TY 2022 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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) Gregory Adams...................................................................... Chairman & CEO	4.0 ................. 46.0		X				13,841,691	-144,241
(2) Kimberly Horn...................................................................... EVP, Group President, MOC	3.5 ................. 46.5	X					7,934,857	-23,881
(3) Arthur Southam...................................................................... EVP, Health Plan Ops & CGO	3.5 ................. 46.5		X				5,764,865	-158,211
(4) Kathryn Lancaster...................................................................... EVP & Chief Financial Officer	3.5 ................. 46.5	X					5,726,249	-216,576
(5) Mark Zemelman...................................................................... SVP, General Counsel & Secy	1.0 ................. 49.0					X	5,101,508	61,868
(6) Susan Mullaney...................................................................... Regional President - WA	43.8 ................. 6.2		X				4,230,082	-187,470
(7) Janet Liang...................................................................... EVP, Group President & COO	3.5 ................. 46.5		X				5,433,297	-1,438,203
(8) Vanessa Benavides...................................................................... SVP,Chief Legal Officer & Secy	1.0 ................. 49.0		X				1,466,903	207,776
(9) Andrew Bindman...................................................................... EVP, Chief Medical Officer	1.0 ................. 49.0	X					1,227,452	326,409
(10) Thomas Meier...................................................................... SVP, Corporate Treasurer	1.5 ................. 48.5		X				1,614,705	-90,086
(11) Alfonse Upshaw...................................................................... SVP,Corporate Controller & CAO	1.0 ................. 49.0		X				1,101,434	12,111
(12) Donald Orndoff...................................................................... SVP, NFS	3.5 ................. 46.5		X				1,108,295	-33,480
(13) Ronald Vance...................................................................... Interim Regional President	44.0 ................. 6.0		X				937,500	0
(14) Ann Allen...................................................................... VP, COO	50.0 ................. 0.0			X			590,381	210,753
(15) Jennifer Graves...................................................................... VP, Quality, Safety & Rgnl CNE	50.0 ................. 0.0				X		628,115	84,220
(16) Rebecca Williams...................................................................... Interim CFO	30.0 ................. 20.0		X				596,423	115,011
(17) Ryan Jenson...................................................................... Interim Corp Controller & CAO	3.5 ................. 46.5		X				659,683	5,379

(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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Alicia Eng........................................................................ VP, Clinical Operations	50.0 .......................0.0				X		0	541,716	122,125
(19) Eric Larson........................................................................ Sr Investigator	50.0 .......................0.0				X		582,051	0	29,545
(20) Rita Mangione-Smith........................................................................ VP,Resch/Healthcare Innovation	50.0 .......................0.0				X		0	508,908	94,890
(21) Kristanne Greco........................................................................ VP, PR, Commns & Brand Mgmt	50.0 .......................0.0				X		0	566,169	26,660
(22) Pamela Warren........................................................................ VP, HPSA - WA	50.0 .......................0.0		X				0	514,464	25,019
(23) Alacia Broussard........................................................................ VP, Contracting Strategy	50.0 .......................0.0			X			0	426,497	77,148
(24) Todd Hesse........................................................................ VP, MSBD	50.0 .......................0.0		X				43	371,838	85,170
(25) Shawna Sweeney........................................................................ Assistant Secretary	49.8 .......................0.2		X				0	407,425	39,992
(26) Karen Schartman........................................................................ VP, CFO & Strategy - WA	49.8 .......................0.2		X				0	567,539	-165,729
(27) Hong-Sze Yu........................................................................ VP, Brd & Corp Gov & Asst Secy	3.0 .......................47.0		X				0	471,975	-113,514
(28) Laurie Guariglia........................................................................ VP, Business Info Officer - WA	50.0 .......................0.0		X				0	309,660	20,156
(29) Margaret E Porfido JD........................................................................ Director	0.25 .......................3.25	X					17,500	299,630	-14,562
(30) Ramon F Baez........................................................................ Director	1.0 .......................3.77	X					17,500	265,262	-5,847
(31) Judith A Johansen JD........................................................................ Director	1.0 .......................8.5	X					15,500	283,192	-27,376
(32) Janet O'Hollaren........................................................................ VP, COO	0.0 .......................0.0					X	0	174,637	0
(33) Maryann Bodayle........................................................................ Assistant Secretary	1.0 .......................49.0		X				0	196,255	-24,125
(34) Kim J Kaiser........................................................................ Director	1.0 .......................0.0	X					31,504	10,900	0
(35) Michael D Wilson........................................................................ Director	1.25 .......................0.0	X					24,055	0	0
(36) Constance W Rice........................................................................ Director	4.0 .......................0.0	X					23,055	0	0
(37) Ruta E Fanning........................................................................ Director	1.0 .......................0.0	X					10,500	0	0
(38) Joseph Smith........................................................................ VP, MSBD	0.0 .......................0.0					X	0	171,553	-239,761

(A) Name and business address	(B) Description of services	(C) Compensation
Washington Permanente Medical Group, 1300 SW 27th St RENTON,WA98057	MEDICAL SERVICES	532,870,625
OVERLAKE HOSPITAL MEDICAL CENTER, PO BOX 34224 SEATTLE,WA98124	Medical Services	92,347,841
PEACEHEALTH, 2901 SQUALICUM PARKWAY BELLINGHAM,WA98225	Medical Services	75,989,635
ST JOSEPH MEDICAL CENTER, 1717 S J ST TACOMA,WA98405	Medical Services	73,358,927
MULTICARE HEALTH SYSTEM, PO BOX 5299 TACOMA,WA98415	Medical Services	72,481,319
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 659

- TIN:

SCHEDULE A
(Form 990)

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.
right arrow

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

OMB No. 1545-0047

2022

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).)

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 33 1/3% 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 33 1/3% 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 on 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) 2022

Page 2

Part II

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 5 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 2022 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2022. 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—2021. 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—2022. 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—2021. 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) 2022

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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 on 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 5 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 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. 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—2021. 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) 2022

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

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

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 on 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 on 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) 2022

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2022

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 0.015 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 0.035	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) 2022

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2022 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, 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 2022. 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 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

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) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

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

2022

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) (2022)

Schedule B (Form 990) (2022) Page 2

Name of organization KAISER FOUNDATION HEALTH PLAN OF WASHINGTON

Part I Contributors	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) (2022)

Schedule B (Form 990) (2022)

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) (2022)

Schedule B (Form 990) (2022)

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) (2022)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

2021

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.

Cat. No. 50084S

Schedule C (Form 990) 2021

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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) Total

2a	Lobbying nontaxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2021

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|No

(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

29,877

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

Yes

164,081

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

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

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

193,958

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 (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. KFHP WA 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 KFHP WA'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 (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. KFHP WA 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 KFHP WA'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) 2021

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 instructions and the latest information.

OMB No. 1545-0047

2021

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 FASB 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 FASB 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 FASB 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) 2021

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

Term 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 .....	255,568,196		255,568,196
b	Buildings ....	707,521,584	171,850,889	535,670,695
c	Leasehold improvements	49,474,585	21,523,292	27,951,293
d	Equipment ....	237,753,811	161,937,338	75,816,473
e	Other .....	132,974,867	47,670,302	85,304,565
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				980,311,222

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other 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

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

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

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

Part IX

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

(a) Description				(b) Book value

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

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	1,489,893,186
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) 2021

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) 2021

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

2022

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" on 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 the region	(d) Activities conducted in region (by type) (such as, 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 the region	(f) Total expenditures for and investments in the 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) 2022

Schedule F (Form 990) 2022

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on 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	77,847
North America	Research	99,184
Europe (Including Iceland and Greenland)	Research	12,183

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 .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2022

Schedule F (Form 990) 2022Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on 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 noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2022

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2022

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) 2022

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 20a.
MediumBullet

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2022

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? . . . . . .

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) . . .	22,312,939	0	22,312,939	0.520 %
b	Medicaid (from Worksheet 3, column a) . . . . .	81,085,845	37,635,054	43,450,791	1.020 %
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 . . . . .	103,398,784	37,635,054	65,763,730	1.540 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	4,121,609	1,659,983	2,461,626	0.060 %
f	Health professions education (from Worksheet 5) . . .	10,652,171	382,218	10,269,954	0.240 %
g	Subsidized health services (from Worksheet 6) . . . .	0	0	0	0 %
h	Research (from Worksheet 7) .	62,546,231	54,462,707	8,083,523	0.190 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	4,281,535	0	4,281,535	0.100 %
j	Total. Other Benefits . .	81,601,546	56,504,908	25,096,638	0.590 %
k	Total. Add lines 7d and 7j .	185,000,330	94,139,962	90,860,368	2.130 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022

Schedule H (Form 990) 2022

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 Healthcare 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. ......

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).....

514,758

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

386,968

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

127,790

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) 2022

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) 2022

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 22

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):

Other website (list url): HTTP://WWW.KP.ORG/CHNA

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 22

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

Yes

If "Yes" (list url): HTTP://WWW.KP.ORG/CHNA

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) 2022

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 300.%

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) 2022

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2022

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) 2022

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, 20a, 20b, 20c, 20d, 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	KAISER PERMANENTE'S APPROACH TO CHNA CONSIDERS BOTH PRIMARY AND SECONDARY DATA TO INFORM THE PRIORITIZATION OF HEALTH NEEDS. EACH KAISER PERMANENTE SERVICE AREA COLLECTED PRIMARY DATA THROUGH KEY INFORMANT INTERVIEWS WITH INDIVIDUALS AND GROUPS OF INDIVIDUALS. TO IDENTIFY ISSUES THAT MOST IMPACT THE HEALTH OF THE COMMUNITY, HOSPITALS REACHED OUT TO LOCAL PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS WITH EXPERTISE ON LOCAL HEALTH NEEDS, AND INDIVIDUALS WITH KNOWLEDGE AND/OR LIVED EXPERIENCE OF RACIAL HEALTH DISPARITIES. IF AVAILABLE, INSIGHTS FROM COMMUNITY PARTNERS' DATA COLLECTION WERE ALSO CONSIDERED IN THE ASSESSMENT OF NEEDS. KAISER PERMANENTE ALSO DEVELOPED A FREE, WEB-BASED DATA PLATFORM. THE DATA PLATFORM PROVIDES ACCESS TO A CORE SET OF APPROXIMATELY 100 PUBLICLY AVAILABLE INDICATORS TO UNDERSTAND HEALTH USING THE COUNTY HEALTH RANKINGS POPULATION HEALTH FRAMEWORK, WHICH EMPHASIZES SOCIAL AND ENVIRONMENTAL DETERMINANTS OF HEALTH.
Part V, Line 6a	King County Hospitals for a Healthier Community: Evergreen Health, MultiCare, Navos, Overlake Medical Center & Clinics, Seattle Cancer Care Alliance, Seattle Children's, Swedish, UW Medicine, Virginia Mason Franciscan Health.
Part V, Line 6b	Public Health-Seattle & King County, Washington State Hospital Association
Part V, Line 11	Significant needs identified in Kaiser Foundation Health Plan of Washington's hospital facilities' most recently conducted CHNAs. HEALTH NEED: ACCESS TO CARE - Medical Financial Assistance: Provide temporary financial assistance to low-income individuals who receive care at KP facilities and can't afford medical expenses and/or cost sharing - Medicaid and Children's Health Insurance Plan (CHIP): Provide high-quality medical care services to low-income populations who would otherwise struggle to access care. CHIP is active in Sunnyside, Westside, Oahu. - Charitable Health Coverage: Provide access to comprehensive health care and to coverage for low-income individuals and families who do not have access to public or private health coverage - Provide operating support to safety net organizations to strengthen their clinical, financial, and operational capacity to meet evolving needs of their patients - Support organizations that build capacity, provide information about coverage options, assist with eligibility screening, application and enrollment, and advocate for increasing coverage options for low-income individuals - Support partnerships with local, regional, or national organizations to grow networks of community-based organizations that address social health needs and coordinate care HEALTH NEED: MENTAL AND BEHAVIORAL HEALTH - Increase access to behavioral health care services for low-income and vulnerable populations - Extend school and district adoption and integration of Kaiser Permanente Thriving Schools initiatives, tools, and resources - Provide core support to safety net organizations, allowing these organizations to implement initiatives appropriate for the needs of their population (e.g., expansion of mental and behavior health care services, providing more virtual care for nonsurgical specialties such as counseling and behavioral health therapies) HEALTH NEED: INCOME & EMPLOYMENT - Support organizations that provide culturally and linguistically relevant training and technical assistance to small businesses and entrepreneurs of color - Improve individual financial health by supporting housing, workforce development, or other organizations that embed or enhance financial coaching services HEALTH NEED: HOUSING - Provide resources for preserving or enhancing the supply of affordable housing - Support expansion of housing-related legal support for at-risk tenants - Support evidence-based housing stabilization assistance - Support system-level approaches to reducing homelessness (e.g., achieving quality data) HEALTH NEED: FOOD INSECURITY - Support organizations that increase enrollment in programs that extend food dollars such as in the Supplemental Nutrition Assistance Program (SNAP), Special Supplemental Nutrition Program for Women, Infants and Children (WIC), and federal school meal programs - Support organizations that distribute food such as medically tailored meals, prepared food, produce, or other food and meals to school children, families, and those in underserved communities - Support local and state policy, research, and advocacy organizations leading efforts that have a direct impact on community food security strategies HEALTH NEED: STRUCTURAL RACISM - Support grassroots and advocacy organizations and initiatives - Support Black, Indigenous, People of Color (BIPOC)-led organizations
Part V, Line 13a	The hospital provides free care (100% discount) on the patient cost for eligible services to all charity eligible patients with a household income of 300% or less of the federal poverty guidelines (FPG). 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 free care.
Part V, Line 16j	The FAP program materials are available on the KP websites at www.kp.org/mfa/wa

Schedule H (Form 990) 2022

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?46
Name and address		Type of Facility (describe)
1	Seattle-Capitol Hill Medical Center 201 16th Ave E Seattle,WA98112	Medical Center
2	Olympia Medical Center 700 Lilly Rd NE Olympia,WA98506	Medical Center
3	Bellevue Medical Center 11511 NE 10th Street Bellevue,WA98004	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	Spokane - Riverfront Medical Center 322 W North River Drive Spokane,WA99201	Medical Center
7	Seattle - Northgate Medical Center 9800 4th Ave NE Seattle,WA98115	Medical Center
8	Silverdale Medical Center 10452 Silverdale Way NW Silverdale,WA98383	Medical Center
9	Federal Way Medical Center 301 S 320th St Federal Way,WA98003	Medical Center
10	Puyallup Medical Center 1007 39th Ave SE Puyallup,WA38374	Medical Center
11	Lynnwood Medical Center 20200 54th Ave W Lynnwood,WA98036	Medical Center
12	Tacoma South Medical Center 9505 Steele St S Tacoma,WA98444	Medical Center
13	Burien Medical Center 140 SW 146th St Seattle,WA98166	Medical Center
14	Bellevue - Factoria Medical Center 13451 SE 36th St Bellevue,WA98006	Medical Center
15	Renton Medical Center 275 Bronson Way NE Renton,WA98056	Medical Center
16	Port Orchard Medical Center 1400 Pottery Ave Port Orchard,WA98366	Medical Center
17	Bothell - Northshore Medical Center 11913 NE 195th St Bothell,WA98011	Medical Center
18	Spokane - Lidgerwood Medical Center 6002 N Lidgerwood Spokane,WA99207	Medical Center
19	Redmond Medical Center 15809 Bear Creek Pkwy Ste 100 Redmond,WA98052	Medical Center
20	Spokane - Veradale Medical Center 14402 E Sprague Ave Spokane,WA99216	Medical Center
21	Seattle - Rainier Medical Center 5316 Rainier Ave S Seattle,WA98118	Medical Center
22	Smokey Point 2335 172nd St NE Marysville,WA98271	Medical Clinic
23	Kent Medical Center 26004 104th Ave SE Kent,WA98031	Medical Center
24	Kendall Yards Medical Office 546 N Jefferson St Spokane,WA99260	Medical Clinic
25	Poulsbo Medical Center 19379 7th Ave NE Poulsbo,WA98370	Medical Center
26	Ballard Medical Center 1401 NW 46th St 5th Floor Seattle,WA98107	Clinical
27	Seattle - Northgate South Building 9720 4th Ave NE Seattle,WA98115	Vision Center
28	West Olympia 1200 Cooper Point Rd SW Ste 100 Olympia,WA98502	Medical Clinic
29	Spokane - South Hill Medical Center 4102 S Regal St Ste 101 Spokane,WA99223	Medical Center
30	Tacoma Hear Center & Eye Care 5821 S Sprague Court Tacoma,WA98409	Audiology & Vision Center
31	Renton Campus Glacier Building 1200 SW 27th Street Renton,WA98057	Vaccination Clinic
32	Gig Harbor Clinic 5216 Point Fosdick Dr Gig Harbor,WA98335	Medical Clinic
33	South Lake Union Medical Office 210 9th Ave N Seattle,WA98109	Medical Clinic
34	Bremerton Behavioral Health Services 555 Pacific Ave Ste 202 Bremerton,WA98337	Behavioral Health Clinic
35	Renton Campus Adams Building 2921 Naches Avenue SW Renton,WA98057	Telehealth
36	Aki Kurose School 3928 S Graham Street Seattle,WA98122	Teen Medical Clinic
37	Nathan Hale High School 10750 30th Avenue NE Seattle,WA98125	Teen Medical Clinic
38	Franklin High School 3013 S Mount Baker Boulevard Seattle,WA98144	Teen Medical Clinic
39	Interagency Academy at Columbia School 3528 S Ferdinand Street Seattle,WA98118	Teen Medical Clinic
40	Washington Middle School 2101 S Jackson Street Seattle,WA98144	Teen Medical Clinic
41	Seattle - Downtown Medical Center 1420 5th Ave Suite 375 Seattle,WA98101	Medical Center
42	Renton Campus Rainier Building 2715 Naches Avenue SW Renton,WA98057	Vaccination Clinic
43	Northpointe Medical Offices 9631 N Nevada St Ste 100/200 Spokane,WA99218	Clinical
44	Tacoma Behavioral Health Services 4301 S Pine St Tacoma,WA98409	Behavioral Health Clinic
45	Lincoln Heights Medical Office 3010 S Southeast Blvd Ste A Spokane,WA99223	Medical Clinic
46	Seattle - Metropolitan Park East 1730 Minor Avenue Seattle,WA98101	Research Facility

Schedule H (Form 990) 2022

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 3c	There are three distinct eligibility criteria for free and discounted care under KP's Medical Financial Assistance Policy; (1) means tested (income-based), (2) high medical expenses and (3) situations where the patient has been prequalified. Means-tested: A patient of a household income less than or equal to KFH's means testing criteria as a percentage of the federal poverty guidelines (FPG) is eligible for free care. Note: Assets are not used in eligibility determination. High medical expenses: 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 10% of annual household income is eligible for financial assistance. Prequalification: A patient is presumed to meet the program eligibility criteria and is not required to provide personal, financial, and other information to verify financial status when the patient: 1. Is enrolled in a community program to which patients have been referred and prequalified through (1) federal, state, or local government, (2) a partnering community-based organization, or (3) at a KFH sponsored community health event, or 2. Is enrolled in a KP community benefit program designed to support access to care for low-income patients and prequalified by designated KFH/HP personnel, or 3. Is enrolled in a credible means-tested health coverage program (e.g., Medicare low-income subsidy program), or 4. Was granted a prior medical financial assistance award within the last 30 days.
PART I, LINE 7, PERCENT OF TOTAL EXPENSE	The losses attributed to providing charity care (medical financial assistance and charitable health coverage) and participation in select government or community sponsored health coverage programs are calculated using a cost-based methodology for patients in those programs. The cost-based loss is generated through the standard systems used to report on market segments for KFHP/KFH's commercial business lines.
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	Kaiser Foundation Health Plan of Washington hospital is required to conduct a community needs assessment every three years. The assessments may be conducted individually by each hospital or in collaboration with other hospitals, community-based agencies, and public service organizations. Each needs assessment provides a summary of the needs assessment process undertaken including the methodologies and data sources utilized, individuals and organizations consulted, a complete listing of the needs identified, and description of the method used to prioritize needs for inclusion in the individual community benefit plans. The most recent needs assessments were completed in 2022.
PART VI, LINE 3, PATIENT EDUCATION FOR ELIGIBILITY FOR ASSISTANCE	Information regarding assistance is available throughout the facilities to all patients. Information regarding the availability of Kaiser Permanente's Medical Financial Assistance Program (MFAP) is posted in the emergency departments and admitting areas of all Kaiser Permanente hospitals. The posted information contains contact information for further assistance. Kaiser Permanente admission and discharge staff are also a source of information for patients that express financial hardship or request medical financial assistance. The staff can provide a copy of the financial assistance policy summary, program application, or connect a patient with a financial counselor who can assist patients in determining eligibility for government programs or the MFAP. Patient discharge packets also include a copy of the MFAP policy summary. In addition, MFAP information, including the policy, policy plain language summary and application, can also be found on the publicly accessible KP medical 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 first hospital billing statement to all patients. Additionally, if patients are referred to bad debt collections, prior to performing extraordinary collections actions, the patient receives notification that financial assistance is available. 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	The communities we serve are diverse and include both less populous and densely populated cities and counties. Our communities are diverse in many ways including income, rate of uninsured, high school graduation and limited English proficiency. Our facilities and the people who work within them are located within and are part of our communities. In Washington, Kaiser Foundation Health Plan of Washington owns and operates Central Hospital located in the city of Seattle. Total population in area (mil)*; 5.7 Median Household Income*; $81,995 Below 100% FPL; 8.9% w/o public or private health ins; 5.5% Limited English Proficiency; 3.9% On-time High school graduation rate; 85.4% Unemployment Rate (%); 5.6% US Census Bureau, American Community Survey: 2016-2020 US Department of Education * ESRI via Kaiser Permanente Utility for Care Data Analysis, 2021 **** Kaiser Permanente Quality Data, Analytics & Reporting, ESRI 2021, Household-Weighted Median of Household Income Medians for the Block Groups in KP's Regional Service Areas As the nation's largest nonprofit integrated health care organization, Kaiser Permanente is mission driven to improve health and well-being in the communities we serve and committed to shaping the future of health care. Kaiser Permanente 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 equity to address critical health issues in our communities. For many years, we have worked collaboratively with other organizations to address serious public health issues, improve conditions for health in our communities, advance health, and drive affordability across the nation. 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 boards 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.
PART VI, LINE 5, PROMOTION OF COMMUNITY HEALTH	Kaiser Foundation Health Plan of Washington's (KFHP WA) principal purpose is to provide hospital, medical, and surgical care, including emergency services, extended care and home health care to members of the public without regard to age, sex, race, religion or national origin, or to the individual's ability to pay. KFHP WA shares the Kaiser Permanente mission, of providing affordable high-quality health care to our members, and improving the health of our members and the communities we serve. KFHP WA general community benefits include: I. Emergency departments -KFHP WA operates full-time emergency departments in its licensed hospitals. Emergency medical services are available to all individuals regardless of their ability to pay. II. Care provided to all patients - Hospital care is provided to individuals with health care coverage from any private or government-sponsored health plan, insured and uninsured referrals from safety net and other public health partnerships, and uninsured patients admitted through the emergency department. III. Open medical staff privileges - Staff privileges in the hospitals are available to community practitioners who are not affiliated with a Permanente Medical Group. IV. Reinvestment of Surplus Revenues - KFHP pays KFH for hospital services and surplus revenues are reinvested in the furtherance of the exempt purpose, for capital replacement or expansion of facilities and equipment, debt amortization, improvement in patient care and services, and other community benefit services including charity care, medical education, and research. KFHP WA believes it is our responsibility as a health care provider to minimize our environmental impact. We know one way to improve the health of the people who live in the communities we serve is by improving their environmental conditions. We also prioritize partnerships with others to develop policies and systems that strengthen community health and protect the environment. Through innovations in energy use, construction and building strategies, supply chain, food systems, finance, and clinical practice that promote community health, we are leading the health care sector in reducing environmental contributors to disease and illness. We have, and will continue to, set ambitious goals to drive both internal and sector-wide action. We prioritize reducing greenhouse gas emissions to lower our carbon footprint and lower the climate impact on the health of the communities we serve. KFHP WA believes that the race to halting climate change is a collaborative one. We prioritize building partnerships and support organizations with shared goals and incentives for combating the causes of a changing climate. We are focused on changing the narrative by putting health at the center of climate change. Kaiser Permanente's mission reflects our belief that where and how people live has a meaningful impact on their health and wellbeing. We will continue to work to improve the conditions for health and equity in the communities we serve by addressing the root causes of health, such as economic opportunity, affordable housing, health and wellness in schools and a healthy environment. We do this by listening to our communities, ensuring health access, shaping policy, making systems change and advancing the future of community health through innovation. ensuring health access, shaping policy, making systems change and advancing the future of community health through innovation.
PART VI, LINE 6, AFFILIATED HEALTH CARE SYSTEM	Kaiser Foundation Health Plan of Washington (KFHP-WA) is committed to helping shape the future of health care. We are recognized as one of America's 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. KFHP-WA is dedicated to care innovations, clinical research, health education and the support of community health. KFHP-WA has an exclusive contract with Washington Permanente Medical Group (WPMG) a group practice with more than 1,400 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 2022, 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.
PART VI, LINE 7, STATE FILING OF COMMUNITY BENEFIT REPORT	THIS QUESTION IS NOT APPLICABLE.

Schedule H (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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

2022

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) 501 Commons 1200 12th Ave S 1101 Seattle,WA98144	94-3089631	501(c)(3)	29,550	Grantwriting Technical Assistance For Advancing He
(2) Ace Academy 3120 Rainier Ave S Seattle,WA98144	81-2983424	501(c)(3)	151,163	Fame Game
(3) Alliance For A Healthier Generation Inc 1028 Se Water Ave 215 Portland,OR97214	27-2028308	501(c)(3)	132,000	Achieving A Healthier Generation Through Thriving
(4) Alliance For Education 509 Olive Way 500 Seattle,WA98101	91-1508191	501(c)(3)	6,000	General Operating Support
(5) Altarum Institute 3520 Green Ct 300 Ann Arbor,MI48105	38-1983442	501(c)(3)	472,232	Research Subrecipient
(6) American Indian Community Center 1025 W Indiana Ave Spokane,WA99205	91-0822523	501(c)(3)	6,709	Listening Session For Bipoc Youth And Young Adults
(7) American Indian Health Commission 808 N 5th Ave Sequim,WA98382	47-0922046	501(c)(3)	41,000	Enhancing Capacity And Development To Address Ai/A
(8) Ancient Cedars 6086 Ne Wee Wun Way Suquamish,WA98392	87-4282834	501(c)(3)	148,830	Leadership Education Empowerment Program For Youth
(9) Angels For Angels 12704 8th Ave Sw Burien,WA98146	27-5180670	501(c)(3)	10,000	General Operating Support
(10) Arts Impact 1911 Sw Campus Dr393 Federal Way,WA98023	83-4390508	501(c)(3)	119,616	Native Voices
(11) Asia Pacific Cultural Center 4851 S Tacoma Way Tacoma,WA98409	91-1854410	501(c)(3)	161,000	Aanhpi Youth Mental Health Project
(12) Asian Counseling And Referral Service 3639 Ml King Jr Way S Seattle,WA98144	91-0916176	501(c)(3)	180,864	Spokane Asians/Asian Americans (A/Aa) Community Ca
(13) Association Of Washington 1021 8th Ave Se Olympia,WA98501	91-0891029	501(c)(6)	20,000	Wellness Partner
(14) Baylor Research Institute 301 N Washington Ave Dallas,TX75246	75-1921898	501(c)(3)	77,609	Research Subrecipient
(15) Bethel School District 403 516 176th St E Spanaway,WA98387	91-0832829	Government	5,300	Workforce Mental Health Committee - Staff Wellness
(16) Boston Medical Center Corporation Harrison Ave Fl 2 Boston,MA02118	04-3314093	501(c)(3)	69,916	Research Subrecipient
(17) Boston University Po Box 28763 New York,NY10087	04-2103547	501(c)(3)	41,090	Research Subrecipient
(18) Brd Of Rgnts Unvrsty Of Wi System 21 N Park St 6301 Madison,WI53715	37-1625460	501(c)(1)	71,582	Research Subrecipient
(19) Brigham And Womens Hospital Inc Po Box 3149 Boston,MA02241	04-2312909	501(c)(3)	31,628	Research Subrecipient
(20) Building Changes 1200 12th Ave S 1200 Seattle,WA98144	91-1410450	501(c)(3)	75,000	Partnership For Zero
(21) Carl Maxey Center 3114 E 5th Ave Spokane,WA99202	82-4396555	501(c)(3)	64,999	Black Business Support Team
(22) Chads Legacy Project Po Box 16689 Seattle,WA98116	81-3696910	501(c)(3)	25,000	Washington State Mental Health Summit
(23) Chief Leschi Schools 5625 52nd St E Puyallup,WA98371	91-1597976	Government	24,500	A Blueprint To Equitable Youth & Family Food Secur
(24) Childrens Hospital Medical Center 3333 Burnet Ave Cincinnati,OH45229	31-0833936	501(c)(3)	23,315	Research Subrecipient
(25) City Year Inc 287 Columbus Ave Boston,MA02116	22-2882549	501(c)(3)	7,500	General Operating Support
(26) Cjk Community Homes 2367 Tacoma Ave S 215 Tacoma,WA98402	85-0591204	501(c)(3)	23,723	Rent Reporting Implementation
(27) Community Credit Lab 450 Alaskan Way S 200 Seattle,WA98104	84-1899948	501(c)(3)	100,000	Equitable And Affordable Lending Programs To Build
(28) Community Health Worker Coalition For Migrants & R 24315 89th Pl W Edmonds,WA98026	83-2266657	501(c)(3)	11,000	Listening Sessions To Guide A Mental Health And We
(29) Crisis Clinic 2901 3rd Ave 100 Seattle,WA98121	91-0773187	501(c)(3)	25,000	General Operating Support
(30) Dare2be Project Po Box 1534 Renton,WA98057	83-3590168	501(c)(3)	150,000	Achieving Health Equity And Food Justice: General
(31) Dartmouth-hitchcock Clinic 1 Medical Center Dr Lebanon,NH03756	22-2519596	501(c)(3)	20,604	Research Subrecipient
(32) Duke University Po Box 90847 Durham,NC27708	56-0532129	501(c)(3)	62,694	Research Subrecipient
(33) Essentia Institute Of Rural Health 502 E 2nd Street Duluth,MN55805	27-1291124	501(c)(3)	212,061	Research Subrecipient
(34) Familyworks Po Box 85420 Seattle,WA98145	91-1757277	501(c)(3)	64,932	School-based Family Resource Centers At Seattle Pu
(35) Feed Seven Generations 3156 Garfield St Enumclaw,WA98022	82-2874353	501(c)(3)	86,445	Feeding Future Generations
(36) Feeding Feasible Feasts 1509 97th Avenue Ct E Edgewood,WA98371	85-3289326	501(c)(3)	119,818	Breaking Down Barriers To Food Access
(37) Franklin Pierce School District No 402 315 129th St S Tacoma,WA98444	91-6014726	Government	56,200	Farming Land, Self, And Community At The Farm At F
(38) Fred Hutchinson Cancer Research Ctr 1100 Fairview Ave N Seattle,WA98109	23-7156071	501(c)(3)	56,505	Research Subrecipient
(39) Gapps 19009 33rd Ave W 200 Lynnwood,WA98036	81-4625437	501(c)(3)	164,329	Research Subrecipient
(40) Geisinger Clinic 100 North Academy Ave Danville,PA17822	23-6291113	501(c)(3)	23,368	Research Subrecipient
(41) Georgia State University Po Box 3999 Atlanta,GA30302	58-1845423	Government	38,860	Research Subrecipient
(42) Harvard Pilgrim Health Care Inc 401 Park Drive 401 Boston,MA02215	04-2452600	501(c)(3)	119,140	Research Subrecipient
(43) Healthpartners Institute 8170 33rd Avenue S Minneapolis,MN55440	41-1670163	501(c)(3)	59,266	Research Subrecipient
(44) Henry Ford Health System One Ford Place Detroit,MI48202	38-1357020	501(c)(3)	216,646	Research Subrecipient
(45) Hispanic Business Professional 308 W 1st Ave Spokane,WA99201	74-3200153	501(c)(3)	150,000	Luna (Latinos United In Action) - Youth Mental Wel
(46) Hispanic Scholarship Fund 1411 W 190th St 700 Gardena,CA90248	52-1051044	501(c)(3)	35,000	2023-24 KP/Hsf Partnership, Po - Grants Splits Wit
(47) Hopelink 8990 154th Ave Ne Redmond,WA98052	91-0982116	501(c)(3)	25,000	Financial Capability Program Expansion
(48) Icahn School Of Medicine At Mount Sinai 1 Gustave L Levy Pl New York,NY10029	13-6171197	501(c)(3)	6,683	Research Subrecipient
(49) Indiana University 720 Eskenazi Ave Indianapolis,IN46202	35-6001673	Government	999,520	Research Subrecipient
(50) Institute For Accountable Care 2001 L St Nw 500 Washington,DC20036	82-2461803	501(c)(3)	34,781	Research Subrecipient
(51) Institute For Family Health 2006 Madison Ave New York,NY10035	13-3273402	501(c)(3)	513,140	Research Subrecipient
(52) Kitsap Community Foundation Po Box 3670 Silverdale,WA98383	94-3205217	501(c)(3)	24,500	Kitsap Racial Equity And Empowerment Fund
(53) Living Well Kent 10605 Se 240th St Unit 232 Kent,WA98031	81-4451307	501(c)(3)	150,000	Youth Wellness In South King County
(54) March Of Dimes Inc 1550 Crystal Dr 1300 Arlington,VA22202	13-1846366	501(c)(3)	10,000	General Operating Support
(55) Medical University Of South Carolina Fdn 18 Bee Street Charleston,SC29425	57-6028985	501(c)(3)	43,042	Research Subrecipient
(56) Memorial Sloan Kettering Cancer Center 885 2nd Ave Fl 8 New York,NY10017	35-2464610	501(c)(3)	34,446	Research Subrecipient
(57) Montana State University Po Box 172470 Bozeman,MT59717	81-6010045	Government	5,525	Research Subrecipient
(58) Muslim Association Of Puget Sound 17550 Ne 67th Ct Redmond,WA98052	20-4423661	501(c)(3)	24,999	Coordinating Afghan Legal Services In Wa
(59) N CA Institute For Research & Education 4150 Clement St San Francisco,CA94121	94-3084159	501(c)(3)	52,968	Research Subrecipient
(60) Naah Illahee Fund 1620 18th Ave 101 Seattle,WA98122	05-0630992	501(c)(3)	95,225	Grant Review
(61) Nami Washington 1107 Ne 45th 330 Seattle,WA98105	91-1689067	501(c)(3)	195,345	Advancing Mental Health Education For And About Yo
(62) Northwestern University 633 Clark Street Evanston,IL60208	36-2167817	501(c)(3)	18,959	Research Subrecipient
(63) Nw Childrens Foundation 2100 24th Ave S 320 Seattle,WA98144	91-1314318	501(c)(3)	10,000	General Operating Support
(64) NW Healthcare Response Network 1000 Oakesdale Sw 140 Renton,WA98057	46-3002271	501(c)(3)	80,000	General Operating Support
(65) Our Sisters House 708 Broadway 310 Tacoma,WA98402	91-1650772	501(c)(3)	137,565	B.I.A.S. & Media- Black Folk. Indigenous Knowledge
(66) Palo Alto Medical Foundation Po Box 255448 Sacramento,CA95865	94-1156581	501(c)(3)	66,664	Research Subrecipient
(67) Players Philanthropy Fund 1122 Kenilworth Dr 201 Towson,MD21204	27-6601178	501(c)(3)	125,000	General Operating Support Grant For The Bipoc Heal
(68) Project Access Northwest 200 Broadway 202 Seattle,WA98122	20-4377921	501(c)(3)	200,000	Specialty Care Coordination
(69) Rand Corporation 1776 Main Street Santa Monica,CA90407	95-1958142	501(c)(3)	73,611	Research Subrecipient
(70) Regents of the University of Colorado 1800 Grant Street Denver,CO80203	84-6000555	Government	10,117	Research Subrecipient
(71) Regents of the University of Michigan 3003 S State St Ann Arbor,MI48109	38-6006309	Government	118,659	Research Subrecipient
(72) Regents Of The University Of California 1855 Folsom 425 San Francisco,CA94103	95-2226406	Government	613,685	Research Subrecipient
(73) Regents Unvrsty Of Ca Riverside 900 University Rm 1111 Riverside,CA92521	95-6006142	Government	289,759	Research Subrecipient
(74) Schools Out Washington 801 23rd Ave S A Seattle,WA98144	46-0809713	501(c)(3)	37,800	Youth Organizers Of Mental Health Education (Yohme
(75) Seattle Center Foundation 305 Harrison St Seattle,WA98109	91-1003385	501(c)(3)	274,999	2023 & 2024 Seattle/King County Clinic
(76) Seattle Childrens Bioethics Conference 4800 Sand Point Way Ne Seattle,WA98105	91-0564748	501(c)(3)	2,748,612	Research Subrecipient
(77) Seattle Indian Health Board 611 12th Ave S Seattle,WA98144	91-0869056	501(c)(3)	12,500	General Operating Support
(78) Seiu Healthcare 1199NW Multi-Employer Fund 15 S Grady Way 321 Renton,WA98057	80-0377196	501(c)(3)	426,570	Healthcare Career Pathway Expansion And Sustainabi
(79) Solid Ground Washington 1501 N 45th St Seattle,WA98103	23-7421892	501(c)(3)	27,999	Working Families Tax Credit Coalition To Support E
(80) Somali Health Board 625 Strander Blvd B Tukwila,WA98188	46-5114580	501(c)(3)	9,807	Somali Youth Listening Session
(81) Spokane County United Way 920 N Washington St 100 Spokane,WA99201	91-0606058	501(c)(3)	175,000	Built For Zero
(82) Spokane Public Schools 200 N Bernard St Spokane,WA99201	91-6001582	Government	24,500	Staff Retention And Capacity Building With Trauma
(83) Spokane Regional Health District 1101 W College Ave Spokane,WA99201	91-1527532	Government	10,000	2022 Spokane County Quality Of Life Survey
(84) St Louis University 1 North Grand Blvd St Louis,MO63103	43-0654872	501(c)(3)	12,222	Research Subrecipient
(85) Sutter West Bay Hospitals 633 Folsom St Fl 2 San Francisco,CA94107	94-6187756	501(c)(3)	212,965	Research Subrecipient
(86) Swedish Health Services Po Box 35146 Seattle,WA98124	91-0433740	501(c)(3)	63,103	Research Subrecipient
(87) Tabor 100 7100 Fort Dent Way 100 Tukwila,WA98188	91-2013635	501(c)(3)	25,000	Tabor 100 Cares: Community Development
(88) Tacoma Urban League 2550 Yakima Ave Unit A Tacoma,WA98405	91-0826302	501(c)(3)	50,150	Black Empowerment Center - Small Business Support
(89) Teamchild 1225 S Weller St 420 Seattle,WA98144	91-1930194	501(c)(3)	11,450	Community-led Mental Health Listening Session
(90) The Trust For Public Land 101 Montgomery 900 San Francis,CA94104	23-7222333	501(c)(3)	300,000	Tacoma Green Schoolyards
(91) Thurston County Chamber Of Commerce 809 Legion Way Se Olympia,WA98501	91-1543494	501(c)(6)	25,000	Thurston Unite Us Referral And Networking Platform
(92) Treehouse 2100 24th Ave S 200 Seattle,WA98144	91-1425676	501(c)(3)	140,000	Economic Opportunity And Wellbeing For Youth Who H
(93) Tribal Technology Training 4730 University Ne 104 Seattle,WA98105	82-1045375	501(c)(3)	29,999	T3 Native Financial Empowerment Training Program
(94) Trustees Of Columbia University 722 W 168th St New York,NY10032	91-1859360	501(c)(3)	104,261	Research Subrecipient
(95) Trustees Of Purdue University 23510 Network Pl Chicago,IL60673	85-2621478	501(c)(3)	27,460	Research Subrecipient
(96) Tubman Center For Health & Freedom 3518 S Edmunds St Seattle,WA98118	85-1543325	501(c)(3)	98,000	Design, Documentation & Evaluation Of A Transforma
(97) Tufts Medical Center Inc 800 Washington St 453 Boston,MA02111	27-0440772	501(c)(3)	40,771	Research Subrecipient
(98) United Negro College Fund Inc 701 5th Ave 3545 Seattle,WA98104	13-1624241	501(c)(3)	35,000	KP Health Equity Scholarship Program, Po - Grants
(99) United Way Of King County 720 2nd Ave Seattle,WA98104	91-0565555	501(c)(3)	174,466	Fuel Your Future Campaign
(100) United Way Of Pierce County 1501 Pacific Ave Tacoma,WA98402	91-0650669	501(c)(3)	324,805	Center For Strong Families
(101) University of Pittsburgh 4200 Fifth Ave Pittsburgh,PA15260	25-0965591	Government	81,309	Research Subrecipient
(102) University of Washington 1410 NE Campus Parkway Seattle,WA98195	91-6001537	Government	6,396,249	Research Subrecipient
(103) University of Washington Foundation 407 GERBERDING HALL Seattle,WA98195	94-3079432	501(c)(3)	104,082	Assessing The Landscape Of Washington School Nurse
(104) University Of Colorado Denver 2601 E Colorado Ave Denver,CO80208	84-0404231	Government	151,608	Research Subrecipient
(105) University Of Massachusetts 181 Presidents Drive Amherst,MA01003	04-3167352	Government	60,332	Research Subrecipient
(106) University Of Miami 1320 S Dixie Hwy150 Coral Gables,FL33146	59-0624458	501(c)(3)	34,452	Research Subrecipient
(107) University Of New Mexico 1 University Albuquerque,NM87131	85-0275408	Government	59,448	Research Subrecipient
(108) University Of North Carolina Jksn Hll Cmps Bx 2200 Chapel Hill,NC27599	59-1711424	Government	11,040	Research Subrecipient
(109) University Of Pennsylvania 3451 Walnut St Philadelphia,PA19104	23-1352685	501(c)(3)	209,688	Research Subrecipient
(110) University Of Texas Southwestern Po Box 845347 Dallas,TX75284	75-6002868	Government	134,982	Research Subrecipient
(111) Urban League Of Metropolitan Seattle 105 14th Ave 200 Seattle,WA98122	91-0575954	501(c)(3)	70,000	Ulms Entrepreneurship Community Collaboration
(112) Wa Therapy Fund Foundation 4501 15th Ave S 102 Seattle,WA98108	85-2607648	501(c)(3)	262,500	Wtff Youth Wellness
(113) Washington Alliance For Better Schools 18560 1st Avenue Ne Shoreline,WA98155	91-1698851	501(c)(3)	171,000	Access Stem Program And Natural Leaders Program
(114) Washington Association Of School 284 Lee St Sw 102 Tumwater,WA98501	91-0989106	501(c)(3)	10,000	General Operating Support
(115) Washington Poison Center 155 Ne 100th St 100 Seattle,WA98125	94-3214597	501(c)(3)	20,000	Poison Center Telehealth Support Of Community Need
(116) Washington School-based Health Alliance Po Box 16035 Seattle,WA98116	45-0937382	501(c)(3)	133,000	Expanding And Improving School-based Health Care I
(117) Washington University School Po Box 60352 St Louis,MO63160	43-0653611	Government	84,922	Research Subrecipient
(118) Weill Medical College Of Cornell Po Box 22371 New York,NY10087	13-1623978	501(c)(3)	136,961	Research Subrecipient
(119) Within Reach 155 Ne 100th St 500 Seattle,WA98125	91-1443685	501(c)(3)	100,000	General Operating
(120) Your Money Matters 12113 Se 304th Ct Tacoma,WA98092	82-3618832	501(c)(3)	19,500	Bipoc Youth & Young Adults Grant Review Training

