETECTION, AND MANAGEMENT OF DIABETES AND CARDIOVASCULAR DISEASE, INCLUDING BEST PRACTICES AND EVIDENCE-BASED GUIDELINES
PART V, LINE 16	GROUP HEALTH COOPERATIVE'S FAP IS WIDELY AVAILABLE AT WWW1.GHC.ORG/HTML/PUBLIC/CUSTOMER-SERVICE/FINANCIAL-ASSISTANCE.
PART V, LINE 22D	GROUP HEALTH BILLING IS BASED ON USUAL, CUSTOMARY AND REASONABLE (UCR) CHARGES FOR THE GEOGRAPHIC AREA, WITH CONSIDERATION OF ACTUAL AVERAGE COSTS OF CARE PROVIDED BY GROUP HEALTH TO ALL PATIENTS. MAXIMUM CHARGES FOR FAP-ELIGIBLE INDIVIDUALS ARE NO MORE THAN THE AMOUNTS GENERALLY BILLED TO INSURED PATIENTS FOR EMERGENCY OR MEDICALLY NECESSARY CARE. FURTHER, CHARGES TO ELIGIBLE INDIVIDUALS FOR ANY OTHER CARE ARE LESS THAN THE GROSS CHARGES FOR THAT CARE.

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?48
Name and address		Type of Facility (describe)
1	CAPITOL HILL EAST BUILDING 1600 E JOHN ST SEATTLE,WA981125260	MEDICAL CLINIC
2	CAPITOL HILL NORTH BUILDING 310 15TH AVE E SEATTLE,WA981125260	MEDICAL CLINIC
3	CAPITOL HILL SOUTH BUILDING 125 16TH AVE E SEATTLE,WA981125260	MEDICAL CLINIC
4	CAPITOL HILL WEST BUILDING 201 16TH AVE E SEATTLE,WA981125260	MEDICAL CLINIC
5	CAPITOL HILL ANNEX BUILDING 122 16TH AVE E SEATTLE,WA981125260	MEDICAL CLINIC
6	BELLEVUE MEDICAL CENTER 11511 NE 10TH STREET BELLEVUE,WA98004	MEDICAL CENTER
7	BREMERTON BEHAVIORAL HEALTH SERVICES 555 PACIFIC AVE STE 202 BREMERTON,WA98337	BEHAVIORAL HEALTH CLINIC
8	BREMERTON MEDICAL CENTER 2741 WHEATON WAY SUITE A BREMERTON,WA98310	MEDICAL CENTER
9	EVERETT MEDICAL CENTER 2930 MAPLE STREET EVERETT,WA982014261	MEDICAL CENTER
10	DOWNTOWN SEATTLE MEDICAL CENTER 1420 5TH AVE STE 375 SEATTLE,WA98101	MEDICAL CENTER
11	FACTORIA MEDICAL CENTER 13451 SE 36TH STREET BELLEVUE,WA980061454	MEDICAL CENTER
12	KENT MEDICAL CENTER 26004 104TH AVE SE KENT,WA98031	MEDICAL CENTER
13	LIDGERWOOD MEDICAL CENTER 6002 N LIDGERWOOD SPOKANE,WA99208	MEDICAL CENTER
14	LYNNWOOD MEDICAL CENTER 20200 54TH AVENUE W LYNNWOOD,WA980366389	MEDICAL CENTER
15	NORTHGATE MEDICAL CENTER 9800 4TH AVENUE NE SEATTLE,WA981152158	MEDICAL CENTER
16	NORTHGATE SOUTH BUILDING 9720 4TH AVENUE NE SEATTLE,WA98115	MEDICAL CLINIC
17	NORTHSHORE MEDICAL CENTER 11913 NE 195TH STREET BOTHELL,WA980113147	MEDICAL CENTER
18	OLYMPIA MEDICAL CENTER 700 LILLY ROAD NE OLYMPIA,WA985065196	MEDICAL CENTER
19	PORT ORCHARD MEDICAL CENTER 1400 POTTERY AVENUE PORT ORCHARD,WA983663768	MEDICAL CENTER
20	POULSBO MEDICAL CENTER 19379 7TH AVENUE NE POULSBO,WA98370	MEDICAL CENTER
