TY 2024 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)
(1) Gregory Adams...................................................................... Chairman & CEO	4.0 ................. 46.0		X			12,789,811	186,239
(2) Kimberly Horn...................................................................... EVP, Group President, MOC	0.0 ................. 50.0				X	5,678,798	795,510
(3) Janet Liang...................................................................... EVP, Group President & COO	3.5 ................. 46.5	X				4,322,020	689,685
(4) Kathryn Lancaster...................................................................... EVP & CFO	3.5 ................. 46.5	X				4,850,102	153,985
(5) Brandon Cuevas...................................................................... EVP, Health Plan	3.8 ................. 46.2		X			3,512,002	842,876
(6) Vanessa Benavides...................................................................... EVP,Chief Legal Officer & Secy	1.0 ................. 49.0		X			2,137,057	486,134
(7) Andrew Bindman...................................................................... EVP, Chief Medical Officer	1.0 ................. 49.0	X				1,545,417	1,048,791
(8) Angela Dowling...................................................................... Region President - WA	48.8 ................. 1.2		X			1,544,352	936,757
(9) David Thomason...................................................................... SVP,Corporate Controller & CAO	3.5 ................. 46.5		X			1,720,465	90,610
(10) Thomas Meier...................................................................... SVP, Corporate Treasurer	1.5 ................. 48.5		X			1,502,528	138,446
(11) Alfonse Upshaw...................................................................... SVP, CFO - NCAL	0.0 ................. 50.0				X	1,240,525	220,778
(12) Rebecca Williams...................................................................... Interim CFO	0.0 ................. 50.0				X	824,068	309,410
(13) Arthur Southam...................................................................... EVP, Health Plan Ops & CGO	0.0 ................. 0.0				X	1,120,683	0
(14) Mark Zemelman...................................................................... SVP, General Counsel & Secy	0.0 ................. 0.0				X	257,774	799,702
(15) Pamela Warren...................................................................... VP, HPSA - WA	50.0 ................. 0.0		X			742,041	189,953
(16) Christine Lindsey...................................................................... VP, FP&A	50.0 ................. 0.0			X		946,357	-31,221
(17) Ryan Jenson...................................................................... Interim Corp Controller & CAO	3.5 ................. 46.5				X	763,515	133,533

(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) Jocelynne McAdory........................................................................ VP, Human Resources -WA Market	50.0 .......................0.0				X		0	610,565	149,460
(19) Rita Mangione-Smith........................................................................ VP,Resch/Healthcare Innovation	50.0 .......................0.0				X		0	602,803	127,130
(20) Todd Hesse........................................................................ VP, Sales & Acct Mgmt	10.0 .......................40.0		X				0	550,129	167,885
(21) Christina Lockwood........................................................................ Assistant Secretary	1.5 .......................48.5		X				0	562,627	135,339
(22) Shawna Sweeney........................................................................ Assistant Secretary	49.8 .......................0.2		X				0	577,096	117,395
(23) John Bry........................................................................ VP, CFO - Washington	49.9 .......................0.1		X				0	576,716	89,577
(24) Ian Gordon........................................................................ COO, Health Plan	50.0 .......................0.0			X			0	549,259	95,294
(25) Ann Allen........................................................................ VP, COO	0.0 .......................0.0					X	0	615,575	0
(26) Alacia Broussard........................................................................ VP, Contracting Strategy	50.0 .......................0.0			X			0	464,843	100,839
(27) Donald Orndoff........................................................................ SVP, NFS	0.0 .......................0.0					X	0	549,210	0
(28) Julie Lindberg........................................................................ VP, Care and Utilization Mgmt	50.0 .......................0.0				X		0	462,592	86,590
(29) Justin Evander........................................................................ VP, Hospital & Ancillary Svcs	50.0 .......................0.0				X		0	435,277	110,495
(30) April Coiteux........................................................................ VP, MSBD	50.0 .......................0.0			X			0	392,832	86,493
(31) Jennifer Keosky........................................................................ VP, Consumer Experience	50.0 .......................0.0			X			0	294,524	79,847
(32) Judith A Johansen JD........................................................................ Director	1.0 .......................8.6	X					18,000	297,000	40,485
(33) Hong-Sze Yu........................................................................ VP, Brd & Corp Gov & Asst Secy	3.0 .......................47.0		X				0	307,089	8,143
(34) Ramon F Baez........................................................................ Director	0.83 .......................2.31	X					17,000	262,143	30,645
(35) Maryann Bodayle........................................................................ Assistant Secretary	1.0 .......................49.0		X				0	205,630	51,360
(36) Laurie Guariglia........................................................................ VP, Business Info Officer - WA	0.0 .......................0.0					X	0	158,978	0
(37) Margaret E Porfido JD........................................................................ Director	1.0 .......................0.5	X					18,000	42,444	0
(38) Kim J Kaiser........................................................................ Director	1.0 .......................0.0	X					35,445	0	0
(39) Michael D Wilson........................................................................ Director	1.25 .......................0.0	X					26,165	0	0
(40) Constance W Rice........................................................................ Director	4.0 .......................0.0	X					26,165	0	0
(41) Susan Viscon........................................................................ Director	1.5 .......................0.0	X					6,000	0	0
(42) Karen Schartman........................................................................ VP, CFO & Strategy - WA	0.0 .......................0.0					X	0	105,189	-124,919

(A) Name and business address	(B) Description of services	(C) Compensation
Washington Permanente Medical Group, 1300 SW 27th St RENTON,WA98057	MEDICAL SERVICES	547,529,264
ST JOSEPH MEDICAL CENTER, 1717 S J ST TACOMA,WA98405	Medical Services	99,810,633
OVERLAKE HOSPITAL MEDICAL CENTER, PO BOX 34224 SEATTLE,WA98124	Medical Services	96,310,788
PEACEHEALTH, 2901 SQUALICUM PARKWAY BELLINGHAM,WA98225	Medical Services	80,115,129
MULTICARE HEALTH SYSTEM, PO BOX 5299 TACOMA,WA98415	Medical Services	79,606,571
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 710

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

OMB No. 1545-0047

2024

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) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. 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—2023. 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—2024. 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—2023. 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) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. 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—2023. 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) 2024

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) 2024

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) 2024

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) 2024

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 2024 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-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, 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 2024. 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 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

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) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

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

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 ......... Right Arrow

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization KAISER FOUNDATION HEALTH PLAN OF WASHINGTON

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

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

right arrow

Complete if the organization is described below. 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

2024

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 .................................................................... right arrow

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 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

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 ..... right arrow

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

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

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) 2024

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 right arrow

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 right arrow

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) 2021	(b) 2022	(c) 2023	(d) 2024	(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) 2024

Page 3

Part II-B

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

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

(a)

Yes

(b)

Amount

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

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

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

Yes

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

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

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

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

Yes

220,258

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

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

Yes

169,866

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

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

390,124

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) 2024

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.
right arrow

Attach to Form 990.
right arrow

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

OMB No. 1545-0047

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 July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
right arrow

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

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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

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 right arrow

Permanent endowment right arrow

Term endowment right arrow

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 .....	217,314,294		217,314,294
b	Buildings ....	751,493,182	242,340,724	509,152,458
c	Leasehold improvements	49,927,384	29,271,114	20,656,270
d	Equipment ....	258,677,103	189,564,365	69,112,738
e	Other .....	329,079,924	47,992,160	281,087,764
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,097,323,524

Schedule D (Form 990) (Rev. 1-2025)

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
DUE TO AFFILIATED ORGANIZATION	390,761,543
PROFESSIONAL & OTHER INSURED LIAB.	94,617,036
OPERATING LEASE LIABILITIES	23,648,814
SUBORDINATED DEBT	1,255,000,000
PREMIUM DEFICIENCY RESERVES	211,785,000
LOANS PAYABLE TO EXTERNAL ENTITIES	3,426,639
OTHER CURRENT LIABILITIES	111,470,663
OTHER LONG-TERM LIABILITIES	22,528,394

Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	2,113,238,089
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) (Rev. 1-2025)

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) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)
(Rev. January 2025)

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 arrow

Attach to Form 990. Right arrow

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

OMB No. 1545-0047

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
	Europe (Including Iceland and Greenland)	0	0	Program Services	CONFERENCE / SEMINARS	18,148
	North America	0	0	Grantmaking	GRANTMAKING	42,989















3a	Sub-total ....	0	0			61,137
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	0	0			61,137

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) (Rev. 1-2025)

Schedule F (Form 990) (Rev. 1-2025)

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
North America	Research Subrecipient	38,655

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 .......	2
3	Enter total number of other organizations or entities .......................	0

Schedule F (Form 990) (Rev. 1-2025)

Schedule F (Form 990) (Rev. 1-2025)Page 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) (Rev. 1-2025)

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

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.
Medium right arrow

Attach to Form 990.
Medium right arrow

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

OMB No. 1545-0047

2024

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 %

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

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

Yes

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

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

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

Yes

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

Yes

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

Yes

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

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	40,941,016	0	40,941,016	0.900 %
b	Medicaid (from Worksheet 3, column a) . . . . .	59,271,288	18,749,493	40,521,795	0.890 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	0	0	0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	100,212,304	18,749,493	81,462,811	1.790 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	4,622,044	1,450,974	3,171,070	0.070 %
f	Health professions education (from Worksheet 5) . . .	9,722,258	774,729	8,947,528	0.200 %
g	Subsidized health services (from Worksheet 6) . . . .	0	0	0	0 %
h	Research (from Worksheet 7) .	59,449,576	45,814,941	13,634,635	0.300 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	3,506,292	0	3,506,292	0.080 %
j	Total. Other Benefits . .	77,300,170	48,040,644	29,259,525	0.650 %
k	Total. Add lines 7d and 7j .	177,512,474	66,790,137	110,722,336	2.440 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

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).....