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

117

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) 2022

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	PROCEDURES FOR MONITORING THE USE OF GRANTS AT THE END OF THEIR FUNDING CYCLE, GRANTEES ARE REQUIRED TO SUBMIT A FINAL REPORT WHICH DELINEATES ACCOMPLISHMENTS RELATED TO STATED OBJECTIVES. LARGER GRANTS (TYPICALLY OVER $100,000) MAY REQUIRE QUARTERLY PROGRESS REPORTS.

Schedule I (Form 990) 2022

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

2022

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 on 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 on 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) 2022

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, 1099-MISC compensation, and/or 1099-NEC			(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 Chairman & CEO	(i) (ii)	0 ------------- 2,047,443	0 ------------- 10,474,474	0 ------------- 1,319,774	0 ------------- -174,968	0 ------------- 30,727	0 ------------- 13,697,450	0 ------------- 3,911,483
2Kimberly Horn EVP, Group President, MOC	(i) (ii)	0 ------------- 1,082,278	0 ------------- 1,485,441	0 ------------- 5,367,138	0 ------------- -55,947	0 ------------- 32,066	0 ------------- 7,910,976	0 ------------- 5,314,752
3Arthur Southam EVP, Health Plan Ops & CGO	(i) (ii)	0 ------------- 1,230,780	0 ------------- 3,936,502	0 ------------- 597,583	0 ------------- -191,552	0 ------------- 33,341	0 ------------- 5,606,654	0 ------------- 919,210
4Kathryn Lancaster EVP & Chief Financial Officer	(i) (ii)	0 ------------- 1,228,774	0 ------------- 3,936,502	0 ------------- 560,973	0 ------------- -235,465	0 ------------- 18,889	0 ------------- 5,509,673	0 ------------- 916,667
5Mark Zemelman SVP, General Counsel & Secy	(i) (ii)	0 ------------- 339,902	0 ------------- 3,880,962	0 ------------- 880,644	0 ------------- 41,523	0 ------------- 20,345	0 ------------- 5,163,376	0 ------------- 124,044
6Susan Mullaney Regional President - WA	(i) (ii)	0 ------------- 224,049	0 ------------- 2,240,007	0 ------------- 1,766,026	0 ------------- -197,516	0 ------------- 10,046	0 ------------- 4,042,612	0 ------------- 1,334,452
7Janet Liang EVP, Group President & COO	(i) (ii)	0 ------------- 1,226,839	0 ------------- 2,031,076	0 ------------- 2,175,382	0 ------------- -1,473,584	0 ------------- 35,381	0 ------------- 3,995,094	0 ------------- 2,124,667
8Vanessa Benavides SVP,Chief Legal Officer & Secy	(i) (ii)	0 ------------- 687,727	0 ------------- 726,916	0 ------------- 52,260	0 ------------- 189,045	0 ------------- 18,731	0 ------------- 1,674,679	0 ------------- 0
9Andrew Bindman EVP, Chief Medical Officer	(i) (ii)	0 ------------- 734,422	0 ------------- 463,892	0 ------------- 29,138	0 ------------- 297,518	0 ------------- 28,891	0 ------------- 1,553,861	0 ------------- 0
10Thomas Meier SVP, Corporate Treasurer	(i) (ii)	0 ------------- 568,446	0 ------------- 904,341	0 ------------- 141,918	0 ------------- -116,603	0 ------------- 26,517	0 ------------- 1,524,619	0 ------------- 107,580
11Alfonse Upshaw SVP,Corporate Controller & CAO	(i) (ii)	0 ------------- 523,570	0 ------------- 537,804	0 ------------- 40,060	0 ------------- -13,649	0 ------------- 25,760	0 ------------- 1,113,545	0 ------------- 0
12Donald Orndoff SVP, NFS	(i) (ii)	0 ------------- 480,731	0 ------------- 482,522	0 ------------- 145,042	0 ------------- -64,998	0 ------------- 31,518	0 ------------- 1,074,815	0 ------------- 0
13Ronald Vance Interim Regional President	(i) (ii)	0 ------------- 937,500	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 937,500	0 ------------- 0
14Ann Allen VP, COO	(i) (ii)	0 ------------- 460,075	0 ------------- 33,430	0 ------------- 96,876	0 ------------- 185,988	0 ------------- 24,765	0 ------------- 801,134	0 ------------- 17,183
15Jennifer Graves VP, Quality, Safety & Rgnl CNE	(i) (ii)	0 ------------- 383,735	0 ------------- 225,110	0 ------------- 19,270	0 ------------- 73,525	0 ------------- 10,695	0 ------------- 712,335	0 ------------- 0
16Rebecca Williams Interim CFO	(i) (ii)	0 ------------- 362,383	0 ------------- 168,056	0 ------------- 65,984	0 ------------- 87,889	0 ------------- 27,122	0 ------------- 711,434	0 ------------- 0
17Ryan Jenson Interim Corp Controller & CAO	(i) (ii)	0 ------------- 305,299	0 ------------- 203,216	0 ------------- 151,168	0 ------------- -22,147	0 ------------- 27,526	0 ------------- 665,062	0 ------------- 0
18Alicia Eng VP, Clinical Operations	(i) (ii)	0 ------------- 337,035	0 ------------- 166,976	0 ------------- 37,705	0 ------------- 106,050	0 ------------- 16,075	0 ------------- 663,841	0 ------------- 0
19Eric Larson Sr Investigator	(i) (ii)	134,554 ------------- 0	147,311 ------------- 0	300,186 ------------- 0	20,833 ------------- 0	8,712 ------------- 0	611,596 ------------- 0	0 ------------- 0
20Rita Mangione-Smith VP,Resch/Healthcare Innovation	(i) (ii)	0 ------------- 380,833	0 ------------- 108,802	0 ------------- 19,273	0 ------------- 74,555	0 ------------- 20,335	0 ------------- 603,798	0 ------------- 0
21Kristanne Greco VP, PR, Commns & Brand Mgmt	(i) (ii)	0 ------------- 338,695	0 ------------- 204,092	0 ------------- 23,382	0 ------------- 2,778	0 ------------- 23,882	0 ------------- 592,829	0 ------------- 0
22Pamela Warren VP, HPSA - WA	(i) (ii)	0 ------------- 335,769	0 ------------- 158,445	0 ------------- 20,250	0 ------------- 6,504	0 ------------- 18,515	0 ------------- 539,483	0 ------------- 0
23Alacia Broussard VP, Contracting Strategy	(i) (ii)	0 ------------- 333,072	0 ------------- 75,633	0 ------------- 17,792	0 ------------- 45,942	0 ------------- 31,206	0 ------------- 503,645	0 ------------- 0
24Todd Hesse VP, MSBD	(i) (ii)	0 ------------- 292,851	0 ------------- 60,263	43 ------------- 18,724	0 ------------- 66,739	0 ------------- 18,431	43 ------------- 457,008	0 ------------- 0
25Shawna Sweeney Assistant Secretary	(i) (ii)	0 ------------- 285,204	0 ------------- 104,653	0 ------------- 17,568	0 ------------- 13,022	0 ------------- 26,970	0 ------------- 447,417	0 ------------- 0
26Karen Schartman VP, CFO & Strategy - WA	(i) (ii)	0 ------------- 134,612	0 ------------- 347,772	0 ------------- 85,155	0 ------------- -171,153	0 ------------- 5,424	0 ------------- 401,810	0 ------------- 0
27Laurie Guariglia VP, Business Info Officer - WA	(i) (ii)	0 ------------- 100,579	0 ------------- 109,645	0 ------------- 99,436	0 ------------- 7,492	0 ------------- 12,664	0 ------------- 329,816	0 ------------- 87,803
28Hong-Sze Yu VP, Brd & Corp Gov & Asst Secy	(i) (ii)	0 ------------- 293,512	0 ------------- 158,442	0 ------------- 20,021	0 ------------- -141,683	0 ------------- 28,169	0 ------------- 358,461	0 ------------- 0
29Margaret E Porfido JD Director	(i) (ii)	17,500 ------------- 278,000	0 ------------- 0	0 ------------- 21,630	0 ------------- -14,562	0 ------------- 0	17,500 ------------- 285,068	0 ------------- 0
30Ramon F Baez Director	(i) (ii)	17,500 ------------- 251,500	0 ------------- 0	0 ------------- 13,762	0 ------------- -5,847	0 ------------- 0	17,500 ------------- 259,415	0 ------------- 0
31Judith A Johansen JD Director	(i) (ii)	15,500 ------------- 279,900	0 ------------- 0	0 ------------- 3,292	0 ------------- -27,376	0 ------------- 0	15,500 ------------- 255,816	0 ------------- 0
32Janet O'Hollaren VP, COO	(i) (ii)	0 ------------- 0	0 ------------- 154,635	0 ------------- 20,002	0 ------------- 0	0 ------------- 0	0 ------------- 174,637	0 ------------- 14,567
33Maryann Bodayle Assistant Secretary	(i) (ii)	0 ------------- 175,247	0 ------------- 18,737	0 ------------- 2,271	0 ------------- -34,504	0 ------------- 10,379	0 ------------- 172,130	0 ------------- 0
34Joseph Smith VP, MSBD	(i) (ii)	0 ------------- 0	0 ------------- 106,742	0 ------------- 64,811	0 ------------- -239,761	0 ------------- 0	0 ------------- -68,208	0 ------------- 64,811

