KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (EIN 93-0798039)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201313169349303861
Schema version
2012v2.1
Note
A later return for the same period supersedes this one.
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-12T12:41:14-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PRICEWATERHOUSECOOPERS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1700AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN930798039EIN

Name Name

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE KAISER PLAZA 15LAddressLine1
Address Line2SuiteAddressLine2
CityOAKLANDCity
StateCAState
ZIP Code94612ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDEBORAH STOKESName
TitleSVP, CC & CAOTitle
Date Signed2013-11-06DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone2673303000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1ONE KAISER PLAZA 15LAddressLine1
CityOAKLANDCity
StateCAState
ZIP Code94612ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3444206752GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileORStateLegalDomicile
Activity Or Mission DescriptionTo provide high-quality, affordable health care services to improve the health of our members and the communities we serve.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees7511TotalNbrEmployees
Total Nbr Volunteers104TotalNbrVolunteers
Total Gross UBI6846502TotalGrossUBI
Contributions Grants Prior Year34240ContributionsGrantsPriorYear
Contributions Grants Current Year55792ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2817773409ProgramServiceRevenuePriorYear
Program Service Revenue CY2980226987ProgramServiceRevenueCY
Investment Income Prior Year21487196InvestmentIncomePriorYear
Investment Income Current Year21388816InvestmentIncomeCurrentYear
Other Revenue Prior Year24729746OtherRevenuePriorYear
Other Revenue Current Year24579465OtherRevenueCurrentYear
Total Revenue Prior Year2864024591TotalRevenuePriorYear
Total Revenue Current Year3026251060TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year274273GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY299224GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year726642417SalariesEtcPriorYear
Salaries Etc Current Year775841514SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2123400985OtherExpensePriorYear
Other Expenses Current Year2231922859OtherExpensesCurrentYear
Total Expenses Prior Year2850317675TotalExpensesPriorYear
Total Expenses Current Year3008063597TotalExpensesCurrentYear
Revenues Less Expenses Prior Year13706916RevenuesLessExpensesPriorYear
Revenues Less Expenses CY18187463RevenuesLessExpensesCY
Total Assets BOY1228271737TotalAssetsBOY
Total Assets EOY1260245683TotalAssetsEOY
Total Liabilities BOY1266392539TotalLiabilitiesBOY
Total Liabilities EOY1206822295TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-38120802NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY53423388NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2779419858Expense
Grants299224Grants
Revenue2956652140Revenue
DescriptionMEMBER HEALTH CARE SERVICES AND MEDICAL TRAINING FOR CARE IMPROVEMENT KAISER FOUNDATION HEALTH PLAN OF NORTHWEST (KFHP OF NORTHWEST) PROVIDES HOSPITAL, MEDICAL, AND SURGICAL CARE, INCLUDING URGENT CARE SERVICES, EXTENDED CARE AND HOME HEALTH CARE, FOR ITS MEMBERS WITHOUT REGARDS TO AGE, SEX, RACE, RELIGION OR NATIONAL ORIGIN OR THE ABILITY TO PAY. KFHP OF NORTHWEST EDUCATES AND TRAINS MEDICAL STUDENTS AND OTHER HEALTH CARE PROFESSIONALS AND PROMOTES SCIENTIFIC AND NURSING EDUCATION IN ORDER TO IMPROVE CARE. ADDITIONAL INFORMATION ABOUT NORTHWEST HEALTH PLAN'S CHARITABLE ACTIVITIES CAN BE FOUND IN SCHEDULE O.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense66067209Expense
Grants0Grants
Revenue23173233Revenue
DescriptionMedicaid and Other Government Sponsored Programs Northwest Health Plan is committed to improving the way beneficiaries of our Medicaid and other government sponsored programs receive care, not only in our facilities, but also in the communities we serve. In 2012, Northwest Health Plan participated in a number of government programs to support the provision of primary and specialty care to residents of the states of Oregon and Washington. At the end of 2012, over 11,000 individuals were receiving the benefits of full membership in KFHP's managed care programs in the states of Oregon and Washington. More than 2,900 individuals were receiving similar benefits under the Children's Health Insurance Plan, or CHIP program. ADDITIONAL INFORMATION ABOUT NORTHWEST HEALTH PLAN'S CHARITABLE ACTIVITIES CAN BE FOUND IN SCHEDULE O.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense16284854Expense
Grants0Grants
Revenue401614Revenue
DescriptionCharitable Care (Medical Financial Assistance and Charitable Health Coverage) Northwest Health Plan provides charity care to low-income vulnerable patients through the Medical Financial Assistance (MFA) and Charitable Health Coverage (CHC) Programs. Northwest Health Plan offers financial assistance through our MFA program to help families and individuals that are unable to pay for all or part of the cost of urgent or emergent care provided in Kaiser Permanente facilities. In 2012, this program assisted more than 12,000 qualifying applicants, providing over 45,900 prescriptions and more than 13,900 hospital inpatient days. The CHC programs are available to low income families who are not eligible for other public or privately sponsored coverage. More than 4,800 individuals were receiving comprehensive care through this program at the end of 2012. ADDITIONAL INFORMATION ABOUT NORTHWEST HEALTH PLAN'S CHARITABLE ACTIVITIES CAN BE FOUND IN SCHEDULE O.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense1760740Expense
Grants0Grants
Revenue0Revenue
DescriptionSEE SCHEDULE O COMMUNITY BENEFIT REPORTDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1760740TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense2863532661TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10964693NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees7511NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest
Other Explain In Sch OXOtherExplainInSchO

