TY 2018 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)
(1) Gregory Adams...................................................................... EVP, Group President	4.0 ................. 46.0	X	X	0	9,082,242	1,144,302
(2) Ramon F Baez...................................................................... Director	0.9 ................. 4.7	X		11,000	211,181	13,477
(3) Patrick Courneya...................................................................... EVP, Chief Medical Officer	2.5 ................. 47.5	X		0	1,360,520	328,076
(4) Ruta E Fanning...................................................................... Director	1.0 ................. 0.0	X		14,500	0	0
(5) Judith A Johansen...................................................................... Director	0.5 ................. 8.5	X		3,000	257,324	-18,131
(6) Kim J Kaiser...................................................................... Director	0.5 ................. 7.5	X		14,500	232,760	-11,160
(7) Kathryn Lancaster...................................................................... EVP & CFO	3.5 ................. 46.5	X		0	3,221,105	353,313
(8) Margaret E Porfido JD...................................................................... Director	0.5 ................. 5.5	X		13,500	265,262	-9,170
(9) Constance W Rice...................................................................... Director	1.25 ................. 0.0	X		20,660	0	0
(10) Michael D Wilson...................................................................... Director	1.25 ................. 0.0	X		20,660	0	0
(11) Maryann Bodayle...................................................................... Assistant Secretary	1.0 ................. 49.0		X	0	176,012	17,629
(12) Thomas Meier...................................................................... SVP, Corporate Treasurer	1.5 ................. 48.5		X	0	1,211,947	41,466
(13) Susan Mullaney...................................................................... Regional President - WA	44.0 ................. 6.0		X	0	1,220,548	273,530
(14) Donald Orndoff...................................................................... SVP, NFS	3.5 ................. 46.5		X	0	1,147,552	202,084
(15) John Rodgers...................................................................... VP, Business Info Officer - WA	50.0 ................. 0.0		X	0	359,600	86,286
(16) Karen Schartman...................................................................... VP, CFO and Strategy - WA	50.0 ................. 0.0		X	0	761,901	77,588
(17) Joseph Smith...................................................................... VP, MSBD - WA	50.0 ................. 0.0		X	0	700,798	110,036

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Arthur Southam........................................................................ EVP, Health Plan Operations	3.5 .......................46.5	X				0	3,370,942	573,089
(19) Shawna Sweeney........................................................................ Assistant Secretary	50.0 .......................0.0	X				0	518,743	59,432
(20) Bernard Tyson........................................................................ Chairman & CEO	3.5 .......................46.5	X				0	15,709,853	2,173,780
(21) Alfonse Upshaw........................................................................ SVP,Corporate Controller & CAO	3.0 .......................47.0	X				0	813,644	128,411
(22) Pamela Warren........................................................................ VP, HP Services & Admin - WA	50.0 .......................0.0	X				0	633,772	96,910
(23) Sarah Yates........................................................................ Assistant Secretary	50.0 .......................0.0	X				0	969,363	117,804
(24) Hong-Sze Yu........................................................................ VP, Brd & Corp Gov & Asst Secy	3.0 .......................47.0	X				0	361,334	86,046
(25) Mark Zemelman........................................................................ SVP, General Counsel & Secy	2.0 .......................48.0	X				0	2,058,532	22,057
(26) Gerard C Fischer........................................................................ VP, Ancillary & Business Svcs	50.0 .......................0.0		X			0	680,533	101,198
(27) Erin D Leff........................................................................ VP, COO	50.0 .......................0.0		X			0	2,017,898	67,555
(28) Janet O'Hollaren........................................................................ VP, COO	50.0 .......................0.0		X			0	1,075,050	143,429
(29) Barbara E Trehearne........................................................................ VP, Clinical Excellence & Int	50.0 .......................0.0		X			0	878,663	21,779
(30) Alicia T Eng........................................................................ VP,Clinic Ops & Mkt Integrat'n	50.0 .......................0.0			X		0	691,637	192,498
(31) Elizabeth Fleming........................................................................ VP, Innovation & New Bus Dev	50.0 .......................0.0			X		0	736,687	180,058
(32) John F Harris........................................................................ ED-Mkt & Prod Strat/VP KPWA Op	50.0 .......................0.0			X		0	684,680	154,606
(33) Eric B Larson........................................................................ VP, Health Research	50.0 .......................0.0			X		0	810,076	131,943
(34) Sheila M Rankin........................................................................ VP Port Mgr & Strat Execution	50.0 .......................0.0			X		0	659,041	76,891
(35) Scott Armstrong........................................................................ President & CEO	0.0 .......................0.0				X	1,703,471	0	-85,620
(36) Barbara Belt Lloyd........................................................................ VP, Chief Accounting Officer	0.0 .......................0.0				X	435,390	0	0
(37) Linda M Breard........................................................................ EVP, Chief Financial Officer	0.0 .......................0.0				X	762,486	0	0
(38) Breton C Myers........................................................................ VP, Treasury	50.0 .......................0.0				X	0	561,774	85,033
(39) Susan S Kozik........................................................................ EVP, Chief Information Officer	0.0 .......................0.0				X	520,063	0	0
(40) Tami Lamp........................................................................ EVP, HR	0.0 .......................0.0				X	583,956	0	0
(41) Dawn Loeliger........................................................................ EVP, Strat Planning & Deploy	0.0 .......................0.0				X	387,949	0	0
(42) Robert V O'Brien........................................................................ EVP, Health Plan Division	0.0 .......................0.0				X	835,581	0	0
(43) Diana H Rakow........................................................................ EVP Marketing & Public Affairs	0.0 .......................0.0				X	507,126	0	0
(44) Brian S O'Shields........................................................................ VP, Chief Actuary	0.0 .......................0.0				X	1,064,630	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
PEACEHEALTH MEDICAL GROUP, 1115 SE 164TH AVE VANCOUVER,WA98683	Hospital Services	90,457,138
OVERLAKE HOSPITAL MED CTR, 1035 116TH AVE NE BELLEVUE,WA98004	Hospital Services	90,175,131
OPTUMRX PBM OF ILLINOIS INC, PO BOX 27275 NEW YORK,NY10087	Mgmt Services	88,185,238
ST JOSEPH MEDICAL CENTER, 1717 S J ST TACOMA,WA98405	Hospital Services	77,959,466
WASHINGTON PERMANENTE MEDICAL GROUP, 320 WESTLAKE AVE N SEATTLE,WA98109	MEDICAL PROFESSIONAL	342,079,136
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 621

- 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.
right arrow

Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

KAISER FOUNDATION HEALTH PLAN OF WASHINGTON

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 12, 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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. 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—2017. 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—2018. 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—2017. 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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. 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—2017. 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) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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) 2018

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) 2018

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 (explain in Part VI). 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) 2018

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 2018 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-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

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) 2018

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

KAISER FOUNDATION HEALTH PLAN OF WASHINGTON

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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization KAISER FOUNDATION HEALTH PLAN OF WASHINGTON

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization KAISER FOUNDATION HEALTH PLAN OF WASHINGTON		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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization KAISER FOUNDATION HEALTH PLAN OF WASHINGTON			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) (2018)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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

KAISER FOUNDATION HEALTH PLAN OF WASHINGTON

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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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) 2018

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.)		(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) ...............................
c	Total lobbying expenditures (add lines 1a and 1b) ...................................................................
d	Other exempt purpose expenditures ........................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	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) .................................................
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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

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

b	Lobbying ceiling amount (150% of line 2a, column(e))					3,000,000

c	Total lobbying expenditures	795,952	664,985			1,460,937

d	Grassroots nontaxable amount	250,000	250,000			500,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					750,000

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2018

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)? ........

Yes

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

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

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

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

Yes

22,761

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

Yes

217,385

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

Yes

20,000

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

Yes

5,000

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

265,146

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, PART II-B, LINE 1A THROUGH 1I	LOBBYING ACTIVITY BY NONELECTING PUBLIC CHARITIES THE ORGANIZATION ("KAISER FOUNDATION HEALTH PLAN OF WASHINGTON" AKA "KFHP WA") IS A MEMBER OF THE KAISER PERMANENTE MEDICAL CARE PROGRAM (KP) AND PARTICIPATED IN AND BENEFITED FROM LOBBYING ACTIVITIES CONDUCTED AT THE REGIONAL AND NATIONAL LEVELS FOR THE BENEFIT OF ITS ENROLLED MEMBERS, THE BROADER COMMUNITY AND FOR THE HEALTH CARE INDUSTRY AS A WHOLE. AS AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), KFHP WA HAS A POLICY PROHIBITING ANY OF KFHP WA'S RESOURCES BEING USED IN ANY POLITICAL CAMPAIGNS. THIS POLICY IS CLOSELY MONITORED FOR COMPLIANCE. DURING THE YEAR THIS ORGANIZATION MADE COMMENTS OR STATEMENTS CONCERNING LEGISLATION AND BALLOT INITIATIVES WHICH MAY AFFECT THE HEALTH CARE INDUSTRY. KFHP WA ENGAGED IN CONVERSATIONS WITH AND/OR WRITTEN COMMUNICATIONS TO VARIOUS FEDERAL, STATE, AND LOCAL OFFICIALS REGARDING MATTERS WHICH AFFECTED THE HEALTHCARE INDUSTRY AS A WHOLE. THE AMOUNT OF MONEY INVOLVED IN THE ACTIVITIES IS DETAILED ON LINES A THROUGH I. KP EMPLOYS INDIVIDUALS, INCLUDING ONE OR MORE REGISTERED LOBBYISTS AND/OR MAY RETAIN ONE OR MORE PROFESSIONAL CONSULTANTS TO REPRESENT KFHP WA'S INTERESTS IN VARIOUS LEGISLATIVE AND REGULATORY BODIES AND FROM TIME-TO-TIME TO KEEP INFORMED ABOUT FEDERAL AND STATE LEGISLATION HAVING AN IMPACT ON KP'S CHARITABLE ACTIVITIES AS AN EXEMPT HEALTH MAINTENANCE ORGANIZATION. THESE INDIVIDUALS ATTEMPT TO ENSURE THAT PROPOSED LEGISLATION AND ENACTED LAWS ARE COMPATIBLE WITH THE INTERESTS OF KP, ITS MEMBERS AND ITS PATIENTS BY PERFORMING THE FOLLOWING ACTIVITIES: - COLLECTING, ANALYZING AND DISTRIBUTING WITHIN THE ORGANIZATION, PUBLIC AND PRIVATE POLICY RECOMMENDATIONS REGARDING PROPOSED LEGISLATION THAT AFFECT THE OPERATION OF KFHP WA AND ITS ABILITY TO PROVIDE QUALITY HEALTH AND MEDICAL CARE SERVICES TO ITS MEMBERS AND THE BROADER COMMUNITY IN A COST EFFECTIVE MANNER. - PROVIDING APPROPRIATE INFORMATIONAL MATERIALS TO LEGISLATORS AND THEIR STAFFS THAT PERTAIN TO MATTERS OF COMMON INTEREST IN THE HEALTH CARE COMMUNITY AND IN THE NOT-FOR-PROFIT COMMUNITY. - PREPARING WRITTEN AND ORAL TESTIMONY, APPEARING AT LEGISLATIVE HEARINGS, MONITORING LEGISLATIVE PROCEEDINGS AND MEETING WITH LEGISLATORS AND/OR THEIR STAFFS REGARDING ISSUES PERTINENT TO THE MISSION OF KFHP WA. INDIVIDUALS APPEARING AT SUCH HEARINGS AND MEETINGS FOR AND ON BEHALF OF KFHP WA OFTEN ARE REPRESENTING THE INTERESTS OF COMMON INTEREST GROUPS AS WELL AS THE INTERESTS OF THE MEMBERS AND PATIENTS OF KFHP WA. OTHER EMPLOYEES AND OFFICERS PERFORM SERVICES BY DELIVERING SPEECHES AT VARIOUS PUBLIC AND PRIVATE FUNCTIONS AND IN SERVING AS FACULTY IN HEALTHCARE RELATED EDUCATIONAL PROGRAMS THROUGHOUT THE COMMUNITY.

Return Reference

Explanation

SCHEDULE C, PART II-B, LINE 1A THROUGH 1I

LOBBYING ACTIVITY BY NONELECTING PUBLIC CHARITIES THE ORGANIZATION ("KAISER FOUNDATION HEALTH PLAN OF WASHINGTON" AKA "KFHP WA") IS A MEMBER OF THE KAISER PERMANENTE MEDICAL CARE PROGRAM (KP) AND PARTICIPATED IN AND BENEFITED FROM LOBBYING ACTIVITIES CONDUCTED AT THE REGIONAL AND NATIONAL LEVELS FOR THE BENEFIT OF ITS ENROLLED MEMBERS, THE BROADER COMMUNITY AND FOR THE HEALTH CARE INDUSTRY AS A WHOLE. AS AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), KFHP WA HAS A POLICY PROHIBITING ANY OF KFHP WA'S RESOURCES BEING USED IN ANY POLITICAL CAMPAIGNS. THIS POLICY IS CLOSELY MONITORED FOR COMPLIANCE. DURING THE YEAR THIS ORGANIZATION MADE COMMENTS OR STATEMENTS CONCERNING LEGISLATION AND BALLOT INITIATIVES WHICH MAY AFFECT THE HEALTH CARE INDUSTRY. KFHP WA ENGAGED IN CONVERSATIONS WITH AND/OR WRITTEN COMMUNICATIONS TO VARIOUS FEDERAL, STATE, AND LOCAL OFFICIALS REGARDING MATTERS WHICH AFFECTED THE HEALTHCARE INDUSTRY AS A WHOLE. THE AMOUNT OF MONEY INVOLVED IN THE ACTIVITIES IS DETAILED ON LINES A THROUGH I. KP EMPLOYS INDIVIDUALS, INCLUDING ONE OR MORE REGISTERED LOBBYISTS AND/OR MAY RETAIN ONE OR MORE PROFESSIONAL CONSULTANTS TO REPRESENT KFHP WA'S INTERESTS IN VARIOUS LEGISLATIVE AND REGULATORY BODIES AND FROM TIME-TO-TIME TO KEEP INFORMED ABOUT FEDERAL AND STATE LEGISLATION HAVING AN IMPACT ON KP'S CHARITABLE ACTIVITIES AS AN EXEMPT HEALTH MAINTENANCE ORGANIZATION. THESE INDIVIDUALS ATTEMPT TO ENSURE THAT PROPOSED LEGISLATION AND ENACTED LAWS ARE COMPATIBLE WITH THE INTERESTS OF KP, ITS MEMBERS AND ITS PATIENTS BY PERFORMING THE FOLLOWING ACTIVITIES: - COLLECTING, ANALYZING AND DISTRIBUTING WITHIN THE ORGANIZATION, PUBLIC AND PRIVATE POLICY RECOMMENDATIONS REGARDING PROPOSED LEGISLATION THAT AFFECT THE OPERATION OF KFHP WA AND ITS ABILITY TO PROVIDE QUALITY HEALTH AND MEDICAL CARE SERVICES TO ITS MEMBERS AND THE BROADER COMMUNITY IN A COST EFFECTIVE MANNER. - PROVIDING APPROPRIATE INFORMATIONAL MATERIALS TO LEGISLATORS AND THEIR STAFFS THAT PERTAIN TO MATTERS OF COMMON INTEREST IN THE HEALTH CARE COMMUNITY AND IN THE NOT-FOR-PROFIT COMMUNITY. - PREPARING WRITTEN AND ORAL TESTIMONY, APPEARING AT LEGISLATIVE HEARINGS, MONITORING LEGISLATIVE PROCEEDINGS AND MEETING WITH LEGISLATORS AND/OR THEIR STAFFS REGARDING ISSUES PERTINENT TO THE MISSION OF KFHP WA. INDIVIDUALS APPEARING AT SUCH HEARINGS AND MEETINGS FOR AND ON BEHALF OF KFHP WA OFTEN ARE REPRESENTING THE INTERESTS OF COMMON INTEREST GROUPS AS WELL AS THE INTERESTS OF THE MEMBERS AND PATIENTS OF KFHP WA. OTHER EMPLOYEES AND OFFICERS PERFORM SERVICES BY DELIVERING SPEECHES AT VARIOUS PUBLIC AND PRIVATE FUNCTIONS AND IN SERVING AS FACULTY IN HEALTHCARE RELATED EDUCATIONAL PROGRAMS THROUGHOUT THE COMMUNITY.