Schedule J (Form 990) 2022

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	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	Mark Zemelman $465,099 Susan Mullaney $718,000 Eric Larson $252,547 LISTED PERSONS PARTICIPATED IN SEPARATION ARRANGEMENTS. DEPENDING ON POSITION LEVEL, TENURE, AND SEPARATION REASON, 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, BENEFITS PAYABLE INCLUDE PRORATED INCENTIVE AWARDS FOR PERFORMANCE PERIODS NOT YET ENDED. NONE OF THE LISTED PERSONS PARTICIPATED IN ARRANGEMENTS ENTITLING THEM TO CHANGE-OF-CONTROL PAYMENTS.
SCHEDULE J, PART I, LINE 4B	SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENT Gregory Adams $1,189,653 Kimberly Horn 5,314,752 Arthur Southam 536,824 Kathryn Lancaster 500,214 Mark Zemelman 371,550 Susan Mullaney 973,874 Janet Liang 2,124,667 Thomas Meier 89,053 Donald Orndoff 110,897 Karen Schartman 77,078 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 DISCRETIONARY BONUS PROGRAMS AND 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. THE PLANS' ORGANIZATIONAL PERFORMANCE GOALS INCLUDED: QUALITY OF CARE AND SERVICE, MEMBERSHIP GROWTH, OPERATING INCOME, PER MEMBER EXPENSE TREND, AND COMMUNITY BENEFIT. PLAN DESIGNS, PERFORMANCE, AND PAYOUT LEVELS, AS WELL AS INDIVIDUAL PAYMENTS TO CERTAIN PERSONS, WERE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, COMPRISED OF INDEPENDENT DIRECTORS.
SCHEDULE J, PART II, SECTION A, 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, PART II, COLUMN C	THE ACTUARIAL VALUE FOR THE MAJORITY OF INDIVIDUALS' DEFINED BENEFIT PLAN DECLINED IN 2022, RESULTING IN NEGATIVE COMPENSATION FOR CERTAIN EXECUTIVES. THE ACTUARIAL INCREASE OR DECREASE IN VALUE MAY CHANGE FOR VARIOUS REASONS, INCLUDING CONTINUED SERVICE, AGE, AND CHANGES IN ASSUMPTIONS. THE DECLINE IN ACTUARIAL VALUE OF BENEFITS DURING 2022 IS PRIMARILY DUE TO SIGNIFICANT INCREASE IN MARKET INTEREST RATES, RESULTING IN LOWER PRESENT VALUE OF BENEFITS COMPARED TO THE PRIOR YEAR. THE ACTUAL DOLLARS RECEIVED FROM THE DEFINED BENEFIT PLAN UPON RETIREMENT ARE NOT AFFECTED BY THE INTEREST RATE INCREASES. CERTAIN BOARD MEMBERS ARE ELIGIBLE FOR A RETIREE MEDICAL BENEFIT FOLLOWING RETIREMENT FROM THE BOARD. THE ACTUARIAL INCREASE OR DECREASE IN VALUE MAY CHANGE FOR VARIOUS REASONS, INCLUDING CONTINUED SERVICE, AGE, AND CHANGES IN ASSUMPTIONS, RESULTING IN NEGATIVE VALUES IN COLUMN (C) IN SOME INSTANCES.
FORM 990, PART VII, SECTION A, LINE 5	RONALD VANCE RECEIVED COMPENSATION FROM AN UNRELATED ORGANIZATION, ALVAREZ & MARSAL HOLDINGS, LLC.