825,734

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

789,424

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

36,310

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) 2024

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) 2024

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) 2024

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 200.%
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) 2024

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) 2024

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) 2024

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 85 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. - 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 up to 200% or less of the federal poverty guidelines (FPG). Eligible patients with a household income greater than 200% and less than or equal to 300% of the FPG receive discounted care on the patient cost for eligible services as follows: - Eligible patients with a household income greater than 200% and less than or equal to 250% of the FPG receive a 75% discount. - Eligible patients with a household income greater than 250% and less than or equal to 300% of the FPG receive a 50% discount.
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 16a-j	The FAP program materials are available by navigating to the KP website kp.org/mfa and selecting the KP market you are interested in.

Schedule H (Form 990) 2024

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?45
Name and address		Type of Facility (describe)
1	Seattle-Capitol Hill Medical Center 201 16th Ave E Seattle,WA98112	Medical Center
2	Bellevue Medical Center 11511 NE 10th Street Bellevue,WA98004	Medical Center
3	Olympia Medical Center 700 Lilly Rd NE Olympia,WA98506	Medical Center
4	Tacoma Medical Center 209 Martin Luther King Jr Way Tacoma,WA98405	Medical Center
5	Everett Medical Center 2930 Maple St Everett,WA98201	Medical Center
6	Seattle - Northgate Medical Center 9800 4th Ave NE Seattle,WA98115	Medical Center
7	Spokane - Riverfront Medical Center 322 W North River Drive Spokane,WA99201	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	Renton Medical Center 275 Bronson Way NE Renton,WA98056	Medical Center
12	Lynnwood Medical Center 20200 54th Ave W Lynnwood,WA98036	Medical Center
13	Bellevue - Factoria Medical Center 13451 SE 36th St Bellevue,WA98006	Medical Center
14	Burien Medical Center 140 SW 146th St Seattle,WA98166	Medical Center
15	Tacoma South Medical Center 9505 Steele St S Tacoma,WA98444	Medical Center
16	Port Orchard Medical Center 1400 Pottery Ave Port Orchard,WA98366	Medical Center
17	Redmond Medical Center 15809 Bear Creek Pkwy Ste 100 Redmond,WA98052	Medical Center
18	Spokane - Lidgerwood Medical Center 6002 N Lidgerwood Spokane,WA99207	Medical Center
19	Bothell - Northshore Medical Center 11913 NE 195th St Bothell,WA98011	Medical Center
20	Spokane - Veradale Medical Center 14402 E Sprague Ave Spokane,WA99216	Medical Center
21	Kent Medical Center 26004 104th Ave SE Kent,WA98031	Medical Center
22	Smokey Point 2335 172nd St NE Marysville,WA98271	Medical Clinic
23	Seattle - Rainier Medical Center 5316 Rainier Ave S Seattle,WA98118	Medical Center
24	West Olympia 1200 Cooper Point Rd SW Ste 100 Olympia,WA98502	Medical Clinic
25	Seattle - Northgate South Building 9720 4th Ave NE Seattle,WA98115	Vision Center
26	Poulsbo Medical Center 19379 7th Ave NE Poulsbo,WA98370	Medical Center
27	Ballard Medical Center 1401 NW 46th St 5th Floor Seattle,WA98107	Clinical
28	Spokane - South Hill Medical Center 4102 S Regal St Ste 101 Spokane,WA99223	Medical Center
29	Tacoma Hear Center & Eye Care 5821 S Sprague Court Tacoma,WA98409	Audiology & Vision Center
30	Renton Campus Glacier Building 1200 SW 27th Street Renton,WA98057	Vaccination Clinic
31	Gig Harbor Clinic 5216 Point Fosdick Dr Gig Harbor,WA98335	Medical Clinic
32	Kendall Yards Medical Office 546 N Jefferson St Spokane,WA99260	Medical Clinic
33	Renton Campus Adams Building 2921 Naches Avenue SW Renton,WA98057	Telehealth
34	South Lake Union Medical Office 210 9th Ave N Seattle,WA98109	Medical Clinic
35	Franklin High School 3013 S Mount Baker Boulevard Seattle,WA98144	Teen Medical Clinic
36	Nathan Hale High School 10750 30th Avenue NE Seattle,WA98125	Teen Medical Clinic
37	Aki Kurose School 3928 S Graham Street Seattle,WA98122	Teen Medical Clinic
38	Washington Middle School 2101 S Jackson Street Seattle,WA98144	Teen Medical Clinic
39	Interagency Academy at Columbia School 3528 S Ferdinand Street Seattle,WA98118	Teen Medical Clinic
40	Bremerton Behavioral Health Services 555 Pacific Ave Ste 202 Bremerton,WA98337	Behavioral Health Clinic
41	Renton Campus Rainier Building 2715 Naches Avenue SW Renton,WA98057	Vaccination Clinic
42	Northpointe Medical Offices 9631 N Nevada St Ste 100/200 Spokane,WA99218	Clinical
43	Tacoma Behavioral Health Services 4301 S Pine St Tacoma,WA98409	Behavioral Health Clinic
44	Seattle - Metropolitan Park East 1730 Minor Avenue Seattle,WA98101	Research Facility
45	Seattle - Downtown Medical Center 1420 5th Ave Suite 375 Seattle,WA98101	Medical Center

Schedule H (Form 990) 2024

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 two distinct eligibility criteria for free and discounted care under KP's Medical Financial Assistance Policy; (1) high medical expenses and (2) situations where the patient has been prequalified under presumptive eligibility. - 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 to receive free or discounted care through the high medical expense criteria. - Prequalification/presumptive eligibility: 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 Kaiser Foundation Health Plan of Washington (KFHP WA) 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 KFHP WA personnel, or 3. Is enrolled in a credible means-tested health coverage program (e.g., Medicare low-income subsidy program, subsidized coverage available on the Health Benefit Exchange, etc.), or 4. Is enrolled in a credible government-sponsored public assistance program (e.g., Women, Infants and Children programs, Supplemental Nutrition and Assistance programs, Low-income household energy assistance programs, free or reduced cost lunch programs) 5. 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 financial impact of the programs is determined using KFHP WA's standard reporting systems, consistent with methodologies applied to assess market segments across 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	KFHP WA 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. 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. 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. Additionally, MFAP information, including the policy, policy plain language summary and application, can be found on the publicly accessible KP medical financial assistance website, kp.org/mfa.
PART VI, LINE 4, COMMUNITY INFORMATION	KFHP WA serves communities in Washington. The communities we serve 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. Kaiser Foundation Health Plan of Washington owns and operates Central Hospital located in the city of Seattle. Total population in area (mil)**; 5.3 Median Household Income; $99,336 Below 100% FPL; 8.5% w/o public or private health ins; 5.5% Limited English Proficiency; 4.0% On-time High school graduation rate; 84.3% Unemployment Rate (%)*; 3.6% US Census Bureau, American Community Survey: 2017-2021 US Department of Education 2019-2020 * ESRI via Kaiser Permanente Utility for Care Data Analysis, 2022 As the nation's largest nonprofit integrated health care organization, Kaiser Permanente is mission driven to improve the health and well-being of the communities we serve and is 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 improving the health of our members and communities through community investments and partnerships. We go beyond traditional corporate philanthropy or grant-making to leverage financial resources with medical research, physician expertise, and clinical practices. We focus our investments to address critical health issues in our communities. For many years, we have worked collaboratively with other organizations to address public health issues, improve conditions for health in our communities, and drive affordability. We conduct 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 WA board has a standing community health committee of the boards of directors to oversee the community benefit program. Kaiser Permanente also has a national executive of KFHP WA to lead Kaiser Permanente's community benefit program.
PART VI, LINE 5, PROMOTION OF COMMUNITY HEALTH	KFHP WA's 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's general community benefits include: - 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. - Open medical staff privileges - Staff privileges in the hospitals are available to community practitioners who are not affiliated with a Permanente Medical Group. - Reinvestment of Surplus Revenues - KFHP pays KFHP WA 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 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 prioritize reducing greenhouse gas emissions to lower our carbon footprint and lower the climate impact on the health of the communities we serve. Kaiser Permanente's mission reflects our belief that where and how people live have a meaningful impact on their health and wellbeing. We will continue to work to improve the conditions for health 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 access to care, shaping policy, making systems change and advancing the future of community health through innovation.
PART VI, LINE 6, AFFILIATED HEALTH CARE SYSTEM	Kaiser Permanente is recognized as one of America's leading health care providers and not-for-profit health plans, comprised of three main entities-Kaiser Foundation Health Plan, Kaiser Foundation Hospitals, and the Permanente Medical Groups. These organizations work together to deliver comprehensive health care services. Founded in 1945, Kaiser Permanente has a mission to provide high-quality, affordable health care services and to improve the health of its members and the communities it serves. It currently serves members in 8 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. Kaiser Permanente's 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 also dedicated to care innovations, clinical research, health education, and the support of community health. In 2023, Kaiser Foundation Hospitals created Risant Health, a nonprofit organization with a transformative vision to improve the health of millions of people by increasing access to value-based care and coverage. Risant Health is dedicated to bringing together like-minded, nonprofit community-based health systems from across the country to deliver better health outcomes through value-based care approaches. Risant Health's value-based platform will support its health systems with a set of technology, services, and capabilities designed to deliver superior health outcomes and a lower total cost of care in diverse business models. In 2024, Geisinger and Cone Health became a part of Risant Health through acquisition. 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 2024, 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	Kaiser Permanente submits quarterly and annual reporting to the Washington State Department of Health in compliance with House Bill 1272.