21	PUYALLUP MEDICAL CENTER 611 31ST AVE SW PUYALLUP,WA98374	MEDICAL CENTER
22	RAINIER MEDICAL CENTER 5316 RAINIER AVE S SEATTLE,WA981182398	MEDICAL CENTER
23	REDMOND MEDICAL CENTER 15809 BEAR CREEK PARKWAY SUITE 10 REDMOND,WA980524370	MEDICAL CENTER
24	RENTON MEDICAL CENTER 275 BRONSON WAY NE RENTON,WA980564099	MEDICAL CENTER
25	BURIEN MEDICAL CENTER 140 SW 146TH STREET BURIEN,WA981661997	MEDICAL CENTER
26	RIVERFRONT MEDICAL CENTER 322 W NORTH RIVER DRIVE SPOKANE,WA99201	MEDICAL CENTER
27	SILVERDALE MEDICAL CENTER 10452 SILVERDALE WAY NW SILVERDALE,WA98383	MEDICAL CENTER
28	SOUTH HILL MEDICAL CENTER 4102 S REGAL STREET SUITE 101 SPOKANE,WA992234733	MEDICAL CENTER
29	SILVERDALE EYE CARE SERVICES 10516 SILVERDALE WAY NW SUITE 104 SILVERDALE,WA983838745	MEDICAL CLINIC
30	TACOMA HEAR CENTERAUDIOLOGY & EYE CARE 5821 S SPRAGUE COURT TACOMA,WA98409	MEDICAL CLINIC
31	ST JOSEPH 1708 S YAKIMA AVENUE TACOMA,WA98405	MEDICAL CLINIC
32	TACOMA MEDICAL CENTER 209 MARTIN LUTHER KING JR WAY TACOMA,WA984054267	MEDICAL CENTER
33	TACOMA SOUTH MEDICAL CENTER 9505 S STEELE ST TACOMA,WA984446858	MEDICAL CENTER
34	VERADALE MEDICAL CENTER 14402 E SPRAGUE AVENUE SPOKANE VALLEY,WA992162167	MEDICAL CENTER
35	METROPOLITAN PARK EAST RESEARCH FACILITY 1730 MINOR AVENUE SEATTLE,WA98101	RESEARCH FACILITY
36	TACOMA BEHAVIORAL HEALTH SERVICES 4301 S PINE STREET TACOMA,WA984097206	MEDICAL CLINIC
37	FEDERAL WAY MEDICAL CENTER 301 SOUTH 320TH STREET FEDERAL WAY,WA980035296	MEDICAL CENTER
38	CMA - SPOKANE BREAST CANCER 105 W 8TH AVE STE 122 SPOKANE,WA99204	MEDICAL CENTER
39	CMA NEUROLOGY 610 S SHERMAN ST STE 208 SPOKANE,WA99202	MEDICAL CENTER
40	CMA 6120 N MAYFAIR ST SPOKANE,WA99208	MEDICAL CENTER
41	ASSOCIATED FAMILY PHYSICIANS-FAIRFIELD 210 MAIN ST FAIRFIELD,WA99012	MEDICAL CENTER
42	ASSOCIATED FAMILY PHYSICIANS-SPOKANE 626 N MULLAN RD STE 16 SPOKANE,WA99206	MEDICAL CENTER
43	SOUTH HILL FAMILY MEDICINE 3010 S SOUTHEAST BLVD STE A SPOKANE,WA992233540	MEDICAL CENTER
44	CMA LIBERTY LAKE FAMILY MEDICINE 1334 N WHITMAN LN STE 200 LIBERTY LAKE,WA99019	MEDICAL CENTER
45	CMA WESTVIEW FAMILY MEDICINE 1111 E WESTVIEW CT STE B SPOKANE,WA99218	MEDICAL CENTER
46	FAMILY HEALTH CENTER 910 W 5TH AVE STE 600 SPOKANE,WA99204	MEDICAL CENTER
47	CMA NORTH FAMILY MEDICINE 9631 N NEVADA ST STE 100 SPOKANE,WA99218	MEDICAL CENTER
48	COLUMBIA DIAGNOSTIC IMAGING SOUTH 3010 S SOUTHEAST BLVD STE D SPOKANE,WA99223	MEDICAL CENTER