Schedule J (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

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

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

KAISER FOUNDATION HEALTH PLAN OF WASHINGTON

Employer identification number

91-0511770

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990) 2021

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) THERESA DIEMOND	FAMILY MEMBER OF OFFICER	112,430	COMPENSATION		No

Part V

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

Return Reference	Explanation

Schedule L (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

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

2021

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 III, LINE 4A-D	EXEMPT PURPOSE ACHIEVEMENTS I. Introduction A. About Kaiser Permanente Founded in 1945, Kaiser Permanente is recognized as one of America's leading health care providers and nonprofit health plans. We currently serve 12.6 million members in 8 states and the District of Columbia. 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. Kaiser Permanente exists to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. Kaiser Permanente's integrated health care model means we seamlessly provide care and coverage together with a wide range of services under one roof, whether in a Kaiser Permanente medical office or hospital, or at a contracted facility. 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. B. Kaiser Permanente's Approach to Community Health At Kaiser Permanente, we recognize that where we live, work, learn, and play has a big impact on our health and well-being. We are driven by our mission to improve the health of our members and the communities we serve. To be our healthiest we need more than high-quality medical care - we need to improve the conditions for health and equity in the communities we serve. This means addressing all the factors that affect health, such as having a safe place to live, enough money to pay the bills, access to healthy meals, and meaningful social connections. Kaiser Permanente is accelerating efforts to broaden the scope of our work - and ultimately create healthier, more equitable communities for all. C. Kaiser Permanente's Total Contribution Kaiser Permanente provided $2.8 billion in 2022 to improve the health of our communities. The amounts attributable to Kaiser Foundation Health Plan of Washington is $90.9 million as follows: - Financial Assistance at cost - $22 million - Medicaid - $43.5 million - Community health improvement services and community benefit operations - $2.5 million - Health Professions Education - $10.3 million - Research - $8.1 million - Cash and in-kind contributions from community benefit - $4.3 million In addition to our direct spend, 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.Health Access	Ensuring health access means serving those most in need of health care through Medicaid, medical financial assistance, charitable health coverage, and other forms of subsidized care and coverage. It also means connecting people with wrap-around social services, healthy meals, affordable homes, safe playgrounds, and supportive schools. For many low-income people without access to health care coverage, or for those who lose their jobs and can't maintain health care coverage, an emergency room is often the only place they receive care. At Kaiser Permanente, we're working to change that with programs that lower financial barriers by providing deeply subsidized health coverage and medical financial assistance for care. We also provide information about how to access and qualify for public programs such as Medicaid and financial assistance through the marketplace to individuals who may be eligible. 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 our participation in government programs like Medicaid and the Children's Health Insurance Programs (CHIP). Similarly, we provide care to low-income populations through two key vehicles: first, via our treatment of Medicaid and CHIP enrollees, 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 and care programs described above. A. Coverage Having health coverage means consistent access to comprehensive and continuous medical and preventative services for people to get and stay healthy, a much better 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 individuals with low incomes 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 2022, Kaiser Foundation Health Plan of Washington was providing care to a total of 34,000 people through its Medicaid Managed Care contracts with other health plans. B. 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 2022 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 Foundation Health Plan. ii. Care subsidized by MFA Medical Financial Assistance program (MFA) helps low-income, uninsured, and underinsured patients receive access to care. The program provides temporary financial assistance or free care to patients who receive health care services from our providers, regardless of whether they have health coverage or are uninsured. Eligibility for financial assistance is based on financial need. In general, patients whose household income is at or below 300%, and in some regions up to 400%, of the federal poverty limit are eligible for the MFA program. Patients who are experiencing high medical expenses as compared to their income may be eligible under high medical expenses criteria, regardless of household income. The MFA program covers emergency and medically necessary health care services, pharmacy services and products, and medical supplies provided at Kaiser Permanente facilities (such as hospitals, medical centers, and medical office buildings), at Kaiser Permanente outpatient pharmacies, or by Kaiser Permanente providers. Over the course of 2022, Kaiser Foundation Health Plan of Washington subsidized care for a total of 14,600 people through the MFA program. C. Safety-Net Partnerships Safety net providers are a mix of public hospitals, community-based organizations such as federally qualified health centers, and other health care organizations. Safety-net health care providers provide care for patients who have low incomes and/or are uninsured regardless of their ability to pay. In Kaiser Permanente service areas, federally qualified health centers serve the uninsured, Medicaid, and other vulnerable populations. In addition to working families, children, the elderly, and the disabled, health centers serve students, people experiencing homelessness, people living in public housing, agricultural workers, and veterans. Strengthening the safety net advances our mission to improve the health of the communities we serve as well as our equity agenda. Our communities' most vulnerable populations, including a disproportionate number of low-income people of color, rely on the safety net for their health care needs. Our support ensures that communities have access to a strong safety net that can equitably meet patients' needs and improve health outcomes. As we continue to confront COVID-19, ensuring that low-income patients and people experiencing homelessness continue to have access to high-quality health care is more important than ever. Kaiser Foundation Health Plan of Washington awarded $725,000 of which $200,000 was paid in 2022, to Project Access Northwest (PANW) to support their Specialty Care Coordination program which serves individuals at or below 300% of the federal poverty level in Washington's King, Kitsap, and Snohomish counties. PANW plans to expand its range of specialty services and providers by creating a network of pro-bono counselors to serve individuals and families with anxiety, depression, and trauma, and other mental-emotional challenges, providing talk therapy at no cost to the client. Kaiser Foundation Health Plan of Washington also awarded $500,000 of which $250,000 was paid in 2022 to the Seattle Center Foundation in support of the Seattle/King County Clinic. The Clinic brings together healthcare organizations, civic agencies, non-profits, private businesses, and volunteers from across the State of Washington to produce an annual, large-scale, 4-day, free clinic at Seattle Center. The Clinic was created in direct response to disparities in our healthcare system, with the goal of treating the needs of racially and ethnically diverse under or uninsured populations from around the region who struggle to access services necessary to support their overall health.
III.Community Health	Healthy individuals need healthy communities, and healthy communities need healthy people to thrive. At Kaiser Permanente, we are working to improve the conditions for health and equity in communities by addressing the root causes of health, such as healthy food, economic opportunity, affordable housing, and safe and supportive schools. We screen patients for social factors influencing their health and help connect them to community-based resources and public benefit programs when needed. These improvements grow from our collaboration with each community to co-design and co-create solutions that truly make a positive impact. By engaging communities, our sizeable workforce, and all of our organization's considerable assets, we are working to create communities that are among the healthiest in the nation, and inspiring greater health for America and the world. A. 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 circumstances overtime. As a large, influential institution in our communities, Kaiser Permanente also 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. Some ways that we're helping revitalize and grow our communities by strengthening economic opportunity include: - Providing good jobs to individuals facing barriers to employment through high-impact hiring and workforce pipeline efforts. - Pursuing a social impact investment strategy to support impact investments aimed at addressing key social issues that have a significant impact on health. - Purchasing goods and services from local minority- and women-owned businesses and encouraging good employment practices by our vendor partners. - Building new facilities with an emphasis on positive local community impact, including local construction hiring, local and diverse purchasing, healthy and sustainable design features, neighborhood revitalization, and deep community engagement. - Partnering with community organizations to grow local business capacity, increase access to good jobs, and support stable, quality, affordable housing. Kaiser Permanente is also deepening its efforts to get at the heart of inequities, addressing systemic racism, breaking cycles of trauma, and creating economic opportunities for communities that have endured decades of underinvestment. We are working with communities striving to overcome systemic and structural economic disadvantage and supporting the resiliency of businesses owned by Black and other historically underrepresented individuals. We recognize that it will require sustained efforts to increase access to business capital and build capacity for growth. Success for these communities requires intentional, long-term investment, and ongoing work to dismantle racist systems that create barriers to success. Kaiser Foundation Health Plan of Washington awarded $755,364, of which $426,570 was paid in 2022, to the SEIU 1199NW Multi-Employer Training and Education Fund. Training Fund will expand and enhance two career pathways programs to prepare underrepresented minorities and underserved communities for careers in healthcare. These efforts will be in partnership with the Seattle Jobs Initiative and Workforce Development Councils in Pierce, King, and Snohomish counties. The programs will create access to entry-level occupations and support to move further along a career pathway of the participant's choosing. Funding will also allow the Training Fund to embed financial literacy and coaching into their program offerings to facilitate upward mobility and financial security for participants. Kaiser Foundation Health Plan of Washington also awarded $375,000 of which $125,000 was paid in 2022, to BIPOC Health Careers Ecosystem to connect, integrate and align existing healthcare pathway programs serving under-represented minority students in Washington. This partnership will create efficiencies and scale connections between existing healthcare pathway programs and is expected to increase social and economic mobility for under-represented minority young professionals and increase under-represented minority healthcare leaders in the state. B. Housing for Health Without a safe place to call home, it's nearly impossible to focus on basic health and medical needs. Kaiser Permanente is leading efforts to end homelessness and preserve affordable housing by making strategic impact investments, shaping policy, and catalyzing innovative partnerships. The COVID-19 pandemic had a significant impact on social health needs in our communities, and people experiencing homelessness or housing insecurity were among the most vulnerable. Even in the absence of COVID-19, people experiencing homelessness face a higher risk of death than housed populations. Increasing affordable housing preserves homes that improve total health and lift residents socially and economically. Nationwide, people of color are disproportionately impacted by homelessness and housing insecurity, further exacerbated by COVID-19. The health crisis and economic fallout from the pandemic have hit low-income and communities of color hardest and threaten to widen the health equity gap in our country even further. Kaiser Permanente cannot solve the affordable housing and homelessness crisis alone. Only through innovative partnerships, strategic investments, and impactful storytelling can we move the needle for our most vulnerable communities. Kaiser Permanente will continue to drive national housing for health initiatives that create more healthy years for all. Kaiser Foundation Health Plan of Washington awarded $350,000, of which $175,000 was paid in 2022, to United Way of Spokane County to fund a local coordinator to manage the Spokane region's implementation of the Built for Zero Initiative. Built for Zero aims to reach functional zero for veterans in Spokane County by December 2024. The investment will also sustain a centralized diversion fund for single adults experiencing or at-risk of homelessness and create a stipend fund to compensate people with lived experience of homelessness to participate in Spokane's implementation of Built for Zero as expert consultants. Kaiser Foundation Health Plan of Washington also awarded $75,000 to Building Changes to support Partnership for Zero. Partnership for Zero aims to house or provide long term shelter for people experiencing homelessness in downtown Seattle and a suburban area of King County, by developing a quality by-name list, hiring peer navigators, and standing up a flexible fund to support client engagement. Goals of this partnership include establishing quality infrastructure, reducing homelessness, reducing disproportionality, and enhancing data quality and availability for people experiencing homelessness.
C.Thriving Schools	At Kaiser Permanente, we're committed to not only delivering great health care but also creating communities where people can be healthy in all the places they live, learn, work, and play. Thriving Schools brings together Kaiser Permanente's extensive health care expertise and our partnerships with nationally recognized and trusted organizations working to support schools in becoming a beacon of health in their community. Thriving Schools takes an integrated approach to school health, curating the best thinking and guidance on how to keep students, staff, teachers, and families healthy across four dimensions of health: physical health, mental health, social health, and equity and access. Taking an integrated approach to health means supporting schools and districts in advancing their wellness and educational goals by incorporating health-related strategies into school and district improvement efforts. Like the communities in which they sit, schools often reflect a diversity of cultures, beliefs, and experiences. As such, the services and opportunities they provide must ensure that all students and staff are given the opportunity to reach their full potential. Thriving Schools' integrated approach explicitly addresses equity and inclusion, both in the assessment tools we use, and in the resources, we offer for school staff and district leaders. Kaiser Permanente's Educational Theatre has inspired and empowered millions of students and adults in communities across the United States to make healthy choices. Educational Theatre offers a wide range of award-winning theatrical productions and interactive workshops to schools throughout the Kaiser Permanente footprint. Using the power of theatre and storytelling, our programs directly connect with students and adults through relatable characters and real-life situations. Audiences see themselves represented onstage in our culturally and ethnically diverse casts allowing them to connect with the narrative and educational messages in a meaningful way. Our team builds on this connection, inspiring students, and adults alike to make healthy choices and build stronger communities. Currently, there are 3 programs available in every Kaiser Permanente market. Additionally, Kaiser Foundation Health Plan of Washington continued its partnership with the Alliance for a Healthier Generation with a $396,000 grant of which $132,000 was paid in 2022. The partnership will support the Thriving Schools Integrated Approach and Resilience in School Environments which works with school districts in under-resourced communities to implement policy, systems, and environmental changes that will improve the health and well-being of students, staff, teachers, and families. This partnership also aims to reduce stress and burn out of teachers and staff, improve physical health, connectedness, social-emotional skills building, and relationships among students, teachers, staff, families, and community. Kaiser Foundation Health Plan of Washington also awarded NAMI Washington $600,000 of which $190,345 was paid in 2022 to advance mental health education in seven Washington counties. NAMI Washington works to improve the quality of life for all those affected by mental illness through advocacy and delivery of education, support, and recovery services. This partnership will reduce stigma surrounding mental health for youth and young adults, will increase awareness and the ability of adults to identify and respond to mental health conditions, increase mental health support in school communities and increase access to culturally relevant mental health knowledge and support for community members who identify as Latinx and Black. D. Thrive Local Social determinants of health -- the conditions in which people live, learn, work, and play - affect a wide range of health risks and outcomes. Access to quality health care is critical, but social factors, such as lack of safe housing and transportation, inadequate education or job opportunities, and poor access to good nutrition and physical activity, inevitably create barriers to health and wellbeing. While many social resources may exist in a community, they are often unknown to those most in need and disconnected from one another even when serving the same client, creating confusion and exacerbating stress for community members. Through its Thrive Local program, launched in late 2019, Kaiser Permanente has helped establish connected networks of health and social service providers working together to address the needs of both patients and clients in every community we serve. These networks enable health care providers, safety net clinics, social service agencies, government programs, and other participants to make, receive, and track patient and client referrals. Health care providers can refer patients to organizations that address social factors affecting their health, and social service providers can coordinate effectively among themselves to improve community-wide services. Data aggregated through network technology provides a robust source of information on local social needs and service gaps to drive collaborative community planning. We also use this platform to make a searchable database of tens of thousands of community-based programs and services available directly to our communities to explore. Kaiser Permanente's funding in 2022 facilitated growth of these community networks by making participating in these community networks free to community-based organizations and community clinics, enabling them to collaborate more efficiently among each other and ensuring the networks reflect the needs of their respective communities. Kaiser Foundation Health Plan of Washington invested in establishing and growing an effective Thrive Local community network in 2022. Forming a partnership with the Thurston County Chamber Foundation will enable Thurston Thrives to convene community-based organizations (CBOs) to better understand their existing needs and challenges around making connections to social resources, what existing systems are in place, and how the Unite Us platform could improve coordination. This work will also provide valuable insights into the social and health needs of Thurston County as well as what it takes to successfully launch a community network. This partnership reinforces our commitment to amplifying community voice by aligning with existing effective community efforts. It will increase the success of the Thrive Local implementation in Washington. E. Food and Nutrition Security Food for Life is Kaiser Permanente's comprehensive approach to transforming the economic, social, and policy environments connected to food so that people across the nation have access to, and can afford, healthy food. To help address the food needs of its communities, Kaiser Permanente has invested towards the improvement of food and nutrition security and helped with applications for federal nutrition programs like Supplemental Nutrition Assistance Program (SNAP) and Women, Infants, and Children (WIC). Kaiser Permanente continues to work with community partners to provide free, nutritious meals in low-income communities. In 2022, Kaiser Permanente increased its commitment to food and nutrition security with a pledge to invest $50 million by 2030 to support programs that increase food and nutrition security and improve health outcomes for the country's most vulnerable populations. Kaiser Foundation Health Plan of Washington awarded over $1M of which $236,000 was paid in 2022 to a total of 3 organizations, Feeding Feasible Feasts, FamilyWorks, and Franklin Pierce School District No. 402 to improve food security for students and families who are not connected to resources in Washington. This partnership will improve access to resource navigation that will result in more equitable health and education outcomes for food insecure youth in Seattle by connecting them to the resources, benefits, and services they need to build lasting resilience. It will also support access to food distribution sites, address food challenges of disadvantaged youth, and break down barriers to critical social services. Kaiser Foundation Health Plan of Washington also awarded $475,000 of which over $86,000 was paid in 2022 to Feed Seven Generations, an organization that serves Native American youth in tribal schools in Washington. This funding will support the Muckleshoot Tribal Schools to improve food security for Native American youth, families, and community members. This partnership will improve access to Muckleshoot Tribal Schools that result in more equitable health and education outcomes for food insecure youth in Muckleshoot Indian Tribe.
IV.Policy and Systems	A. Thriving 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 Foundation Health Plan of Washington'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. Since 2018, we have partnered with the de Beaumont Foundation, a leader in public health philanthropy, to help U.S. cities thrive through the CityHealth initiative. CityHealth tracks and reports on proven policy solutions and works with cities to advance policies that achieve community health priorities. Through this relationship, Kaiser Foundation Health Plan of Washington leverages its deep expertise in health policy, government relations, and community-based prevention to accelerate cities' efforts to improve people's health and quality of life. The policy menu includes affordable housing trusts, complete streets, earned sick leave, eco-friendly purchasing, flavored tobacco restrictions, greenspace, healthy food purchasing, healthy rental housing, high-quality and accessible pre-K, legal support for renters, safer alcohol sales, and smoke free indoor air. For Kaiser Foundation Health Plan of Washington, this partnership complements the organization's established approach to community health - bringing together health leaders, clinicians and community partners to help solve the social, economic and environmental health challenges facing the residents who live in the communities it serves. Additionally, Kaiser Foundation Hospitals continued its support of the Vose River Charitable Fund, an organization established by the de Beaumont Foundation to develop tools and collaborate with other nonprofit organizations and government health departments to support effective policies and the public health workforce. Our ongoing partnership with the Vose River Charitable Fund will ensure the CityHealth initiative continues to have sufficient staffing and consultants, policy-specific technical assistance, policy assessment research and communications support. This alliance will continue to support a new policy menu and greater reach among cities in Kaiser Permanente's footprint. B. Environmental Stewardship At Kaiser Permanente, we believe it is our responsibility as a health care provider to minimize our environmental impact. We know one way to improve the health of the people who live in the communities we serve is by improving their environmental conditions. We also prioritize partnerships with others to develop policies and systems that strengthen community health and protect the environment. Through innovations in energy use, construction and building strategies, supply chain, food systems, finance, and clinical practice that promote community health, we are leading the health care sector in reducing environmental contributors to disease and illness. We have, and will continue to, set ambitious goals to drive both internal and sector-wide action. We prioritize reducing greenhouse gas emissions to lower our carbon footprint and lower the climate impact on the health of the communities Kaiser Permanente serves. KFH believes that the race to halting climate change is a collaborative one. We prioritize building partnerships and support organizations with shared goals and incentives for combating the causes of a changing climate. We are focused on changing the narrative by putting health at the center of climate change. Kaiser Permanente's mission reflects our belief that where and how people live has a meaningful impact on their health and wellbeing. We will continue to work to improve the conditions for health and equity in the communities we serve by addressing the root causes of health, such as economic opportunity, affordable housing, health and wellness in schools and a healthy environment. We do this by listening to our communities, ensuring health access, shaping policy, making systems change and advancing the future of community health through innovation. In 2022, we also dedicated 32% of overall spending on products to items that met our Environmentally Preferable Purchasing standards and ensured 100% of our overall operations were powered by renewable electricity. C. 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 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. 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. D. Research Kaiser Permanente's research efforts are core to the organization's mission to improve population health, and its commitment to continued learning. Kaiser Permanente researchers study critical health issues such as cancer, cardiovascular conditions, diabetes, behavioral and mental health, and health care delivery improvement. Kaiser Permanente's 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 conduct research due to its rich, longitudinal, electronic clinical databases that capture virtually complete health care delivery, payment, decision-making and behavioral data across inpatient, outpatient, and emergency department settings. In 2022, Kaiser Foundation Health Plan of Washington engaged in 341 active studies (including 22 clinical trials) and published 342 journal articles. Kaiser Permanente Washington Health Research Institute (KPWHRI) has been conducting public-interest research on preventing and effectively treating major health problems, optimizing patient care, and addressing social determinants of health since 1983. Its mission is to improve health, well-being, and health equity for all communities through collaborative research and evaluation. In 2022, the Kaiser Permanente Washington Health Research Institute published several research studies, a summary of one publication includes: The US Preventive Services Task Force recommends follow-up blood pressure measurements outside of clinics using 24-hour ambulatory monitoring (ABPM) or home blood pressure monitoring before making a new hypertension diagnosis to avoid overdiagnosis and unnecessary treatment. Researchers compared clinic-, home-, and kiosk-based blood pressure measurement to ABPM for diagnosing hypertension. In research published in the Journal of General Internal Medicine, the researchers reported that, compared to ABPM, mean blood pressure was significantly lower for clinic, significantly higher for kiosk, and without significant differences for home measurement. Clinic blood pressure measurements had low sensitivity for detecting hypertension. The findings support utility of home blood pressure monitoring for making a new diagnosis of hypertension.
V.Pandemic Response	It is clear that COVID-19 is now firmly entrenched in our communities and synced to the seasonality of other upper respiratory viruses, such as the flu. Unlike the flu, COVID-19 continues to have an outsized impact on the health of our communities, especially for those that remain unvaccinated. Kaiser Permanente has continued to provide support, both in the form of grants and in in-kind contributions, to increase education around and prevention of COVID-19. In 2022, Kaiser Permanente continued to elevate trusted messenger campaigns in collaboration with community partners to expand public education to individuals and communities at highest risk for contracting COVID-19 in every market. Kaiser Permanente extended support to community partners with initiatives aimed at abating social isolation among elderly individuals and providing community-based organizations with educational materials that could be adapted for flexible use across social media platforms to encourage individuals to get vaccinated or boosted. Kaiser Permanente also provided in-kind personal protective equipment (PPE), cleaning supplies, and hygiene products for community partners to use to safeguard learning and living environments. The COVID-19 pandemic highlighted weaknesses in both schools and public health infrastructure. In response to the pandemic, Kaiser led the charge to gather the National Healthy Schools Collaborative in order to strengthen the mental, physical, and socio-emotional health of all school employees and students and, together, launched the "Ten-Year Roadmap to for Healthy Schools." To help rebuild public health infrastructure weakened by the strains of the pandemic, Kaiser Permanente began to collaborate with a coalition of public health and community organizations to develop a public health research agenda that reflects where investments should focus to drive public health improvements.
FORM 990, PART VI, LINE 1A	VOTING MEMBER AND GOVERNING BODY THE EXECUTIVE COMMITTEE, CONSISTING OF THREE DIRECTORS, HAS AUTHORITY TO ACT FOR THE BOARD BETWEEN MEETINGS EXCEPT IT HAS NO AUTHORITY TO: 1. ADOPT, AMEND OR REPEAL BYLAWS; 2.AMEND OR REPEAL ANY RESOLUTION OF THE BOARD WHICH BY ITS EXPRESS TERMS IS NOT SO AMENDABLE OR REPEALABLE; 3. ELECT, APPOINT OR REMOVE DIRECTORS, DESIGNATE COMMITTEES OF THE BOARD OR FILL VACANCIES IN THE BOARD OR IN ANY SUCH COMMITTEE; 4. DISSOLVE, MERGE OR CONSOLIDATE THE CORPORATION; 5. ADOPT, AMEND OR REPEAL THE ARTICLES OF INCORPORATION; 6. SELL, LEASE, PLEDGE, TRANSFER OR EXCHANGE ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OF THE CORPORATION; 7. FIX COMPENSATION OF DIRECTORS FOR SERVING ON THE BOARD OR ON ANY COMMITTEE; 8. AUTHORIZE ANY DIRECT OR INDIRECT TRANSFER OF MONEY OR OTHER PROPERTY OR INCUR ANY INDEPTEDNESS TO OR FOR THE BENEFIT OF TRANSFEREES IN LIQUIDATION (OTHER THAN CREDITORS OF THE CORPORATION); 9. TAKE ANY OTHER ACTION WHICH THE BOARD IS NOT AUTHORIZED TO TAKE OR WHICH A COMMITTEE OF THE BOARD IS NOT AUTHORIZED TO TAKE UNDER WA LAW.
Form 990, PART VI, LINE 6	THE SOLE CORPORATE MEMBER OF THE CORPORATION IS KFHPW HOLDINGS, A WASHINGTON NONPROFIT CORPORATION.
Form 990, PART VI, LINE 7A	KFHPW HOLDINGS APPOINTS THE DIRECTORS (AND FILLS VACANCIES AND HAS AUTHORITY TO REMOVE DIRECTORS).
Form 990, PART VI, LINE 7B	THE FOLLOWING ACTIONS OF THE CORPORATION ARE RESERVED TO OR REQUIRE APPROVAL OF THE MEMBER: A) CHANGES IN MEMBERSHIP; B) APPOINTMENT OF THE CHAIR OF THE BOARD AND THE PRESIDENT AND CEO, AND REMOVAL OF THE CHAIR OF THE BOARD, THE CEO OR ANY PRESIDENT. THE COMPENSATION OF ANY PRESIDENT AND OTHER EXECUTIVE OFFICERS OF THE CORPORATION REQUIRES APPROVAL BY THE COMPENSATION COMMITTEE OF THE ENTITY THAT SERVES AS THE OFFICIAL EMPLOYER OF RECORD FOR THE EXECUTIVE; C) SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF, THE MORTGAGE, PLEDGE OR DEDICATION TO THE REPAYMENT OF INDEBTEDNESS, OR ANY OTHER ENCUMBRANCE OF PROPERTY OF THE CORPORATION, OR THE ACQUISITION OF ASSETS,WHETHER OR NOT IN THE USUAL OR REGULAR COURSE OF THE CORPORATION'S ACTIVITIES, WHERE THE FAIR MARKET VALUE OF SUCH CORPORATE PROPERTY OR ASSETS BEING DISPOSED OF, ACQUIRED OR ENCUMBERED EXCEEDS 10% OF THE VALUE OF THE ASSETS OF THE CORPORATION AS REFLECTED IN THE MOST RECENT ANNUAL OR QUARTERLY FINANCIAL STATEMENTS THAT ARE AVAILABLE ON THE DATE IMMEDIATELY PRECEDING THE DATE OF THE RELEVANT TRANSACTION REQUIRES MEMBER APPROVAL; D) CAPITAL EXPENDITURE EXCEEDING $150 MILLION; E) ISSUANCE OF TAX-EXEMPT BONDS F) AMENDMENT OF ARTICLES C (MEMBER), D (DIRECTORS) OR H (AMENDMENT OF BYLAWS)
Form 990, PART VI, LINE 12C	Ethics and Compliance Ongoing Monitoring and Enforcement Activities Kaiser Permanente regularly and consistently monitors and enforces compliance with the Conflicts of Interest policy in the following ways: Reporting Conflicts of Interest Concerns - The Kaiser Permanente Ethics and Compliance Hotline or Webline is available to all employees, vendors, contractors, and agents to anonymously report actual or perceived conflicts of interest. This process is managed by a third party; however, all reported allegations are provided to Ethics and Compliance for investigation, and if required, corrective action. Employees are prohibited from retaliating against or intimidating anyone who reports concerns in good faith or refuse to participate in wrongdoing. Annual Disclosure Process - Annually, Directors, Officers, Key Employees, Executives, and other employees in roles with elevated risk are required to complete a Conflicts of Interest Disclosure (COID). Responses are reviewed by Ethics and Compliance, Board Services, and / or the Governance, Accountability and Nominating Committee of the Kaiser Foundation Health Plan/Hospital Board of Directors. When actions are required, they are addressed in accordance with policies and written standards. Conflicts of interest responses and actions are maintained for tracking and reporting purposes. Ongoing Disclosure Process - In addition to the annual disclosure process and in accordance with the Conflicts of Interest policy, on an ongoing basis Ethics and Compliance receives, consults, and reports conflicts of interest matters. External Audit Review of Disclosures - Annually, as a part of the Kaiser Permanente external audit, an outside certified public accounting firm reviews the COID process and actions taken for Directors, Officers, Key Employees, and Executives. The results, inclusive of any findings, are presented to the Kaiser Foundation Health Plan/ Hospital Audit and Compliance Committee of the Board of Directors. Awareness and Enforcement - Kaiser Permanente adheres to the following general awareness and enforcement guidelines: - Annually, the Conflicts of Interest and Corrective / Disciplinary Action policies are provided and reviewed as a part of the general ethics and compliance training and the Conflicts of Interest Policy is attested to during the disclosure process. - Represented employees are subject to corrective/disciplinary action provisions outlined in the regional or national collective bargaining agreements and applicable policies. - In the event disciplinary action is required due to failure to comply with applicable legal and regulatory requirements, Kaiser Permanente policies and procedures, the Code of Conduct (Principles of Responsibility), unsatisfactory performance, or misconduct disciplinary action includes, but is not limited to: * verbal discussion, coaching, and/or warning by the employee's immediate; supervisor or higher-level manager to correct the problem; * written notice, with or without final warning; * suspension, with or without final warning; or * termination of employment
Form 990, PART VI, LINE 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, BENEFITS & 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, LINE 18	Forms 990 are available on www.guidestar.org.
Form 990, PART VI, LINE 19	Public Inspection Governing documents and 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: National Communications - RM Operations Kaiser Foundation Health Plan and Hospitals One Kaiser Plaza, 22nd Floor Oakland, CA 94612
Form 990, PART VII, SECTION A, COLUMN B	HOURS FOR RELATED ORGANIZATIONS 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 $ 10,948 CHANGE IN PENSION & RETIREMENT LIABILITIES 20,556,637 OTHER THAN TEMPORARY IMPAIRMENTS (119,913,254) GAIN/LOSS ON SALE OF INVESTMENTS - BOOK (17,537,972) GAIN/LOSS ON SALE OF INVESTMENTS - TAX 47,913,208 ------------------ $ (68,970,433)