Schedule C (Form 990 or 990EZ) 2018

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.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

KAISER FOUNDATION HEALTH PLAN OF WASHINGTON

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 7/25/06, 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) 2018

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 .....	177,416,288		177,416,288
b	Buildings ....	607,586,811	48,920,558	558,666,253
c	Leasehold improvements	10,773,923	2,343,928	8,429,995
d	Equipment ....	176,045,860	67,434,981	108,610,879
e	Other .....	62,258,821	10,576,265	51,682,556
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				904,805,971

Schedule D (Form 990) 2018

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.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

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) BROKER RECEIVABLES				808
(2) OTHER ASSETS				5,113,921
(3) EQUITY IN SUBS				135,001,467
(4) LT DEFERRED COST				5,938,445
(5) DUE FROM AFFILIATES				40,804,322
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				186,858,963

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
DUE TO ASSOCIATED MED. GROUPS	27,744,717
DUE TO AFFILIATED ORGANIZATIONS	84,012,572
SELF INSURED RISKS	56,815,568
PENSION AND RETIREMENT	87,159,505
LONG TERM DEBT	86,094
BROKER PAYABLE	295,712
OTHER CURRENT LIABILITIES	14,817,563
OTHER L/T LIABILITIES	37,302,587
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	308,234,318
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) 2018

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	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
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
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

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	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
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
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
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

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
Schedule D, Part X, LINE 2	ASC 740 Footnote: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE UNDER ASC 740.

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON

Employer identification number

91-0511770

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region

















3a	Sub-total .....
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018

Schedule F (Form 990) 2018

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

(c) Region	(d) Purpose of grant	(e) Amount of cash grant
Europe (Including Iceland and Greenland)	Research Collaboration	31,000

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......	0
3	Enter total number of other organizations or entities .......................	1

Schedule F (Form 990) 2018

Schedule F (Form 990) 2018Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2018

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2018

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation

Schedule F (Form 990) 2018

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

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

KAISER FOUNDATION HEALTH PLAN OF WASHINGTON

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 300 %

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: . . . . . . . .

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? . . . . . . . . . . . . . . . . . . . . . . .

Yes

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

Yes

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		(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) . . .	15,982,889	0	15,982,889	0.420 %
b	Medicaid (from Worksheet 3, column a) . . . . .	58,940,565	25,250,360	33,690,206	0.890 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	0	0	0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	74,923,454	25,250,360	49,673,095	1.310 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	5,814,137	1,543,553	4,270,584	0.110 %
f	Health professions education (from Worksheet 5) . . .	9,003,158	11,089	8,992,069	0.240 %
g	Subsidized health services (from Worksheet 6) . . . .	0	0	0	0 %
h	Research (from Worksheet 7) .	28,953,901	27,241,870	1,712,031	0.050 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	4,250,055	0	4,250,055	0.110 %
j	Total. Other Benefits . .	48,021,251	28,796,512	19,224,739	0.510 %
k	Total. Add lines 7d and 7j .	122,944,705	54,046,872	68,897,834	1.820 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

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)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

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? ..........................

Yes

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

144,159

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).....

390,649

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

367,578

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

23,071

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) 2018

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?1Name, 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	KAISER PERMANENTE CENTRAL HOSPITAL 201 16TH AVE E SEATTLE,WA981125260 https://wa.kaiserpermanente.org/ HAC.FS.00000020	X	X

Schedule H (Form 990) 2018

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)

	KAISER PERMANENTE CENTRAL HOSPITAL
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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

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..................................

Yes

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. ............................

Yes

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): See Section C

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 16

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

Yes

If "Yes" (list url): SEE Section C

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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	KAISER PERMANENTE CENTRAL HOSPITAL
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 300.% and FPG family income limit for eligibility for discounted care of 0.%

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)

Was widely publicized 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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	KAISER PERMANENTE CENTRAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

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)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

	KAISER PERMANENTE CENTRAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2018

Page 8

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, 16j, 18e, 19e, 20e, 21c, 21d, 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 community health needs assessment (CHNA) is a King County Hospitals for a Healthier Community (HHC) collaborative effort that fulfills Section 9007 of the Affordable Care Act. The CHNA takes into account input from people who represent the broad interests of the communities served by HHC hospitals and health systems. Three methods of gathering information from community members about identified health needs and assets were used. 1. INTERVIEWS WERE CONDUCTED BY PUBLIC HEALTH SEATTLE KING COUNTY STAFF BETWEEN JANUARY AND JULY OF 2015 WITH STAKEHOLDER COALITIONS WITH BROAD REPRESENTATION. THIS METHOD MAXIMIZED THE NUMBER AND DIVERSITY OF STAKEHOLDERS WHO COULD PROVIDE INPUT. COALITIONS WERE IDENTIFIED THAT HAVE EXPERTISE ON HEALTH NEEDS IDENTIFIED THROUGH QUANTITATIVE DATA, HAVE DIVERSE MEMBERSHIP, AND HAVE A REGIONAL OR SUBREGIONAL FOCUS. STAKEHOLDERS INCLUDED THOSE WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE NEEDS, AS WELL AS REPRESENTATIVES FROM THE LOCAL HEALTH DEPARTMENT. STAKEHOLDER GROUPS INCLUDED HUMAN SERVICE PROVIDERS, COMMUNITY HEALTH CENTERS, BEHAVIORAL HEALTH PROVIDERS, STATE, COUNTY, AND LOCAL GOVERNMENT STAFF, FIRE DEPARTMENTS, LAW ENFORCEMENT, ADVOCACY ORGANIZATIONS, HOSPITAL STAFF, GROUPS FOCUSED ON HEALTH DISPARITIES IN COMMUNITIES OF COLOR, FAITH COMMUNITIES, LABOR, AND MANAGED CARE ORGANIZATIONS. A TOTAL OF 11 COALITIONS AND 99 INDIVIDUAL ORGANIZATIONS OR KEY INFORMANTS PROVIDED INFORMATION. 2. AN ONLINE SURVEY WAS ALSO AVAILABLE FOR THOSE WHO WERE UNABLE TO ATTEND THE RESPECTIVE COALITION MEETING AND WISHED TO PROVIDE INPUT IN WRITING. THIRTY-ONE INDIVIDUALS RESPONDED TO THE SURVEY. 3. RECENT REPORTS ON HEALTH NEEDS WERE ALSO REVIEWED FOR THEMES AND RELEVANT ASSETS AND RESOURCES. INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS BELONGING TO THE FOLLOWING COALITIONS, AGENCIES, AND ORGANIZATIONS: THOSE WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY: EASTSIDE HUMAN SERVICES FORUM - AGING & DISABILITY SERVICES - THE ARC OF KING COUNTY - CITY OF BELLEVUE - CITY OF KIRKLAND - CITY OF REDMOND - FRIENDS OF YOUTH - HOPELINK - ISSAQUAH HUMAN SERVICES COMMISSION - ISSAQUAH SAMMAMISH INTERFAITH COALITION - KING COUNTY COUNCIL - KIRKLAND CITY COUNCIL - OVERLAKE MEDICAL CENTER - REDMOND CITY COUNCIL - YOUTH EASTSIDE SERVICES - YWCA SEATTLE-KING-SNOHOMISH NORTH URBAN HUMAN SERVICES ALLIANCE - CENTER FOR HUMAN SERVICES - CITY OF LAKE FOREST PARK - CITY OF SHORELINE HUMAN SERVICES - HOPELINK - NORTHSHORE/SHORELINE COMMUNITY NETWORK - SHORELINE COMMUNITY COLLEGE SEATTLE HUMAN SERVICES COALITION SOUTH KING COUNCIL OF HUMAN SERVICES KING COUNTY TRAFFIC SAFETY TASK FORCE - BURIEN POLICE DEPARTMENT - KENT POLICE DEPARTMENT - KIRKLAND POLICE DEPARTMENT - ISSAQUAH POLICE DEPARTMENT - MAPLE VALLEY POLICE DEPARTMENT - NEWCASTLE POLICE DEPARTMENT - REDMOND POLICE DEPARTMENT - RENTON POLICE DEPARTMENT - SEATAC POLICE DEPARTMENT - KING COUNTY EMERGENCY MEDICAL SERVICES SAFE KIDS SEATTLE/SOUTH KING COUNTY - FEET FIRST PEDESTRIAN SAFETY COALITION - HARBORVIEW SPINE CENTER AND CONCUSSION PROGRAM SAFE KIDS EASTSIDE - BRAIN INJURY ALLIANCE - CAR SAFE KIDS - DUVALL FIRE DEPARTMENT - EASTSIDE AID COMMUNITY - EVERGREEN HEALTH - NICK OF TIME FOUNDATION - OLYMPIC PHYSICAL THERAPY CENTRAL REGION EMS & TRAUMA CARE COUNCIL - EVERGREEN HEALTH EMERGENCY DEPARTMENT - GROUP HEALTH EMERGENCY DEPARTMENT - HARBORVIEW MEDICAL CENTER EMERGENCY DEPARTMENT - HIGHLINE MEDICAL CENTER EMERGENCY DEPARTMENT - MULTICARE AUBURN EMERGENCY DEPARTMENT - NORTHWEST HOSPITAL EMERGENCY DEPARTMENT - OVERLAKE MEDICAL CENTER EMERGENCY DEPARTMENT - SEATTLE CHILDRENS HOSPITAL EMERGENCY DEPARTMENT - SNOQUALMIE VALLEY HOSPITAL EMERGENCY DEPARTMENT - ST. ELIZABETH HOSPITAL EMERGENCY DEPARTMENT - ST. FRANCIS EMERGENCY DEPARTMENT - VALLEY MEDICAL CENTER EMERGENCY DEPARTMENT - AIRLIFT NORTHWEST - AMR AMBULANCE - FALCK NORTHWEST EMERGENCY MEDICAL SERVICES - TRI-MED AMBULANCE - WASHINGTON AMBULANCE ASSOCIATION - PUBLIC HEALTH-SEATTLE & KING COUNTY EMERGENCY - MEDICAL SERVICES - WASHINGTON STATE DEPARTMENT OF HEALTH REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE NEEDS - CAROL ALLEN, COORDINATOR, ACCESS TO BABY AND CHILD DENTISTRY PROGRAM, PUBLIC HEALTH-SEATTLE & KING COUNTY BEHAVIORAL HEALTH PARTNERSHIP GROUP - ASIAN COUNSELING AND REFERRAL SERVICES - CATHOLIC COMMUNITY SERVICES - COMMUNITY HOUSE MENTAL HEALTH - COMMUNITY PSYCHIATRIC CLINIC - CONSEJO COUNSELING - DESC - EVERGREEN HEALTH - HARBORVIEW MENTAL HEALTH - NAVOS - SEATTLE COUNSELING SERVICE - SOUND MENTAL HEALTH - VALLEY CITIES COUNSELING - YMCA - KING COUNTY MENTAL HEALTH CHEMICAL ABUSE AND DEPENDENCY SERVICES COUNTRY DOCTOR COMMUNITY HEALTH CENTER SEAMAR COMMUNITY HEALTH CENTER FOREFRONT EQUAL START COMMUNITY COALITION - CHILDRENS ALLIANCE - LOCAL HAZARDOUS WASTE MANAGEMENT - OPEN ARMS PERINATAL SERVICES - NATIVE AMERICAN WOMENS DIALOGUE ON INFANT MORTALITY - CENTER FOR MULTICULTURAL HEALTH - YWCA - ODESSA BROWN CHILDRENS CLINIC HEALTH COALITION FOR CHILDREN AND YOUTH - CEDAR RIVER GROUP - CHILDHOOD OBESITY PREVENTION COALITION - CHILDRENS ALLIANCE - COMMUNITY HEALTH NETWORK OF WASHINGTON - MOLINA HEALTHCARE - NEIGHBORHOOD HOUSE - NORTHWEST HEALTH LAW ADVOCATES - ODESSA BROWN CHILDRENS CLINIC - PARTNERS FOR OUR CHILDREN - SEATTLE CHILDRENS HOSPITAL - SERVICE EMPLOYEES INTERNATIONAL UNION HEALTHCARE 1199NW - WASHINGTON CHAPTER, AMERICAN ACADEMY OF PEDIATRICS - WASHINGTON DENTAL SERVICE FOUNDATION - WASHINGTON STATE HOSPITAL ASSOCIATION - WITHINREACH SALLIE NEILLIE, EXECUTIVE DIRECTOR, PROJECT ACCESS NORTHWEST THOSE WITH EXPERTISE IN PUBLIC HEALTH AND REPRESENTATIVES FROM THE LOCAL HEALTH DEPARTMENT: - ALAN ABE, PROGRAM MANAGER INJURY PREVENTION, KING COUNTY EMERGENCY MEDICAL SERVICES - JENNIFER DEYOUNG, HEALTH REFORM ANALYST, PUBLIC HEALTH-SEATTLE & KING COUNTY - TONY GOMEZ, RS, MANAGER, VIOLENCE AND INJURY PREVENTION, PUBLIC HEALTH-SEATTLE & KING COUNTY - SCOTT NEAL, TOBACCO PROGRAM MANAGER, PUBLIC HEALTH-SEATTLE & KING COUNTY - LISA PODELL, INTERIM HEALTH REFORM ANALYST, PUBLIC HEALTH-SEATTLE & KING COUNTY - WHITNEY TAYLOR, FIREARM VIOLENCE PREVENTION/CHILD FATALITY REVIEW PROGRAM MANAGER, PUBLIC HEALTH-SEATTLE & KING COUNTY - CRYSTAL TETRICK, PARENT CHILD HEALTH MANAGER, PUBLIC HEALTH-SEATTLE & KING COUNTY - SHARON TOQUINTO, PREVENTION AND TREATMENT MANAGER, MENTAL HEALTH CHEMICAL ABUSE & DEPENDENCY SERVICES DIVISION, KING COUNTY - JIM VOLLENDROFF, DIVISION DIRECTOR, MENTAL HEALTH CHEMICAL ABUSE & DEPENDENCY SERVICES DIVISION, KING COUNTY
Part V, Line 6a	KFHP-WA JOINED THE KING COUNTY HOSPITALS FOR A HEALTHIER COMMUNITY (HHC) COLLABORATIVE TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). KFHP-WA BECAME PART OF THE KAISER PERMANENTE SYSTEM IN FEBRUARY 2017. THE 12 HOSPITALS OF THE KING COUNTY HHC ARE: - CHI FRANCISCAN HEALTH - EVERGREEN HEALTH - KAISER PERMANENTE CENTRAL HOSPITAL - MULTICARE HEALTH SYSTEM - NAVOS - OVERLAKE MEDICAL CENTER - SEATTLE CANCER CARE ALLIANCE - SEATTLE CHILDRENS HOSPITAL - SNOQUALMIE VALLEY HOSPITAL DISTRICT - SWEDISH MEDICAL CENTER - UW MEDICINE - VIRGINIA MASON
Part V, Line 6b	THE KING COUNTY HOSPITALS FOR A HEALTHIER COMMUNITY (HHC) ALSO INCLUDES THE WASHINGTON STATE HOSPITAL ASSOCIATION AND PUBLIC HEALTH-SEATTLE & KING COUNTY.
Part V, Line 7a	THE CHNA REPORT IS AVAILABLE AT: https://wa.kaiserpermanente.org/html/public/about/community-needs
Part V, Line 10a	KFHP-WA'S IMPLEMENTATION STRATEGY IS AVAILABLE AT: https://wa.kaiserpermanente.org/static/pdf/public/about/chna-2016-strategy .pdf
Part V, Line 11	IN ITS 2016-2018 CHNA, KFHP-WA IDENTIFIED THE SIGNIFICANT HEALTH NEEDS TO BE ADDRESSED AS WELL AS THE IDENTIFIED HEALTH NEEDS WHICH WOULD NOT BE ADDRESSED BY KFHP-WA. KFHP-WA WILL CONTINUE ITS COORDINATED APPROACH AND CONNECTION WITH COMMUNITY PARTNERS TO MAXIMIZE HEALTH IMPROVEMENT EFFORTS. WE WILL DETERMINE PRIORITIES BASED ON COMMUNITY HEALTH NEEDS AND REGULATORY REQUIREMENTS WHERE KFHP-WA CAN HAVE THE MOST LEVERAGE. THROUGH COLLABORATION WITH PARTNERS ON PROGRAMS, INITIATIVES AND EVENTS, KFHP-WA PLANS TO HAVE A SUSTAINABLE IMPACT ON IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. ALTHOUGH THE FOLLOWING HEALTH ISSUES WERE IDENTIFIED IN THE 2016-2018 CHNA, THEY WERE NOT A KFHP-WA FOCUS DUE TO LIMITED EXPERTISE, THERE ARE OTHER ORGANIZATIONS ADDRESSING THE NEED, AND/OR KFHP-WA RESOURCE CONSTRAINTS PREVENTED EFFECTIVELY ADDRESSING THE NEED. - HOMICIDE/ASSAULT - INFANT MORTALITY - PRENATAL CARE/LOW BIRTHWEIGHT - TOBACCO USE - HEART DISEASE, CANCER, STROKE - PREVENTABLE HOSPITALIZATION - SUBSTANCE ABUSE/CHEMICAL DEPENDENCY THE PROCESS FOR RANKING THE HEALTH NEEDS IDENTIFIED THROUGH THE CHNA WAS DEVELOPED USING NATIONAL COMMUNITY BENEFIT STANDARDS, REVIEW OF HEALTH OUTCOMES AND DETERMINANTS, AND IDENTIFICATION OF ORGANIZATIONAL AND COMMUNITY RESOURCES. THE SIGNIFICANT HEALTH NEEDS SELECTED WILL GUIDE THE SELECTION OF ACTIVITIES, PROGRAMS, SPONSORSHIPS, AND USE OF KFHP-WA FINANCIAL RESOURCES, STAFF, CLINICAL EXPERTISE AND PARTNERSHIPS IN THE COMMUNITY THAT WILL BEST ADDRESS THESE HEALTH NEEDS. THE THREE HEALTH NEEDS CHOSEN FROM THE 2016-2018 CHNA TO BE ADDRESSED BY KFHP-WA ARE: 1. ACCESS TO CARE AND COVERAGE 2. MENTAL HEALTH AND WELLNESS - DEPRESSION 3. OBESITY AND RELATED CONDITIONS THESE NEEDS ARE BEING ADDRESSED BY: ACCESS TO CARE AND COVERAGE GOAL: TO INCREASE THE NUMBER OF ADULTS AND CHILDREN WITH HEALTH CARE COVERAGE AND TO INCREASE THE NUMBER OF UNINSURED OR UNDERINSURED ADULTS AND CHILDREN RECEIVING MEDICAL CARE - PROMOTING ENROLLMENT AND PARTICIPATION IN THE HEALTH BENEFIT EXCHANGE AND MEDICAID - ENSURING KFHP-WA SPONSORED CARE PROGRAM IS STRUCTURED TO MEET THE NEEDS OF THE UNINSURED AND UNDERSERVED POPULATION MENTAL HEALTH AND WELLNESS DEPRESSION GOAL: TO INCREASE EXPERTISE OF COMMUNITY PROVIDERS TO ADDRESS MENTAL HEALTH NEEDS - SHARING SUICIDE PREVENTION AND OTHER BEHAVIORAL HEALTH PATIENT AND PROVIDER EDUCATION MATERIALS AND PROTOCOLS WITH COMMUNITY PROVIDERS AND MENTAL HEALTH PROFESSIONALS - SUPPORTING COMMUNITY FORUMS ABOUT MENTAL HEALTH - SUPPORTING MENTAL HEALTH PROGRAMS IN SCHOOLS, PARTICULARLY THROUGH THE SCHOOL - BASED HEALTH CENTERS WITH WHICH KAISER PERMANENTE IS AFFILIATED - SUPPORT TELE-HEALTH OPTIONS FOR COMMUNITY PROVIDERS OBESITY AND RELATED CONDITIONS GOAL: TO DECREASE THE NUMBER OF CHILDREN AND ADULTS WHO ARE OBESE AND INCREASE PATIENTS ABILITY TO SELF-MANAGE CHRONIC DISEASE - SUPPORTING PROGRAMS AND INITIATIVES DESIGNED TO INCREASE PHYSICAL ACTIVITY AND ACCESS TO HEALTHY FRUITS AND VEGETABLES AND HEALTHY EATING - SHARING CLINICAL PROVIDERS EXPERTISE AND KNOWLEDGE ABOUT CHRONIC DISEASE PREVENTION AND MANAGEMENT - SUPPORTING BUILT ENVIRONMENT INITIATIVES SUCH AS BIKE, WALK AND TRANSIT OPTIONS
Part V, Line 13a	KFHP-WA PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL.
Part V, Line 13h	A PATIENT OF ANY HOUSEHOLD INCOME LEVEL WITH INCURRED OUT-OF-POCKET MEDICAL AND PHARMACY EXPENSES FOR ELIGIBLE SERVICES OVER A 12 MONTH PERIOD GREATER THAN OR EQUAL TO 10% OF THEIR ANNUAL HOUSEHOLD INCOME IS ELIGIBLE FOR CHARITY CARE.
Part V, Line 16	THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT https://share.kaiserpermanente.org/article/medical-financial-assistance-wa shington/.