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

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

Schedule H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

GROUP HEALTH COOPERATIVE

Employer identification number

91-0511770

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

Yes

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1SCOTT ELLIOT ARMSTRONGPRESIDENT & CEO	(i) (ii)	1,089,910 ------------- 0	1,216,485 ------------- 0	193,301 ------------- 0	11,800 ------------- 0	26,011 ------------- 0	2,537,507 ------------- 0	0 ------------- 0
2SARAH BARIAN YATESEVP & GENERAL COUNSEL	(i) (ii)	422,725 ------------- 0	165,038 ------------- 0	41,497 ------------- 0	5,300 ------------- 0	21,021 ------------- 0	655,581 ------------- 0	0 ------------- 0
3CHRISTOPHER KNACKSTEDTEVP; CHIEF FINANCIAL OFFICER	(i) (ii)	710,106 ------------- 0	270,000 ------------- 0	7,670 ------------- 0	69,399 ------------- 0	17,717 ------------- 0	1,074,892 ------------- 0	0 ------------- 0
4RICK DALE WOODSEVP; SR ADVSR TO PRES/CEO	(i) (ii)	632,393 ------------- 0	794,251 ------------- 0	68,880 ------------- 0	27,788 ------------- 0	14,345 ------------- 0	1,537,657 ------------- 0	0 ------------- 0
5BRETON CLARK MYERSVP; TREASURY	(i) (ii)	267,943 ------------- 0	95,264 ------------- 0	3,578 ------------- 0	29,107 ------------- 0	7,394 ------------- 0	403,286 ------------- 0	0 ------------- 0
6SUSAN S KOZIKEVP; CHIEF INFORMATION OFFICER	(i) (ii)	382,835 ------------- 0	125,050 ------------- 0	11,522 ------------- 0	43,474 ------------- 0	18,218 ------------- 0	581,099 ------------- 0	0 ------------- 0
7ERIN LEFFEVP; GROUP PRACTICE DIVISION	(i) (ii)	472,350 ------------- 0	122,887 ------------- 0	32,182 ------------- 0	5,300 ------------- 0	9,304 ------------- 0	642,023 ------------- 0	0 ------------- 0
8MARK SZALWINSKIEVP; GROUP PRACTICE DIVISION	(i) (ii)	645,930 ------------- 0	306,625 ------------- 0	162,609 ------------- 0	5,300 ------------- 0	0 ------------- 0	1,120,464 ------------- 0	0 ------------- 0
9ROBERT O'BRIENEVP; HEALTH PLAN DIVISION	(i) (ii)	727,661 ------------- 0	390,874 ------------- 0	75,072 ------------- 0	0 ------------- 0	18,024 ------------- 0	1,211,631 ------------- 0	0 ------------- 0
10TAMI LAMPEVP; HR	(i) (ii)	315,978 ------------- 0	60,000 ------------- 0	4,979 ------------- 0	28,859 ------------- 0	16,626 ------------- 0	426,442 ------------- 0	0 ------------- 0
11DIANA BIRKETT RAKOWEVP; MARKETING & PUB. AFFAIRS	(i) (ii)	318,213 ------------- 0	127,033 ------------- 0	3,608 ------------- 0	34,855 ------------- 0	21,090 ------------- 0	504,799 ------------- 0	0 ------------- 0
12DAWN LOELIGEREVP; STRAT PLANNING & DEPLOY	(i) (ii)	315,752 ------------- 0	141,026 ------------- 0	5,828 ------------- 0	34,187 ------------- 0	21,542 ------------- 0	518,335 ------------- 0	0 ------------- 0
13GERARD FISHERVP; CLINICAL ANCILLARY SRVCS	(i) (ii)	307,659 ------------- 0	67,570 ------------- 0	6,323 ------------- 0	33,100 ------------- 0	14,397 ------------- 0	429,049 ------------- 0	0 ------------- 0
14BRIAN O'SHIELDSVP; CHIEF ACTUARY	(i) (ii)	332,303 ------------- 0	114,125 ------------- 0	3,084 ------------- 0	36,052 ------------- 0	20,814 ------------- 0	506,378 ------------- 0	0 ------------- 0
15DONALD LEWISVP; CHIEF TECHNOLOGY OFFICER	(i) (ii)	304,447 ------------- 0	122,279 ------------- 0	132,019 ------------- 0	0 ------------- 0	9,424 ------------- 0	568,169 ------------- 0	0 ------------- 0
16BARBARA TREHEARNEVP; CLIN EXCL &INT CHIEF NURSE	(i) (ii)	342,678 ------------- 0	121,876 ------------- 0	40,644 ------------- 0	0 ------------- 0	15,172 ------------- 0	520,370 ------------- 0	0 ------------- 0
17ERIC LARSONVP; GROUP HEALTH RESEARCH INST	(i) (ii)	389,601 ------------- 0	111,763 ------------- 0	54,377 ------------- 0	0 ------------- 0	15,374 ------------- 0	571,115 ------------- 0	0 ------------- 0
18DEBORAH HUNTINGTONVP; SALES	(i) (ii)	317,379 ------------- 0	122,764 ------------- 0	34,814 ------------- 0	0 ------------- 0	20,786 ------------- 0	495,743 ------------- 0	0 ------------- 0
19CYNTHIA JOHNSONEVP; HR	(i) (ii)	323,519 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	323,519 ------------- 0	0 ------------- 0
20BARBARA ANN BELT-LLOYDVP; CHIEF ACCOUNTING OFFICER	(i) (ii)	258,950 ------------- 0	93,057 ------------- 0	32,228 ------------- 0	0 ------------- 0	18,418 ------------- 0	402,653 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