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

Cat. No. 51056K

Schedule O (Form 990) 2021

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

2021

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) COLUMBIA MEDICAL ASSOCIATES LLC ONE KAISER PLAZA - 26TH FLOOR OAKLAND,CA94612 20-0986848	COMP MED CARE	WA	0	0	KFHPW
(2) COLUMBIA CLINIC LLC ONE KAISER PLAZA - 26TH FLOOR 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 - 26th Floor Oakland,CA94612 94-1105628	Health Care	CA	501(c)(3)	3	NA		No
(2)Kaiser Foundation Health Plan Inc One Kaiser Plaza - 26th Floor Oakland,CA94612 94-1340523	Health Care	CA	501(c)(3)	10	NA		No
(3)Kaiser Foundation Health Plan of CO One Kaiser Plaza - 26th Floor Oakland,CA94612 84-0591617	Health Care	CO	501(c)(3)	10	KFHP Inc	Yes
(4)Kaiser Foundation Health Plan of GA Inc One Kaiser Plaza - 26th Floor 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 - 26th Floor Oakland,CA94612 52-0954463	Health Care	MD	501(c)(3)	10	KFHP Inc	Yes
(6)Kaiser Foundation Health Plan of the NW One Kaiser Plaza - 26th Floor Oakland,CA94612 93-0798039	Health Care	OR	501(c)(3)	10	KFHP Inc	Yes
(7)Kaiser Hospital Asset Management Inc One Kaiser Plaza - 26th Floor Oakland,CA94612 94-3299125	Asset Mgmt	CA	501(c)(3)	12-I	KFH	Yes
(8)Kaiser Health Plan Asset Management Inc One Kaiser Plaza - 26th Floor Oakland,CA94612 94-3299124	Asset Mgmt	CA	501(c)(3)	12-I	KFHP Inc	Yes
(9)Camp Bowie Service Center One Kaiser Plaza - 26th Floor Oakland,CA94612 94-3299123	Admin	CA	501(c)(3)	12-I	KFHP Inc	Yes
(10)Lokahi Assurance LTD One Kaiser Plaza - 26th Floor Oakland,CA94612 91-2171891	WC Placement	HI	501(c)(3)	12-I	KFHP Inc	Yes
(11)1800 Harrison Foundation One Kaiser Plaza - 26th Floor Oakland,CA94612 94-3317484	Financing	CA	501(c)(3)	12-I	KFHP Inc	Yes
(12)Kaiser Hospital Assistance Corporation One Kaiser Plaza - 26th Floor Oakland,CA94612 31-1779500	Financing	CA	501(c)(3)	12-I	KFH	Yes
(13)Kaiser Health Alternatives One Kaiser Plaza - 26th Floor Oakland,CA94612 93-0954562	Health Care	OR	501(c)(3)	10	KFHP Inc	Yes
(14)KP Bernard J Tyson School of Medicine One Kaiser Plaza - 26th Floor Oakland,CA94612 81-4053028	Medical Edu.	CA	501(c)(3)	2	KFH	Yes
(15)KFHPW Holdings One Kaiser Plaza - 26th Floor Oakland,CA94612 93-0480268	Health Care	WA	501(c)(3)	12-I	KFHP Inc	Yes
(16)Group Health Northwest One Kaiser Plaza - 26th Floor Oakland,CA94612 91-1216856	Inactive	WA	501(c)(3)	12-I	KFHP of WA	Yes
(17)Group Health of Washington One Kaiser Plaza - 26th Floor Oakland,CA94612 91-1314907	Inactive	WA	501(c)(3)	12-I	KFHP of WA	Yes
(18)Kaiser Fdn For The Adv of Integrated HC One Kaiser Plaza - 26th Floor Oakland,CA94612 82-3819611	Advocacy	CA	501(c)(4)	N/A	KFHP Inc	Yes
(19)Kaiser Foundation Health Plan of NV Inc One Kaiser Plaza - 26th Floor Oakland,CA94612 37-2097870	Health Care	DE	501(c)(4)	N/A	KFHP Inc	Yes
(20)KP Medical Foundation One Kaiser Plaza - 26th Floor Oakland,CA94612 92-0685740	Health Care	DE	501(c)(3)	12-I	KFHP Inc	Yes
(21)KFH Holdings Inc One Kaiser Plaza - 26th Floor Oakland,CA94612 88-4172095	Holding Co	DE	501(c)(3)	12-I	KFH	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2021