Schedule H (Form 990) 2024

Additional Data

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Schedule I
(Form 990)
(Rev. January 2025)

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 instructions and the latest information.

OMB No. 1545-0047

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) Alight Hlth Mkt Ins Aon Foundation 200 E Randolph St Chicago,IL60601	36-3337340	501(c)(3)	16,275	Project Support
(2) Alliance For A Healthier Generation Inc 1028 Se Water Av 215 Portland,OR97214	27-2028308	501(c)(3)	132,000	Achieving A Healthier Generation Through Thriving
(3) Apic Spokane 25 W Main Ave 404 Spokane,WA99201	87-2478304	501(c)(3)	158,136	Spokane Asians/Asian Americans (A/Aa) Community Ca
(4) Baylor Research Institute 301 N Washington Ave Dallas,TX75246	75-1921898	501(c)(3)	40,145	Research Subrecipient
(5) Beth Israel Deaconess Medical Center Inc 330 Brookline Ave Boston,MA02215	04-2103881	501(c)(3)	21,939	Research Subrecipient
(6) Bethel School District 403 516 176th St E Spanaway,WA98387	91-0832829	Government	38,400	Breaking Down Barriers To Food Access
(7) Board Of Regents Univ Of Wisconsin 1 Fen Oak Ct Madison,WI53718	39-1946077	501(c)(3)	91,300	Research Subrecipient
(8) Boston Medical Center Corporation 960 Massachusetts Ave Boston,MA02118	04-3314093	501(c)(3)	97,882	Research Subrecipient
(9) Brandeis University Po Box 549110 Ms035 Waltham,MA02454	04-2103552	501(c)(3)	66,887	Research Subrecipient
(10) Childrens Hospital Medical Center 3333 Burnet Ave Cincinnati,OH45229	31-0833936	501(c)(3)	44,014	Research Subrecipient
(11) City Year Inc 287 Columbus Ave Boston,MA02116	22-2882549	501(c)(3)	15,000	Project Support
(12) Common Future 2323 Broadway Oakland,CA94612	20-1544255	501(c)(3)	90,000	Equitable And Affordable Lending Programs To Build
(13) Essentia Institute Of Rural Health 502 E 2nd Street Duluth,MN55805	27-1291124	501(c)(3)	37,389	Research Subrecipient
(14) Familyworks Po Box 85420 Seattle,WA98145	91-1757277	501(c)(3)	122,991	School-based Family Resource Centers At Seattle Pu
(15) Feeding Feasible Feasts 1509 97th Avenue Ct E Edgewood,WA98371	85-3289326	501(c)(3)	105,168	Breaking Down Barriers To Food Access
(16) Franklin Pierce School District No 402 315 129th St S Tacoma,WA98444	91-6014726	Government	110,900	Farming Land, Self, And Community At The Farm At F
(17) Fred Hutchinson Cancer Center 1100 Fairview Ave N Seattle,WA98109	23-7156071	501(c)(3)	55,563	Research Subrecipient
(18) Gapps 19009 33rd Ave W 200 Lynnwood,WA98036	81-4625437	501(c)(3)	103,068	Research Subrecipient
(19) Georgia State University PO Box 3999 Atlanta,GA30302	58-1845423	Government	19,688	Research Subrecipient
(20) Global To Local Health Initiative 2800 S 192nd St 104 Seatac,WA98188	27-3133200	501(c)(3)	10,000	Food Access Through Heart Bucks
(21) Harvard Pilgrim Health Care Inc 401 Park Drive 401 Boston,MA02215	04-2452600	501(c)(3)	48,003	Research Subrecipient
(22) Healthpartners Institute 8170 33rd Avenue S Minneapolis,MN55425	41-1670163	501(c)(3)	198,111	Research Subrecipient
(23) Henry Ford Health System One Ford Place Detroit,MI48202	38-1357020	501(c)(3)	43,443	Research Subrecipient
(24) Hmh Hospitals Corporation 40 Prospect Ave Rm 212 Hackensack,NJ07601	01-0649794	501(c)(3)	36,959	Research Subrecipient
(25) Ica Group Inc 136 West St 1 Northampton,MA01060	04-2628399	501(c)(3)	10,000	Project Support
(26) Icahn School Of Medicine At Mount Sinai 1 Gustave L Levy Pl New York,NY10029	13-6171197	501(c)(3)	23,973	Research Subrecipient
(27) Indiana University 720 Eskenazi F2 621 Indianapolis,IN46202	35-6001673	Government	658,983	Research Subrecipient
(28) Institute For Accountable Care 2001 L St Nw 500 Washington,DC20036	82-2461803	501(c)(3)	28,857	Research Subrecipient
(29) Institute For Family Health 2006 Madison Ave New York,NY10035	13-3273402	501(c)(3)	422,352	Research Subrecipient
(30) Local Initiatives Support Corp 28 Liberty St Fl 34 New York,NY10005	13-3030229	501(c)(3)	150,000	Skyway And Casino Road Inclusive Economic Developm
(31) March Of Dimes Inc Po Box 18819 Atlanta,GA31126	13-1846366	501(c)(3)	10,000	Project Support
(32) Marshfield Clinic Inc 1000 N Oak Ave Marshfield,WI54449	46-1495343	501(c)(3)	135,352	Research Subrecipient
(33) Mary Hitchcock Memorial Hospital 1 Medical Center Dr Lebanon,NH03756	02-0222140	501(c)(3)	26,436	Research Subrecipient
(34) Medical University Of South Carolina Fdn 18 Bee Street Charleston,SC29425	57-6028985	501(c)(3)	9,644	Research Subrecipient
(35) Montana State University Po Box 172470 Bozeman,MT59717	81-6010045	Government	10,738	Research Subrecipient
(36) Nat'l Alliance on Medical Illness of WA 1107 Ne 45th 330 Seattle,WA98105	91-1689067	501(c)(3)	214,901	Advancing Mental Health Education For And About Yo
(37) Nationwide Children's Hospital 700 Childrens Dr Columbus,OH43205	01-0782751	501(c)(3)	8,429	Research Subrecipient
(38) Northeastern University 360 Huntington Ave Boston,MA02115	04-1679980	501(c)(3)	313,480	Research Subrecipient
(39) Palo Alto Medical Foundation Po Box 255448 Sacramento,CA95865	94-1156581	501(c)(3)	48,856	Research Subrecipient
(40) Panorama Global 2101 4th Ave 2100 Seattle,WA98121	81-4204119	501(c)(3)	20,000	Behavioral Health Catalyst (Bh Catalyst)
(41) Pierce County Project Access 4301 S Pine St 455 Tacoma,WA98409	27-1185895	501(c)(3)	50,000	Project Support
(42) Project Access Northwest 200 Broadway 202 Seattle,WA98122	20-4377921	501(c)(3)	280,000	Specialty Care Coordination
(43) Rand Corporation 1776 Main Street Santa Monica,CA90407	95-1958142	501(c)(3)	213,162	Research Subrecipient
(44) Regents of the University of Michigan 3003 S State St Ann Arbor,MI48109	38-6006309	501(c)(3)	52,314	Research Subrecipient
(45) Regents Of The University Of California 550 16th St 4fl San Francisco,CA94143	95-2226406	501(c)(3)	1,163,537	Research Subrecipient
(46) Regents Of The University Of Colorado 1800 N Grant St 400 Denver,CO80203	84-6000555	501(c)(3)	55,063	Research Subrecipient
(47) Seattle Childrens Hospital Po Box 5371 ms S219a Seattle,WA98145	91-0564748	501(c)(3)	1,136,491	Research Subrecipient
(48) Seattle School District 2445 3rd Ave S Seattle,WA98134	91-6001541	Government	76,266	School-based Family Resource Centers At Seattle Pu
(49) Seiu Healthcare 1199nw 15 S Grady Way 321 Renton,WA98057	80-0377196	501(c)(3)	283,795	Healthcare Career Pathway Expansion And Sustainabi
(50) Southcentral Foundation 7033 E Tudor Rd Anchorage,AK99507	92-0086076	501(c)(3)	131,419	Research Subrecipient
(51) Spokane Regional Health District 1101 W College Ave Spokane,WA99201	91-1527532	Government	15,000	2025 Spokane County Quality Of Life Survey
(52) Sutter West Bay Hospitals 2200 River Plaza Dr Sacramento,CA95833	94-0562680	501(c)(3)	496,923	Research Subrecipient
(53) Swedish Health Services Po Box 35143 Seattle,WA98124	91-0433740	501(c)(3)	96,683	Research Subrecipient
(54) Trustees Of Boston University 881 Commonwealth Ave Boston,MA02215	04-2103547	501(c)(3)	26,648	Research Subrecipient
(55) Trustees Of Columbia Univ - NY 651 W 131st St 8741 New York,NY10027	91-1859360	501(c)(3)	97,593	Research Subrecipient
(56) Trustees Of Purdue University 23510 Network Pl Chicago,IL60673	85-2621478	501(c)(3)	128,788	Research Subrecipient
(57) Tufts Medical Center Inc 800 Washington St Unit 453 Boston,MA02111	27-0440772	501(c)(3)	25,100	Research Subrecipient
(58) Univ Of Vermont & St Agricultural College Po Box 1389 Williston,NY05495	45-1556038	501(c)(3)	17,624	Research Subrecipient
(59) University of Pittsburgh 4200 Fifth Ave Pittsburgh,PA15260	25-0965591	Government	8,833	Research Subrecipient
(60) University of Washington 1410 NE Campus Parkway Seattle,WA98195	91-6001537	Government	3,716,508	Research Subrecipient
(61) University Of Arkansas Fayetteville 535 W Research Ctr Fayetteville,AR72701	47-0872543	Government	21,103	Research Subrecipient
(62) University Of Arkansas For Medical Sciences 4301 W Markham S560 Little Rock,AR72205	71-6046242	501(c)(3)	89,539	Research Subrecipient
(63) University Of Chicago 6054 S Drexel 300 Chicago,IL60637	36-2177139	501(c)(3)	24,958	Research Subrecipient
(64) University Of Maryland Baltimore 201 W Preston St Fl 5 Baltimore,MD21201	52-6002033	Government	138,827	Research Subrecipient
(65) University Of New Mexico 1 University N Mexico Albuquerque,NM87131	85-0275408	Government	12,356	Research Subrecipient
(66) University Of Pennsylvania 3451 Walnut St Philadelphia,PA19104	23-1352685	501(c)(3)	160,891	Research Subrecipient
(67) Washington Poison Center 155 Ne 100th St 100 Seattle,WA98125	94-3214597	501(c)(3)	6,000	Providing Equal Healthcare Access
(68) Washington School-based Health Alliance Po Box 16035 Seattle,WA98116	45-0937382	501(c)(3)	24,999	Expanding And Improving School-based Health Care I
(69) Weill Medical College Of Cornell Po Box 22371 New York,NY10087	13-1623978	for-profit	83,086	Research Subrecipient

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

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

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

Cat. No. 50055P

Schedule I (Form 990) Rev. 1-2025

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 Grantees submit reports using Kaiser Permanente's online grants management system. Grantees are required to report on grant outcomes and performance metrics bi-annually or annually based on the grant term and grant amount. Grantees may be requested to participate in interviews or focus groups as part of KP's evaluation activities.

Schedule I (Form 990) Rev. 1-2025

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

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) (Rev. 1-2025)

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 ------------- 2,195,616	0 ------------- 9,348,865	0 ------------- 1,245,330	0 ------------- 152,508	0 ------------- 33,731	0 ------------- 12,976,050	0 ------------- 0
2Kimberly Horn EVP, Group President, MOC	(i) (ii)	0 ------------- 26,092	0 ------------- 2,984,810	0 ------------- 2,667,896	0 ------------- 793,971	0 ------------- 1,539	0 ------------- 6,474,308	0 ------------- 0
3Janet Liang EVP, Group President & COO	(i) (ii)	0 ------------- 1,312,190	0 ------------- 2,487,529	0 ------------- 522,301	0 ------------- 643,461	0 ------------- 46,224	0 ------------- 5,011,705	0 ------------- 0
4Kathryn Lancaster EVP & CFO	(i) (ii)	0 ------------- 1,322,140	0 ------------- 2,987,353	0 ------------- 540,609	0 ------------- 132,955	0 ------------- 21,030	0 ------------- 5,004,087	0 ------------- 0
5Brandon Cuevas EVP, Health Plan	(i) (ii)	0 ------------- 1,314,589	0 ------------- 345,958	0 ------------- 1,851,455	0 ------------- 807,302	0 ------------- 35,574	0 ------------- 4,354,878	0 ------------- 0
6Vanessa Benavides EVP,Chief Legal Officer & Secy	(i) (ii)	0 ------------- 741,798	0 ------------- 1,068,967	0 ------------- 326,292	0 ------------- 463,381	0 ------------- 22,753	0 ------------- 2,623,191	0 ------------- 197,032
7Andrew Bindman EVP, Chief Medical Officer	(i) (ii)	0 ------------- 780,529	0 ------------- 728,079	0 ------------- 36,809	0 ------------- 1,019,704	0 ------------- 29,087	0 ------------- 2,594,208	0 ------------- 0
8Angela Dowling Region President - WA	(i) (ii)	0 ------------- 861,551	0 ------------- 306,092	0 ------------- 376,709	0 ------------- 891,661	0 ------------- 45,096	0 ------------- 2,481,109	0 ------------- 268,333
9David Thomason SVP,Corporate Controller & CAO	(i) (ii)	0 ------------- 477,195	0 ------------- 232,034	0 ------------- 1,011,236	0 ------------- 75,665	0 ------------- 14,945	0 ------------- 1,811,075	0 ------------- 0
10Thomas Meier SVP, Corporate Treasurer	(i) (ii)	0 ------------- 607,868	0 ------------- 766,177	0 ------------- 128,483	0 ------------- 112,281	0 ------------- 26,165	0 ------------- 1,640,974	0 ------------- 0
11Alfonse Upshaw SVP, CFO - NCAL	(i) (ii)	0 ------------- 550,885	0 ------------- 644,452	0 ------------- 45,188	0 ------------- 183,201	0 ------------- 37,577	0 ------------- 1,461,303	0 ------------- 0
12Rebecca Williams Interim CFO	(i) (ii)	0 ------------- 441,731	0 ------------- 347,155	0 ------------- 35,182	0 ------------- 276,882	0 ------------- 32,528	0 ------------- 1,133,478	0 ------------- 0
13Arthur Southam EVP, Health Plan Ops & CGO	(i) (ii)	0 ------------- 0	0 ------------- 1,110,796	0 ------------- 9,887	0 ------------- 0	0 ------------- 0	0 ------------- 1,120,683	0 ------------- 0
14Mark Zemelman SVP, General Counsel & Secy	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 257,774	0 ------------- 799,702	0 ------------- 0	0 ------------- 1,057,476	0 ------------- 0
15Pamela Warren VP, HPSA - WA	(i) (ii)	0 ------------- 188,194	0 ------------- 146,732	0 ------------- 407,115	0 ------------- 177,890	0 ------------- 12,063	0 ------------- 931,994	0 ------------- 158,740
16Christine Lindsey VP, FP&A	(i) (ii)	0 ------------- 35,694	0 ------------- 125,935	0 ------------- 784,728	0 ------------- -35,010	0 ------------- 3,789	0 ------------- 915,136	0 ------------- 105,330
17Ryan Jenson Interim Corp Controller & CAO	(i) (ii)	0 ------------- 366,261	0 ------------- 317,919	0 ------------- 79,335	0 ------------- 99,350	0 ------------- 34,183	0 ------------- 897,048	0 ------------- 46,820
18Jocelynne McAdory VP, Human Resources -WA Market	(i) (ii)	0 ------------- 317,576	0 ------------- 200,903	0 ------------- 92,086	0 ------------- 128,901	0 ------------- 20,559	0 ------------- 760,025	0 ------------- 0
19Rita Mangione-Smith VP,Resch/Healthcare Innovation	(i) (ii)	0 ------------- 404,865	0 ------------- 176,117	0 ------------- 21,821	0 ------------- 102,941	0 ------------- 24,189	0 ------------- 729,933	0 ------------- 0
20Todd Hesse VP, Sales & Acct Mgmt	(i) (ii)	0 ------------- 333,444	0 ------------- 155,894	0 ------------- 60,791	0 ------------- 142,490	0 ------------- 25,395	0 ------------- 718,014	0 ------------- 0
21Christina Lockwood Assistant Secretary	(i) (ii)	0 ------------- 346,992	0 ------------- 174,554	0 ------------- 41,081	0 ------------- 107,957	0 ------------- 27,382	0 ------------- 697,966	0 ------------- 0
22Shawna Sweeney Assistant Secretary	(i) (ii)	0 ------------- 332,383	0 ------------- 224,102	0 ------------- 20,611	0 ------------- 83,286	0 ------------- 34,109	0 ------------- 694,491	0 ------------- 0
23John Bry VP, CFO - Washington	(i) (ii)	0 ------------- 384,142	0 ------------- 21,758	0 ------------- 170,816	0 ------------- 55,359	0 ------------- 34,218	0 ------------- 666,293	0 ------------- 0
24Ian Gordon COO, Health Plan	(i) (ii)	0 ------------- 430,636	0 ------------- 66,435	0 ------------- 52,188	0 ------------- 75,792	0 ------------- 19,502	0 ------------- 644,553	0 ------------- 0
25Ann Allen VP, COO	(i) (ii)	0 ------------- 0	0 ------------- 185,689	0 ------------- 429,886	0 ------------- 0	0 ------------- 0	0 ------------- 615,575	0 ------------- 16,483
26Alacia Broussard VP, Contracting Strategy	(i) (ii)	0 ------------- 346,673	0 ------------- 100,303	0 ------------- 17,867	0 ------------- 63,369	0 ------------- 37,470	0 ------------- 565,682	0 ------------- 0
27Donald Orndoff SVP, NFS	(i) (ii)	0 ------------- 0	0 ------------- 235,980	0 ------------- 313,230	0 ------------- 0	0 ------------- 0	0 ------------- 549,210	0 ------------- 0
28Julie Lindberg VP, Care and Utilization Mgmt	(i) (ii)	0 ------------- 330,962	0 ------------- 65,264	0 ------------- 66,366	0 ------------- 63,327	0 ------------- 23,263	0 ------------- 549,182	0 ------------- 0
29Justin Evander VP, Hospital & Ancillary Svcs	(i) (ii)	0 ------------- 356,957	0 ------------- 61,276	0 ------------- 17,044	0 ------------- 82,002	0 ------------- 28,493	0 ------------- 545,772	0 ------------- 0
30April Coiteux VP, MSBD	(i) (ii)	0 ------------- 291,300	0 ------------- 53,344	0 ------------- 48,188	0 ------------- 56,829	0 ------------- 29,664	0 ------------- 479,325	0 ------------- 0
31Jennifer Keosky VP, Consumer Experience	(i) (ii)	0 ------------- 219,823	0 ------------- 35,271	0 ------------- 39,430	0 ------------- 59,293	0 ------------- 20,554	0 ------------- 374,371	0 ------------- 0
32Judith A Johansen JD Director	(i) (ii)	18,000 ------------- 297,000	0 ------------- 0	0 ------------- 0	0 ------------- 40,485	0 ------------- 0	18,000 ------------- 337,485	0 ------------- 0
33Hong-Sze Yu VP, Brd & Corp Gov & Asst Secy	(i) (ii)	0 ------------- 46,282	0 ------------- 198,720	0 ------------- 62,087	0 ------------- 2,338	0 ------------- 5,805	0 ------------- 315,232	0 ------------- 44,787
34Ramon F Baez Director	(i) (ii)	17,000 ------------- 245,000	0 ------------- 0	0 ------------- 17,143	0 ------------- 30,645	0 ------------- 0	17,000 ------------- 292,788	0 ------------- 0
35Maryann Bodayle Assistant Secretary	(i) (ii)	0 ------------- 185,512	0 ------------- 17,770	0 ------------- 2,348	0 ------------- 38,740	0 ------------- 12,620	0 ------------- 256,990	0 ------------- 0
36Laurie Guariglia VP, Business Info Officer - WA	(i) (ii)	0 ------------- 0	0 ------------- 46,873	0 ------------- 112,105	0 ------------- 0	0 ------------- 0	0 ------------- 158,978	0 ------------- 105,840
37Karen Schartman VP, CFO & Strategy - WA	(i) (ii)	0 ------------- 0	0 ------------- 100,704	0 ------------- 4,485	0 ------------- -124,919	0 ------------- 0	0 ------------- -19,730	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