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

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
GROUP HEALTH COOPERATIVE

Employer identification number
91-0511770

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	WASHINGTON HEALTH CARE FACILITIES AUTHORITY	91-1108929	97978EE24	11-08-2006	99,995,662	FUND MEDICAL CENTER BUILDING COSTS		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	0
2 Amount of bonds legally defeased ..............	0
3 Total proceeds of issue ..................	99,995,662
4 Gross proceeds in reserve funds .............	8,848,163
5 Capitalized interest from proceeds .............	0
6 Proceeds in refunding escrows ...............	0
7 Issuance costs from proceeds ...............	1,999,913
8 Credit enhancement from proceeds .............	0
9 Working capital expenditures from proceeds .............	0
10 Capital expenditures from proceeds .............	89,147,586
11 Other spent proceeds .............	0
12 Other unspent proceeds .............	0
13 Year of substantial completion .............	2008
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X
15 Were the bonds issued as part of an advance refunding issue? .....		X
16 Has the final allocation of proceeds been made? ..........	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...	X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......
b Exception to rebate? ........
c No rebate due? .........
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X
b Name of provider ..........	Citibank NA
c Term of hedge .........	30 %
d Was the hedge superintegrated? ......		X
e Was the hedge terminated? ........		X

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?	X
b Name of provider ..........	MassMutual
c Term of GIC .........	10 %
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........	X
6 Were any gross proceeds invested beyond an available temporary period?		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

GROUP HEALTH COOPERATIVE

Employer identification number

91-0511770

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

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: 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.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	11
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	11
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	7,843
6	Total number of volunteers (estimate if necessary) .............	6	624
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	2,483,044
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	143,708

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	43,361,597	46,364,989
9	Program service revenue (Part VIII, line 2g) .........	2,867,051,673	2,869,169,578
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	53,307,207	42,865,145
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	71,521,250	69,441,225
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	3,035,241,727	3,027,840,937
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	603,375,486	567,848,372
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	2,316,546,268	2,340,776,945
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,919,921,755	2,908,625,317
19	Revenue less expenses. Subtract line 18 from line 12.......	115,319,972	119,215,620
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,855,357,995	1,877,474,544
21	Total liabilities (Part X, line 26).............	896,265,502	838,748,423
22	Net assets or fund balances. Subtract line 21 from line 20.....	959,092,493	1,038,726,121

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 2,315,935,910 including grants of $ ) (Revenue $ 2,863,835,095 )
	GROUP HEALTH COOPERATIVE (GROUP HEALTH) PROVIDED HEALTH CARE COVERAGE AND/OR SERVICES TO APPROXIMATELY 352,000 COMMERCIAL GROUP, MEDICARE, MEDICARE ADVANTAGE, MEDICAID, BASIC HEALTH PLAN, FEDERAL EMPLOYEE HEALTH BENEFIT PLAN AND INDIVIDUAL ENROLLEES IN WASHINGTON AND NORTH IDAHO. PLEASE REFER TO A DESCRIPTION OF THE PROGRAM'S OBJECTIVES IN SCHEDULE H, PART VI.2 AND PART VI.5.

