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~Slgnature of Officer efile GRAPHIC rint - DO NOT PROCESS As Filed Data - DLN:93493312026058 Return of Organization Exempt From Income Tax OMB No 1545-0047 Form990 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private ~ foundations) 2017 ~ Do not enter social security numbers on this form as It may be made public DepJrtmc-nt of the TreJ~uT"\ Open to Public ~ Information about Form 990 and ItS instructions IS at www IRS qovlform990 Intem~d Re\ C"nuC" ~ef\ Ice Inspection A For th e 2017 ca en d ar year, or t ax year b egmnmg 01 --01 2017 , an d en d'mg 12-- 31 2017 C Name of organization B Check If applicable D Employer Identification number KAISER FOUNDATION HEALTH PLAN INC D Address change 94-1340523 D Name change % CHIEF ACCOUNTING OFFICER D Initial return DOing business as D Final return/terminated E Telephone number D Amended return Number and street (or PObox If mall IS not delivered to street address) IRoom/suite ONE KAISER PLAZA SUITE 15L D Application pending (510) 271-6611 City or town, state or proVince, country, and ZIP or foreign postal code OAKLAND, CA 94612 G Gross receipts $ 68,714,034,750 F Name and address of principal officer H(a) Is this a group return for BERNARD J TYSON ONE KAISER PLAZA SUITE 15L subordinates? OYes ~No OAKLAND, CA 94612 H(b) Are all subordinates Included? OYes ONo I Tax-exempt status ~ 501(c)(3) 0 501(c) ( ) ~ (Insert no ) o 4947(a)(1) or o 527 If "No," attach a list (see instructions) H(c) J Website: ~ www kp org Group exemption number ~ L Year of formation CA K Form of organization ~ Corporation o Trust 0 Association 0 Other ~ 1955 I M State of legal domicile _:£.I [_. Summary 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 '"~ ~a; > 0 2 Check this box ~ 0 If the organization discontinued ItS operations or disposed of more than 25% of ItS net assets ~ 3 Number of voting members of the governing body (Part VI, line la) 3 14 >o:j v', 4 Number of Independent voting members of the governing body (Part VI, line lb) 4 13 <l> 5 Total number of individuals employed In calendar year 2017 (Part V, line 2a) 5 28,423 ~ 6 Total number of volunteers (estimate If necessary) 6 267 ct'-' 7a Total unrelated business revenue from Part VIII, column (C), line 12 7a 8,111,696 b Net unrelated business taxable Income from Form 990-T, line 34 7b 2,857,288 Prior Year Current Year 8 Contributions and grants (Part VIII, line lh) 300 0 ~ ~ (j; 9 Program service revenue (Part VIII, line 2g) 50,930,020,265 53,901,946,011 :> 10 Investment Income (Part VIII, column (A), lines 3, 4, and 7d ) 127,124,724 76,679,884 c:", 11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 8,571,245 4,997,628 12 Total revenue-add lines 8 through 11 (must equal Part VIII, column (A), line 12) 51,065,716,534 53,983,623,523 13 Grants and similar amounts paid (Part IX, column (A), lines 1-3 ) 22,235,293 69,625,944 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) 3,131,757,564 3,227,805,630 ~ V> 16a Professional fundralslng fees (Part IX, column (A), line 11e) 0 0 ~ 0.. b Total fundralslng expenses (Part IX, column (D), line 25) ~O ~ 17 Other expenses (Part IX, column (A), lines 11a-11d, l1f-24e) 47,823,677,330 50,467,127,024 18 Total expenses Add lines 13-17 (must equal Part IX, column (A), line 25) 50,977,670,187 53,764,558,598 19 Revenue less expenses Subtract line 18 from line 12 88,046,347 219,064,925 ~~ Beginning of Current Year End of Year t)2! ~C"C ~C'!! 20 Total assets (Part X, line 16) 19,931,581,625 21,117,803,253 <ctl 21 Total liabilities (Part X, line 26) 17,249,641,027 19,560,541,767 -"2!~:;, Z .... 22 Net assets or fund balances Subtract line 21 from line 20 2,681,940,598 1,557,261,486 .:E-T l_ •• Signature Block Under penalties of perjury, I declare that I have examined thiS return, including accompanying schedules and statements, and to the best of my knowledge and belief, It IS true, correct, and complete Declaration of preparer (other than officer) IS based on all information of which preparer has any knowledge 2018-10-25 of officer Date Sign ~Slgnature Here ~ALFONSE UPSHAW SVP, CC AND CAO Type or print name and title Print/Type preparer's name I Preparer's signature Date PTIN Robert W Fm Robert W Fm I Check 0 If I P00438748 Paid self-emDloved Preparer Firm's name ~ PricewaterhouseCoopers LLP Firm's EIN ~ Firm's address ~ 2001 MARKET ST SUITE 1800 Use Only Phone no (267) 330-3000 PHILADELPHIA, PA 19103 May the IRS discuss thiS return with the preparer shown above? (see instructions) OYes ONo For Paperwork Reduction Act Notice, see the separate instructions. Cat No 11282Y Form 990 (2017) Form 990 (2017) Page 2 .@iff. Statement of Program Service Accomplishments Check If Schedule 0 contains a response or note to any line In this Part III 1 Briefly describe the organization's mission TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE 2 Did the organization undertake any significant program services dUring the year which were not listed on the prior Form 990 or 990-EZ? DYes ~ No If "Yes," describe these new services on Schedule 0 3 Did the organization cease conducting, or make significant changes In how It conducts, any program services? DYes ~ No If "Yes," describe these changes on Schedule 0 4 Describe the organization's program service accomplishments for each of ItS three largest program serVices, as measured by expenses Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, If any, for each program service reported 4a (Code ) (Expenses $ 48,224,482,226 Including grants of $ 13,680,244) (Revenue $ 51,960,319,866 ) See Additional Data 4b (Code ) (Expenses $ 2,894,007,931 Including grants of $ o ) (Revenue $ 1,939,421,811 ) See Additional Data 4c (Code ) (Expenses $ 145,979,092 Including grants of $ o ) (Revenue $ 2,204,334 ) See Additional Data (Code ) (Expenses $ 81,356,754 Including grants of $ 55,945,700) (Revenue $ 0) See Community Benefit Report In Sch a 4d Other program services (Describe In Schedule 0 ) (Expenses $ 81,356,754 including grants of $ 55,945,700) (Revenue $ 0) 4e Total program service expenses ~ 51,345,826,003 Form 990 (2017) Form 990 (2017) Page 3 .:r.lIi.,'. Checklist of Required Schedules Yes No 1 Is the organization described In section SOl(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Yes Schedule A ~ . 1 2 Is the organization required to complete Schedule B, Schedule of Contnbutors (see instructions)? 2 No 3 Did the organization engage In direct or indirect political campaign activities on behalf of or In opposition to candidates Yes for public office? If "Yes," complete Schedule C, Part I '!iJ . 3 4 Section 501(c)(3) organizations. Did the organization engage In lobbYing activities, or have a section SOl(h) election In effect dUring the tax year? If "Yes, " complete Schedule C, Part II '!iJ 4 Yes 5 Is the organization a section SOl(c)(4), SOl(c)(S), or SOl(c)(6) organization that receives membership dues, assessments, or similar amounts as defined In Revenue Procedure 98-19? No If "Yes, " complete Schedule C, Part III '!iJ 5 6 Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or Investment of amounts In such funds or accounts? No If "Yes, " complete Schedule 0, Part I ~ . 6 7 Did the organization receive or hold a conservation easement, including easements to preserve open space, No the environment, historic land areas, or historic structures? If "Yes," complete Schedule 0, Part II '!iJ 7 8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? No If "Yes, " complete Schedule 0, Part III '!iJ . 8 9 Did the organization report an amount In Part X, line 21 for escrow or custodial account liability, serve as a custodian for amounts not listed In Part X, or provide credit counseling, debt management, credit repair, or debt negotiation No servlces?If "Yes," complete Schedule 0, Part IV '!iJ . 9 10 Did the organization, directly or through a related organization, hold assets In temporarily restricted endowments, 10 No permanent endowments, or quasI-endowments? If "Yes," complete Schedule 0, Part V ~ . 11 If the organization's answer to any of the following questions IS "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable a Did the organization report an amount for land, bUildings, and equipment In Part X, line 10? Yes If "Yes, " complete Schedule 0, Part VI '!iJ . 11a b Did the organization report an amount for Investments-other seCUrities In Part X, line 12 that IS 5% or more of ItS total No assets reported In Part X, line 16? If "Yes," complete Schedule 0, Part VII ~ .
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