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	Kimberly Horn $1,757,734 Mark Zemelman $ 244,000 Pamela Warren $ 215,274 Christine Lindsey $ 463,683 Ann Allen $ 413,149 Donald Orndoff $ 313,141 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 $1,053,099 Kimberly Horn $ 402,922 Janet Liang $ 468,410 Kathryn Lancaster $ 476,638 Vanessa Benavides $ 269,030 Thomas Meier $ 87,285 Pamela Warren $ 179,566 Christine Lindsey $ 212,878 Ryan Jenson $ 62,699 Hong-Sze Yu $ 56,362 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, 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 B(iii)	A PORTION OF THE SEVERANCE PAYMENTS INCLUDED AS REPORTABLE COMPENSATION IN SCHEDULE J, PART II, COLUMN B(iii) WAS NOT PREVIOUSLY DISCLOSED IN SCHEDULE J, PART II, COLUMN C IN THE YEAR OF SEPARATION. ALL RELATED SEVERANCE AMOUNTS PREVIOUSLY PAID WERE PROPERLY REPORTED IN PRIOR YEAR'S SCHEDULE J AND FORM 990, PART VII.

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)
(Rev. January 2025)

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

OMB No. 1545-0047

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. ........................... $

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

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) (Rev. 1-2025)

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	127,980	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) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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 Kaiser Permanente 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 12.4 million members in 8 states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists, and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery, and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education, and the support of community health. 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. We invest in our communities to help improve health, health equity, and well-being. This means addressing all the factors that affect health, such as having a safe place to live, enough money to pay the bills, and access to healthy meals. Kaiser Permanente community investments and partnerships address the factors that impact health and well-being. Addressing these challenges requires prioritization of interventions that measurably reduce health disparities focused on changes at the individual, community, and systems levels. C. Kaiser Permanente's Total Contribution Kaiser Permanente provided $4 billion in 2024 to improve the health of our communities. The amount attributable to Kaiser Foundation Health Plan of Washington is $110.7 million as follows: - Financial Assistance at cost - $41M - Medicaid - $40.5M - Community health improvement services and community benefit operations- $3.2M - Health Professions Education - $9M - Research - $13.6M - Cash and in-kind contributions from community benefit - $4M 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.
II.Health Access for Individuals	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. 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 are working to change that with programs that lower financial barriers by providing 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 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. Medicaid, CHIP and other government programs 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. KP is committed to removing disparities in access to coverage and health outcomes. Kaiser Permanente's organizational strategies enable individuals with low incomes to obtain and/or retain health coverage through Medicaid, CHIP or other government programs. At the end of 2024, Kaiser Foundation Health Plan of Washington was providing care to over 26,000 people through its Medicaid Managed Care contracts with other health plans. Kaiser Permanente also 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 2024 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. B. Medical Financial Assistance (MFA) KP's Medical Financial Assistance program (MFA) improves health care access for people with limited incomes and resources and is fundamental to Kaiser Permanente's mission. Our MFA program 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 2024, Kaiser Foundation Health Plan of Washington subsidized care for over 37,000 people through the MFA program. C. Safety-Net Partnerships Kaiser Permanente improves quality and expands access, particularly through collective capacity building, by establishing 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. Strengthening the safety net advances our mission to improve the conditions for health in the community. Our communities' most vulnerable populations 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 for low-income patients including people experiencing homelessness. Kaiser Foundation Health Plan of Washington continued its partnership with Project Access Northwest (PANW) to support the organization's specialty care coordination program, which serves individuals in King, Kitsap, and Snohomish counties of Washington state who live at or below 300% of the federal poverty level. This partnership will support 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.
III.Community Conditions for Health	At Kaiser Permanente, we are working to improve the conditions for health in communities by addressing the root causes of health, such as affordable housing, safe and supportive schools, and a healthy environment. These improvements grow from our collaboration with each community to co-design and co-create solutions that make a positive impact. 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 directly impacting their health outcomes. Kaiser Permanente recognizes that we can support economic opportunity in local communities through how we hire, purchase, build our facilities and provide grant support to partner organizations. Some ways that we are 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 that provides capital to support inclusive economic development and affordable housing projects. - Purchasing goods and services from local small businesses. - Building new facilities with an emphasis on positive local community impact, including neighborhood revitalization, and deep community engagement. - Partnering with community organizations to build capacity of local small businesses. In addition, Kaiser Permanente is working to expand access to career pathways in health care, especially for people who have historically faced gaps in income and earning potential. We support programs and initiatives that provide exposure, education, experience and employment opportunities in health care careers, with an emphasis on mental health. This includes helping professionals graduate into allied health careers, public health fellowship opportunities, and support for higher education and job training programs. Kaiser Foundation Health Plan of Washington partnered with Local Initiatives Support Corporation (LISC) as part of its continuous effort to support Small Business Growth in two communities in Washington: Skyway (Seattle) and Casino Road (Everrett). LISC is working with local community-based organizations to build neighborhood resilience through direct individual interventions and/or systems-level interventions by supporting entrepreneurs to launch, sustain, and grow small businesses. This collaboration addresses critical service gaps, supports community-identified priorities, and empowers underserved populations whose priorities include food sovereignty, affordable housing, and the creation of a community resource center. Kaiser Foundation Health Plan of Washington also collaborated with SEIU 1199NW Multi-Employer Training and Education Fund to collaborate with cross-sector stakeholders to expand promising and innovative work-based learning and apprenticeship opportunities. This partnership will support efforts to 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 career advancement, while embedding financial literacy and coaching to promote upward mobility and financial security for participants. B. Housing Without a safe place to call home, it's nearly impossible to focus on basic health and medical needs. For years, Kaiser Permanente has led efforts to end homelessness and preserve affordable housing. We do this by investing in solutions, helping shape public policy, and forming innovative partnerships. Inadequate housing contributes to several health problems, including chronic diseases, injuries, and poor mental health. Housing security is a crucial health issue for disadvantaged populations, such as low-income communities. Kaiser Permanente is working to bridge the unique strengths of the health and housing sectors to solve housing insecurity and thereby improve equitable conditions for health in communities where Kaiser Permanente provides care.