Schedule H (Form 990) 2018

Page 9

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?42
Name and address		Type of Facility (describe)
1	Seattle-Capitol Hill Medical Center 201 16th Ave E Seattle,WA981125260	Medical Center
2	Bellevue Medical Center 11511 NE 10th Street Bellevue,WA98004	Medical Center
3	Olympia Medical Center 700 Lilly Rd NE Olympia,WA98506	Medical Center
4	Tacoma Medical Center 209 Martin Luther King Jr Way Tacoma,WA98405	Medical Center
5	Everett Medical Center 2930 Maple St Everett,WA98201	Medical Center
6	Silverdale Medical Center 10452 Silverdale Way NW Silverdale,WA98383	Medical Center
7	Seattle - Northgate Medical Center 9800 4th Ave NE Seattle,WA98115	Medical Center
8	Spokane - Riverfront Medical Center 322 W North River Drive Spokane,WA99201	Medical Center
9	Federal Way Medical Center 301 S 320th St Federal Way,WA98003	Medical Center
10	Bellevue - Factoria Medical Center 13451 SE 36th St Bellevue,WA98006	Medical Center
11	Puyallup Medical Center 1007 39th Ave SE Puyallup,WA38374	Medical Center
12	Lynnwood Medical Center 20200 54th Ave W Lynnwood,WA98036	Medical Center
13	Port Orchard Medical Center 1400 Pottery Ave Port Orchard,WA98366	Medical Center
14	Tacoma South Medical Center 9505 Steele St S Tacoma,WA98444	Medical Center
15	Burien Medical Center 140 SW 146th St Seattle,WA98166	Medical Center
16	Renton Medical Center 275 Bronson Way NE Renton,WA98056	Medical Center
17	Seattle - Northgate South Building 9720 4th Ave NE Seattle,WA98115	Vision Center
18	Redmond Medical Center 15809 Bear Creek Pkwy Ste 100 Redmond,WA98052	Medical Center
19	Bothell - Northshore Medical Center 11913 NE 195th St Bothell,WA98011	Medical Center
20	Kent Medical Center 26004 104th Ave SE Kent,WA98031	Medical Center
21	Spokane - Lidgerwood Medical Center 6002 N Liderwood Spokane,WA99207	Medical Center
22	Tacoma Behavioral Health Services 4301 S Pine St Tacoma,WA98409	Behavioral Health Clinic
23	Seattle - Rainier Medical Center 5316 Rainier Ave S Seattle,WA98118	Medical Center
24	Seattle - Downtown Medical Center 1420 5th Ave Suite 375 Seattle,WA98101	Medical Center
25	Spokane - Veradale Medical Center 14402 E Sprague Ave Spokane,WA99216	Medical Center
26	Poulsbo Medical Center 19379 7th Ave NE Poulsbo,WA98370	Medical Center
27	Tacoma Hear Center & Eye Care 5821 S Sprague Court Tacoma,WA98409	Audiology & Vision Center
28	Family Health Center 546 N Jefferson Ln Ste A Spokane,WA99201	Medical Clinic
29	South Hill Family Medicine 3010 S Southeast Blvd Ste A Spokane,WA992233540	Medical Clinic
30	Spokane - South Hill Medical Center 4102 S Regal St Ste 101 Spokane,WA99223	Medical Center
31	Bremerton Behavioral Health Services 555 Pacific Ave Ste 202 Bremerton,WA98337	Behavioral Health Clinic
32	Silverdale Eye Care 10516 Silverdale Way NW Silverdale,WA98383	Vision Center
33	Associated Family Physicians - Spokane 626 Mullan Rd Ste 16 Spokane,WA99206	Medical Clinic
34	CMA North Family Medicine 9631 N Nevada St Ste 100 Spokane,WA99218	Medical Clinic
35	CMA - North Side Endocronology 6120 N Mayfair St Spokane,WA99208	Medical Clinic
36	CMA Westview Family Medicine 1111 E Westview Ct Ste B Spokane,WA99218	Medical Clinic
37	CMA Neurology 610 S Sherman St Ste 208 Spokane,WA99202	Medical Clinic
38	CMA Liberty Lake Family Medicine 1334 N Whitman Ln Ste 200 Liberty Lake,WA99019	Medical Clinic
39	Columbia Diagonostic Imaging South Southeast Blvd Ste D Spokane,WA99223	Medical Clinic
40	Seattle - Metropolitan Park East 1730 Minor Avenue Seattle,WA98101	Research Facility
41	Associated Family Physicians-Fairfield 210 Main St Fairfield,WA99102	Medical Clinic
42	Gig Harbor 3010 S Southeast Blvd Ste A Spokane,WA99223	Medical Clinic

Schedule H (Form 990) 2018

Page 10

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, 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: - Medical Financial Assistance - unreimbursed costs Kaiser Permanente 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) care delivery system representing medical services provided to consumers; 2) health plan representing insurance services; or 3) overhead representing administrative support services to both care delivery system and health plan. Overhead is allocated to either care 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 care delivery system and health plan are determined and maintained by the CMD costing and costing methodology review team. PART III, LINE 2, BAD DEBT EXPENSE METHODOLOGY DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE.
Part III Line 8, Medicare shortfall	None of the amounts reported on Part III, line 7 has been treated as community benefit. The Medicare hospital cost reports are the source document to capture the Medicare revenue and Medicare allowable costs. To determine the direct costs, the cost report takes inputs from the general ledger by hospital location and applies a step-down methodology to allocate overhead costs. The costs are then passed through additional cost report computations to determine allowable Medicare costs. The total allowable Medicare cost is subtracted from the total revenue by region to determine the Medicare surplus or shortfall.
PART III, LINE 9B, COLLECTION POLICY	When a patient/guarantor indicates an inability to pay (Charity Care), the patient/guarantor will be evaluated for charity care in accordance with established criteria outlined in the medical financial assistance (MFA) program. In addition, outside collection agencies will cancel and return on a retrospective basis any accounts that either would have qualified or now qualify for charity care according to the criteria outlined in the MFA program.
PART VI, LINE 2, NEEDS ASSESSMENT	In addition to the health care needs identified in the CHNA, Kaiser Permanente also assesses community need through its leaders' participation and membership on a number of coalitions, collaboratives and boards. These include Challenge Seattle, Seattle Chamber, Forum Health Board, Washington Stem, Washington State Health Insurance Pool, the Puget Sound Health Alliance, King County Hospitals for a Healthier Community, the BREE Collaborative, U.S. Preventive Services Task Force, Community Health Advisory Committee, Boys and Girls Clubs, Alliance for Education, the King County Accountable Community of Health, the Washington Roundtable, the Washington State Hospital Association, and the Washington Health Alliance to name a few. Kaiser Permanente 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 care 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 FOR ELIGIBILITY FOR ASSISTANCE	In Washington, information regarding assistance is widely available throughout the facilities to all patients which includes both health plan members and the general public. Information regarding the availability of Kaiser Permanentes medical financial assistance program (MFAP) is posted in all KFHP-WA medical facilities. The posted information contains contact information for further assistance. KFHP-WA clinical, customer service, and patient billing staff are also a source of information for patients that express financial hardship or request medical financial assistance. This staff can provide a copy of the financial assistance policy summary or connect a patient with a financial counselor who can assist patients in determining eligibility for government programs or the MFAP. In addition, MFAP information, including the policy, policy plain language summary and application, can also be found on the publicly accessible KP financial assistance website. All patient billing statements include information that financial assistance is available as well as where to get additional information or assistance. The MFAP policy plain language summary is also included with the third hospital billing statement to all patients. The program policy, policy plain language summary and application are available without charge in English as well as all the languages that meet the limited English proficiency population criteria (lesser of 1,000 individuals or 5% of the community). Languages supported include, but are not limited to Spanish, Chinese, Japanese, Korean, Laotian, Tagalog, Russian, Farsi and Vietnamese.
PART VI, LINE 4, COMMUNITY INFORMATION	Kaiser Foundation Health Plan of Washington's (KFHP-WA) service areas include all or part of 22 counties in Washington with facilities in Seattle, Bellevue, Olympia, Tacoma, Everett, Silverdale, Spokane, Federal Way, Puyallup, Lynnwood, Port Orchard, Renton, Redmond, Bothell, Kent, Poulsbo, Bremerton, Liberty Lake and Fairfield. Total population in area (mil); 6.1 Median Household Income**; $52,951 % below 100% fpl; 12.56% w/o public or private health ins; 9.63% Limited English Proficiency; 7.6% Unemployment Rate (%)**; 4.3% (SOURCE: US CENSUS 2010 AMERICAN COMMUNITY SURVEY). US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY: 2012-16 * US DEPARTMENT OF LABOR, BUREAU OF LABOR STATISTICS: 2017 - JUNE ** KAISER PERMANENTE UTILITY FOR CARE DATA ANALYSIS, ESRI 2018, HOUSEHOLD-WEIGHTED MEDIAN OF HOUSEHOLD INCOME MEDIANS FOR THE BLOCK GROUPS IN KP'S REGIONAL SERVICE AREAS (PREVIOUSLY REPORTED AS MEMBER-WEIGHTED MEDIAN OF MEDIAN HOUSE HOLD INCOME) KFHP-WA commitment to the community and promotion of community health: since our beginnings, we have been committed to helping shape the future of health care. KFHP-WA is dedicated to care innovations, clinical research, health education and the support of community health. KFHP-WA is committed to the belief that good health is a fundamental right shared by all, and we recognize that good health extends beyond the doctor's office and the hospital. Like our approach to medicine, our work in the community takes a prevention-focused, evidence-based approach. We go beyond traditional corporate philanthropy or grant-making to leverage financial resources with medical research, physician expertise, and clinical practices. Historically, we have focused our investments in three areas-health access, healthy communities, and health knowledge-to address critical health issues in our communities. For many years, we have worked collaboratively with other organizations to address serious public health issues such as obesity, access to care, and violence. We have conducted community health needs assessments (CHNA) to better understand each community's unique needs and resources. The CHNA process informs our community investments and helps us develop strategies aimed at making long-term, sustainable change-and it allows us to deepen the strong relationships we have with other organizations that are working to improve community health. The KFHP/KFH board has a standing community benefit committee of the board of directors to oversee the program-wide community benefit program. Kaiser Permanente also has a national executive of KFHP and KFH to lead Kaiser Permanente's community benefit program as a full-time assignment. Bechara Choucair, MD is the Senior Vice President for Community Health and Benefit, and Chief Community Health Officer reporting to the CEO and Chairman of the Board.
PART VI, LINE 5, PROMOTION OF COMMUNITY HEALTH	In 2018, Kaiser Foundation Health Plan of Washington (KFHP-WA) made significant contributions to the community, both financial and through staff volunteer efforts. KFHP-WA was a platinum sponsor of the Seattle/King County Clinic which provided free dental, vision, and medical services to 3,661 underserved individuals. KFHP-WAs 177 employee volunteers were joined by many other health care organizations, civic agencies, non-profits, private businesses, and other local volunteers to produce the giant free health clinic. 2,340 lab tests were processed in KFHP-WA labs representing an in-kind contribution of $106,127 for lab services. Throughout the year, KFHP-WA donated lab services to the Olympia Free Clinic and to YouthCares Orion Center in Seattle. KFHP-WA care providers are able to refer patients to the nearby KFHP-WA labs where samples are drawn and tested, and the results are returned to the Center providers. KFHP-WAs primary exempt purpose is to provide comprehensive, prevention-oriented health care services. Beneficiaries of this purpose are KFHP-WA enrollees and non-enrolled patients. KFHP-WA 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, KFHP-WA clinicians provide 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 Washington Permanente Medical Group, P.C., which care exclusively for patients at KFHP-WA facilities. As of year-end 2018, KFHP-WA operated one hospital, 35 (36 in PY) primary care medical centers and five specialty care units. KFHP-WA also contracts with community health care providers for services where KFHP-WA does not operate its own facilities and for medical services not provided at KFHP-WA care facilities. KFHP-WA conducts practical, public domain research to improve health and health care throughout the community and nation through the Kaiser Permanente Washington Health Research Institute (KPWHRI) with a grant and contract base of more than $48.6M in 2018. Since inception in 1983, KPWHRI investigators have published more than 5,600 scientific papers and have made major contributions to effective care of chronic conditions such as diabetes, back pain, cardiovascular disease, and depression. For example, researchers develop and study ways to help the population make informed medical decisions, quit Smoking, and fight obesity. KPWHRI 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), KPWHRI places a high priority on quickly disseminating and translating its findings within KFHP-WA and across our communities locally and nationally. KPWHRI is a globally recognized leader in preventive medicine, healthy aging, cancer control and implementation science--all using cutting-edge research methods, data analysis and health information technology. KPWHRI investigators are helping develop, evaluate and disseminate effective models of care. In addition, KPWHRIs 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, KFHP-WA 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 2,300 students during over 11,000 visits in 2018 and are a huge boost to the health and wellness of the student community. KFHP-WA partners with Project Access, an organization which works with medical providers in health care communities across the county to provide medical care to individuals that meet county-specific medical and financial eligibility criteria. KFHP-WA coordinates with Project Access to provide care to these patients at designated medical centers and specialty departments. In 2018, 400 patients were referred to specialists in audiology, dermatology, gastrointestinal, gynecology, ophthalmology, orthopedics, physical therapy and urology.
PART VI, LINE 6, AFFILIATED HEALTH CARE SYSTEM	Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of Americas leading health care providers and not-for-profit health plans. Founded in 1945, Kaiser Permanente has a mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve more than 12 million members in eight states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery, and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. The Kaiser Foundation Health Plan of Washington (KFHP-WA) has an exclusive contract with Washington Permanente Medical Group (WPMG) a group practice with more than 1,100 physicians, physician assistants, optometrists, midwives and psychologists in Washington state. (WPMG) is not under common governance or control with KFHP-WA, but the two organizations collaborate to serve the community. Both KFHP-WA and WPMG 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 WPMG clinicians serve as faculty) and an optometry residency in 2 medical center locations, KFHP-WA and WPMG 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 2018, KFHP-WA and WPMG clinicians and staff volunteered medical services to homeless shelters, community clinics and other relief efforts in the U.S. and around the world. Physician and non-physician leaders at WPMG 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, Kaiser Permanente staffs 15 care clinics with WPMG physician assistants and KFHP-WA advanced registered nurse practitioners. Retail-based walk-in medical care is available seven days a week for anyone aged two and older, not just Kaiser Permanente 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 care clinic 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) 2018

Additional Data

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON

Employer identification number
91-0511770

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) ALLIANCE FOR A HEALTHIER GENERATION INC Unit 16 PO Box 4800 Portland,OR97208	27-2028308	501(c)(3)	135,283	Grant Healthy Schools Program through the Kids Cook with Heart program sponsorship.
(2) BIKE WORKS 3709 S Ferdinand St Seattle,WA98118	91-1753062	501(c)(3)	24,500	Grant Bike Works' Active Youth Cycling Leadership
(3) BOSTON MEDICAL CENTER 660 HARRISON AVE GAMBRO BOSTON,MA02118	04-3314093	501(c)(3)	315,026	Research Collaboration 125th year celebration event.
(4) BOYS & GIRLS CLUBS OF KING COUNTY 603 Stewart St 300 Seattle,WA98101	91-0532600	501(c)(3)	75,000	Grant Healthy Youth Food and Nutrition Program
(5) BYRD BARR PLACE 722 18th Ave Seattle,WA98122	91-0786727	501(c)(3)	20,000	Grant African American Equity in Health Initiative
(6) CATHOLIC CHARITIES EASTERN WASHINGTON 12 E 5th Ave PO Box 2253 Spokane,WA99210	91-0569880	501(c)(3)	29,750	Grant Childbirth & Parenting Assistance (CAPA)
(7) CENTER FOR HUMAN SERVICES 17018 15th Ave NE Shoreline,WA98155	23-7082323	501(c)(3)	99,719	Grant School-based coordinators in Edmonds, Mukilt providing services and advocacy for survivors of sexual assault through the 2016 Be Loud event.
(8) CENTER FOR INFECTIOUS DISEASE RESEARCH 307 WESTLAKE AVE SUIT 500 SEATTLE,WA98109	91-0961784	501(c)(3)	176,806	Research Collaboration
(9) CENTER FOR MULTICULTURAL 1120 E Terrace St Seattle,WA98122	91-0983698	501(c)(3)	84,450	Grant Healthy King County Coalition: Strategic Pla
(10) CHILD CARE RESOURCES 1225 Weller St Ste 300 Seattle,WA98144	91-1465046	501(c)(3)	10,000	Sponsorship Annual Benefit Luncheon, program suppo
(11) CHILDHAVEN 316 Broadway Seattle,WA98122	91-0402430	501(c)(3)	50,000	Grant Continuum of Care throughout Puget Sound and across Washington state
(12) CHILDREN AND YOUTH JUSTICE CENTER 615 2nd Avenue Suite 275 Seattle,WA98104	20-4457248	501(c)(3)	24,500	Grant The Washington State Becca Task Force Projec
(13) CHILDRENS HOSPITAL MEDICAL CENTER 3333 BURNET AVE CINCINNATI,OH45229	31-0833936	501(c)(3)	24,766	Research Collaboration
(14) COMMUNITIES IN SCHOOLS OF TACOMA 2141 S J St Tacoma,WA98405	91-2138848	501(c)(3)	22,500	Sponsorship Annual Luncheon: Strong School, Strong programs.
(15) COMMUNITY HEALTH CARE 1148 Broadway Suite 100 Tacoma,WA98402	91-1349657	501(c)(3)	59,000	Grant Bethel School District SBHC Development
(16) DANA FARBER CANCER INSTITUTE 44 BINNEY ST BOSTON,MA02115	04-2263040	501(c)(3)	5,444	Research Collaboration
(17) DEPT OF VETERANS AFFAIRS 1660 S COLUMBIAN WAY SEATTLE,WA98108	91-0565166	GOV'T	13,665	Research Collaboration
(18) EDUCATIONAL SERVICE DISTRICT 113 6005 Tyee Drive SW Tumwater,WA98512	91-0848938	GOV'T	104,781	Grant Scaling Comprehensive School-based Behaviora events.
(19) ESSENTIA INSTITUTE OF RURAL HEALTH 502 E SECOND STREET DULUTH,MN55805	27-1291124	501(c)(3)	89,910	Research Collaboration
(20) FOOD LIFELINE 1702 NE 150th St Shoreline,WA98155	91-1090450	501(c)(3)	24,000	Grant Healthcare Initiative
(21) FRED HUTCHINSON CANCER RESEARCH CTR 1100 FAIRVIEW AVE N SEATTLE,WA98109	23-7156071	501(c)(3)	125,647	Research Collaboration
(22) GEISINGER CLINIC 100 N ACADEMY AVE DANVILLE,PA17822	23-6291113	501(c)(3)	1,150,000	Research Collaboration
(23) HARVARD PILGRIM HEALTH CARE INC PO BOX 3672 BOSTON,MA02241	04-2452600	501(c)(3)	376,314	Research Collaboration
(24) HARVARD UNIVERSITY 1350 MASSACHUSETTS AVE CAMBRIDGE,MA02138	04-2103580	501(c)(3)	9,140	Research Collaboration
(25) HATHAWAY-SYCAMORES CHILD AND FAMILY 210 S DELACEY AVE PASADENA,CA91105	95-1691005	501(c)(3)	10,816	Research Collaboration
(26) HEALTH PARTNERS ADMINISTRATORS INC 8170 33rd Ave S MINNEAPOLIS,MN55440	41-1670163	501(c)(3)	1,012,667	Research Collaboration
(27) HENRY FORD HEALTH SYSTEM FUND ACCOUNTING 1 FORD PL DETROIT,MI48202	38-1357020	501(c)(3)	1,294,456	Research Collaboration
(28) KING COUNTY 1601 5th Ave Ste 1900 Seattle,WA98101	91-6001327	501(c)(3)	220,000	Grant Project Play
(29) KING COUNTY SEXUAL ASSAULT PO Box 300 Renton,WA98057	91-0967255	501(c)(3)	116,000	Sponsorship 2019 Sexual Assault Awareness Month
(30) KUMC RESEARCH INSTITUte 3901 RAINBOW BLVD KANSAS CITY,KS66160	48-1108830	501(c)(3)	11,148	Research Collaboration
(31) LITTLE RED SCHOOL HOUSE 14 E Casino Rd Ste A Everett,WA98208	91-6053563	501(c)(3)	49,975	Grant Parents as teachers
(32) LOUISIANA PUBLIC HEALTH INSTITUTE 1515 POYDRAS ST S1200 NEW ORLEANS,LA70112	72-1379921	501(c)(3)	8,736	Research Collaboration
(33) MAKING A DIFFERENCE FOUNDATION INC PO Box 94545 Seattle,WA98124	54-2092145	501(c)(3)	7,000	Grant Blair's Sanctuary Garden
(34) MARSHFIELD CLINIC RESEARCH 1000 NORTH OAK AVENUE MARSHFIELD,WI54449	39-0452970	501(c)(3)	59,843	Research Collaboration
(35) MD ANDERSON CANCER CENTER PO BOX 4434 HOUSTON,TX77210	74-6001118	GOV'T	29,825	Research Collaboration
(36) MISSOURI PRIMARY CARE ASSOCIATION MPCA 3325 EMERALD LANE JEFFERSON CITY,MO65109	43-1419937	501(c)(3)	8,851	Research Collaboration
(37) MONTEFIORE MEDICAL CENTER 111 E 210TH ST RM NW652 BRONX,NY10467	13-1740114	501(c)(3)	180,015	Research Collaboration
(38) MULTICARE HEALTH SYSTEM PO BOX 5299 TACOMA,WA98415	91-1352172	501(c)(3)	103,223	Research Collaboration
(39) NAMI WASHINGTON 802 NW 70th St Seattle,WA98117	91-1689067	501(c)(3)	56,422	Sponsorship NAMI Washington NAMIWalks 2018, NAMI W
(40) NE Washington ESD 101 4202 S Regal St Spokane,WA99223	91-0948293	GOV'T	90,000	Grant Spokane County Harm Reduction Cooperative
(41) NEIGHBORHOOD HOUSE INCORPORATED 1225 S Weller St Seattle,WA98144	91-0568305	501(c)(3)	24,953	Grant Community Prevention & Wellness Initiative (
(42) NEW BEGINNINGS PO Box 75125 Seattle,WA98175	91-1005916	501(c)(3)	20,000	Grant Home Safe
(43) NORTHWEST CHILDRENS FOUNDATION 2100 24th Ave S Ste 320 Seattle,WA98144	91-1314318	501(c)(3)	12,500	Sponsorship Community Trauma and Child Well-Being:
(44) NORTHWEST HEALTH LAW ADVOCATES 4759 15th Ave NE Seattle,WA98105	91-1961032	501(c)(3)	25,573	Grant Developing a model for county-based immigran
(45) OCHIN INC 1881 SW NAITO PARKWAY PORTLAND,OR97201	20-0195556	501(c)(3)	408,317	Research Collaboration
(46) OREGON HEALTH & SCIENCE UNIVERSITY 3181 SAM JACKSON PARK RD PORTLAND,OR97201	93-1176109	Gov't	418,967	Research Collaboration
(47) PALO ALTO MEDICAL FOUNDATION 795 EL CAMINO REAL PALO ALTO,CA94301	94-1156581	501(c)(3)	26,031	Research Collaboration
(48) PIERCE CENTER FOR ARTS AND TECHNOLOGY 1101 A St Unit 807 Tacoma,WA98402	81-4175391	501(c)(3)	96,000	Grant Arivva pre-operations and capacity building
(49) PIERCE COUNTY PROJECT ACCESS 223 Tacoma Ave S Tacoma,WA98402	27-1185895	501(c)(3)	49,750	Grant Donated care
(50) PROJECT ACCESS NORTHWEST 1111 Harvard Ave Seattle,WA98122	20-4377921	501(c)(3)	205,000	Grant General operating support
(51) Project Hope Spokane 1428 W Broadway Spokane,WA99201	26-1417578	501(c)(3)	6,000	Grant Urban Farm Crew
(52) PROVIDENCE HEALTH CARE 101 W 8th Ave Spokane,WA99204	32-0014330	501(c)(3)	10,000	Sponsorship Community Health forum - Making Mental
(53) PUGET SOUND EDUCATIONAL SERVICE DISTRICT 800 Oakesdale Avenue SW Renton,WA98051	91-0851413	GOV'T	24,500	Grant Positive Steps - Unincorporated Pierce Count
(54) PUGET SOUND REGIONAL FIRE AUTHORITY 20811 84th Ave S Ste 110 Kent,WA98032	27-2564982	GOV'T	24,000	Grant The Health Commons Project
(55) QUALIS HEALTH 10700 MERIDIAN AVE N S100 SEATTLE,WA98133	91-1072875	501(c)(3)	372,072	Research Collaboration
(56) RAIMI ASSOCIATES INC 2000 HEARST AVE STE 400 BERKELEY,CA94709	20-4994828	For profit	20,797	Research Collaboration
(57) REGENTS OF THE UNIVERSITY OF CALIFORNIA 1855 FOLSUM STREET SAN FRANCISCO,CA94143	94-6036493	GOV'T	24,326	Research Collaboration
(58) REGENTS OF THE UNIVERSITY OF MICHIGAN 3089 WOLVERINE TOWER PITTSBURGH,PA15251	38-6006309	GOV'T	23,625	Research Collaboration
(59) RENTON AREA YOUTH AND FAMILY SERVICES PO Box 1510 Renton,WA98057	51-0152621	501(c)(3)	90,000	Grant Behavioral Health Services
(60) RENTON SCHOOL DISTRICT 300 SW 7th St Renton,WA98057	91-6001635	GOV'T	12,500	Grant School staff well being mini grants
(61) RESEARCH INSTITUTE AT NATIONWIDE 700 CHILDRENS DRIVE COLUMBUS,OH43205	31-6056230	501(c)(3)	150,672	Research Collaboration
(62) RESOLVE INC 1255 23rd St NW Washington,DC18889	52-1841035	501(c)(3)	7,000	Grant Crisis Standards of Care project
(63) RESOURCES ONLINE 3518 Fremont Ave N Seattle,WA98103	93-1170591	for profit	5,484	Technical support Web hosting for Suicid3e Prevent
(64) SCOTT & WHITE MEMORIAL HOSPITAL 2401 S 31ST ST TEMPLE,TX76508	74-1166904	501(c)(3)	49,857	Research Collaboration
(65) SEATTLE AREA SUPPORT GROUPS 115 15th Ave E Ste 201 Seattle,WA98112	91-1327257	501(c)(3)	10,000	Grant Seattle Area Support Group Peer Support Proj
(66) SEATTLE CENTER FOUNDATION 305 Harrison St Seattle,WA98109	91-1003385	501(c)(3)	250,000	Grant Seattle King County Clinic 2018
(67) SEATTLE CHILDRENS BIOETHICS CONFERENCE PO BOX 5371 MS RC-507 SEATTLE,WA98145	91-0564748	501(c)(3)	173,360	Research Collaboration
(68) Seattle Parks and Recreation 100 Dexter Ave N Seattle,WA98109	51-0170717	501(c)(3)	24,509	Grant Get Moving Initiative
(69) SEATTLE PARKS FOUNDATION 105 S Main St Ste 235 Seattle,WA98104	91-1998597	501(c)(3)	274,500	Grant Campaign for Duwamish Waterway Park & Concor
(70) SECOND HARVEST INLAND NORTHWEST 1234 E Front Ave Spokane,WA99202	23-7173826	501(c)(3)	77,500	Grant Healthy Eating Initiative
(71) STUDENT HEALTH OPTIONS PO Box 1075 Walla Walla,WA99362	27-0401462	501(c)(3)	90,000	Grant Expansion of bi-directional care model deliv
(72) SWEDISH HEALTH SERVICES PO BOX 26828 SALT LAKE CITY,UT84126	91-0433740	501(c)(3)	37,246	Research Collaboration
(73) TeamChild 1225 S Weller St Seattle,WA98144	91-1930194	501(c)(3)	95,000	Grant Targeted policy advocacy to improve long-ter
(74) THE CHICAGO COMMUNITY TRUST 225 NORTH MICHIGAN AVE CHICAGO,IL60601	36-2167000	501(c)(3)	40,528	Research Collaboration
(75) THE TRUST FOR PUBLIC LAND 101 Montgomery St Seattle,WA94104	23-7222333	501(c)(3)	925,000	Grant Parks for People
(76) TRINITY PRESBYTERIAN CHURCH OF TACOMA 1615 6th Avenue Tacoma,WA98405	23-6393377	501(c)(3)	10,000	Grant Trinity Outreach Programs
(77) UC REGENTS 405 HILGARD AVE 5628 LOS ANGELES,CA90024	95-6006143	501(c)(3)	140,870	Research Collaboration
(78) UNIVERSITY OF CA 225 DICKINSON STE H 802 SAN DIEGO,CA92103	95-6006144	Gov't	149,196	Research Collaboration
(79) UNIVERSITY OF CA DAVIS PO BOX 8709 DAVIS,CA95616	94-6036494	Gov't	51,000	Research Collaboration
(80) UNIVERSITY OF CA SAN DIEGO 9500 GILMAN DR LA JOLLA,CA92093	33-0599494	501(c)(3)	93,775	Research Collaboration
(81) UNIVERSITY OF MASSACHUSETTS WORCESTER 55 LAKE AVE N WORCESTER,MA01655	04-3167352	501(c)(1)	850,949	Research Collaboration
(82) UNIVERSITY OF MIAMI PO BOX 016960 D-53 MIAMI,FL33101	59-0624458	501(c)(3)	156,532	Research Collaboration
(83) UNIVERSITY OF NORTH CAROLINA 104 AIRPORT DRIVE CHAPEL HILL,NC27599	56-6001393	GOV'T	16,916	Research Collaboration
(84) UNIVERSITY OF PITTSBURGH LOCK BOX 371220 PITTSBURGH,PA15251	25-0965591	501(c)(3)	266,251	Research Collaboration
(85) UNIVERSITY OF TEXAS 6655 TRAVIS ST SUITE 980 HOUSTON,TX77030	74-1761309	501(c)(3)	32,861	Research Collaboration
(86) UNIVERSITY OF WASHINGTON 3917 UNIVERSITY WAY NE SEATTLE,WA98105	91-6001537	GOV'T	2,988,518	Research Collaboration
(87) UNIVERSITY OF WASHINGTON 407 Gerberding Hall 4101 Seattle,WA98105	94-3079432	GOV'T	40,000	Grant Forefront in the schools
(88) VANDERBILT UNIVERSITY PO BOX 30215 ATLANTA,GA31192	62-0476822	501(c)(3)	41,349	Research Collaboration
(89) WASHINGTON BIKES 7787 62nd Ave NE Seattle,WA98115	91-2165219	501(c)(3)	50,000	Grant Eastside Rail Corridor
(90) WASHINGTON HEALTHCARE PO Box 14506 Seattle,WA98114	26-2096781	501(c)(3)	10,000	Sponsorship Washington Free and Charitable Care Co
(91) WASHINGTON POISON CENTER 155 NE 100th St Ste 100 Seattle,WA98125	94-3214597	501(c)(3)	10,000	Sponsorship Washington Poison Center Fair Share Pr
(92) WASHINGTON WILDLIFE AND RECREATION 1402 3rd Ave 714 Seattle,WA98101	91-1190821	501(c)(3)	15,000	Grant Building a healthier and more active Washing
(93) WITHIN REACH 155 NE 100th St Ste 100 Seattle,WA98125	91-1443685	501(c)(3)	80,000	Sponsorship 2018 Help Me Grow National Forum
(94) YAKIMA NEIGHBORHOOD HEALTH SERVICES 12 S 8th St Yakima,WA98901	91-0928817	501(c)(3)	30,000	Grant The Space ""Life on our Terms""
(95) YWCA OF SEATTLE KING COUNTY 1118 5th Ave Seattle,WA98101	91-0482890	501(c)(3)	85,000	Grant Mobile Health Care Access
(96) WASHINGTON STATE UNIVERSITY PO BOX 641024 PULLMAN,WA991641024	91-6001108	501(c)(3)	112,500	EDUCATIONAL ASSISTANCE

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
SCHEDULE I, PART I, LINE 2	AT THE END OF THEIR FUNDING CYCLE GRANTEES ARE REQUIRED TO SUBMIT A FINAL REPORT WHICH DELINEATES ACCOMPLISHMENTS RELATED TO STATED OBJECTIVES. LARGE GRANTS (TYPICALLY OVER $100,000) MAY REQUIRE QUARTERLY PROGRESS REPORTS.

Schedule I (Form 990) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

KAISER FOUNDATION HEALTH PLAN OF WASHINGTON

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 .........

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? ..

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 nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

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 ..........................

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

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

Cat. No. 50053T

Schedule J (Form 990) 2018

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)
1Gregory Adams EVP, Group President	(i) (ii)	0 ------------- 1,224,496	0 ------------- 3,466,327	0 ------------- 4,391,419	0 ------------- 1,114,562	0 ------------- 29,740	0 ------------- 10,226,544	0 ------------- 4,383,200
2Scott Armstrong President & CEO	(i) (ii)	0 ------------- 0	0 ------------- 0	1,703,471 ------------- 0	-85,620 ------------- 0	0 ------------- 0	1,617,851 ------------- 0	0 ------------- 0
3Ramon F Baez Director	(i) (ii)	11,000 ------------- 197,500	0 ------------- 0	0 ------------- 13,681	0 ------------- 13,477	0 ------------- 0	11,000 ------------- 224,658	0 ------------- 0
4Barbara Belt Lloyd VP, Chief Accounting Officer	(i) (ii)	0 ------------- 0	1,500 ------------- 0	433,890 ------------- 0	0 ------------- 0	0 ------------- 0	435,390 ------------- 0	0 ------------- 0
5Maryann Bodayle Assistant Secretary	(i) (ii)	0 ------------- 156,315	0 ------------- 17,468	0 ------------- 2,229	0 ------------- 7,903	0 ------------- 9,726	0 ------------- 193,641	0 ------------- 0
6Linda M Breard EVP, Chief Financial Officer	(i) (ii)	0 ------------- 0	0 ------------- 0	762,486 ------------- 0	0 ------------- 0	0 ------------- 0	762,486 ------------- 0	0 ------------- 0
7Patrick Courneya EVP, Chief Medical Officer	(i) (ii)	0 ------------- 568,297	0 ------------- 747,685	0 ------------- 44,538	0 ------------- 306,208	0 ------------- 21,868	0 ------------- 1,688,596	0 ------------- 0
8Alicia T Eng VP,Clinic Ops & Mkt Integrat'n	(i) (ii)	0 ------------- 288,357	0 ------------- 288,856	0 ------------- 114,424	0 ------------- 177,568	0 ------------- 14,930	0 ------------- 884,135	0 ------------- 0
9Gerard C Fischer VP, Ancillary & Business Svcs	(i) (ii)	0 ------------- 297,476	0 ------------- 308,393	0 ------------- 74,664	0 ------------- 84,930	0 ------------- 16,268	0 ------------- 781,731	0 ------------- 57,571
10Elizabeth Fleming VP, Innovation & New Bus Dev	(i) (ii)	0 ------------- 293,502	0 ------------- 293,508	0 ------------- 149,677	0 ------------- 173,271	0 ------------- 6,787	0 ------------- 916,745	0 ------------- 0
11John F Harris ED-Mkt & Prod Strat/VP KPWA Op	(i) (ii)	0 ------------- 289,728	0 ------------- 318,048	0 ------------- 76,904	0 ------------- 142,572	0 ------------- 12,034	0 ------------- 839,286	0 ------------- 0
12Judith A Johansen Director	(i) (ii)	3,000 ------------- 241,800	0 ------------- 0	0 ------------- 15,524	0 ------------- -18,131	0 ------------- 0	3,000 ------------- 239,193	0 ------------- 0
13Kim J Kaiser Director	(i) (ii)	14,500 ------------- 219,600	0 ------------- 0	0 ------------- 13,160	0 ------------- -11,160	0 ------------- 0	14,500 ------------- 221,600	0 ------------- 0
14Susan S Kozik EVP, Chief Information Officer	(i) (ii)	0 ------------- 0	0 ------------- 0	520,063 ------------- 0	0 ------------- 0	0 ------------- 0	520,063 ------------- 0	0 ------------- 0
15Tami Lamp EVP, HR	(i) (ii)	0 ------------- 0	0 ------------- 0	583,956 ------------- 0	0 ------------- 0	0 ------------- 0	583,956 ------------- 0	0 ------------- 0
16Kathryn Lancaster EVP & CFO	(i) (ii)	0 ------------- 1,042,302	0 ------------- 1,776,268	0 ------------- 402,535	0 ------------- 332,280	0 ------------- 21,033	0 ------------- 3,574,418	0 ------------- 0
17Eric B Larson VP, Health Research	(i) (ii)	0 ------------- 396,288	0 ------------- 259,859	0 ------------- 153,929	0 ------------- 107,458	0 ------------- 24,485	0 ------------- 942,019	0 ------------- 0
18Erin D Leff VP, COO	(i) (ii)	0 ------------- 310,873	0 ------------- 699,494	0 ------------- 1,007,531	0 ------------- 53,706	0 ------------- 13,849	0 ------------- 2,085,453	0 ------------- 47,810
19Dawn Loeliger EVP, Strat Planning & Deploy	(i) (ii)	0 ------------- 0	0 ------------- 0	387,949 ------------- 0	0 ------------- 0	0 ------------- 0	387,949 ------------- 0	0 ------------- 0
20Thomas Meier SVP, Corporate Treasurer	(i) (ii)	0 ------------- 462,542	0 ------------- 633,581	0 ------------- 115,824	0 ------------- 8,208	0 ------------- 33,258	0 ------------- 1,253,413	0 ------------- 0
21Susan Mullaney Regional President - WA	(i) (ii)	0 ------------- 589,674	0 ------------- 453,549	0 ------------- 177,325	0 ------------- 246,089	0 ------------- 27,441	0 ------------- 1,494,078	0 ------------- 80,283
22Breton C Myers VP, Treasury	(i) (ii)	0 ------------- 205,617	0 ------------- 172,607	0 ------------- 183,550	0 ------------- 75,735	0 ------------- 9,298	0 ------------- 646,807	0 ------------- 29,387
23Robert V O'Brien EVP, Health Plan Division	(i) (ii)	0 ------------- 0	0 ------------- 0	835,581 ------------- 0	0 ------------- 0	0 ------------- 0	835,581 ------------- 0	0 ------------- 0
24Janet O'Hollaren VP, COO	(i) (ii)	0 ------------- 422,336	0 ------------- 614,398	0 ------------- 38,316	0 ------------- 116,324	0 ------------- 27,105	0 ------------- 1,218,479	0 ------------- 0
25Donald Orndoff SVP, NFS	(i) (ii)	0 ------------- 435,028	0 ------------- 536,354	0 ------------- 176,170	0 ------------- 169,668	0 ------------- 32,416	0 ------------- 1,349,636	0 ------------- 117,119
26Brian S O'Shields VP, Chief Actuary	(i) (ii)	0 ------------- 0	491,394 ------------- 0	573,236 ------------- 0	0 ------------- 0	0 ------------- 0	1,064,630 ------------- 0	0 ------------- 0
27Margaret E Porfido JD Director	(i) (ii)	13,500 ------------- 245,000	0 ------------- 0	0 ------------- 20,262	0 ------------- -9,170	0 ------------- 0	13,500 ------------- 256,092	0 ------------- 0
28Diana H Rakow EVP Marketing & Public Affairs	(i) (ii)	0 ------------- 0	0 ------------- 0	507,126 ------------- 0	0 ------------- 0	0 ------------- 0	507,126 ------------- 0	0 ------------- 0
29Sheila M Rankin VP Port Mgr & Strat Execution	(i) (ii)	0 ------------- 283,594	0 ------------- 227,365	0 ------------- 148,082	0 ------------- 56,490	0 ------------- 20,401	0 ------------- 735,932	0 ------------- 0
30John Rodgers VP, Business Info Officer - WA	(i) (ii)	0 ------------- 237,293	0 ------------- 96,843	0 ------------- 25,464	0 ------------- 67,574	0 ------------- 18,712	0 ------------- 445,886	0 ------------- 0
31Karen Schartman VP, CFO and Strategy - WA	(i) (ii)	0 ------------- 411,085	0 ------------- 328,292	0 ------------- 22,524	0 ------------- 59,844	0 ------------- 17,744	0 ------------- 839,489	0 ------------- 0
32Joseph Smith VP, MSBD - WA	(i) (ii)	0 ------------- 307,205	0 ------------- 239,814	0 ------------- 153,779	0 ------------- 82,301	0 ------------- 27,735	0 ------------- 810,834	0 ------------- 90,753
33Arthur Southam EVP, Health Plan Operations	(i) (ii)	0 ------------- 1,041,658	0 ------------- 1,897,457	0 ------------- 431,827	0 ------------- 536,245	0 ------------- 36,844	0 ------------- 3,944,031	0 ------------- 0
34Shawna Sweeney Assistant Secretary	(i) (ii)	0 ------------- 240,504	0 ------------- 204,957	0 ------------- 73,282	0 ------------- 32,591	0 ------------- 26,841	0 ------------- 578,175	0 ------------- 0
35Barbara E Trehearne VP, Clinical Excellence & Int	(i) (ii)	0 ------------- 154,886	0 ------------- 310,834	0 ------------- 412,943	0 ------------- 10,619	0 ------------- 11,160	0 ------------- 900,442	0 ------------- 0
36Bernard Tyson Chairman & CEO	(i) (ii)	0 ------------- 1,652,487	0 ------------- 12,577,609	0 ------------- 1,479,757	0 ------------- 2,132,546	0 ------------- 41,234	0 ------------- 17,883,633	0 ------------- 2,110,403
37Alfonse Upshaw SVP,Corporate Controller & CAO	(i) (ii)	0 ------------- 438,858	0 ------------- 356,406	0 ------------- 18,380	0 ------------- 99,558	0 ------------- 28,853	0 ------------- 942,055	0 ------------- 0
38Pamela Warren VP, HP Services & Admin - WA	(i) (ii)	0 ------------- 296,288	0 ------------- 301,469	0 ------------- 36,015	0 ------------- 80,876	0 ------------- 16,034	0 ------------- 730,682	0 ------------- 60,043
39Sarah Yates Assistant Secretary	(i) (ii)	0 ------------- 434,558	0 ------------- 393,694	0 ------------- 141,111	0 ------------- 91,757	0 ------------- 26,047	0 ------------- 1,087,167	0 ------------- 0
40Hong-Sze Yu VP, Brd & Corp Gov & Asst Secy	(i) (ii)	0 ------------- 249,307	0 ------------- 94,714	0 ------------- 17,313	0 ------------- 60,176	0 ------------- 25,870	0 ------------- 447,380	0 ------------- 0
41Mark Zemelman SVP, General Counsel & Secy	(i) (ii)	0 ------------- 677,594	0 ------------- 1,100,476	0 ------------- 280,462	0 ------------- -12,297	0 ------------- 34,354	0 ------------- 2,080,589	0 ------------- 0

Schedule J (Form 990) 2018

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
Schedule J, Part I, Line 3	METHODS USED TO ESTABLISH COMPENSATION OF CEO/EXECUTIVE DIRECTOR: THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS DESCRIBED BELOW TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF A RELATED ORGANIZATION.
SCHEDULE J, PART I, LINE 4A	- Severance Payments - Scott Armstrong $1,685,250 Barbara Belt Lloyd 343,200 Linda M. Breard 700,000 Susan S. Kozik 489,500 Tami Lamp 578,200 Erin D Leff 712,532 Dawn Loeliger 387,949 Breton C Myers 64,660 Robert V O'Brien 820,397 Brain S O'Shields 506,300 Diana H Rakow 480,200 Barbara E Trehearne 252,000 LISTED PERSONS PARTICIPATED IN ARRANGEMENTS ENTITLING THEM TO SEVERANCE BENEFITS IN THE EVENT OF TERMINATION BY THE ORGANIZATION WITHOUT CAUSE OR DUE TO JOB ELIMINATION. DEPENDING ON POSITION LEVEL, TENURE, AND TERMINATION REASON, SEVERANCE BENEFITS PAYABLE UNDER THESE ARRANGEMENTS PROVIDE FOR PAY AND HEALTH BENEFITS CONTINUATION PLUS PAYMENT OF ACCRUED OBLIGATIONS. IN ADDITION, FOR SOME OF THE LISTED PERSONS, SEVERANCE BENEFITS PAYABLE INCLUDE PRORATED INCENTIVE AWARDS FOR PERFORMANCE PERIODS NOT YET ENDED.
SCHEDULE J, PART I, LINE 4B	SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENT: Gregory Adams $ 4,338,278 Barbara Belt Lloyd 82,944 Alicia T Eng 20,626 Elizabeth Fleming 92,279 John F Harris 20,517 Kathryn Lancaster 351,081 Eric B Larson 28,610 Erin D Leff 318,544 Thomas Meier 72,501 Susan Mullaney 153,632 Breton C Myers 129,773 Donald Orndoff 149,555 Brian S O'Shields 32,696 Joseph Smith 116,501 Arthur Southam 380,295 Shawna Sweeney 17,828 Barbara E Trehearne 212,543 Bernard Tyson 999,157 Sarah Yates 31,499 Mark Zemelman 232,150 SOME OF THE PARTICIPANTS LISTED IN SCHEDULE J, PART II PARTICIPATED IN NONQUALIFIED SUPPLEMENTAL RETIREMENT PLANS. UNDER THESE PLANS, THE ORGANIZATION MAKES ANNUAL CONTRIBUTIONS TO A NOTIONAL ACCOUNT ON BEHALF OF EACH PARTICIPANT. CONTRIBUTIONS VARY BY POSITION, LEVEL AND PAY, AND VEST OVER TIME BASED ON AGE AND/OR SERVICE. PARTICIPANT ACCOUNTS ARE CREDITED WITH A FIXED RATE OF INTEREST, INVESTED IN AVAILABLE MUTUAL FUNDS OR A COMBINATION OF BOTH. CERTAIN OFFICERS ACCRUE A BENEFIT THAT VESTS BASED ON AGE AND SERVICE AND TARGETS A PERCENTAGE OF FINAL AVERAGE PAY LESS PRIOR PLAN OFFSETS. UNVESTED AMOUNTS ARE SUBJECT TO RISK OF FORFEITURE.
SCHEDULE J, PART I, LINE 7	NON-FIXED PAYMENTS: THE ORGANIZATION PROVIDED NON-FIXED PAYMENTS TO SOME OF THE PERSONS LISTED. PAYMENTS WERE MADE UNDER INCENTIVE PLANS, BASED ON ATTAINMENT OF ORGANIZATIONAL PERFORMANCE GOALS AND INDIVIDUAL PERFORMANCE, DESIGNED TO SUPPORT THE ORGANIZATION'S MISSION TO PROVIDE HIGH-QUALITY, AFFORDABLE CARE AND IMPROVE THE HEALTH OF ITS MEMBERS AND THE COMMUNITIES IT SERVES.
SCHEDULE J, PART II, COLUMN C	THE ACTUARIAL VALUE FOR SOME INDIVIDUALS' DEFINED BENEFIT PLAN DECLINED IN 2018, RESULTING IN NEGATIVE VALUES IN COLUMN (C) IN SOME INSTANCES. Certain board members are eligible for a retiree medical benefit following retirement from the board. While this benefit is subject to change and may be reduced or eliminated, the 2018 change in the actuarial determined value of this benefit for each board member has been included in Form 990, Part VII, Column (f) and Schedule J, Part II, Column C. Amounts for this benefit have also been deferred for prior years. The actuarial increase or decrease in value may change for various reasons, including continued service, age, and changes in assumptions.
SCHEDULE J, PART II, COLUMN F	AMOUNTS INCLUDED IN SCHEDULE J, PART II, COLUMN F INCLUDE AMOUNTS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION, AS WELL AS, DISTRIBUTIONS FROM A 457(B) PLAN THAT WERE PREVIOUSLY REPORTED AS REPORTABLE COMPENSATION IN ACCORDANCE WITH FORM 990 INSTRUCTIONS.

Schedule J (Form 990) 2018

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

KAISER FOUNDATION HEALTH PLAN OF WASHINGTON

Employer identification number

91-0511770

Return Reference	Explanation
FORM 990, PART VI, LINE 1A	THE EXECUTIVE COMMITTEE, CONSISTING OF THREE DIRECTORS, HAS AUTHORITY TO ACT FOR THE BOARD BETWEEN MEETINGS EXCEPT IT HAS NO AUTHORITY TO: 1. FILL VACANCIES ON THE BOARD OR THE COMMITTEE; 2. FIX THE COMPENSATION OF DIRECTORS FOR SERVING ON THE BOARD OR ANY COMMITTEE; 3. ADOPT, AMEND OR REPEAL BYLAWS; 4. AMEND OR REPEAL ANY RESOLUTION OF THE BOARD WHICH, BY ITS EXPRESS TERMS, CANNOT BE AMENDED OR REPEALED BY THE COMMITTEE; 5. APPOINT COMMITTEES OF THE BOARD OR APPOINT THE MEMBERS THEREOF; OR 6. APPROVE ANY ASPECT OF A TRANSACTION INVOLVING THE COMPANY WHEN A DIRECTOR HAS A MATERIAL FINANCIAL INTEREST IN THAT TRANSACTION, EXCEPT AS EXPRESSLY PROVIDED BY LAW.
Form 990, PART VI, QUESTION 6	THE SOLE CORPORATE MEMBER OF THE CORPORATION IS KFHPW HOLDINGS, A WASHINGTON NONPROFIT CORPORATION.
Form 990, PART VI, QUESTION 7A	KFHPW HOLDINGS APPOINTS THE DIRECTORS (AND FILLS VACANCIES AND HAS AUTHORITY TO REMOVE DIRECTORS).
Form 990, PART VI, QUESTION 7B	DIRECTORS ARE ELECTED BY THE MEMBER. THE MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER ENTITY, THE VOLUNTARY DISSOLUTION OF THE CORPORATION, OR THE SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL THE PROPERTY AND ASSETS OF THE CORPORATION MUST BE APPROVED BY THE MEMBER.
Form 990, PART VI, QUESTIONS 12C	COMPLIANCE ENFORCEMENT A. REGULARLY AND CONSISTENTLY MONITORS COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY - KAISER PERMANENTE REGULARLY MONITORS COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY IN 3 KEY WAYS: A1. THE KAISER PERMANENTE COMPLIANCE HOTLINE IS AVAILABLE TO ALL EMPLOYEES AND VENDORS TO REPORT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. ALL CALLS ARE ANSWERED BY A THIRD PARTY AND PROVIDED TO KAISER PERMANENTE'S NATIONAL COMPLIANCE OFFICE FOR REVIEW AND APPROPRIATE ACTION. EMPLOYEES CAN REPORT ANONYMOUSLY. RETALIATION IS PROHIBITED. REPORTS OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST ARE GENERATED AND INVESTIGATIONS ARE CONDUCTED AS REQUIRED AND INFORMATION IS TRACKED AND TRENDED TO DETERMINE IF ADDITIONAL GUIDANCE IS REQUIRED TO AVOID OR MANAGE CONFLICTS OF INTEREST. COMPLIANCE HOTLINE REPORTS ARE PROVIDED FOR REVIEW AND ACTION TO THE KAISER FOUNDATION HEALTH PLAN/HOSPITALS BOARDS OF DIRECTORS ANNUALLY. A2. THE NATIONAL COMPLIANCE OFFICE AND INTERNAL AUDIT SERVICES ANNUALLY REVIEW THE DIRECTORS', OFFICERS', KEY EMPLOYEES', AND EXECUTIVES' ANNUAL CONFLICTS OF INTEREST QUESTIONNAIRE DISCLOSURES AND PROVIDE DIRECTION ON ANY INVESTIGATIONS REQUIRED. INVESTIGATIONS ARE DOCUMENTED, TRACKED AND TRENDED TO DETERMINE IF ADDITIONAL CONTROLS OR EDUCATION IS REQUIRED. IN ADDITION, CONFLICTS OF INTEREST QUESTIONNAIRE REPORTS ARE PROVIDED FOR REVIEW AND ACTION TO THE KAISER FOUNDATION HEALTH PLAN/HOSPITALS BOARDS OF DIRECTORS ANNUALLY; AND A3. ANNUALLY, AS A COMPONENT OF THE EXTERNAL AUDIT, AN OUTSIDE CERTIFIED PUBLIC ACCOUNTING FIRM REVIEWS THE ANNUAL CONFLICTS OF INTEREST QUESTIONNAIRES PROCESS COMPLETED BY DIRECTORS, OFFICERS, KEY EMPLOYEES, AND EXECUTIVES, AND ACTIONS TAKEN AS A RESULT OF THE DISCLOSURES. THE RESULTS OF THE ANNUAL AUDIT, INCLUDING ANY FINDINGS IN THIS AREA ARE PRESENTED TO THE KAISER FOUNDATION HEALTH PLAN/HOSPITALS AUDIT AND COMPLIANCE COMMITTEE. B. REGULARLY AND CONSISTENTLY ENFORCES COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY - TO ENSURE CONSISTENCY IN THE ENFORCEMENT OF THE POLICY KAISER PERMANENTE USES THE FOLLOWING STEPS AS A GENERAL GUIDELINE: B1. REPRESENTED EMPLOYEES ARE SUBJECT TO ANY CORRECTIVE/DISCIPLINARY ACTION PROVISIONS DESCRIBED IN SPECIFIC REGIONAL/NATIONAL COLLECTIVE BARGAINING AGREEMENTS AND/OR ORGANIZATIONAL POLICIES AND PRACTICES. B2. KAISER PERMANENTE NOTIFIES EMPLOYEES OF THE NATIONAL HUMAN RESOURCES POLICY NO. 14. CORRECTIVE/DISCIPLINARY ACTION POLICY DURING NEW EMPLOYEE ORIENTATION AND IN ANNUAL COMPLIANCE TRAINING. B3. IN THE EVENT THAT IT IS NECESSARY TO DISCIPLINE ANY EMPLOYEE BECAUSE OF, BUT NOT LIMITED TO, FAILURE TO COMPLY WITH APPLICABLE LEGAL/REGULATORY REQUIREMENTS, KAISER PERMANENTE POLICIES AND PROCEDURES, OR THE PRINCIPLES OF RESPONSIBILITY, OR FOR UNSATISFACTORY PERFORMANCE OR MISCONDUCT, COACHING/COUNSELING AND/OR CORRECTIVE/DISCIPLINARY ACTION MAY INCLUDE, BUT IS NOT LIMITED TO: - ORAL DISCUSSION AND/OR WARNING BY THE EMPLOYEE'S IMMEDIATE SUPERVISOR OR HIGHER LEVEL MANAGER TO CORRECT THE PROBLEM; - WRITTEN NOTICE, WITH OR WITHOUT FINAL WARNING; - PAID OR UNPAID SUSPENSION, WITH OR WITHOUT FINAL WARNING; - TERMINATION OF EMPLOYMENT.
Form 990, PART VI, QUESTION 15A/B	COMPENSATION DETERMINATION THE EXECUTIVE COMPENSATION PROGRAM AS ADMINISTERED BY KAISER FOUNDATION HEALTH PLAN, INC. IS DESIGNED TO RECRUIT, RETAIN AND MOTIVATE QUALIFIED SENIOR MANAGEMENT PERSONNEL. SENIOR MANAGEMENT PERSONNEL HAVE A SIGNIFICANT IMPACT ON THE STRATEGIC AND POLICY DIRECTION AND RESULTS OF THE ORGANIZATION. THEREFORE, THE EXECUTIVE COMPENSATION PROGRAM IS, TO A SIGNIFICANT DEGREE, PERFORMANCE-BASED. THE COMPENSATION PROGRAM IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE MANAGEMENT COMMITTEE ON COMPENSATION. PRIOR TO PAYMENT, ALL PROGRAMS AND PAYMENTS TO THE CEO, EXECUTIVE DIRECTOR, AND TOP MANAGEMENT OFFICIALS (EXECUTIVES) ARE REVIEWED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE MANAGEMENT COMMITTEE ON COMPENSATION. BASE PAY FOR EXECUTIVE POSITIONS IS ESTABLISHED AT A LEVEL COMPARABLE TO THE RELEVANT MARKET. IN ADDITION, OTHER COMPONENTS OF THE COMPENSATION PROGRAM BEAR 'AT-RISK' FEATURES DESIGNED TO FOCUS ON STRATEGICALLY IMPORTANT PERFORMANCE GOALS AND TO ASSIST IN ATTRACTING AND RETAINING TOP PERFORMERS. THE EXECUTIVE COMPENSATION PROGRAM IS TARGETED TO BE COMPETITIVE TO THE COMPARABLE EXTERNAL MARKET IN WHICH THE ORGANIZATION COMPETES FOR EXECUTIVE LEADERSHIP. EVALUATION OF COMPARABLE PAY DATA IS PERFORMED BY AN INDEPENDENT COMPENSATION, BENEFIT & HUMAN RESOURCES CONSULTING FIRM. THE COMPENSATION PROGRAM FOCUSES ON OBJECTIVES IN THE AREAS OF QUALITY OF MEMBER CARE AND SERVICE, MEMBERSHIP GROWTH, FINANCIAL SOUNDNESS, AND THE COMMUNITY AND SOCIAL MISSION OF THE ORGANIZATION.
Form 990, PART VI, QUESTION 18	Forms 990 are available on www.guidestar.org.
Form 990, PART VI, QUESTION 19	Public Inspection Copy: Governing documents, conflict of interest policy are available upon request as disclosed to other regulatory bodies. Financial Statements are on file with state insurance agency on a statutory basis (stand alone entity). Combined data is published for Kaiser Foundation Health Plan Inc. and subsidiaries and Kaiser Foundation Hospitals and Subsidiaries with Independent Auditors' Report. To request copies contact: Vice President, Communications Kaiser Foundation Health Plan and Hospitals One Kaiser Plaza, 18th Floor Oakland, CA 94612
Form 990, PART VII, SECTION A, COLUMN B:	HOURS FOR RELATED ORGANIZATION INDIVIDUALS WHO ARE BOTH OFFICERS AND MEMBERS OF BOARDS OF DIRECTORS WORK FULL TIME AS EMPLOYEES AS WELL AS FULFILL THEIR BOARD ASSIGNMENT. ALL OFFICERS WORK FULL TIME IN THEIR EMPLOYEE CAPACITY. FULL TIME WORK MAY REQUIRE IN EXCESS OF THE TRADITIONAL 40 HOUR WEEK. GIVEN THE INTEGRATED NATURE OF OUR ORGANIZATION, EMPLOYEES MAY PROVIDE SUPPORT FOR VARIOUS KAISER PERMANENTE COMPANIES. THE AVERAGE HOURS PER WEEK REPORTED FOR THE FILING ORGANIZATION AND RELATED ORGANIZATIONS WAS ESTIMATED.
FORM 990, PART XI, LINE 9	other changes in net assets or fund balances: CHANGE IN DONATED CAPITAL $ 280,645 CHANGE IN OCI (PENSION & RETIREMENT LIA) 38,328,123 OTTI LOSSES - BOOK (27,821,828) ------------------ $10,786,940
FORM 990, PART III, LINE 4A-4D	I. Introduction A. About Kaiser Permanente Founded in 1942 to serve employees of Kaiser Industries and opened to the public in 1945, Kaiser Permanente is recognized as one of America's leading health care providers and nonprofit health plans. We were created to meet the challenge of providing American workers with medical care during the Great Depression and World War II, when most people could not afford to go to a doctor. Since our beginnings, we have been committed to helping shape the future of healthcare. Among the innovations Kaiser Permanente has brought to U.S. health care are: - Prepaid health plans, which spread the cost to make it more affordable - A focus on preventing illness and disease as much as on caring for the sick - An organized, coordinated system that puts as many services as possible under one roof-all connected by an electronic medical record Kaiser Permanente is an integrated health care delivery system comprised of Kaiser Foundation Hospitals (KFH), Kaiser Foundation Health Plan (KFHP), and physicians in the Permanente Medical Groups. Today we serve more than 12 million members in eight states and the District of Columbia. Our mission is to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. Care for members and patients is focused on their Total Health and guided by their personal physicians, specialists, and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery, and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education, and the support of community health. B. Kaiser Permanente's Approach to Community Health For more than 70 years, Kaiser Permanente has been dedicated to providing high-quality, affordable health care services and to improving the health of our members and the communities we serve. We believe good health is a fundamental right shared by all and we recognize that good health extends beyond the doctor's office and the hospital. It begins with healthy environments: fresh fruits and vegetables in neighborhood stores, successful schools, clean air, accessible parks, and safe playgrounds. Good health for the entire community requires equity and social and economic well-being. These are the vital signs of healthy communities. Better health outcomes begin where health starts, in our communities. Like our approach to medicine, our work in the community takes a prevention-focused, evidence-based approach. We go beyond traditional corporate philanthropy or grant making to pair financial resources with medical research, physician expertise, and clinical practices. Our community health strategy focuses on three areas: - Ensuring health access by providing individuals served at Kaiser Permanente or by our safety-net partners with integrated clinical and social services; - Improving conditions for health and equity by engaging members, communities, and Kaiser Permanente's workforce and assets; and - Advancing the future of community health by innovating with technology and social solutions. C. Kaiser Permanente's Total Contribution Kaiser Permanente provided $2.8 billion in community benefits in 2018. The amounts attributable to Kaiser Foundation Health Plan of Washington are: - Financial Assistance at cost - $15.9 million - Medicaid - $33.7 million - Community health improvement services and community benefit operations - $4.3 million - Health Professions Education - $9 million - Research - $1.7 million - Cash and in-kind contributions from community benefit - $4.3 million In addition to our direct spend on community benefits, we also leverage assets from across Kaiser Permanente to help us achieve our mission to improve the health of communities. This "Total Health" strategy includes our widely recognized activities around supplier diversity, socially responsible investing and environmental stewardship.
II. Ensure Health Access	A. Summary of The Strategy Ensuring access to high quality health care services for low-income populations within the communities we serve is core to our mission and tax-exempt status. Access to healthcare for vulnerable low-income populations is routinely identified in our Community Health Needs Assessments as one of the top health needs in the communities Kaiser Permanente serves. There are two main access challenges: coverage and care. Without access to adequate health insurance coverage, people may not receive the comprehensive and continuous medical care needed to help achieve maximum health outcomes. And without access to convenient and high-quality care by trusted providers, they are less likely to get and/or stay healthy. Over time, access challenges can compromise health outcomes as well as create additional burden on government to provide necessary social services. Kaiser Foundation Health Plan of Washington supports the health access needs of our communities through a combination of coverage and care programs. We provide coverage to low-income populations through two key vehicles: first, via our participation in government programs like Medicaid and the Children's Health Insurance Programs (CHIP), and second, via our own Charitable Health Coverage (CHC) program, which provides a premium subsidy for Kaiser Permanente coverage for qualified low-income families and children who do not have access to public or private health coverage. Similarly, we provide care to low-income populations through two key vehicles: first, via our treatment of Medicaid and CHIP enrollees (not assigned to Kaiser Permanente), and second, via the Medical Financial Assistance (MFA) program, which is Kaiser Permanente's traditional charity care or financial assistance program (FAP). For Kaiser Foundation Health Plan, Inc. and all of its subsidiary health plans, the main way to address health access challenges is by absorbing the cost of the coverage programs described above. In 2018, Kaiser Foundation Health Plan of Washington spent a total of $49.7 million on our coverage and care programs (at cost, net of all related revenues). In addition, it provided $1.1 million in grants to help improve health access challenges, including but not limited to funding key safety-net partner organizations. B. Coverage Adequate health coverage means consistent access to comprehensive and continuous medical and preventative services for people to get and stay healthy, a much better and thorough alternative to episodic care at emergency departments. Coverage is good for the patient, good for Kaiser Permanente and good for the US overall because it helps people get and stay healthy and avoid costly hospital services. i. Coverage provided through Medicaid, CHIP and other government programs The Affordable Care Act has had a far-reaching impact on the landscape of government-sponsored programs, as these options have become a key source of health coverage for a significant portion of the US population. Kaiser Permanente has responded to this challenge by developing organizational strategies to enable low-income individuals to obtain and/or retain health coverage through Medicaid, CHIP or other government programs, even as their personal or financial circumstances may be changing. At the end of 2018, Kaiser Foundation Health Plan of Washington was providing benefits to over 24,600 people through its Medicaid Managed Care contracts with other health plans. C. Care To get and/or stay healthy, people need access to high quality care by providers they trust. This care must include preventative services and required medications so that people can avoid ending up in the emergency room or requiring more extensive services down the line. Kaiser Permanente helps low-income populations gain access to this type of care by leveraging the full scope of its integrated delivery system, including not only critical hospital-based services but also outpatient primary, specialty and pharmacy services. i. Care provided through Medicaid, CHIP and other government programs Kaiser Permanente provides a wide range of health care services to individuals enrolled in Medicaid, CHIP and other government programs, regardless of whether they are assigned to Kaiser Permanente or not. In addition to the individuals who received health coverage in 2018 due to Kaiser Permanente's participation in these government programs, Kaiser Foundation Health Plan of Washington also subsidized care to people who are enrolled in these programs but not formally assigned to Kaiser Permanente. ii. Care subsidized by MFA The MFA program helps low-income, uninsured, and underserved patients receive access to care. MFA provides temporary financial assistance or free care to qualified patients who receive health care services from our providers, regardless of whether they have health coverage or are uninsured. MFA is open to all eligible patients (members and nonmembers) who meet financial criteria based on household size and income and have exhausted all private or public health care coverage options. The program also includes support for programs that are designed to enable access to Kaiser Permanente services through coordination with community-based organizations that address the health needs of low-income, primarily uninsured populations. Over the course of 2018, Kaiser Foundation Health Plan of Washington subsidized care for over 11,000 people through the MFA program. D. Safety-Net Partnerships Kaiser Permanente is committed to building partnerships with the institutions that play a critical role in delivering health care for the uninsured and underserved, often referred to as the health care "safety-net." Through grants, training and technical assistance, we're working with safety-net hospitals and health centers to help these institutions reach those who are low-income, uninsured or under-resourced in our communities, and move the needle in eliminating health disparities. We do this by investing in quality improvement and other support efforts that aim to transform care and improve health access for those most in need. Specific examples of our efforts in 2018 include: - Kaiser Foundation Health Plan of Washington funded $200,000, part of a 3-year grant for $600,000, to Project Access Northwest to connect patients served by the safety-net with vital specialty care services. In addition to operational support for the organization, Kaiser Foundation Health Plan of Washington clinics accepted specialty care referrals and provided clinical services for 400 low-income and uninsured patients in 2018.
III. Improve Conditions for Health and Equity	A. Summary of the Strategy Healthy communities are critical to the health and wellness of every person - and this has always been central to our mission. That's why our strategy includes efforts to address the root causes of health, such as economic opportunity. Where community needs are greatest, we make direct investments to create conditions for health and equity, because healthy individuals need healthy communities, and healthy communities need healthy people to thrive. In 2018, Kaiser Foundation Health Plan of Washington spent a total of $3.2 million on charitable contributions designed to improve conditions for health and equity. B. Health and Wellness in Schools Our efforts to support health in schools are part of how we are advancing our vision for total health - a holistic approach that emphasizes the social, environmental, behavioral, and clinical aspects that shape one's well-being. Schools are passionate about ensuring that all students succeed. They need strong partners to help them address health as part of their strategy. That's why Kaiser Permanente created Thriving Schools, our all-in engagement to improve health for students, staff, and teachers. Our vision is that every community can count on their school as a champion for good health that enables great learning. Kaiser Permanente Thriving Schools is intentional about coordinating our own knowledge and existing work in school health with the good work of others. Through our valued partnerships with some of the country's most innovative organizations, we are able to provide concrete resources and pathways to health in schools. To create lasting change, we use our voice to advance local, regional, and national policies and a movement to make healthy schools the norm for everyone. A distinguishing feature of Thriving Schools is our complementary focus: we support students, staff, and teachers, and we address their physical, emotional, and social wellness. This approach builds a culture of wellness across the entire school. Specific examples of our efforts in 2018 include: - Kaiser Permanente continued its ongoing support of Healthy Eating, Active Living (HEAL), a school-based intervention aimed at making changes to the policies and systems in school environments to promote improved health behaviors of students, teachers, and staff. An additional 44 schools across Kaiser Permanente's Washington region started this work in 2018, bringing the total to 370 new schools across Kaiser Permanente's footprint working to change student and adult behaviors related to nutrition and physical activity in 2018. - Kaiser Foundation Health Plan of Washington launched the school employee-focused "Way to Wellbeing" 3-part workplace wellness workshop reaching 14 school districts representing thousands of school employees. The workshops focused on strategies for physical and mental wellbeing during the school day. Some of the attendees applied for and received modest grants to support them in implementing efforts on their school site in order to achieve the wellbeing goals covered in the workshops. C. Health and Wellness in Cities The places where we live, learn, work, and play - our cities and towns, our schools, our homes, our neighborhoods - have an enormous impact on our health. And how we shape those places, through public policy and the support for healthy environments, has the potential to make real, lasting impacts on our surroundings and our everyday quality of life. Through Kaiser Permanente's ongoing partnerships with community organizations, municipal leaders, and public health champions, we are working to incorporate health, equity and sustainability considerations into public policy and the built environment in ways that influence how neighborhoods take shape and grow. Specific examples of our efforts in 2018 include: - Kaiser Permanente joined the de Beaumont Foundation to support CityHealth. CityHealth advances nine policies that can make real, lasting impacts in people's health and quality of life in America's 40 largest cities. In 2018, CityHealth assessed 40 cities including Seattle, Washington on their policies and began to engage with city leaders to help them improve policies for Pre-K, inclusionary zoning, complete streets, smoke-free indoor air, and healthy food procurement. - Kaiser Foundation Health Plan of Washington provided the Seattle Parks Foundation with a $250,000 grant to support park renovations and improvements to Duwamish Waterway Park and Concord International Elementary School. These park enhancements are projected to positively impact 4,000 residents near the waterway park and over 400 students at the elementary school by providing a safe and accessible environment for physical activity. Both projects are located in neighborhoods with a large concentration of families of low-incomes and substantial immigrant populations. D. Economic Opportunity Inclusive economic growth is critical to both individual and community health. When there is a lack of economic opportunity in communities, the prospects for upward social mobility are diminished, often resulting in poorer health and higher mortality rates for people living in those communities. By contrast, economic growth and opportunity provides individuals with jobs, income, a sense of purpose, and opportunities to improve their economic circumstances overtime. As a large, influential institution in our communities, Kaiser Permanente recognizes that the way we do business can support economic opportunity in local communities through how we hire, purchase, build our facilities and partner with communities. Specific examples of our efforts in 2018 include: - Kaiser Permanente continued its commitment to source goods and services from the minority, women, veteran, and LGBTQ-owned business community as a member of the Billion Dollar Roundtable. As part of this commitment, we encouraged our own suppliers to also increase their sourcing of goods and services from the minority, women, veteran, and LGBTQ-owned business community. Furthermore, we also began to measure job creation that resulted from our procurement spending. In 2018, we found that our procurement spending led our supplier partners to create new jobs. - Kaiser Foundation Health Plan of Washington provided two grants totaling over $190,000 to two organizations, Arivva and Pierce County Pre-Apprenticeship Center, to engage unemployed, underemployed and disconnected youth and adults. They program participants are supported in achieving certification and getting into a registered apprenticeship training program for jobs in HVAC (heating ventilation air conditioning), construction and health care. Kaiser Permanente also partnered with Year Up, a nonprofit organization that provides young adults with the skills, experience, and support that will empower them to reach their potential through professional careers and higher education, to place 6 economically disadvantaged young people of color into administrative and business operations internships in Seattle. E. Housing and Homelessness Housing stability is a key factor in a person's overall health and well-being. Without a safe, stable place to live, it is nearly impossible to maintain health or sustain health improvements achieved in a medical setting. With homelessness affecting more than 550,000 people every day throughout our country, the need for safe, stable and affordable housing has never been greater. Kaiser Permanente understands the connection between housing and health. Our impact investments aim to create more affordable housing, reduce the displacement of lower- and middle-income households, and end homelessness by ensuring access to supportive housing. Specific examples of our efforts in 2018 include: - Kaiser Permanente committed to address the housing and homelessness crisis in our communities. As part of that commitment, and working with Enterprise Community Partners, we developed the RxHome Fund, which will create and preserve multifamily rental homes for low-income residents throughout Kaiser Permanente's service areas. This strategy will protect current residents and preserve affordable units in the current housing stock. Also, with Enterprise Community Partners, we are supporting affordable housing development and preservation across all the communities in our service footprint.
F. Environmental Stewardship	We believe it is our obligation as a health care provider to minimize our environmental impact. We embed efforts to be environmentally responsible throughout our organization - in how we power our facilities, purchase food and medical supplies and equipment, manage waste, and invest in our communities. We also prioritize partnerships with others to develop policies and systems that strengthen community health and protect our environment. In 2016, Kaiser Permanente adopted an ambitious set of environmental goals to guide the organization for the decade ahead. These goals have raised the bar on environmental responsibility, not just for Kaiser Permanente but for all health care organizations. Kaiser Permanente pledges that by 2025 it will: - Become "carbon net positive" by buying enough clean energy and carbon offsets to remove more greenhouse gases from the atmosphere than it emits. - Buy all of its food locally or from farms and producers that use sustainable practices, including using antibiotics responsibly. - Recycle, reuse or compost 100 percent of its non-hazardous waste. - Reduce the amount of water it uses by 25 percent per square foot of buildings. - Increase its purchase of products and materials that meet environmental standards to 50 percent. - Meet international standards for environmental management at all its hospitals. - Pursue new collaborations to reduce environmental risks to the foodsheds, watersheds and air basins supplying its communities. Specific examples of our efforts in 2018 include: - Kaiser Permanente finalized an agreement for a major renewable energy purchase, enabling us to achieve our goal of becoming carbon neutral in 2020. Kaiser Permanente dedicated 14% of overall spending on products to items that met our Environmentally Preferable Purchasing standards and dedicated 34% of spending on food to items produced locally or from farms and producers that use sustainable practices, including using antibiotics responsibly. - Kaiser Foundation Health Plan of Washington responsibly reused, recycled or composted over 718 tons of materials and sent 42 of our waste to recycling. IV. Advance the Future of Community Health A. Summary of the Strategy Kaiser Permanente advances the future of community health by innovating with technology and social solutions. We need to increase our speed and capacity to respond to community needs and achieve equitable health outcomes. Innovation will increase our ability to identify, incubate and implement solutions to difficult community health problems. We work in partnership with our communities, using our collective knowledge to identify and implement creative solutions to difficult community health problems by: - Inspiring young people to pursue careers in health care - Conducting research to identify and eliminate disparities in care - Advancing health innovation and achieving greater and more equitable health outcomes In 2018, Kaiser Foundation Health Plan of Washington spent $10.7 million on programs to advance the future of community health (at cost, net of all related revenues). This included $9 million in health professional education and $1.7 million in research. B. Health Professionals Education Our Graduate Medical Education (GME) program provides training and education for medical residents and interns in the interest of educating the next generation of physicians. The nationally acclaimed program attracts some of the top medical school graduates in the United States and serves as a national model by exposing future health care providers to an integrated health care delivery system. Residents are offered the opportunity to serve a large, culturally diverse patient base in a setting with sophisticated technology and information systems, established clinical guidelines and an emphasis on preventive and primary care. In 2018, Kaiser Foundation Health Plan of Washington supported 39 interns and residents through the GME program. The majority of medical residents are studying within the primary care medicine areas of family practice, internal medicine, ob/gyn, pediatrics, preventive medicine, and psychiatry. In addition to GME, we provide a range of training and education programs for nurse practitioners, nurses, radiology and sonography technicians, physical therapists, post-graduate psychology and social work students, pharmacists, and other non-physician health professionals. C. Research Kaiser Permanente has a long history of conducting health research related to both prevention and treatment of disease that benefits its members, the communities it serves and the nation. Kaiser Permanente's research efforts are core to the organization's mission to improve population health, and its commitment to continued learning. Research activities are conducted at Kaiser Permanente's eight regional research centers and three national groups: Kaiser Permanente Research Bank, Kaiser Permanente Center for Effectiveness & Safety Research; and Utility for Care Data Analysis. In addition, the Kaiser Foundation Research Institute administers and supports research at the research centers. Kaiser Permanente researchers study critical health issues including: cancer, cardiovascular conditions, diabetes, behavioral and mental health, and health care delivery improvement. Kaiser Permanente Research is broadly focused on three themes: understanding health risks; addressing patients' needs and improving health outcomes; and informing policy and practice to facilitate the use of evidence-based care. Kaiser Permanente is uniquely positioned to do research due to its rich, longitudinal, electronic clinical databases that capture virtually complete health care delivery, payment, decision-making and behavioral data in detail to support primary, secondary and tertiary clinical care across inpatient, outpatient and emergency department settings for its geographically and demographically diverse members. In 2018, Kaiser Foundation Health Plan of Washington engaged in 289 active studies including 39 clinical trials, and published 284 journal articles. The following is an example of a research project conducted in 2018: - Kaiser Foundation Health Plan of Washington's Research Center, Kaiser Permanente Washington Health Research Institute, published: Association Between Bariatric Surgery and Macrovascular Disease Outcomes in Patients with Type 2 Diabetes and Severe obesity. The objective of the study was to investigate the relationship between bariatric surgery and incident macrovascular (coronary artery disease and cerebrovascular diseases) events in patients with severe obesity and type 2 diabetes. The authors concluded that bariatric surgery was associated with a lower risk of incident major macrovascular events. D. Advancing Innovation Despite our nation's best efforts at addressing the myriad of challenges facing the health of our communities, we see that social, economic and health disparities among people continue to grow. At Kaiser Permanente, we're trying to shift that paradigm by working to advance conditions for health through the spread of best practices, innovation and technology. Kaiser Permanente works in partnership with our communities, using our collective knowledge to identify and implement creative solutions to difficult community health problems. Using technology as the backbone of our efforts, we are exploring new approaches for accelerating and scaling community health solutions to create greater impact. Together, we are advancing health innovation and achieving greater and more equitable health outcomes. Specific examples of our efforts in 2018 include: - Kaiser Permanente partnered with The Public Good Projects (PGP) to launch a strategy to reduce stigma and raise awareness around mental health conditions. PGP Mental Health campaign has three components which include Therapy Pets, Like One Another, and Mental Health Champions and each has its own audience.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