4b	(Code: ) (Expenses $ 55,636,116 including grants of $ ) (Revenue $ 21,499,107 )
	CARE AND COVERAGE TO 32,816 PEOPLE IN NEED: HEALTH CARE COVERAGE AND SERVICES TO PATIENTS ENROLLED IN GOVERNMENT PROGRAMS. UNREIMBURSED CARE FOR INDIVIDUAL PATIENTS IN NEED. URGENT AND EMERGENCY CARE. PARTNERING WITH SAFETY-NET ORGANIZATIONS. PLEASE REFER TO A DESCRIPTION OF THE PROGRAM'S OBJECTIVES IN SCHEDULE H, PART VI.2 AND PART VI.5.

4c	(Code: ) (Expenses $ 64,090,025 including grants of $ ) (Revenue $ 48,377,734 )
	HEALTH RESEARCH AND EDUCATION FOR 439 PEOPLE INCLUDING: RESEARCH AND EVIDENCE-BASED CARE. PROFESSIONAL EDUCATION ACTIVITIES. CONSUMER HEALTH EDUCATION. PLEASE REFER TO A DESCRIPTION OF THE PROGRAM'S OBJECTIVES IN SCHEDULE H, PART VI.2 AND PART VI.5.

	(Code: ) (Expenses $ 1,863,775 including grants of $ 0 ) (Revenue $ 37,079 )
	HEALTHY COMMUNITIES

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 1,863,775 including grants of $ 0 ) (Revenue $ 37,079 )
4e	Total program service expenses2,437,525,826

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	14,662,392	10,250	599,037

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	2,116,557
e	Government grants (contributions)		1e	36,095,069

f	All other contributions, gifts, grants, and similar amounts not included above		1f	8,153,363

g	Noncash contributions included in lines 1a-1f:$ 15,805
h Total.Add lines 1a-1f.......		46,364,989

		Business Code
2a	MEMBER DUES	524114	2,393,719,450	2,393,719,450
b	MEDICAL SERVICES REVENUE	621491	372,253,792	372,253,792
c	CAPITATION REVENUE	621491	53,549,189	53,549,189
d	CMA - PROGRAM SERVICE REVENUE	621491	15,903,770	15,903,770
e	SELF-FUNDED ADMINISTRATIVE FEES	524292	13,628,959	13,628,959
f	All other program service revenue.			20,114,418	20,114,418
g Total.Add lines 2a–2f.....			2,869,169,578

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			37,042,600			37,042,600
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		2,378,744
b	Less: rental expenses
c	Rental income or (loss)	0	2,378,744
d	Net rental income or (loss)......			2,378,744			2,378,744
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	99,985	496,360,760
b	Less: cost or other basis and sales expenses	39,561	490,598,639
c	Gain or (loss)	60,424	5,762,121
d	Net gain or (loss).....			5,822,545			5,822,545
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a		177,743
b	Less: cost of goods sold ..b		72,523
c	Net income or (loss) from sales of inventory..			105,220		105,220
Business Code			Miscellaneous Revenue
11a	ADMIN CONTRACT		561000	64,437,384	64,437,384
b	SALES TO MEMBERS		446199	51,244	51,244
c	GROUP HEALTH RESEARCH INSTITUTE		541700	2,269,640		2,269,640
d	All other revenue ....			198,993	90,809	108,184
e	Total. Add lines 11a–11d ......			66,957,261
12	Total revenue. See Instructions......			3,027,840,937	2,933,749,015	2,483,044	45,243,889