C.Thriving Schools	At Kaiser Permanente, we are 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 K-12 school systems to be 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, and social health. Kaiser Foundation Health Plan of Washington continued its partnership with NAMI Washington to support school districts in under-resourced communities with improving the health and well-being of students, staff, teachers, and families. This partnership will focus on reducing stigma around mental health for youth and young adults, increasing awareness and the ability of adults to identify and respond to mental health conditions, and enhancing mental health support in school communities by integrating NAMI and Thriving Schools resources. Kaiser Foundation Health Plan of Washington also worked closely with Alliance for a Healthier Generation, Inc. to support school districts in under-resourced communities across Washington with implementing policy, systems, and environmental changes that will improve the health and well-being of students, staff, teachers, and families. This partnership supports improved overall health and wellbeing of teachers and staff, inclusive of reduced stress and burn out and improved physical health, improved connectedness, engagement, and relationships among students, teachers, staff, families, and community. Also, Alliance for a Healthier Generation, Inc. will help to increase skills related to social-emotional and physical well-being among teachers, staff, students, and families. D. Food and Nutrition Security Kaiser Permanente's comprehensive approach to food and nutrition security includes transforming the economic, social, and policy environments connected to food so that people across the nation can access and afford healthy food. To help address the food needs of its communities, Kaiser Permanente has invested in 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. We also joined health and nutrition experts from around the country to share results and best practices about Food is Medicine programs to advance the evidence base for food and nutrition programs in health care and establish food-based interventions as standard health care practices. We launched the Kaiser Permanente Food Is Medicine Center of Excellence in 2024 to further integrate our evidence-based food and nutrition interventions into our care model. Kaiser Foundation Health Plan of Washington partnered with community-based organizations and school districts statewide to enhance food security in underserved communities. This collaboration aims to create sustainable food access solutions for families in under-resourced areas. Program support includes individualized enrollment for food assistance programs such as SNAP and WIC, equitable access to afterschool and summer food distribution sites, and the integration of fresh, culturally appropriate foods into district meal patterns reimbursable by the USDA. E. Healthcare Workforce Development Our health professions education programs include both physician training programs like Graduate Medical Education (GME) and non-physician training programs (i.e., residency programs). Our GME program provides training and education for medical residents and interns in the interest of educating the next generation of physicians. Residents are offered the opportunity to serve a large, culturally diverse member and 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.
IV.Advancing Public Health Systems	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. 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. Kaiser Permanente established the Kaiser Permanente Center for Gun Violence Research and Education in 2022, in recognition of increasing gun violence and its devastating effects on the health of communities across the U.S. As part of the launch, the center awarded a series of grants to organizations focused on reducing the incidence and impact of gun violence in the U.S., laying the groundwork for the center's future collaborative work. The center supports subsequent expansion of the center is part of Kaiser Permanente's longstanding commitment to addressing violence as a public health issue. Through the center, we will continue to support research into the causes of and interventions for firearm injuries with the same rigor and clinical expertise that we use to study and prevent strokes, cancer, heart disease, and other leading causes of death. Kaiser Permanente is also committed to strengthening our public health system and ensuring the U.S. health system is well-equipped to respond to future public health emergencies. In collaboration with key partners, Kaiser Permanente is striving to build a more resilient public health system by improving the connections between public health, health care, and community-based organizations, and by establishing a public health research agenda. Creating a strong healthcare ecosystem that works effectively with the nation's public health system is a key mechanism for improving community health. Everyone has a role to play in supporting and enhancing public health in the U.S. Kaiser Permanente is proud to rally for public health with partners across industries through investments, engagement, and coalition building. A. Climate and Health At Kaiser Permanente, we believe it is our responsibility to improve the health of the people who live in the communities we serve, protect the environment, and to minimize our environmental impact. This includes how we operate our facilities, support the health of communities, and invest in our communities. We have set ambitious goals to drive both internal and private sector action. 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 prioritize reducing greenhouse gas emissions to lower our carbon footprint and lower the environmental impact on the health of the communities Kaiser Permanente serves. In 2024, we dedicated 35.58% of overall spending on products to items that met our Environmentally Preferable Purchasing standards and ensured 100% of our overall operations were powered by onsite and offsite renewable electricity. B. 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 2024, Kaiser Permanente's research programs engaged in almost 296 active studies (including 21 clinical trials) and published 284 journal articles. Our Community Benefit investments supported the following research: The Kaiser Permanente Washington Health Research Institute (KPWHRI) was established in 1983 and prioritizes studies on health and health care on addictions, aging and geriatrics, cancer prevention, screening, and treatment, child and adolescent health, chronic disease management, medication use and patient safety, mental health, social determinants of health, vaccines, and infectious diseases. In 2024, the Kaiser Permanente Washington Health Research Institute published several research studies, a summary of one publication includes: Adapting clinical care decisions for patient-reported social risks is essential to patient-centered care. Most research in this area focuses on awareness and assistance (social-needs-targeted care), such as screening and referral to food, financial, and other resources. There is limited evidence for social risk-informed care - adapting care for social risks. In a study published in the Permanente Journal, researchers describe a process to build a novel, adjustment-focused continuing medical education course. Existing evidence on contextualized care and shared decision making informed a general framework for primary care providers to engage in awareness and adjustment activities. The authors recommend that multiple stakeholder perspectives be incorporated and conclude that education complemented by active, nuanced, flexible implementation strategies may be necessary for the successful uptake of care-delivery-based social health integration activities.
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 ELECTS 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 11B	FORM 990 REVIEW PROCESS 1. KEY INFORMATION NECESSARY FOR THE PREPARATION OF THE TAX RETURN IS OBTAINED AND/OR CONFIRMED WITH INTERNAL SOURCES INCLUDING REGIONAL FINANCE, EXECUTIVE COMPENSATION, COMMUNITY HEALTH DEPARTMENT, TREASURY, GOVERNMENT RELATIONS, AND LEGAL. 2. PRIOR TO FINALIZATION, THE RETURN IS REVIEWED BY AN EXTERNAL TAX ADVISOR. 3. ONCE SIGNED BY AN EXTERNAL TAX ADVISOR, THE RETURN AND UNDERLYING DATA ARE REVIEWED BY AN OFFICER OR A MEMBER OF MANAGEMENT DESIGNATED BY AN OFFICER FOR SIGNATURE AND FILING. 4. COPIES ARE THEN PROVIDED TO BOARD MEMBERS PRIOR TO FILING.
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 Ethics and Compliance Hotline or Webline is available to all employees, vendors, contractors, and agents to anonymously report actual or perceived conflicts of interest. The Hotline is managed by a third party; however, reported conflicts of interest allegations are provided to Ethics and Compliance for investigation, and if required, corrective actions are taken to address the conflict of interest. Employees are prohibited from retaliating against or intimidating anyone who reports concerns in good faith or refuse to participate in wrongdoing. Executive Disclosure Process - Executives are required to fill out a disclosure form upon their hiring or promotion to this level. Any necessary actions, such as requesting additional information from the Executive, are handled in compliance with established policies and written standards. Responses and actions regarding conflicts of interest are documented within our record-keeping system for tracking and reporting purposes. Annual Disclosure Process - Annually, Directors, Officers, Key Employees, Executives, and other employees in roles with elevated risk (e.g., research investigator, managers and supervisors with funds disbursement authority, or sales consultants) are required to complete a Conflicts of Interest Disclosure form. 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 in our system of record 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 on 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 conflicts of interest disclosure 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 - The following general awareness and enforcement guidelines are followed: - Interactive conflicts of interest scenarios, and the Conflicts of Interest and Corrective or Disciplinary Action policies are provided and reviewed as part of the general annual ethics and compliance training, and compliance training for new employees. - Employees who complete the training are provided learning boosters which occur 2 days, 2 weeks, and 2 months after the course to help retain and apply learning. - The Conflicts of Interest Policy is reviewed and attested to by those selected to complete the annual disclosure form. - Conflict of interest topics (e.g., how to disclose conflict of interest situations, examples of conflicts of interest, etc.) are included in annual Ethics and Compliance week's activities. - Road shows are conducted throughout the year to educate employees in elevated risk departments, such as Community Health, on conflicts of interest situations. - Represented employees are subject to corrective or 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, policies and procedures, the Code of Ethical 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	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 VI, LINE 19	These documents are made available when regulatorily required.
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 $ (24,129) CHANGE IN PENSION & RETIREMENT LIABILITIES 37,611,875 OTHER THAN TEMPORARY IMPAIRMENTS (11,408,158) GAIN/LOSS ON SALE OF INVESTMENTS - BOOK 27,568,149 GAIN/LOSS ON SALE OF INVESTMENTS - TAX 22,151,776 ------------------ $ 75,899,513

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

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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

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 FL Oakland,CA94612 94-1105628	Health Care	CA	501(c)(3)	3	NA		No
(2)Kaiser Foundation Health Plan Inc One Kaiser Plaza - 26th FL Oakland,CA94612 94-1340523	Health Care	CA	501(c)(3)	10	NA		No
(3)Kaiser Fdn Health Plan of Colorado One Kaiser Plaza - 26th FL Oakland,CA94612 84-0591617	Health Care	CO	501(c)(3)	10	KFHP Inc		No
(4)Kaiser Fdn Health Plan of Georgia Inc One Kaiser Plaza - 26th FL Oakland,CA94612 58-1592076	Health Care	GA	501(c)(3)	10	KFHP Inc		No
(5)Kaiser Foundation Health Plan of the MAS One Kaiser Plaza - 26th FL Oakland,CA94612 52-0954463	Health Care	MD	501(c)(3)	10	KFHP Inc		No
(6)Kaiser Fdn Health Plan of the Northwest One Kaiser Plaza - 26th FL Oakland,CA94612 93-0798039	Health Care	OR	501(c)(3)	10	KFHP Inc		No
(7)Kaiser Hospital Asset Management Inc One Kaiser Plaza - 26th FL Oakland,CA94612 94-3299125	Asset Mgmt	CA	501(c)(3)	12-I	KFH		No
(8)Kaiser Health Plan Asset Management Inc One Kaiser Plaza - 26th FL Oakland,CA94612 94-3299124	Asset Mgmt	CA	501(c)(3)	12-I	KFHP Inc		No
(9)Camp Bowie Service Center One Kaiser Plaza - 26th FL Oakland,CA94612 94-3299123	Admin	CA	501(c)(3)	12-I	KFHP Inc		No
(10)Lokahi Assurance LTD One Kaiser Plaza - 26th FL Oakland,CA94612 91-2171891	WC Placement	HI	501(c)(3)	12-I	KFHP Inc		No
(11)1800 Harrison Foundation One Kaiser Plaza - 26th FL Oakland,CA94612 94-3317484	Financing	CA	501(c)(3)	12-I	KFHP Inc		No
(12)Kaiser Hospital Assistance Corporation One Kaiser Plaza - 26th FL Oakland,CA94612 31-1779500	Financing	CA	501(c)(3)	12-I	KFH		No
(13)Kaiser Health Alternatives One Kaiser Plaza - 26th FL Oakland,CA94612 93-0954562	Health Care	OR	501(c)(3)	10	KFHP Inc		No
(14)KP Bernard J Tyson School of Medicine One Kaiser Plaza - 26th FL Oakland,CA94612 81-4053028	Medical Educa	CA	501(c)(3)	2	KFH		No
(15)KFHPW Holdings One Kaiser Plaza - 26th FL Oakland,CA94612 93-0480268	Health Care	WA	501(c)(3)	12-I	KFHP Inc		No
(16)Group Health Northwest One Kaiser Plaza - 26th FL Oakland,CA94612 91-1216856	Inactive	WA	501(c)(3)	12-I	KFHP of WA	Yes
(17)Kaiser Fdn For The Adv of Integrated HC One Kaiser Plaza - 26th FL Oakland,CA94612 82-3819611	Advocacy	CA	501(c)(4)	N/A	KFHP Inc		No
(18)Kaiser Fdn Health Plan of Nevada Inc One Kaiser Plaza - 26th FL Oakland,CA94612 37-2097870	Health Care	DE	501(c)(4)	N/A	KFHP Inc		No
(19)KP Medical Foundation One Kaiser Plaza - 26th FL Oakland,CA94612 92-0685740	Health Care	DE	501(c)(3)	12-I	KFHP Inc		No
(20)KFH Holdings Inc One Kaiser Plaza - 26th FL Oakland,CA94612 88-4172095	Holding Co	DE	501(c)(3)	12-I	KFH		No
(21)Risant Health Inc One Kaiser Plaza - 26th FL Oakland,CA94612 92-3467590	Health Care	DE	501(c)(3)	12-I	NA		No
(22)Geisinger Health 100 N Academy Ave MC 49-70 Danville,PA17822 23-1995911	Philanthropy	PA	501(c)(3)	7	Risant Hlth		No
(23)Community Medical Center 100 N Academy Ave MC 49-70 Danville,PA17822 24-0862246	Health Care	PA	501(c)(3)	3	GH		No
(24)Geisinger-Bloomsburg Hospital 100 N Academy Ave MC 49-70 Danville,PA17822 23-2193572	Health Care	PA	501(c)(3)	3	GH		No
(25)Geisinger Clinic 100 N Academy Ave MC 49-70 Danville,PA17822 23-6291113	Health Care	PA	501(c)(3)	3	GH		No
(26)Geisinger Commonwealth Sch of Medicine 100 N Academy Ave MC 49-70 Danville,PA17822 26-0812968	Medical Edu	PA	501(c)(3)	2	GH		No
(27)Geisinger Community Health Services 100 N Academy Ave MC 49-70 Danville,PA17822 23-2967235	Health Care	PA	501(c)(3)	10	GSS		No
(28)Geisinger Health Plan 100 N Academy Ave MC 49-70 Danville,PA17822 23-2311553	Health Care	PA	501(c)(4)	N/A	GH		No
(29)Geisinger Insurance Corporation RRG 100 N Academy Ave MC 49-70 Danville,PA17822 14-1909894	Insurance	VT	501(c)(3)	12-I	GH		No
(30)Geisinger Jersey Shore Hospital 100 N Academy Ave MC 49-70 Danville,PA17822 24-0792115	Health Care	PA	501(c)(3)	3	GH		No
(31)Geisinger-Lewistown Hospital 100 N Academy Ave MC 49-70 Danville,PA17822 23-1352187	Health Care	PA	501(c)(3)	3	GH		No
(32)Geisinger Medical Center 100 N Academy Ave MC 49-70 Danville,PA17822 24-0795959	Health Care	PA	501(c)(3)	3	GH		No
(33)Geisinger Medical Center Muncy 100 N Academy Ave MC 49-70 Danville,PA17822 85-1226106	Health Care	PA	501(c)(3)	3	GHMJV		No
(34)Geisinger System Services 100 N Academy Ave MC 49-70 Danville,PA17822 23-2164794	Support Svcs	PA	501(c)(3)	12-I	GH		No
(35)GSL Hospital 801 Ostrum Street Bethlehem,PA18015 82-4432109	Health Care	PA	501(c)(3)	3	GH		No
(36)GSLPG Inc 801 Ostrum Street Bethlehem,PA18015 82-5423865	Health Care	PA	501(c)(3)	3	GSL Hospital		No
(37)Geisinger Wyoming Valley Medical Center 100 N Academy Ave MC 49-70 Danville,PA17822 23-1996150	Health Care	PA	501(c)(3)	3	GH		No
(38)Keystone Health Information ExchangeInc 100 N Academy Ave MC 49-70 Danville,PA17822 46-4359893	Health Care	PA	501(c)(3)	12-I	GH		No
(39)Marworth 100 N Academy Ave MC 49-70 Danville,PA17822 23-2171417	Health Care	PA	501(c)(3)	3	GH		No
(40)West Shore Advanced Life Support Svcs 100 N Academy Ave MC 49-70 Danville,PA17822 23-2463002	Health Care	PA	501(c)(3)	7	GC		No
(41)GNJ Physicians Group PC 100 N Academy Ave MC 49-70 Danville,PA17822 82-0681884	Health Care	NJ	501(c)(3)	10	GH		No
(42)The Moses H Cone Memorial Hospital 1200 North Elm St Greensboro,NC27401 56-0532302	Health Care	NC	501(c)(3)	12-II	Risant Hlth		No
(43)The Moses H Cone Memorial Hops Oper Corp 1200 North Elm St Greensboro,NC27401 58-1588823	Health Care	NC	501(c)(3)	3	MC Hospital		No
(44)Moses Cone Affiliated Physicians Inc 1200 North Elm St Greensboro,NC27401 30-0554775	Health Care	NC	501(c)(3)	3	MC Hospital		No
(45)Moses Cone Physician Services Inc 1200 North Elm St Greensboro,NC27401 80-0249057	Health Care	NC	501(c)(3)	3	MC Hospital		No
(46)Moses Cone Medical Services Inc 1200 North Elm St Greensboro,NC27401 56-1714318	Health Care	NC	501(c)(3)	3	MC Hospital		No
(47)Reidsville Ob & Gyn Physicians Inc 1200 North Elm St Greensboro,NC27401 80-0217430	Health Care	NC	501(c)(3)	3	MC Hospital		No
(48)ARMC Health Care 1200 North Elm St Greensboro,NC27401 58-1681363	Health Care	NC	501(c)(3)	3	MC Hospital		No
(49)Alamance Regional Medical Center Inc 1200 North Elm St Greensboro,NC27401 56-0529994	Health Care	NC	501(c)(3)	3	ARMC HC		No
(50)Cone Health Philanthropic Foundation 1200 North Elm St Greensboro,NC27401 58-1681560	Fundraising	NC	501(c)(3)	12-II	Alamance MC		No
(51)ARMC Physicians Care Inc 1200 North Elm St Greensboro,NC27401 56-2095382	Health Care	NC	501(c)(3)	3	ARMC HC		No
(52)The Moses Cone - Wesley Long Health Fdn 1200 North Elm St Greensboro,NC27401 56-2001399	Funding	NC	501(c)(3)	12-II	MC Hospital		No
(53)Alamance Community & Health Fdn Inc 1200 North Elm St Greensboro,NC27401 46-2505818	Funding	NC	501(c)(3)	12-II	Alamance MC		No
(54)REF Cone Inc 20 North Benbow Road Greensboro,NC27411 99-1330813	Real Estate	NC	501(c)(3)	12-I	MC Hospital		No

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

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

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 Loan Fund I LLC 191 N Wacker Dr STE 1200 Chicago,IL60606 37-1651297	Investment	DE	NA	N/A	0	0						0 %
(2) Maui Nui ASC Holdco LLC One Kaiser Plaza - 26th FL Oakland,CA94612	Holding Co	HI	NA	N/A	0	0						0 %
(3) Keystone Accountable Care Organization 100 N Academy Ave MC 49-70 Danville,PA17822 45-5484165	Accountable care	PA	NA	N/A	0	0						0 %
(4) NSC Greensboro West 3000 Riverchase Galleria Birmingham,AL35244 56-1963226	Health Care	AL	NA	N/A	0	0						0 %
(5) Geisinger HM Joint Venture LLC 100 N Academy Ave MC 49-70 Danville,PA17822 83-1871064	Health Care	PA	NA	N/A	0	0						0 %
(6) Evangelical-Geisinger Health LLC 100 N Academy Ave MC 49-70 Danville,PA17822 46-0567687	Health Care	PA	NA	N/A	0	0						0 %
(7) Geisinger Encompass Health LLC 100 N Academy Ave MC 49-70 Danville,PA17822 72-1398803	Health Care	PA	NA	N/A	0	0						0 %
(8) Keystone Healthcare Partnership LLC 100 N Academy Ave MC 49-70 Danville,PA17822 83-3134941	Health Care	PA	NA	N/A	0	0						0 %
(9) HTA Holdings LLC 1200 North Elm St Greensboro,NC27401 92-0615196	Holding Company	NC	NA	N/A	0	0						0 %
(10) Cone Health Ventures LLC 1200 North Elm St Greensboro,NC27401 92-0712783	Innovation	NC	NA	N/A	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 FL Oakland,CA94612 03-0329760	Insurance	VT	NA	C Corp	0	0	0 %		No
(2) Kaiser Permanente Insurance Company One Kaiser Plaza - 26th FL Oakland,CA94612 94-3203402	Insurance	CA	NA	C Corp	0	0	0 %		No
(3) Kaiser Permanente International One Kaiser Plaza - 26th FL Oakland,CA94612 94-3245176	Consulting	CA	NA	C Corp	0	0	0 %	Yes
(4) KFHP of Washington Options Inc One Kaiser Plaza - 26th FL Oakland,CA94612 91-1467158	Insurance	WA	KFHP of WA	C Corp	892,240,233	288,454,947	100.000 %	Yes
(5) Group Health of Washington One Kaiser Plaza - 26th FL Oakland,CA94612 91-1314907	Inactive	WA	KFHP of WA	C Corp	0	0	100.000 %	Yes
(6) Garfield Health Solutions East Pvt Ltd Level 10 Tower C Panchshil Business Balewadi,Pune411045 IN	Admin	IN	NA	C Corp	0	0	0 %		No
(7) Garfield Health Solutions West SRL Ultrapark II Free trade Zone Bld 4 Lagunilla Heredia CS	Admin	CS	NA	C Corp	0	0	0 %		No
(8) Geisinger Assurance Company Ltd PO Box 1159 Grand,CaymanKY1-1102 CJ 98-1016737	Financial	CJ	NA	C Corp	0	0	0 %		No
(9) Geisinger Indemnity Insurance Company 100 N Academy Ave MC 49-70 Danville,PA17822 23-2815174	Insurance	PA	NA	C Corp	0	0	0 %		No
(10) Geisinger Quality Options Inc 100 N Academy Ave MC 49-70 Danville,PA17822 20-4275139	Insurance	PA	NA	C Corp	0	0	0 %		No
(11) ISS Solutions Inc 100 N Academy Ave MC 49-70 Danville,PA17822 23-2077663	Clin Engineering	PA	NA	C Corp	0	0	0 %		No
(12) Care N' Care Insurance Co North Carolina 1200 North Elm St Greensboro,NC27401 47-2847536	Insurance	NC	NA	C Corp	0	0	0 %		No
(13) Wesley Long Community Health Svcs Inc 1200 North Elm St Greensboro,NC27401 56-1441377	Health Care	NC	NA	C Corp	0	0	0 %		No
(14) Insurance Casualty and Risk Enterprise PO Box 1159 Grand,CaymanKY1-1102 CJ 98-1491204	Insurance	CJ	NA	C Corp	0	0	0 %		No
(15) Piedmont Practice Associates Inc 1200 North Elm St Greensboro,NC27401 56-1954739	Health Care	NC	NA	C Corp	0	0	0 %		No

Schedule R (Form 990) (Rev. 1-2025)

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

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

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

Yes

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

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

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

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) KAISER FDN HEALTH PLAN OF WASHINGTON OPTIONS	L	15,320,902	PER AGREEMENT
(2) KAISER FDN HEALTH PLAN OF WASHINGTON OPTIONS	P	133,619,691	PER AGREEMENT
(3) KAISER FDN HEALTH PLAN OF WASHINGTON OPTIONS	Q	84,510,471	PER AGREEMENT

Schedule R (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

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) (Rev. 1-2025)

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	10
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	7
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	9,151
6	Total number of volunteers (estimate if necessary) .............	6	336
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	10,622,272
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) .........	72,602,436	43,308,264
9	Program service revenue (Part VIII, line 2g) .........	4,131,619,695	4,264,915,608
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-6,795,004	57,598,216
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	462,505	533,462
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	4,197,889,632	4,366,355,550
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	16,241,084	12,611,058
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)	840,406,430	895,380,368
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)....	3,679,416,082	3,666,157,560
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	4,536,063,596	4,574,148,986
19	Revenue less expenses. Subtract line 18 from line 12.......	-338,173,964	-207,793,436
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,561,924,176	3,160,639,857
21	Total liabilities (Part X, line 26).............	2,865,413,564	2,664,105,072
22	Net assets or fund balances. Subtract line 21 from line 20.....	696,510,612	496,534,785

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 4,151,384,459 including grants of $ 9,104,766 ) (Revenue $ 4,198,125,471 )
	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 $ 59,271,288 including grants of $ 0 ) (Revenue $ 18,749,493 )
	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 2024, OVER 12,000 PEOPLE WERE RECEIVING BENEFITS THROUGH KFHP-WA'S MEDICAID MANAGED CARE CONTRACTS.

4c	(Code: ) (Expenses $ 40,941,016 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 2024, THIS PROGRAM ASSISTED OVER 37,000 PEOPLE THROUGH FINANCIAL ASSISTANCE.

	(Code: ) (Expenses $ 77,300,169 including grants of $ 3,506,292 ) (Revenue $ 48,040,644 )
	SEE EXEMPT PURPOSE ACHIEVEMENTS IN SCH O

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 77,300,169 including grants of $ 3,506,292 ) (Revenue $ 48,040,644 )
4e	Total program service expenses4,328,896,932

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	0	50,142,285	7,873,268

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	36,625,698

f	All other contributions, gifts, grants, and similar amounts not included above		1f	6,682,566

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

h Total. Add lines 1a-1f.......		43,308,264

		Business Code
2a	MEMBERS HEALTH DUES	621491	2,097,844,073	2,097,844,073
b	MEDICARE	621491	1,210,922,554	1,210,922,554
c	COPAYS, DEDUCTIBLES, FEES	621491	391,341,023	391,341,023
d	NON-PLAN & INDUSTRIAL	621491	53,973,702	43,351,430	10,622,272
e	OTHER PROGRAM SERVICE	621491	510,834,256	510,834,256
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		4,264,915,608

3 Investment income (including dividends, interest, and othersimilar amounts) ......			70,279,565			70,279,565
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
			(i) Real	(ii) Personal
6a	Gross rents	6a	135,717
b	Less: rental expenses	6b
c	Rental income or (loss)	6c	135,717	0
d	Net rental income or (loss).......			135,717			135,717
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	2,202,061,714	49,621,034
b	Less: cost or other basis and sales expenses	7b	2,224,213,490	40,150,607
c	Gain or (loss)	7c	-22,151,776	9,470,427
d	Net gain or (loss).........			-12,681,349			-12,681,349
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
11a	MISCELLANEOUS REVENUE		900099	397,745			397,745
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			397,745
12	Total revenue. See instructions.....			4,366,355,550	4,254,293,336	10,622,272	58,131,678

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	12,568,069	12,568,069
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. .............	42,989	42,989
4	Benefits paid to or for members .......	0
5	Compensation of current officers, directors, trustees, and key employees ...........	146,775		146,775
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	127,980		127,980
7	Other salaries and wages........	709,654,300	651,042,844	58,611,456	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	55,013,672	55,013,672
9	Other employee benefits .......	76,365,443	54,514,327	21,851,116
10	Payroll taxes ...........	54,072,198	54,072,198
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	180,805		180,805
c	Accounting ...........	815,689		815,689
d	Lobbying ...........	145,200		145,200
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	1,123,922		1,123,922
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 ....	6,659,987	4,065,514	2,594,473
13	Office expenses .......	24,102,624	23,148,023	954,601
14	Information technology ......	190,239,748	151,987,608	38,252,140
15	Royalties ..	0
16	Occupancy ...........	29,654,307	29,654,307
17	Travel ............	3,628,334	3,439,906	188,428
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	687,749		687,749
20	Interest ...........	50,894,096	50,894,096
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	68,508,799	68,508,799
23	Insurance ...	16,325,312	16,325,312
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	1,590,249,378	1,590,249,378
b	SUPPLIES - PHARMACY, OFFICE	831,303,488	793,440,019	37,863,469
c	BASIC CONTRACTUAL PAYMENTS	555,162,314	555,162,314
d	NON-MEDICAL PURCHASED SVC	125,949,992	123,796,128	2,153,864
e	All other expenses	170,525,816	90,971,429	79,554,387
25	Total functional expenses. Add lines 1 through 24e	4,574,148,986	4,328,896,932	245,252,054	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 .........			295,265,076	2	14,857,637
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			159,324,024	4	217,984,521
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 ............			32,748,226	8	36,465,787
9	Prepaid expenses and deferred charges ......			28,328,232	9	95,828,945
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,606,491,887
b	Less: accumulated depreciation	10b	509,168,363	1,079,613,333	10c	1,097,323,524
11	Investments—publicly traded securities .			1,492,488,656	11	1,198,430,373
12	Investments—other securities. See Part IV, line 11 .....			10,910,023	12	10,205,994
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............			352,588,331	14	340,546,194
15	Other assets. See Part IV, line 11 ...........			110,658,275	15	148,996,882
16	Total assets. Add lines 1 through 15 (must equal line 33)...			3,561,924,176	16	3,160,639,857

17	Accounts payable and accrued expenses .....	557,598,413	17	520,343,447
18	Grants payable ...	0	18	0
19	Deferred revenue .........	23,754,928	19	30,523,536
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	2,284,060,223	25	2,113,238,089
26	Total liabilities. Add lines 17 through 25..	2,865,413,564	26	2,664,105,072

	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 ...	1,863,450,546	30	1,863,426,417
31	Retained earnings, endowment, accumulated income, or other funds	-1,166,939,934	31	-1,366,891,632
32	Total net assets or fund balances ...........	696,510,612	32	496,534,785
33	Total liabilities and net assets/fund balances ........	3,561,924,176	33	3,160,639,857

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