KAISER FOUNDATION HEALTH PLAN OF WASHINGTON

Employer identification number

91-0511770

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(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) RYAN-GHC ONE LLC ONE KAISER PLAZA 15L OAKLAND,CA94612 47-4197735	REAL ESTATE	DE	0	30,000	KFHPW
(2) COLUMBIA MEDICAL ASSOCIATES LLC ONE KAISER PLAZA 15L OAKLAND,CA94612 20-0986848	COMP MED CARE	WA	0	0	KFHPW
(3) COLUMBIA CLINIC LLC ONE KAISER PLAZA 15L OAKLAND,CA94612	INACTIVE	WA	0	0	CMA LLC

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(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)KAISER FOUNDATION HOSPITALS ONE KAISER PLAZA 15L OAKLAND,CA94612 94-1105628	HEALTH CARE	CA	501(C)(3)	3	NA		No
(2)KAISER FOUNDATION HEALTH PLAN INC ONE KAISER PLAZA 15L OAKLAND,CA94612 94-1340523	HEALTH CARE	CA	501(C)(3)	10	NA		No
(3)KAISER FOUNDATION HEALTH PLAN OF CO ONE KAISER PLAZA 15L OAKLAND,CA94612 84-0591617	HEALTH CARE	CO	501(C)(3)	10	KFHP INC	Yes
(4)KAISER FOUNDATION HEALTH PLAN OF GA ONE KAISER PLAZA 15L OAKLAND,CA94612 58-1592076	HEALTH CARE	GA	501(C)(3)	10	KFHP INC	Yes
(5)KAISER FOUNDATION HEALTH PLAN OF THE MAS ONE KAISER PLAZA 15L OAKLAND,CA94612 52-0954463	HEALTH CARE	MD	501(C)(3)	10	KFHP INC	Yes
(6)KAISER FOUNDATION HEALTH PLAN OF NW ONE KAISER PLAZA 15L OAKLAND,CA94612 93-0798039	HEALTH CARE	OR	501(C)(3)	10	KFHP INC	Yes
(7)KAISER HOSPITAL ASSET MANAGEMENT INC ONE KAISER PLAZA 15L OAKLAND,CA94612 94-3299125	ASSET MGMT	CA	501(C)(3)	12-I	KFH	Yes
(8)KAISER HEALTH PLAN ASSET MANAGEMENT INC ONE KAISER PLAZA 15L OAKLAND,CA94612 94-3299124	ASSET MGMT	CA	501(C)(3)	12-I	KFHP INC	Yes
(9)CAMP BOWIE SERVICE CENTER ONE KAISER PLAZA 15L OAKALAND,CA94612 94-3299123	ADMIN	CA	513(C)(3)	12-I	KFHP INC	Yes
(10)LOKAHI ASSURANCE LTD ONE KAISER PLAZA 15L OAKLAND,CA94612 91-2171891	WC PLACEMENT	HI	501(C)(3)	12-I	KFHP INC	Yes
(11)1800 HARRISON FOUNDATION ONE KAISER PLAZA 15L OAKLAND,CA94612 94-3317484	FINANCING	CA	501(C)(3)	12-I	KFHP INC	Yes
(12)KAISER HOSPITAL ASSISTANCE CORPORATION ONE KAISER PLAZA 15L OAKLAND,CA94612 31-1779500	FINANCING	CA	501(C)(3)	12-I	KFH	Yes
(13)KAISER HEALTH ALTERNATIVES ONE KAISER PLAZA 15L OAKLAND,CA94612 93-0954562	HEALTH CARE	OR	501(C)(3)	10	KFHP INC	Yes
(14)KAISER PERMANENTE SCHOOL OF MEDICINEINC ONE KAISER PLAZA 15L OAKLAND,CA94612 81-4053028	MEDICAL EDU	CA	501(C)(3)	2	KFH	Yes
(15)KFHPW HOLDINGS ONE KAISER PLAZA 15L OAKLAND,CA94612 93-0480268	HEALTH CARE	WA	501(C)(3)	12-I	KFHP INC	Yes
(16)GROUP HEALTH NORTHWEST ONE KAISER PLAZA 15L OAKLAND,CA94612 91-1216856	INACTIVE	WA	501(C)(3)	12-I	KFHP OF WA	Yes
(17)KAISER FND FOR THE ADV OF INTEGRATED HC ONE KAISER PLAZA 15L OAKLAND,CA94612 82-3819611	ADVOCACY	CA	501(C)(4)	N/A	KFHP INC	Yes
(18)GROUP HEALTH OF WASHINGTON ONE KAISER PLAZA 15L OAKLAND,CA94612 91-1314907	INACTIVE	WA	501(c)(3)	12-I	KFHP OF WA	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(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
(1) NXT CAP SR FD ILLC 191 N Wacker Dr 1200 chicago,IL60606 37-1651297	investment	DE	NA	N/A	0	0
(2) RYAN-GHC TWO LLC ONE KAISER PLAZA 15L OAKLAND,CA94612 81-0725477	REAL ESTATE	DE	KFHPW	N/A	0	432,630			0

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) 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) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) OAK TREE ASSURANCE LTD ONE KAISER PLAZA 15L OAKLAND,CA94612 03-0329760	INSURANCE	VT	NA	C CORP				Yes
(2) KAISER PERMANENTE INSURANCE COMPANY ONE KAISER PLAZA 15L OAKLAND,CA94612 94-3203402	INSURANCE	CA	NA	C CORP				Yes
(3) KAISER PROPERTIES SERVICES INC ONE KAISER PLAZA 15L OAKLAND,CA94612 94-3259432	REAL ESTATE	CA	NA	C CORP				Yes
(4) KAISER PERMANENTE INTERNATIONAL ONE KAISER PLAZA 15L OAKLAND,CA94612 94-3245176	CONSULTING	CA	NA	C CORP				Yes
(5) GROUP HEALTH OF SERVICES INC ONE KAISER PLAZA 15L OAKLAND,CA94612 91-1392222	INACTIVE	WA	NA	C CORP	0	0	100.000 %	Yes
(6) KFHP OF WASHINGTON OPTIONS INC ONE KAISER PLAZA 15L OAKLAND,CA94612 91-1467158	INSURANCE	WA	NA	C CORP	943,047,728	289,888,112	100.000 %	Yes

Schedule R (Form 990) 2018

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) KAISER FDN HEALTH PLAN OF WA OPTIONS INC	J	57,849	PER AGREEMENT
(2) KAISER FDN HEALTH PLAN OF WA OPTIONS INC	L	108,663,487	PER AGREEMENT
(3) KAISER FDN HEALTH PLAN OF WA OPTIONS INC	P	33,308,570	PER AGREEMENT
(4) KAISER FDN HEALTH PLAN OF WA OPTIONS INC	R	182,874,237	PER AGREEMENT
(5) KAISER FOUNDATION HOSPITALS	A	658,613	PER AGREEMENT
(6) KAISER FOUNDATION HOSPITALS	P	28,089,542	PER AGREEMENT
(7) KAISER FOUNDATION HOSPITALS	Q	7,332,776	PER AGREEMENT
(8) KAISER FOUNDATION HOSPITALS	R	3,188,265,151	PER AGREEMENT
(9) KAISER FOUNDATION HOSPITALS	S	2,470,384,408	PER AGREEMENT
(10) KAISER FOUNDATION HEALTH PLAN INC	L	180,000	PER AGREEMENT
(11) KAISER FOUNDATION HEALTH PLAN INC	M	25,674,588	PER AGREEMENT
(12) KAISER FOUNDATION HEALTH PLAN INC	P	69,287,927	PER AGREEMENT
(13) KAISER FOUNDATION HEALTH PLAN INC	Q	43,182,910	PER AGREEMENT
(14) KAISER FOUNDATION HEALTH PLAN INC	R	55,113,810	PER AGREEMENT
(15) KAISER FOUNDATION HEALTH PLAN INC	S	212,045,204	PER AGREEMENT
(16) LOKAHI ASSURANCE LTD	L	7,068,900	PER AGREEMENT
(17) LOKAHI ASSURANCE LTD	M	45,899,000	PER AGREEMENT
(18) LOKAHI ASSURANCE LTD	Q	10,628,485	PER AGREEMENT
(19) LOKAHI ASSURANCE LTD	S	2,427,969	PER AGREEMENT
(20) KAISER FOUNDATION HEALTH PLAN OF THE NW	L	6,379,967	PER AGREEMENT
(21) KAISER FOUNDATION HEALTH PLAN OF THE NW	Q	1,204,995	PER AGREEMENT
(22) KAISER FOUNDATION HEALTH PLAN OF COLORADO	P	142,894	PER AGREEMENT
(23) KAISER FDN HEALTH PLAN OF WA HOLDINGS	R	34,719,389	PER AGREEMENT

Schedule R (Form 990) 2018

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(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

Schedule R (Form 990) 2018

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	9
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	6
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	8,743
6	Total number of volunteers (estimate if necessary) .............	6	503
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	12,011,350
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	2,425,031

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	44,757,437	44,338,722
9	Program service revenue (Part VIII, line 2g) .........	3,230,978,716	3,669,006,253
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	24,264,092	24,985,315
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	90,387,593	2,217,413
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	3,390,387,838	3,740,547,703
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	15,759,915	15,796,716
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)	627,226,067	639,153,801
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)....	2,760,290,047	3,131,723,141
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	3,403,276,029	3,786,673,658
19	Revenue less expenses. Subtract line 18 from line 12.......	-12,888,191	-46,125,955
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,628,077,809	2,606,228,792
21	Total liabilities (Part X, line 26).............	834,254,162	853,255,263
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,793,823,647	1,752,973,529

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 3,415,025,660 including grants of $ 11,546,661 ) (Revenue $ 3,599,028,983 )
	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON (KFHP-WA) PROVIDES MEDICAL AND SURGICAL CARE, INCLUDING URGENT CARE SERVICES, EXTENDED CARE AND HOME HEALTH CARE, FOR ITS MEMBERS WITHOUT REGARDS TO AGE, SEX, RACE, RELIGION OR NATIONAL ORIGIN OR THE ABILITY TO PAY. KFHP OF WASHINGTON EDUCATES AND TRAINS MEDICAL STUDENTS AND OTHER HEALTH CARE PROFESSIONALS AND PROMOTES SCIENTIFIC AND NURSING EDUCATION IN ORDER TO IMPROVE CARE.

4b	(Code: ) (Expenses $ 58,940,565 including grants of $ 0 ) (Revenue $ 25,250,360 )
	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON (KFHP-WA) IS COMMITTED TO IMPROVING MEDICAL CARE FOR BENEFICIARIES OF MEDICAID AND OTHER GOVERNMENT SPONSORED PROGRAMS, NOT ONLY FOR KFHP-WA MEMBERS, BUT ALSO, WITHIN THE COMMUNITIES WE SERVE. AT THE END OF 2018, MORE THAN 24,600 INDIVIDUALS WERE RECEIVING BENEFITS THROUGH KFHP-WA'S MEDICAID MANAGED CARE CONTRACTS.

4c	(Code: ) (Expenses $ 15,982,889 including grants of $ 0 ) (Revenue $ 0 )
	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON (KFHP-WA) PROVIDES CHARITY CARE TO LOW INCOME VULNERABLE PATIENTS THROUGH THE MEDICAL FINANCIAL ASSISTANCE (MFA) PROGRAM. KFHP-WA OFFERS FINANCIAL ASSISTANCE THROUGH THE MFA PROGRAM TO HELP FAMILIES AND INDIVIDUALS WITH A DEMONSTRATED FINANCIAL NEED PAY FOR ALL OR PART OF THE COST OF EMERGENCY OR MEDICALLY NECESSARY CARE PROVIDED IN KAISER PERMANENTE FACILITIES AND/OR BY KAISER PERMANENTE PROVIDERS. IN 2018, THIS PROGRAM ASSISTED MORE THAN 11,000 PATIENTS THROUGH FINANCIAL ASSISTANCE.

	(Code: ) (Expenses $ 74,353,280 including grants of $ 4,250,055 ) (Revenue $ 44,726,910 )
	SCH. O, COMMUNITY BENEFIT REPORT

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 74,353,280 including grants of $ 4,250,055 ) (Revenue $ 44,726,910 )
4e	Total program service expenses3,564,302,394

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	6,898,472	53,440,974	6,936,225

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	0
e	Government grants (contributions)		1e	33,440,295

f	All other contributions, gifts, grants, and similar amounts not included above		1f	10,898,427

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		44,338,722

		Business Code
2a	MEMBERS HEALTH DUES	900099	2,075,819,387	2,075,819,387
b	MEDICARE	900099	891,558,783	891,558,783
c	COPAYS, DEDUCTIBLES, FEES	900099	332,048,758	332,048,758
d	NON-PLAN & INDUSTRIAL	900099	60,002,926	48,364,358	11,638,568
e	OTHER PROGRAM SERVICE	900099	309,576,399	309,221,059	355,340
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		3,669,006,253

3 Investment income (including dividends, interest, and othersimilar amounts) ......			21,584,819		17,442	21,567,377
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		645,418
b	Less: rental expenses
c	Rental income or (loss)	0	645,418
d	Net rental income or (loss)......			645,418			645,418
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	1,000	285,357,286
b	Less: cost or other basis and sales expenses	4,266	281,953,524
c	Gain or (loss)	-3,266	3,403,762
d	Net gain or (loss).....			3,400,496			3,400,496
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a		0
b	Less: cost of goods sold ..b		0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	PARKING REVENUE		812930	1,571,995			1,571,995
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			1,571,995
12	Total revenue. See Instructions......			3,740,547,703	3,657,012,345	12,011,350	27,185,286

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	15,762,966	15,762,966
2	Grants and other assistance to domestic individuals. See Part IV, line 22	0	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.	33,750	33,750
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	97,820		97,820	0
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	542,292,228	476,533,709	65,758,519
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	51,085,491	51,085,491
9	Other employee benefits .......	5,119,432	4,306,006	813,426
10	Payroll taxes ...........	40,558,830	39,331,073	1,227,757
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	0
c	Accounting ...........	661,077	0	661,077
d	Lobbying ...........	181,203		181,203
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	2,130,877	0	2,130,877
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	0
12	Advertising and promotion ....	11,283,454	7,999,089	3,284,365
13	Office expenses .......	12,810,232	12,617,908	192,324
14	Information technology ......	203,988,524	148,619,716	55,368,808
15	Royalties ..	0
16	Occupancy ...........	30,700,496	30,698,731	1,765
17	Travel ............	4,944,861	4,163,900	780,961
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	1,285,457	0	1,285,457
20	Interest ...........	3,369,705	3,369,705	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	84,764,745	84,764,023	722
23	Insurance ...	16,063,661	16,063,661
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	PURCHASED MEDICAL SVC	1,506,640,994	1,506,640,319	675	0
b	SUPPLIES - PHARMACY, OFFICE	580,183,943	551,393,399	28,790,544
c	BASIC CONTRACTUAL PAYMENTS	432,452,896	432,452,896
d	INCOME TAX	44,481	44,481
e	All other expenses	240,216,535	178,421,571	61,794,964
25	Total functional expenses. Add lines 1 through 24e	3,786,673,658	3,564,302,394	222,371,264	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 ........			4,762,733	1	7,112,461
2	Savings and temporary cash investments .........			213,961,712	2	0
3	Pledges and grants receivable, net ......			10,308,787	3	0
4	Accounts receivable, net .............			123,859,297	4	121,061,531
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 ....			14,008,808	7	911,498
8	Inventories for sale or use ........			21,476,695	8	18,639,832
9	Prepaid expenses and deferred charges ......			14,320,435	9	11,816,452
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,034,081,703
b	Less: accumulated depreciation	10b	129,275,732	856,945,590	10c	904,805,971
11	Investments—publicly traded securities .			570,442,277	11	815,025,097
12	Investments—other securities. See Part IV, line 11 .....			250,223,701	12	75,570,416
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............			503,253,990	14	464,426,571
15	Other assets. See Part IV, line 11 ...........			44,513,784	15	186,858,963
16	Total assets. Add lines 1 through 15 (must equal line 34)...			2,628,077,809	16	2,606,228,792

17	Accounts payable and accrued expenses .....	434,395,246	17	508,619,746
18	Grants payable ...	0	18	0
19	Deferred revenue .........	125,594,298	19	36,401,199
20	Tax-exempt bond liabilities .........	0	20	0
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	274,264,618	25	308,234,318
26	Total liabilities. Add lines 17 through 25..	834,254,162	26	853,255,263

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets		27
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets		29
	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 .....	0	30	0
31	Paid-in or capital surplus, or land, building or equipment fund ...	1,853,000,000	31	1,862,900,717
32	Retained earnings, endowment, accumulated income, or other funds	-59,176,353	32	-109,927,188
33	Total net assets or fund balances ...........	1,793,823,647	33	1,752,973,529
34	Total liabilities and net assets/fund balances ........	2,628,077,809	34	2,606,228,792

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No