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?		(k) Percentage ownership
(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	(k) Percentage ownership
(1) NXT CAP SR FD I LLC 191 N Wacker Dr 1200 Chicago,IL60606 37-1651297	Investment	DE	NA	N/A	0	0			0			0 %
(2) Garfield Health Sol E Pvt Ltd ONE KAISER PLAZA - 26TH FLOOR Oakland,CA94612	Admin	IN	NA	N/A	0	0			0			0 %
(3) Maui Nui ASC Holdco LLC ONE KAISER PLAZA - 26TH FLOOR Oakland,CA94612	Holding Co	HI	NA	N/A	0	0			0			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	(h) Percentage ownership	Yes	No
(1) OAK TREE ASSURANCE LTD ONE KAISER PLAZA - 26TH FLOOR OAKLAND,CA94612 03-0329760	INSURANCE	VT	NA	C CORP	0	0		Yes
(2) KAISER PERMANENTE INSURANCE COMPANY ONE KAISER PLAZA - 26TH FLOOR OAKLAND,CA94612 94-3203402	INSURANCE	CA	NA	C CORP	0	0		Yes
(3) KAISER PERMANENTE INTERNATIONAL ONE KAISER PLAZA - 26TH FLOOR OAKLAND,CA94612 94-3245176	CONSULTING	CA	NA	C CORP	0	0		Yes
(4) KFHP OF WASHINGTON OPTIONS INC ONE KAISER PLAZA - 26TH FLOOR OAKLAND,CA94612 91-1467158	INSURANCE	WA	NA	C CORP	941,292,635	400,795,546	100.000 %	Yes

Schedule R (Form 990) 2021

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

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) ......................

Yes

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 FOUNDATION HEALTH PLAN INC	L	14,158,163	PER AGREEMENT
(2) KAISER FOUNDATION HEALTH PLAN INC	M	102,825,386	PER AGREEMENT
(3) KAISER FOUNDATION HEALTH PLAN INC	P	356,275,534	PER AGREEMENT
(4) KAISER FOUNDATION HEALTH PLAN INC	Q	5,792,154	PER AGREEMENT
(5) KAISER FOUNDATION HEALTH PLAN INC	R	113,670,557	PER AGREEMENT
(6) KAISER FOUNDATION HEALTH PLAN INC	S	157,155,201	PER AGREEMENT
(7) KAISER FOUNDATION HOSPITALS	E	400,000,000	PER AGREEMENT
(8) KAISER FOUNDATION HOSPITALS	M	114,525,992	PER AGREEMENT
(9) KAISER FOUNDATION HOSPITALS	P	100,414,087	PER AGREEMENT
(10) KAISER FOUNDATION HOSPITALS	Q	41,795,976	PER AGREEMENT
(11) KAISER FDN HEALTH PLAN OF COLORADO	L	681,604	PER AGREEMENT
(12) KAISER FDN HEALTH PLAN OF COLORADO	M	234,210	PER AGREEMENT
(13) KAISER FDN HEALTH PLAN OF COLORADO	P	249,611	PER AGREEMENT
(14) KAISER FDN HEALTH PLAN OF THE NORTHWEST	L	7,606,437	PER AGREEMENT
(15) KAISER FDN HEALTH PLAN OF THE NORTHWEST	P	1,043,545	PER AGREEMENT
(16) KAISER FDN HEALTH PLAN OF THE NORTHWEST	Q	500,727	PER AGREEMENT
(17) KAISER FDN HEALTH PLAN OF WASHINGTON OPTIONS	L	127,175,248	PER AGREEMENT
(18) KAISER FDN HEALTH PLAN OF WASHINGTON OPTIONS	M	104,207	PER AGREEMENT
(19) KAISER FDN HEALTH PLAN OF WASHINGTON OPTIONS	P	8,504,555	PER AGREEMENT
(20) KAISER FDN HEALTH PLAN OF WASHINGTON OPTIONS	Q	752,900	PER AGREEMENT
(21) CAMP BOWIE SERVICE CENTER	P	7,505,961	PER AGREEMENT
(22) KAISER PERMANENTE INSURANCE COMPANY	M	1,440,000	PER AGREEMENT
(23) LOKAHI ASSURANCE LTD	M	26,259,244	PER AGREEMENT
(24) LOKAHI ASSURANCE LTD	Q	16,460,556	PER AGREEMENT
(25) LOKAHI ASSURANCE LTD	R	6,680,802	PER AGREEMENT

Schedule R (Form 990) 2021

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2021

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) 2021

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 2021 (Part V, line 2a) ......	5	10,326
6	Total number of volunteers (estimate if necessary) .............	6	342
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	15,400,523
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	53,099,970	59,729,373
9	Program service revenue (Part VIII, line 2g) .........	3,897,219,296	3,861,323,806
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-26,435,159	-55,625,004
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	573,613	506,000
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	3,924,457,720	3,865,934,175
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	16,433,447	21,832,276
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)	824,641,979	766,123,500
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)....	3,243,844,307	3,491,595,720
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	4,084,919,733	4,279,551,496
19	Revenue less expenses. Subtract line 18 from line 12.......	-160,462,013	-413,617,321
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,969,156,636	3,088,214,746
21	Total liabilities (Part X, line 26).............	1,474,865,943	2,077,013,788
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,494,290,693	1,011,200,958

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 3,872,847,588 including grants of $ 17,550,741 ) (Revenue $ 3,767,183,844 )
	MEMBER HEALTH CARE SERVICES AND MEDICAL TRAINING FOR CARE IMPROVEMENT KAISER FOUNDATION HEALTH PLAN OF WASHINGTON, INC. (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-WA EDUCATES AND TRAINS MEDICAL STUDENTS AND OTHER HEALTH CARE PROFESSIONALS AND PROMOTES SCIENTIFIC AND NURSING EDUCATION IN ORDER TO IMPROVE CARE FOR OUR MEMBERS AND OUR COMMUNITY. KFHP-WA DIRECTLY INVESTS IN IMPROVEMENTS IN COMMUNITY HEALTH BY WORKING TO INCREASE ACCESS TO HEALTH CARE, IMPROVING THE CONDITIONS FOR HEALTH AND EQUITY AND PROVIDING HEALTH EDUCATION.

4b	(Code: ) (Expenses $ 81,085,845 including grants of $ 0 ) (Revenue $ 37,635,054 )
	MEDICAID AND OTHER GOVERNMENT SPONSORED PROGRAMS 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 2022, A TOTAL OF 34,000 INDIVIDUALS WERE RECEIVING BENEFITS THROUGH KFHP-WA'S MEDICAID MANAGED CARE CONTRACTS.

4c	(Code: ) (Expenses $ 22,312,939 including grants of $ 0 ) (Revenue $ 0 )
	CHARITY CARE (MEDICAL FINANCIAL ASSISTANCE) 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 2022, THIS PROGRAM ASSISTED A TOTAL OF 14,600 PATIENTS THROUGH FINANCIAL ASSISTANCE.

	(Code: ) (Expenses $ 4,281,535 including grants of $ 81,601,545 ) (Revenue $ 56,504,908 )
	SEE EXEMPT PURPOSE ACHIEVEMENTS IN SCH O

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 81,601,545 including grants of $ 4,281,535 ) (Revenue $ 56,504,908 )
4e	Total program service expenses4,057,847,917

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	582,094	61,300,457	-768,072

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	54,471,339

f	All other contributions, gifts, grants, and similar amounts not included above		1f	5,258,034

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		59,729,373

		Business Code
2a	MEMBERS HEALTH DUES	621491	1,941,464,635	1,941,464,635
b	MEDICARE	621491	1,123,068,890	1,123,068,890
c	COPAYS, DEDUCTIBLES, FEES	621491	369,465,344	369,465,344
d	NON-PLAN & INDUSTRIAL	621491	67,183,689	51,783,166	15,400,523
e	OTHER PROGRAM SERVICE	621491	360,141,248	360,141,248
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		3,861,323,806

3 Investment income (including dividends, interest, and othersimilar amounts) ......			-7,692,358			-7,692,358
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		438,193	6a
b	Less: rental expenses			6b
c	Rental income or (loss)	0	438,193	6c
d	Net rental income or (loss).......			438,193			438,193
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	209,661	2,493,436,710	7a
b	Less: cost or other basis and sales expenses	229,099	2,541,349,918	7b
c	Gain or (loss)	-19,438	-47,913,208	7c
d	Net gain or (loss).........			-47,932,646			-47,932,646
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	PARKING REVENUE		812930	17,214			17,214
b	CAFETERIA REVENUE		722514	50,593			50,593
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			67,807
12	Total revenue. See instructions.....			3,865,934,175	3,845,923,283	15,400,523	-55,119,004

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	21,641,022	21,641,022
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	191,254	191,254
4	Benefits paid to or for members .......	0
5	Compensation of current officers, directors, trustees, and key employees ...........	139,657		139,657
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	112,430		112,430
7	Other salaries and wages........	648,586,297	585,022,684	63,563,613	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	56,276,396	56,180,488	95,908
9	Other employee benefits .......	11,762,540		11,762,540
10	Payroll taxes ...........	49,246,180	49,135,014	111,166
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	1,360,913		1,360,913
c	Accounting ...........	1,004,378		1,004,378
d	Lobbying ...........	132,000		132,000
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	1,040,418		1,040,418
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 ....	7,548,214	4,796,348	2,751,866
13	Office expenses .......	19,636,340	17,995,615	1,640,725
14	Information technology ......	197,748,338	191,630,608	6,117,730
15	Royalties ..	0
16	Occupancy ...........	30,840,797	30,839,697	1,100
17	Travel ............	2,691,304	2,595,856	95,448
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	453,007		453,007
20	Interest ...........	14,139,065	14,139,065
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	77,865,541	77,865,541
23	Insurance ...	18,123,746	18,123,746
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	1,539,596,468	1,539,596,468
b	SUPPLIES - PHARMACY, OFFICE	725,748,180	721,085,470	4,662,710
c	BASIC CONTRACTUAL PAYMENTS	535,851,840	535,851,840
d	INTER/INTRA REG. ALLOCATIONS	132,311,927	129,799,928	2,511,999
e	All other expenses	185,503,244	61,357,273	124,145,971
25	Total functional expenses. Add lines 1 through 24e	4,279,551,496	4,057,847,917	221,703,579	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 ........			0	1	0
2	Savings and temporary cash investments .........			19,780,379	2	51,897,329
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			180,282,698	4	162,127,513
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7	0
8	Inventories for sale or use ............			23,230,367	8	29,762,685
9	Prepaid expenses and deferred charges ......			204,474,833	9	248,826,884
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,383,293,043
b	Less: accumulated depreciation	10b	402,981,821	959,466,874	10c	980,311,222
11	Investments—publicly traded securities .			936,877,993	11	1,100,865,915
12	Investments—other securities. See Part IV, line 11 .....			25,913,039	12	13,894,374
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............			383,336,979	14	366,087,615
15	Other assets. See Part IV, line 11 ...........			235,793,474	15	134,441,209
16	Total assets. Add lines 1 through 15 (must equal line 33)...			2,969,156,636	16	3,088,214,746

17	Accounts payable and accrued expenses .....	514,943,442	17	562,672,362
18	Grants payable ...	0	18	0
19	Deferred revenue .........	24,219,442	19	24,448,240
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 any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		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	935,703,059	25	1,489,893,186
26	Total liabilities. Add lines 17 through 25..	1,474,865,943	26	2,077,013,788

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....	0	29	0
30	Paid-in or capital surplus, or land, building or equipment fund ...	1,863,453,512	30	1,863,464,460
31	Retained earnings, endowment, accumulated income, or other funds	-369,162,819	31	-852,263,502
32	Total net assets or fund balances ...........	1,494,290,693	32	1,011,200,958
33	Total liabilities and net assets/fund balances ........	2,969,156,636	33	3,088,214,746

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