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	0
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	15,559,270		15,559,270
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	447,715,014	264,352,426	183,362,588
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	53,218,095	31,422,517	21,795,578
9	Other employee benefits .......	12,287,323	7,255,025	5,032,298
10	Payroll taxes ...........	39,068,670	23,032,325	16,036,345
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	3,781,584		3,781,584
c	Accounting ...........	127,651		127,651
d	Lobbying ...........	614,073		614,073
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	1,935,667		1,935,667
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	1,685,701,720	1,594,415,417	91,286,303
12	Advertising and promotion ....	5,313,076	105,703	5,207,373
13	Office expenses .......	380,356,205	352,881,973	27,474,232
14	Information technology ......	33,640,945	12,791	33,628,154
15	Royalties ..	0
16	Occupancy ...........	48,870,171	17,044,723	31,825,448
17	Travel ............	1,805,829	1,172,920	632,909
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	5,218,267	963,176	4,255,091
20	Interest ...........	3,364,962		3,364,962
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	55,798,842	32,947,774	22,851,068
23	Insurance ...	10,600,782	9,504,292	1,096,490
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	PREMIUM AND BUSINESS TAX	55,113,676	65,279,482	-10,165,806
b	CMA - PROGRAM SERVICE EXP.	22,152,208	22,152,208	0
c	BAD DEBT EXPENSE	13,636,068	11,333,311	2,302,757
d	ADMINISTRATIVE/ACCESS FEES	9,261,740	2,373,210	6,888,530
e	All other expenses	3,483,479	1,276,553	2,206,926
25	Total functional expenses. Add lines 1 through 24e	2,908,625,317	2,437,525,826	471,099,491	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			105,037,075	1	135,584,246
2	Savings and temporary cash investments .........			30,129,073	2	37,790,013
3	Pledges and grants receivable, net ......			9,683,476	3	10,358,480
4	Accounts receivable, net .............			100,493,819	4	102,956,256
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net ....			0	7	0
8	Inventories for sale or use ........			16,764,175	8	18,071,621
9	Prepaid expenses and deferred charges ......			39,991,159	9	18,053,764
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,077,432,054
b	Less: accumulated depreciation	10b	680,800,056	414,865,750	10c	396,631,998
11	Investments—publicly traded securities .			815,709,588	11	839,172,118
12	Investments—other securities. See Part IV, line 11 .....			247,131,334	12	249,370,094
13	Investments—program-related. See Part IV, line 11 ..			23,219,041	13	16,937,197
14	Intangible assets ...............			0	14	427,094
15	Other assets. See Part IV, line 11 ...........			52,333,505	15	52,121,663
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,855,357,995	16	1,877,474,544

17	Accounts payable and accrued expenses .....	403,055,830	17	364,256,063
18	Grants payable ...	0	18	0
19	Deferred revenue .........	34,381,851	19	47,766,301
20	Tax-exempt bond liabilities .........	128,904,435	20	122,901,368
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	329,923,386	25	303,824,691
26	Total liabilities. Add lines 17 through 25..	896,265,502	26	838,748,423

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	942,405,809	27	1,022,866,977
28	Temporarily restricted net assets ...........	7,209,171	28	6,218,997
29	Permanently restricted net assets	9,477,513	29	9,640,147
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	959,092,493	33	1,038,726,121
34	Total liabilities and net assets/fund balances ........	1,855,357,995	34	1,877,474,544

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) COLUMBIA MEDICAL ASSOCIATES LLC 1003 EAST TRENT SUITE 150 SPOKANE,WA99202 20-0986848	COMP MED CARE	WA	18,449,818	5,659,895	GHC
(2) COLUMBIA CLINIC LLC 1003 EAST TRENT SUITE 150 SPOKANE,WA99202	INACTIVE	WA	0	0	CMA LLC

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)GROUP HEALTH FOUNDATION 320 WESTLAKE AVE N STE 100 SEATTLE,WA981095233 91-1246278	FOUNDATION	WA	501(c)(3)	7	GHC	Yes
(2)GROUP HEALTH NORTHWEST 320 WESTLAKE AVE N STE 100 SEATTLE,WA981095233 91-1216856	INACTIVE	WA	501(c)(3)	11,TYPE I	GHC	Yes

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) GROUP HEALTH OPTIONS INC	l	163,426,965	FMV
(2) GROUP HEALTH OPTIONS INC	m	69,622	FMV
(3) GROUP HEALTH OPTIONS INC	a(iv)	1,186	FMV
(4) KPS HEALTH PLANS	l	2,602,198	FMV
(5) KPS HEALTH PLANS	m	-264,823	FMV
(6) KPS HEALTH PLANS	a(iv)	26,507	FMV
(7) GROUP HEALTH FOUNDATION	c	2,116,557	CASH

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No