KAISER FOUNDATION HEALTH PLAN OF T… - Form 990 Financial Data

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1984

Legal Domicile

Principal Officer

JEFFREY A COLLINS

Phone

5102716611

Tax Period

2023-01-01 to 2023-12-31

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST, founded in 1984, is a large national nonprofit in the Health Care sector that reported $5.1B in total revenue in fiscal year 2023. Expenses of $4.9B left a modest 3% surplus.

Mission

TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE.

Program Service Accomplishments

Program 1

Expenses: $4,353,489,633 Revenue: $4,817,377,253

KAISER FOUNDATION HEALTH PLAN OF NORTHWEST (KFHP-NW) 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-NW 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-NW 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.

Program 2

Expenses: $323,163,238 Revenue: $275,159,153

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (KFHP-NW) IS COMMITTED TO IMPROVING MEDICAL CARE FOR BENEFICIARIES OF MEDICAID AND OTHER GOVERNMENT SPONSORED PROGRAMS, NOT ONLY FOR KFHP-NW MEMBERS...

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (KFHP-NW) IS COMMITTED TO IMPROVING MEDICAL CARE FOR BENEFICIARIES OF MEDICAID AND OTHER GOVERNMENT SPONSORED PROGRAMS, NOT ONLY FOR KFHP-NW MEMBERS, BUT ALSO WITHIN THE COMMUNITIES WE SERVE. AT THE END OF 2023, A TOTAL OF 88,000 INDIVIDUALS WERE RECEIVING THE BENEFITS OF FULL MEMBERSHIP THROUGH KFHP-NW'S MEDICAID MANAGED CARE PROGRAM AND CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP). IN ADDITION, KFHP-NW PROVIDED HEALTH CARE ON A FEE-FOR-SERVICE BASIS FOR MEDICAID BENEFICIARIES WHO WERE NOT ENROLLED AS KFHP-NW MEMBERS.

Program 3

Expenses: $33,822,016 Revenue: $7,085,922

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (KFHP-NW) PROVIDES CHARITY CARE TO LOW-INCOME VULNERABLE PATIENTS THROUGH THE MEDICAL FINANCIAL ASSISTANCE (MFA) AND CHARITABLE HEALTH COVERAGE (CHC)...

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (KFHP-NW) PROVIDES CHARITY CARE TO LOW-INCOME VULNERABLE PATIENTS THROUGH THE MEDICAL FINANCIAL ASSISTANCE (MFA) AND CHARITABLE HEALTH COVERAGE (CHC) PROGRAMS. KFHP-NW 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 2023, THIS PROGRAM ASSISTED A TOTAL OF 27,000 PATIENTS THROUGH FINANCIAL ASSISTANCE. THE CHC PROGRAM OFFERS REGULAR KAISER FOUNDATION HEALTH PLAN MEMBERSHIP AT MINIMAL COST TO LOW INCOME FAMILIES WHO ARE NOT ELIGIBLE FOR OTHER PUBLIC OR PRIVATELY SPONSORED COVERAGE. APPROXIMATELY 530 INDIVIDUALS WERE RECEIVING COMPREHENSIVE HEALTH CARE THROUGH THIS PROGRAM AT THE END OF 2023.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $1,514,509

Program Service Revenue $5,099,622,328

Investment Income $17,764,969

Other Revenue $9,014

TOTAL REVENUE $5,118,910,820

Expense Breakdown

Grants Paid $0

Salaries & Benefits $892,634,172

Fundraising Expenses $0

Program Expenses $4,715,207,372

Other Expenses $4,054,337,385

TOTAL EXPENSES $4,946,971,557

Year-over-Year Comparison

	2023	2022	Change
Revenue	$5,118,910,820	$4,751,087,115	+0.1%
Expenses	$4,946,971,557	$4,815,952,814	+0.0%
Net Income	$171,939,263	$-64,865,699	-3.7%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