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Christine Cassel
Director0.510.5X02035000
Thomas Chapman
Director1.012.0X021410817000
Daniel Garcia
SVP, Chief Compliance Officer2.048.0X0142427283764
William Graber
Director0.57.0X02408230
J Eugene Grigsby III
Director1.07.5X02210000
George Halvorson
Chairman and CEO5.045.0X0980035186158X
Judith Johansen
Director0.65.7X02071460
Kim J Kaiser
Director0.58.0X02285000
Philip Marineau
Director0.586.34X02256180
Jenny Ming
Director0.34.8X02143230
Edward Pei
Director0.57.5X020664117000
Margaret Porfido
Director0.59.0X02377790
J Neal Purcell
Director0.58.5X02514640
Cynthia Telles
Director0.56.6X02267170
Bernard Tyson
President & COO5.045.0X04087093624945X
Kathryn Lancaster
EVP & CFO4.046.002779989332894X
Donna Lynne
Group President4.046.001109779224081X
Andrew McCulloch
Region President - Northwest25.025.001204444190696X
Thomas Meier
SVP, Corporate Treasurer2.048.00816082129748X
Donald Orndoff
SVP, NFS5.045.00766341160171X
Arthur Southam
EVP, HP Operations4.046.003350376379989X
Deborah Stokes
SVP, CC & CAO4.046.00690493143269X
William Wiechmann
VP, Regional Counsel - NW30.020.0037982483144X
Victoria Zatkin
VP, Off of Brd & Corp Gov Svcs4.046.0033927186546X
Mark Zemelman
SVP, Gen Counsel & Secretary3.047.001019066229497X
Mark Charpentier
VP, Mktg, Sls & Bus Devel30.020.0043798190356X
Mark Enger
VP, Chief Operations Officer30.020.00589324112526X
Susan Hennessy
VP, Strategic Planning & Hlth30.020.00671728253244X
Susan Mullaney
VP, HOSPITAL OPERATIONS30.020.0034094847467X
Karen Schartman
VP & CFO30.020.0045375090991X
Mary Durham
VP, The Center Health Research30.020.00352564113264X
Eleanor Godfrey
VP, Quality & Service30.020.0030527295492X
Michael Kinard
VP, Ambulatory Care Svc30.020.0034114879533X
Richie Smith
VP, HR - NW30.020.0038553383185X
Xuejun Smith
Exec Dir, Strategic & Fin Plan30.020.0036944043287X
Steven Zatkin
Former Gen. Counsel,Consultant0.00.0032350181586X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs35016189TotalReportableCompFrmRltdOrgs
Total Other Compensation3879833TotalOtherCompensation
Number Individuals GT100 K875NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
NORTHWEST PERMANENTE PC
500 NE MULTNOMAH STREETPORTLANDOR97232MEDICAL SERVICES478885878
PERMANENTE DENTAL ASSOCIATES
500 NE MULTNOMAH STREETPORTLANDOR97232DENTAL SERVICES39506352
KAISER FOUNDATION HOSPITALS
500 NE MULTNOMAH STPORTLANDOR97232HOSPITAL SERVICES659277686
OREGON HEALTH SCIENCE UNIVERSITY
3181 SW SAM JACKSON PARK RDPORTLANDOR97201HOSPITAL SERVICES23499577
SALEM HOSPITAL
890 OAK ST SESALEMOR97301HOSPITAL SERVICES17990778
FieldValueIRS element (for citing)
Number Of Contractors GT100 K251NumberOfContractorsGT100K
All Other Contributions55792AllOtherContributions
Total Contributions55792TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MBR HLTH CARE PREM62140021165118562116511856
SUPPL CHARGE/PHARM6214001416058231347669476838876
NON-PLAN & IND REV62140090471179047117
OTHER PRGRM SERV6214002109503621095036
MEDICARE621400691967155691967155
FieldValueIRS element (for citing)
Total Program Service Revenue2980226987TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column15438123TotalRevenueColumn
Exclusion$15,438,123ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real931195Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real131369Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real799826Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column799826TotalRevenueColumn
Unrelated Business Revenue7626UnrelatedBusinessRevenue
Exclusion$792,200ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities423414140Securities
Other360876Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities417620397Securities
Other203926Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities5793743Securities
Other156950Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column5950693TotalRevenueColumn
Exclusion$5,950,693ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISC REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column23779639TotalRevenueColumn
Exclusion$23,779,639ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue23779639TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3026251060TotalRevenueColumn
Related Or Exempt Function Income2973388111RelatedOrExemptFunctionIncome
Unrelated Business Revenue6846502UnrelatedBusinessRevenue
Exclusion$45,960,655ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total299224Total
Program Services299224ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total475371841Total
Program Services443176334ProgramServices
Management And General32195507ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total82855204Total
Program Services82855204ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total177043222Total
Program Services176703976ProgramServices
Management And General339246ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total40571247Total
Program Services21421285ProgramServices
Management And General19149962ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1886326Total
Management And General1886326ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1272143Total
Management And General1272143ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total284628Total
Management And General284628ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total491112Total
Management And General491112ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total360865336Total
Program Services336008509ProgramServices
Management And General24856827ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total4622570Total
Program Services214927ProgramServices
Management And General4407643ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7541682Total
Program Services6738463ProgramServices
Management And General803219ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total144093054Total
Program Services118798331ProgramServices
Management And General25294723ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total12575875Total
Program Services12575875ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total2942390Total
Program Services2526653ProgramServices
Management And General415737ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total883384Total
Management And General883384ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3431301Total
Program Services3431301ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total35064324Total
Program Services35064324ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total16819566Total
Program Services16819497ProgramServices
Management And General69ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SERVICE PAYMENTS11567969331156796933
SUPPLIES34329739731775335325544044
INTER-REGIONAL CHARGES85198205799566155241590
HIGH-RISK INSURANCE POOL COSTS1972993919729939

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total34126694Total
Program Services32661918ProgramServices
Management And General1464776ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3008063597Total
Program Services2863532661ProgramServices
Management And General144530936ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6752684BOY
EOY11907229EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY66729582BOY
EOY73376649EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY23583251BOY
EOY23535216EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4638486BOY
EOY4597015EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis610640736LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec358037094LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY257388812BOY
EOY252603642EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY820134401BOY
EOY837796467EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY49044521BOY
EOY56429465EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1228271737BOY
EOY1260245683EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY181729185BOY
EOY158741885EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY24948898BOY
EOY30359339EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1059714456BOY
EOY1017721071EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1266392539BOY
EOY1206822295EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY4712722BOY
EOY4712722EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY-42833524BOY
EOY48710666EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-38120802BOY
EOY53423388EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1228271737BOY
EOY1260245683EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses18187463ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-915573ReconciliationUnrealizedInvest
Reconcilation Other Changes74272300ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years56498CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34240CurrentTaxYearMinus1Year
Current Tax Year55792CurrentTaxYear
Total146530Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2461397785CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2573087902CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2682950846CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2817773409CurrentTaxYearMinus1Year
Current Tax Year2980226987CurrentTaxYear
Total13515436929Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2461397785CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2573087902CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2683007344CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2817807649CurrentTaxYearMinus1Year
Current Tax Year2980282779CurrentTaxYear
Total13515583459Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50913515583459PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years30524341CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26785941CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22587692CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19185497CurrentTaxYearMinus1Year
Current Tax Year16369318CurrentTaxYear
Total115452789Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years30524341CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26785941CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22587692CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19185497CurrentTaxYearMinus1Year
Current Tax Year16369318CurrentTaxYear
Total115452789Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2491922126CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2599873843CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2705595036CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2836993146CurrentTaxYearMinus1Year
Current Tax Year2996652097CurrentTaxYear
Total13631036248Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99153PublicSupportPercentage509
Prior Year Support Percentage0.98994PriorYearSupportPercentage
Investment Income Percentage0.00847InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01006PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
Form4720 FiledfalseForm4720Filed
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$13,941GrantsOtherOrganizationsAmount
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$167,286DirectContactLegislatorsAmount
Rallies DemonstrationstrueRalliesDemonstrations
Rallies Demonstrations$27,881RalliesDemonstrationsAmount
Other ActivitiestrueOtherActivities
Other Activities$75,520OtherActivitiesAmount
Total Lobbying Expenditures IIB284628TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis392422677OtherCostOrOtherBasis
Depreciation242793846Depreciation
Book Value149628831BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis22312380OtherCostOrOtherBasis
Depreciation12739018Depreciation
Book Value9573362BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis138724841OtherCostOrOtherBasis
Depreciation92664092Depreciation
Book Value46060749BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis25403430OtherCostOrOtherBasis
Depreciation9840138Depreciation
Book Value15563292BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings252603642TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
SELF-INSURED RISK - PPL$65,105,682
SELF-INSURED RISK - AUTO & UNEMPLOYMENT$460,000
SELF-INSURED RISK - WORKERS COMPENSATION$5,064,544
POST RETIREMENT BENEFIT-LT$914,519,168
POST RETIREMENT BENEFIT-CURRT$11,408,102
OTHER LIABILITIES$21,163,575
FieldValueIRS element (for citing)
Total Of Amounts1017721071TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt3094802641TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-915573NetUnrealizedGainsInvestments
Other Revenues78227958OtherRevenues
Revenue Not Rptd F99077312385RevenueNotRptdF990
Revenue Subtotal3017490256RevenueSubtotal
Other Revenues Not Included8760804OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt8760804RevenueNotRptdOnFinStmt
Total Revenue Per Form9903026251060TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3003258449TotExpensesEtcAuditedFinclStmt
Other Expenses Included6322336OtherExpensesIncluded
Expenses Not Rptd F9906322336ExpensesNotRptdF990
Expenses Subtotal2996936113ExpensesSubtotal
Investment Expenses Not Included2491112InvestmentExpensesNotIncluded2
Other Expenses Not Included10636372OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt11127484ExpensesNotRptdOnFinStmt
Total Expenses Per Form9903008063597TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Schedule D, Part X, Line 2FIN 48 FootnoteThe organization's financial statements do not include a footnote under FIN 48.
Schedule D, Part XI, Line 2dChange in Other Comprehensive Income $ 73,793,419 Gain/loss on sale of investments - book 7,373,787 OTTI Losses ( See Note 1) (1,101,161) Inter-entity revenue reclass 9,289,397 Net Internal Interest reclass (3,258,830) Investment Management Fee Reclass <491,112> Bad Debt expense reclass (7,377,542) TOTAL $ 78,227,958 Note 1: Other than temporary impairment (OTTI) of investment recognized for financial statement purposes, which will be tax reported when realized.
Schedule D, Part XI, Line 4bGain/loss on sale of investments - tax $ 5,793,743 Rental revenue reclass (131,369) Miscellaneous revenue reclass 3,098,430 Total $ 8,760,804
Schedule D, Part XII, Line 2dInter-entity Expense reclass 9,289,397 Misc Expenses reclass (3,098,430) RENTAL EXPENSES RECLASS 131,369 Total $ 6,322,336
Schedule D, Part XII, Line 4bBad Debt expense reclass $ 7,377,542 Net Internal Interest reclass 3,258,830 Total $ 10,636,372

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2
Neighborhood Health Center
3720 SW 141st Ave 100BevertonOR97005273524752501(c)(3)50000Oral Health Initiative
Upstream Public Health
240 North BroadwayPortlandOR97214421579435501(c)(3)50000Water Fluoridatn Ed
Yamhill County
627 NE EvansMcMinnvilleOR97302936002318501(c)(3)50000Dental Uninsured
North Clackamas School District
4444 SE Lake RdMilwaukieOR97222930599524Government20000Operating SupportDept 950
American Heart Association
1200 NW Naito ParkwayPortlandOR97209135613797501(c)(3)7568fundraiser
Familias en Accion
2710 NE 14thPortlandOR97212931284335501(c)(3)10000conference support
Medical Foundation of Marion & Polk
2995 Ryan Dr 100PortlandOR97301931261633501(c)(3)5230fundraiser scholarship & Awards Banquet Silver Sponsorship
Portland Schools Foundation
2069 NE HoytPortlandOR97232931149789501(c)(3)9600fundraiser
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants8TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

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

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (36 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Christine Cassel
Director020350000000000020350000
Thomas Chapman
Director0214108000001700000023110800
Mark Charpentier
VP, Mktg, Sls & Bus Devel02421120170227025642071545018811052833700
Mary Durham
VP, The Center Health Research02061420110485035937093732019532046582800
Mark Enger
VP, Chief Operations Officer03431820207996038146092096020430070185000
Daniel Garcia
SVP, Chief Compliance Officer057713908153220318110668650168990150803600
Eleanor Godfrey
VP, Quality & Service0190023081652033597076650018842040076400
William Graber
Director024082300000000024082300
J Eugene Grigsby III
Director022100000000000022100000
George Halvorson
Chairman and CEO0124216806949670016085130668650192930988650900
Susan Hennessy
VP, Strategic Planning & Hlth029743301993480174947023518101806309249720154639
Judith Johansen
Director020714600000000020714600
Kim J Kaiser
Director022850000000000022850000
Michael Kinard
VP, Ambulatory Care Svc024372709248904932061470018063042068100
Kathryn Lancaster
EVP & CFO06502870129745008322520319606013288031128830790044
Donna Lynne
Group President0491921057697504088302098120142690133386000
Philip Marineau
Director022561800000000022561800
Andrew McCulloch
Region President - Northwest0396395047503303330160170537020159013951400293100
Thomas Meier
SVP, Corporate Treasurer031895104599750371560113460016288094583000
Jenny Ming
Director021432300000000021432300
Susan Mullaney
VP, HOSPITAL OPERATIONS025110008630403544026511020956038841500
Donald Orndoff
SVP, NFS039084003527500227510143756016415092651200
Edward Pei
Director0206641000001700000022364100
Margaret Porfido
Director023777900000000023777900
J Neal Purcell
Director025146400000000025146400
Karen Schartman
VP & CFO02809750156866015909075855015136054474100
Richie Smith
VP, HR - NW02604810109028016024064682018503046871800
Arthur Southam
EVP, HP Operations0755588015301020106468603644230155660373036501019527
Deborah Stokes
SVP, CC & CAO0347253027849606474401299810132880833762043578
Cynthia Telles
Director022671700000000022671700
Bernard Tyson
President & COO0932699020873520106704206055500193950471203801036741
William Wiechmann
VP, Regional Counsel - NW02345080129515015801065081018063046296800
Steven Zatkin
Former Gen. Counsel,Consultant099000288225025376067392014194040508700
Victoria Zatkin
VP, Off of Brd & Corp Gov Svcs0196294010613303684408427502271042581700
Mark Zemelman
SVP, Gen Counsel & Secretary0465119038715201667950214482015015012485630124315
Xuejun Smith
Exec Dir, Strategic & Fin Plan01896070263370153496023938019349041272700

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Schedule J, Part IISteven Zatkin - general counsel to 6/30/2010; consultant 3/4/2011 to present. Bernard Tyson - Board of Directors effective 12/06/2012. J. Neal Purcell - Board of Directors to 12/31/2012. Schedule J, Part I, line 3 Kaiser foundation health plan of the northwest relied on kaiser foundation health plan, inc. that used one or more of the methods described below to establish the top management officials' compensation: - Compensation committee - Independent compensation consultant - Form 990 of other organizations - Written employment contract - Compensation survey or study, and - Approval by the board or compensation committee.
Schedule J, Part I, Line 4bGeorge Halvorson $ 1,500,000 Bernard Tyson 1,036,741 Kathryn Lancaster 790,314 Thomas Meier 858 Arthur Southam 1,019,527 Deborah Stokes 43,578 Steven Zatkin 5,087 Mark Zemelman 126,344 Susan Hennessy 154,639 Andrew McCulloch 293,100 Some of the listed persons participated in nonqualified supplemental retirement plans. Under these plans, the organization makes annual contributions to accounts held in the name of individual participants. Contributions vary by position level and pay, and vest over time based on age and/or service. Participant accounts are credited with actual investment returns from up to four mutual funds and/or with a fixed rate of interest or a combination thereof. Unvested amounts are subject to risk of forfeiture.Supplemental Nonqualified Retirement Plan Payment
Schedule J, Part I, Line 7The organization provided non-fixed payments to some of the persons listed. Payments were made under incentive plans, based on attainment of organizational performance goals and individual performance, designed to support the organization's mission to provide high-quality, affordable care and improve the health of its members and the communities it serves.Non-Fixed Payments

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part III, Lines 4a - 4d2012 COMMUNITY BENEFIT REPORT KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST, INC. KAISER FOUNDATION HEALTH PLAN'S COMMITMENT TO THE COMMUNITY IN 2007, KAISER FOUNDATION HEALTH PLAN'S BOARD OF DIRECTORS REFINED THE FOCUS OF THE ORGANIZATION'S COMMUNITY BENEFIT PROGRAM AND ESTABLISHED THE FOLLOWING FOUR PRIORITY AREAS WHICH HAVE COME TO BE KNOWN AS "STREAMS OF WORK": A. CARE AND COVERAGE FOR LOW-INCOME PEOPLE - CREATES AND SUPPORTS PROGRAMS THAT LOWER THE FINANCIAL BARRIERS FOR THE UNDER- AND UNINSURED. B. COMMUNITY HEALTH INITIATIVES (CHI) - SEEKS TO MEASURABLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. DESIGNS, DELIVERS, AND SUSTAINS LONG-TERM PROGRAMS THAT ENGAGE COMMUNITIES IN WORK TO IMPROVE CONDITIONS IN THEIR NEIGHBORHOODS. C. SAFETY NET PARTNERSHIPS - BUILDS PARTNERSHIPS WITH COMMUNITY CLINICS, LOCAL HEALTH DEPARTMENTS, AND PUBLIC HOSPITALS. PROVIDES FUNDING, TECHNICAL ASSISTANCE, DISSEMINATION OF CARE MANAGEMENT AND QUALITY IMPROVEMENTS TECHNOLOGY TO HELP IMPROVE CARE AND EXPAND TREATMENT CAPACITY FOR VULNERABLE POPULATIONS. D. DEVELOPING AND DISSEMINATING KNOWLEDGE - IMPROVES HEALTH CARE BY SHARING OUR KNOWLEDGE - EDUCATING PRACTITIONERS, ADVANCING RESEARCH, EMPOWERING CONSUMERS AND INFORMING POLICYMAKERS ABOUT THE EVIDENCE BASE FOR CARE AND HEALTH. THE FOLLOWING ARE DETAILS OF COMMUNITY BENEFIT ACTIVITIES PROVIDED BY KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST IN 2012, NORTHWEST HEALTH PLAN SERVED 484,349 MEMBERS AND EXPENDED $60.7 MILLION (AT COST, NET OF $23.6 MILLION OF RELATED REVENUES) TO SUPPORT COMMUNITY BENEFIT ACTIVITIES. THE FOLLOWING SUMMARIZES MANY OF THE SIGNATURE COMMUNITY BENEFIT PROGRAMS AND SERVICES GROUPED ACCORDING TO THE NATIONAL STREAMS OF WORK. A. CARE AND COVERAGE FOR LOW-INCOME PEOPLE IN 2012, THE NORTHWEST HEALTH PLAN SPENT APPROXIMATELY $58.8 MILLION (AT COST, NET OF $23.6 MILLION OF RELATED REVENUES) TO ADDRESS THE FINANCING AND DELIVERY OF HEALTH CARE FOR POPULATIONS VULNERABLE DUE TO SOCIO-ECONOMIC STATUS, ILLNESS, ETHNICITY, AGE OR OTHER FACTORS. PROGRAM BENEFICIARIES (UNDER- AND UNINSURED) RECEIVED FREE OR DISCOUNTED CARE IN A KAISER PERMANENTE FACILITY OR BY A KAISER PERMANENTE PROVIDER. 1. CHARITABLE CARE (MEDICAL FINANCIAL ASSISTANCE AND CHARITABLE HEALTH COVERAGE PROGRAMS) IN OREGON AND WASHINGTON, NORTHWEST HEALTH PLAN PROVIDES CHARITY CARE TO LOW-INCOME VULNERABLE POPULATIONS THROUGH THE MEDICAL FINANCIAL ASSISTANCE AND CHARITABLE HEALTH COVERAGE PROGRAMS. IN 2012, THE NORTHWEST HEALTH PLAN SPENT $15.9 MILLION (AT COST, NET OF $402 THOUSAND OF RELATED REVENUES) ON UNDER- AND UNINSURED PATIENTS. 1) MEDICAL FINANCIAL ASSISTANCE PROGRAM THIS PROGRAM HELPS PAY THE MEDICAL AND DENTAL EXPENSES OF PATIENTS, BOTH MEMBER AND NONMEMBER, WHO MEET QUALIFYING GUIDELINES BY PAYING FOR SERVICES AT FACILITIES OWNED AND/OR OPERATED BY THE NORTHWEST HEALTH PLAN. THE LENGTH OF FINANCIAL ASSISTANCE IS BASED ON INDIVIDUAL NEED. AT THE END OF THE FINANCIAL ASSISTANCE AWARD PERIOD, THE PATIENT MAY APPLY FOR AN EXTENSION. IN 2012, NORTHWEST HEALTH PLAN SPENT $8.3 MILLION (AT COST, NET OF RELATED REVENUES) ON APPLICANTS WHO QUALIFIED FOR MEDICAL ASSISTANCE OR THE UNINSURED DISCOUNT. 2) CHARITABLE COVERAGE PROGRAM CHARITABLE HEALTH COVERAGE (CHC) IS A UNIQUE APPROACH TO CARING FOR LOW-INCOME UNINSURED PERSONS IN THE COMMUNITY. ELIGIBLE PARTICIPANTS RECEIVE A REGULAR KAISER PERMANENTE MEMBERSHIP CARD AND ACCESS TO THE FULL RANGE OF OUR SERVICES AND PROVIDERS - A MUCH BETTER ALTERNATIVE TO A BRIEF AND COSTLY EMERGENCY ROOM VISIT OR HOSPITALIZATION. THIS ALLOWS US TO INVEST IN THE LONGER TERM HEALTH OF PATIENTS AND THE COMMUNITY. SINCE INCEPTION IN THE EARLY 1980s, CHC PROGRAMS HAVE MADE A REAL DIFFERENCE IN THE LIVES OF PERSONS WHO MIGHT OTHERWISE HAVE NO OTHER SOURCE OF CARE. THE NORTHWEST HEALTH PLAN PROVIDED COVERAGE AND SERVICES VALUED AT $7.6 MILLION (AT COST, NET OF RELATED REVENUES) TO PROVIDE SUBSIDIZED COVERAGE TO LOW-INCOME ADULTS AND CHILDREN WHO ARE NOT ELIGIBLE FOR STANDARD MEDICAID OR PRIVATELY FUNDED COVERAGE. THE CHARITABLE HEALTH COVERAGE PROGRAM CONSISTS OF TRANSITIONS AND THE CHILD HEALTH PLAN. - TRANSITIONS - THE TRANSITIONS PROGRAM IS A FULLY SUBSIDIZED HEALTH INSURANCE PROGRAM FOR ELIGIBLE LOW-INCOME FAMILIES. EIGHT COLLEGE CAMPUSES CURRENTLY PARTICIPATE WITHIN THE PORTLAND METROPOLITAN AREA. STUDENTS MUST BE ENROLLED IN A PARTICIPATING SCHOOL, MEET FINANCIAL CRITERION, AND CANNOT BE ENROLLED IN ANOTHER PRIVATE OR PUBLIC HEALTH CARE PLAN. GRADUATES ARE ELIGIBLE FOR AN ADDITIONAL SIX MONTHS COVERAGE OR UNTIL EMPLOYER-PAID COVERAGE IS ACTIVATED. (NOT TO EXCEED 48 MONTHS). - CHILD HEALTH PLAN - THE CHILD HEALTH PROGRAM IS A FULLY SUBSIDIZED HEALTH INSURANCE PROGRAM FOR ELIGIBLE LOW-INCOME STUOENTS. 397 SCHOOLS CURRENTLY PARTICIPATE WITHIN THE MULTNOMAH EDUCATION SERVICE DISTRICT, SALEM-KEIZER SCHOOL DISTRICT AND HILLSBORO SCHOOL DISTRICT, BEAVERTON SCHOOL DISTRICT AND CLACKAMAS SCHOOL DISTRICT. STUDENTS MUST BE ENROLLED IN A PARTICIPATING SCHOOL, MEET FINANCIAL CRITERION, AND CANNOT BE ENROLLED IN ANOTHER PRIVATE OR PUBLIC HEALTH CARE PLAN. THE PARTICIPATING SCHOOL DISTRICTS ACT AS THE ADMINISTRATORS FOR THE PROGRAM AND ARE RESPONSIBLE FOR OUTREACH, ELIGIBILITY DETERMINATION AND ENROLLMENT. 2. PARTICIPATION IN MEDICAID AND OTHER GOVERNMENT-SPONSORED PROGRAMS THE NORTHWEST HEALTH PLAN PROVIDED COVERAGE AND SERVICES VALUED AT $42.9 MILLION (AT COST, NET OF $23.2 MILLION OF RELATED REVENUES) FOR MEMBERS AND NONMEMBERS IN GOVERNMENT-SPONSORED PROGRAMS. 1) MEDICAID PROGRAMS THE NORTHWEST HEALTH PLAN PARTICIPATED IN THREE MEDICAID PROGRAMS IN OREGON AND WASHINGTON. THE FOLLOWING DESCRIBE THE PROGRAMS AND TARGET POPULATIONS. MEDICAID MEMBER PROGRAMS - OREGON HEALTH PLAN - NORTHWEST HEALTH PLAN RECEIVES MONTHLY CAPITATED PREMIUMS FROM THE DIVISION OF MEDICAL ASSISTANCE PROGRAM (DMAP). MEMBERS ARE ENROLLED BASED ON ELIGIBILITY CRITERIA. THE HEALTH PLAN PROVIDES SERVICES TO ELIGIBLE PARTICIPANTS WHO RESIDE IN CLACKAMAS, MULTNOMAH, POLK, AND MARION COUNTIES. - HEALTHY OPTIONS - HEALTHY OPTIONS IS A MEDICAID PROGRAM FOR LOW INCOME INDIVIDUALS THAT MEET ELIGIBILITY GUIDELINES FOR MEDICAID. IT IS A STATE PROGRAM MANAGED BY THE WASHINGTON STATE HEALTH CARE AUTHORITY (HCA). KAISER PERMANENTE PROVIDES SERVICES TO ELIGIBLE PARTICIPANTS WHO RESIDE IN EITHER CLARK OR COWLITZ COUNTIES THROUGH A SUBCONTRACT WITH MOLINA HEALTHCARE. 2) MEDICAID TO NONMEMBERS NORTHWEST HEALTH PLAN CONTRIBUTED $1.8 MILLION IN SUBSIDIZED CARE TO MEDICAID FEE-FOR-SERVICE PATIENTS. WHEN A MEDICAID NONMEMBER RECEIVES SERVICES FROM KAISER PERMANENTE PROVIDERS AT CONTRACT HOSPITALS OR OUTPATIENT SERVICES AS A RESULT OF HOSPITAL VISIT FOLLOW-UP, OR IN-PATIENT SERVICES UNDER THE MEDICAID PROGRAM, THESE EXPENSES ARE RECORDED AS NON-CAPITATED SERVICES AND ARE REPORTED AS PROFESSIONAL AND NON-PROFESSIONAL LOSSES FOR MEDICAID NONMEMBERS. 3) OTHER GOVERNMENT PROGRAMS THE OREGON AND WASHINGTON MEDICAL INSURANCE POOLS ARE INSURANCE POOLS FOR INDIVIDUALS WHO DO NOT HAVE ACCESS TO INDIVIDUAL INSURANCE DUE TO PRE-EXISTING CONDITIONS THAT DISQUALIFY THEM FROM OTHER GROUP PLANS. LEGISLATION ALLOWS THE STATES TO SPREAD A PORTION OF THE PROGRAM EXPENSES FOR ENROLLEES ACROSS THE INDIVIDUALS WHO ARE INSURED WHOLLY OR IN PART BY ALL HEALTH INSURERS, RE-INSURERS AND STOP-LOSS CARRIERS LICENSED IN THE STATE. B. COMMUNITY HEALTH INITIATIVES (CHI) THE FOLLOWING ARE TWO OF THE INITIATIVES THE NORTHWEST HEALTH PLAN SUPPORTED IN 2012 WITH AN EMPHASIS ON HEALTHY EATING ACTIVE LIVING, OR HEAL. EDUCATIONAL RESOURCES NORTHWEST HEALTH PLAN SUPPORTED EFFORTS TO INCREASE ACCESS TO HEALTHY FOOD WITH A FOCUS ON VULNERABLE POPULATIONS. INITIATIVES INCLUDED FARM-TO-SCHOOL, FARM-TO-HEADSTART, HEALTHY CORNER STORES, PRISON GARDENS, LOCAL FOOD SYSTEM PLANNING AND COLLABORATIONS WITH OTHER ORGANIZATIONS WORKING TO BUILD A HEALTHY, EQUITABLE FOOD SYSTEM. ACTIVE LIVING KAISER PERMANENTE SUPPORTED COMMUNITY PROGRAMS THAT ENCOURAGE PHYSICAL ACTIVITY. EXAMPLES ARE PORTLAND SUNDAY PARKWAYS, WALK THERE GUIDES, VAMANOS WALKING MAPS, PEDOMETER DONATIONS, AND FUNDING OF SAFE ROUTES TO SCHOOLS PROGRAMS.
C. SAFETY NET PARTNERSHIPSTHE FOLLOWING ARE THREE OF THE WAYS THAT NORTHWEST HEALTH PLAN CONTRIBUTED RESOURCES TO SUPPORT NONPROFIT SAFETY NET ORGANIZATIONS DURING 2012. VOLUNTEER CLINICS THESE EVENTS ENCOURAGE, ENGAGE, AND ASSIST KAISER PERMANENTE STAFF WHO VOLUNTEER THEIR SKILLS WITH NONPROFIT HEALTHCARE ORGANIZATIONS. A MAJOR VOLUNTEER PROGRAM HAS BECOME SYNONYMOUS WITH MARTIN LUTHER KING JR. DAY WHEN STAFF IS ASSIGNED TO VARIOUS NONPROFIT MEDICAL CLINICS. THIS PERMITS THE FACILITIES TO SERVE A GREATER NUMBER OF THE COMMUNITY WITH THEIR HEALTHCARE NEEDS. DENTAL PROGRAM THIS INITIATIVE PROVIDES SUPPORT STAFF AND FACILITIES FOR THE PROVISION OF MUCH NEEDED DENTAL CARE FOR UNDER- AND UNINSURED IN COWLITZ, LEWIS, AND WAHKIAKUM COUNTIES. PROFESSIONAL SERVICES ARE PROVIDED BY DENTAL FACULTY AND STUDENTS OF THE UNIVERSITY OF WASHINGTON DENTAL SCHOOL AND CLINICS ARE HELD APPROXIMATELY FOUR TIMES PER YEAR. FREE DENTAL CARE DAYS FOR KIDS SEVERAL OF NORTHWEST HEALTH PLAN'S DENTAL OFFICES PROVIDE FREE DENTAL CARE FOR KIDS ONE OR TWO DAYS EACH YEAR. TYPICALLY, THESE CLINICS ARE HELD ON SATURDAYS, AND CHILDREN ARE REFERRED BY SCHOOL NURSES OR OTHER COMMUNITY RESOURCES. D. OTHER COMMUNITY BENEFIT INVESTMENTS DURING 2012, THE NORTHWEST HEALTH PLAN SPENT $1.8 MILLION ON OTHER COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS BEYOND THE NATIONAL STREAMS OF WORK. INVESTMENTS INCLUDED ADMINISTRATIVE COSTS SUCH AS THE LABOR AND NON-LABOR EXPENSES NECESSARY FOR THE CONTINUING OPERATIONS OF THE COMMUNITY BENEFIT PROGRAMS IN THE NORTHWEST REGION.
Form 990, Part VI, Question 4Articles II (Purposes) and IV (Restrictions and Dissolution) were amended to: (a) set forth a broad statement of the corporation's primary purposes that reflects current case law; (b) revise the nondiscrimination language to be consistent with current legal standards; and (c) expressly state that the corporation is prohibited from engaging in activities not permitted by Section 501(c)(3) of the Internal Revenue Code and to specifically state that the corporation shall not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. Articles of Amendment - Nonprofit of the Corporation were filed February 7, 2012. Articles V through VII, which contained outdated or inconsistent language were removed and the remaining articles on file consisting of Articles I through IV were fully restated and incorporated into one document. Restated Articles of Incorporation - Nonprofit of the Corporation were filed August 3, 2012. The Bylaws of the Corporation were amended in 2012 as follows: On December 6, 2012, Article D, Directors and Article E, Officers were amended to provide for up to fifteen directors and up to three inside directors, and the possibility of the Chairman of the Board and the Chief Executive Officer not being the same person.Changes to governing documents
Form 990, Part VI, Question 6Kaiser foundation health plan, inc. is the sole member. Upon dissolution, remaining assets shall be distributed to a 501(c)(3) organization.
Form 990, Part VI, Questions 7aKFHP appoints the directors (and fills vacancies and has authority to remove directors). The same 15 individuals who comprise the board of directors of KFHP also serve as the 15 directors of KFHP-CO, OH, NW, MAS.
Form 990, Part VI, Question 7bTHE FOLLOWING ACTIONS OF THE CORPORATION REQUIRE APPROVAL OF THE SOLE MEMBER: A) REMOVAL OF THE CHAIRMAN OF THE BOARD OR ANY PRESIDENT; B) Amendment of article d, section d-4 of the bylaws - election and term of office of directors.
Form 990, Part VI, Question 11bform 990 review process 1. Key information necessary for the preparation of the tax return is obtained and/or confirmed with internal sources including regional finance, executive compensation, community benefits, treasury, government relations, and legal. 2. Community benefits details are presented to the community benefit committee of the board for review. 3. Executive compensation details are presented to the compensation committee of the board for review. 4. The complete tax return is reviewed and signed by a Pricewaterhousecoopers LLP tax advisor. 5. The complete tax return is reviewed and signed by an officer or a member of management designated by an officer. 6. A copy of the return is provided to each board member prior to filing.
Form 990, Part VI, Questions 12cA. Regularly and Consistently Monitors Compliance with the Conflicts of Interest Policy - Kaiser Permanente regularly monitors compliance with the Conflicts of Interest Policy in 3 key ways: 1. The Kaiser Permanente Compliance Hotline is available to all employees and vendors to report actual or potential conflicts of interest. All calls are answered by a third party and provided to Kaiser Permanente's National Compliance office for review and appropriate action. Employees can report anonymously. Retaliation is prohibited. Reports of actual or potential Conflicts of Interest are generated and investigations are conducted as required and information is tracked and trended to determine if additional guidance is required to avoid or manage conflicts of interest. Compliance Hotline Reports are provided for review and action to the Kaiser Foundation Health Plan/Hospitals Boards of Directors annually. 2. The National Compliance Office and Internal Audit Services annually review the directors', officers', key employees', and executives' Annual Conflicts of Interest Questionnaire disclosures and provide direction on any investigations required. Investigations are documented, tracked and trended to determine if additional controls or education is required. In addition, Conflicts of Interest Questionnaire Reports are provided for review and action to the Kaiser Foundation Health Plan/Hospitals Boards of Directors annually; and 3. Annually, as a component of the external audit, KPMG reviews the Annual Conflicts of Interest Questionnaires completed by Directors, Officers, Key Employees, and Executives, and actions taken as a result of the disclosures. The results of the annual audit, including any findings in this area are presented to the Kaiser Foundation Health Plan/Hospitals Audit and Compliance Committee. B. Regularly and Consistently Enforces Compliance with the Conflicts of Interest Policy - To ensure consistency in the enforcement of the policy Kaiser Permanente uses the following steps as a general guideline: 1. Represented employees are subject to any corrective/disciplinary action provisions described in specific regional/national collective bargaining agreements and/or organizational policies and practices. 2. Kaiser Permanente notifies employees of the National Human Resources Policy No. 14. Corrective/Disciplinary Action Policy during new employee orientation and in annual compliance training. 3. In the event that it is necessary to discipline any employee because of, but not limited to, failure to comply with applicable legal/regulatory requirements, Kaiser Permanente policies and procedures, or the Principles of Responsibility, or for unsatisfactory performance or misconduct, coaching/counseling and/or corrective/disciplinary action may include, but is not limited to: - Oral discussion and/or warning by the employee's immediate supervisor or higher level manager to correct the problem; - Written notice, with or without final warning; - Paid or unpaid suspension, with or without final warning; - Termination of employment.Compliance Enforcement
Form 990, Part VI, Question 15a/bThe executive compensation program is designed to recruit, retain and motivate qualified senior management personnel. Senior management personnel have a significant impact on the strategic and policy direction and results of the organization. Therefore, the executive compensation program is, to a significant degree, performance-based. The compensation program is reviewed annually by the Compensation Committee of the Board of Directors which evaluates and approves, prior to payment, all programs and payments to CEO, Executive Director and top management officials (executives). Base pay for executive positions is established at a level comparable to the relevant market. In addition, other components of the compensation program bear 'at-risk' features designed to focus on strategically important performance goals and to assist in attracting and retaining top performers. The executive compensation program is targeted at the median of the comparable external market in which the organization competes for executive leadership. Evaluation of comparable pay data is performed by an Independent Compensation, Benefit & Human Resource Consulting firm. The compensation program focuses on objectives in the areas of quality of member care and service, financial soundness, and the community and social mission of the organization.Compensation Determination
Form 990, Part VI, Question 18Available on Guidestar.org website
Form 990, Part VI, Question 19Governing documents - are available from the Department of Insurance and maintained on the state agency website or upon request. COI is available on KP website under vendor Principles of Responsibility or upon request. Financial Statements are on file with state insurance agency on a statutory basis (stand alone entity). Combined data is published for Kaiser Foundation Health Plan Inc. and subsidiaries and Kaiser Foundation Hospitals and Subsidiaries with audit opinion by KPMG and is available upon request. To request copies contact: Vice President - National Tax Compliance Kaiser Foundation Health Plan and Hospitals One Kaiser Plaza, Suite 15L Oakland, CA 94612.Public Inspection Copy
Form 990, Part VII, Section A, Column BIndividuals who are both officers and members of Boards of Directors work full time as employees as well as fulfill their board assignment. All officers work full time in their employee capacity. Full time work may require in excess of the traditional 40 hour week. Given the integrated nature of our organization, employees may provide support for various Kaiser Permanente companies. The average hours per week reported for the filing organization and related organizations was estimated.Hours for Related Organization
Form 990, Part XI, Line 9Change in Other Comprehensive Income $ 73,793,417 Gain/loss on sale of investments - tax (5,793,743) Gain/loss on sale of investments - book 7,373,787 Other than temporary impairment loss (1,101,161) TOTAL $ 74,272,300Other changes in net assets or fund balances

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

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

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1naBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)

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

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
HCMS LLC
ONE KAISER PLAZA 15LOAKLANDCA94607203924985CONSULTINGCANANONEfalsefalse
KAISER PERMANENTE VENTURES LLC
ONE KAISER PLAZA 15LOAKLANDCA94612272252521INVESTMENTS SVCCANANONEfalsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (26 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
KAISER FOUNDATION HOSPITALS
I2409532PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
L10727790PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF COLORADO
L292596PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE MAS
L121281PER AGREEMENT
KAISER PERMANENTE INSURANCE COMPANY
L2805233PER AGREEMENT
LOKAHI ASSURANCE LTD
L2429600PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
M83844633PER AGREEMENT
KAISER FOUNDATION HOSPITALS
M807548855PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF COLORADO
M387397PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF GEORGIA
M140240PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE MAS
M312612PER AGREEMENT
CAMP BOWIE SERVICE CENTER
M7985387PER AGREEMENT
LOKAHI ASSURANCE LTD
M14602521PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
P42288654PER AGREEMENT
KAISER FOUNDATION HOSPITALS
P877124092PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF COLORADO
P237216PER AGREEMENT
CAMP BOWIE SERVICE CENTER
P244820PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
Q27133502PER AGREEMENT
KAISER FOUNDATION HOSPITALS
Q348699588PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF COLORADO
Q108243PER AGREEMENT
LOKAHI ASSURANCE LTD
Q8222217PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
R137859864PER AGREEMENT
KAISER FOUNDATION HOSPITALS
R1942424637PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
S193527710PER AGREEMENT
KAISER FOUNDATION HOSPITALS
S724857227PER AGREEMENT
LOKAHI ASSURANCE LTD
S577600PER AGREEMENT

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