9211

Volunteers

348

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

⚠ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$43,372,009

Total Directors

$16,293,817

Key Employees

$3,513,441

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
Gregory Adams	Chairman & CEO	4.0	Officer Director	$0	$154,060	$12,721,446
Kathryn Lancaster	EVP & Chief Financial Officer	3.5	Officer	$0	$137,899	$5,061,302
Kimberly Horn	EVP, Group President, MOC	3.5	Officer	$0	$134,195	$4,751,551
Janet Liang	EVP, Group President & COO	3.5	Officer	$0	$89,835	$4,507,213
Arthur Southam	EVP, Health Plan Ops & CGO	4.0	Officer	$0	$18,575	$3,794,812
Ruth Williams-Brinkley	Regional President	0.0		$0	$-176,937	$3,241,679
Mark Zemelman	SVP, General Counsel & Secy	0.0		$0	$660,356	$2,494,194
Vanessa Benavides	SVP,Chief Legal Officer & Secy	1.5	Officer	$0	$308,115	$2,100,570
Jeffrey Collins	Regional President - NW	45.0	Officer	$0	$127,172	$2,084,147
Thomas Meier	SVP, Corporate Treasurer	1.5	Officer	$0	$121,348	$1,842,456
Donald Orndoff	SVP, NFS	4.0	Officer	$0	$320,687	$1,621,847
Alfonse Upshaw	SVP,Corporate Controller & CAO	0.0		$0	$208,369	$1,480,424
Wendy Watson	Regional COO - NW	50.0	Key Emp	$0	$192,650	$997,297
Rebecca Williams	VP, CFO - NW	15.0	Key Emp	$0	$204,850	$968,721
David Thomason	SVP,Corporate Controller & CAO	2.2	Officer	$0	$52,883	$950,781
Ryan Jenson	Interim Corp Controller & CAO	3.5	Officer	$0	$129,756	$872,977
Brandon Cuevas	EVP, Health Plan	4.0	Officer	$0	$293,271	$804,923
William Wiechmann	Assistant Secretary	0.0		$0	$149,593	$749,439
Camille Applin-Jones	VP, Ambulatory Care & Clin Svc	50.0	Highest	$0	$148,320	$727,121
Kirk Dobbins	Assistant Secretary	49.5	Officer	$0	$143,971	$684,467
Hong-Sze Yu	VP, Brd & Corp Gov & Asst Secy	3.5	Officer	$0	$167,556	$676,148
Kristin Bear	Assistant Secretary	4.0	Officer	$0	$170,789	$645,426
Keith Forrester	VP, MSBD - NW	50.0	Key Emp	$0	$97,569	$589,794
Wei Wang	ED, FP&A	50.0	Highest	$0	$107,946	$585,843
Barbara Basney	VP, PR, Commns & Brand Mgmt	50.0	Highest	$0	$108,164	$556,881
Nicole Kveton	VP, Quality & Safety - NW	50.0	Highest	$0	$108,818	$530,354
Chad Melvin	ED, Strategic Planning	50.0	Highest	$0	$93,576	$492,246
Jennifer Stacy	VP, MSBD - NW	50.0	Key Emp	$244,555	$103,901	$487,081
Lindsay Liewergen	VP, Consumer Experience	50.0	Key Emp	$0	$114,460	$470,548
Margaret E Porfido JD	Director	0.0	Director	$0	$16,717	$335,800
David F Hoffmeister	Director	0.3	Director	$0	$17,907	$298,858
Judith A Johansen JD	Director	0.5	Director	$10,300	$6,534	$297,334
Leslie S Heisz	Director	0.3	Director	$0	$24,274	$293,230
Ramon F Baez	Director	0.1	Director	$0	$21,121	$288,072
Jeffrey E Epstein	Director	0.5	Director	$0	$13,187	$279,102
Richard P Shannon MD	Director	0.5	Director	$0	$27,421	$263,921
Vivek Sharma	Director	0.1	Director	$0	$0	$261,456
Jenny J Ming	Director	0.3	Director	$0	$12,004	$260,776
Maryann Bodayle	Assistant Secretary	1.0	Officer	$0	$55,189	$251,943
Matthew T Ryan	Director	0.25	Director	$0	$0	$250,951
A Eugene Washington MD	Director	0.25	Director	$0	$4,278	$248,278
David J Barger	Director	0.5	Director	$0	$13,569	$247,569
Regina M Benjamin MD MBA	Director	0.5	Director	$0	$27,404	$247,024
Edward Y W Pei	Director	0.0		$0	$0	$53,623
Kim J Kaiser	Director	0.0		$10,300	$0	$39,004

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	No data	No data	No data	No data
2023	$5,118,910,820	$4,946,971,557	$2,078,214,757	$171,939,263
2022	$4,751,087,115	$4,815,952,814	$2,055,908,871	$-64,865,699
2021	$4,762,536,077	$4,622,029,837	$1,757,072,616	$140,506,240
2020	$4,674,251,339	$4,453,480,519	$1,396,068,260	$220,770,820
2019	$4,502,771,166	$4,339,935,047	$1,450,878,957	$162,836,119
2018	$4,203,208,361	$4,180,008,375	$1,426,910,371	$23,199,986
2016	$3,757,404,559	$3,665,722,639	$1,530,943,395	$91,681,920

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST