Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1e · Government grants (contributions)

  $9,741,222

• 1f · All other contributions, gifts and grants

  $3,228,823

• 2a · Program service revenue: MEMBERS' DUES

  total $2,424,758,731 · related or exempt $2,424,758,731 · unrelated business $0 · excluded $0

• 2b · Program service revenue: MEDICARE REVENUE

  total $1,299,636,749 · related or exempt $1,299,636,749 · unrelated business $0 · excluded $0

• 2c · Program service revenue: SUPPLEMENTAL REVENUE

  total $243,647,867 · related or exempt $243,647,867 · unrelated business $0

• 2d · Program service revenue: NON-PLAN & INDUSTRIAL

  total $4,951,727 · related or exempt $4,533,224 · unrelated business $418,503 · excluded $0

• 2e · Program service revenue: OTHER PROGRAM SERVICE

  total $88,156,978 · related or exempt $88,156,978 · unrelated business $0 · excluded $0

• 3 · Investment income

  total $38,618,486 · excluded $38,618,486

• 4 · Income from investment of tax-exempt bond proceeds

  total $0

• 5 · Royalties

  total $0

• 6a · Gross rents

  real property $1,092,712

• 6c · Rental income or loss

  real property $1,092,712 · personal property $0

• 6d · Net rental income or loss

  total $1,092,712 · excluded $1,092,712

• 7a · Gross sales of assets other than inventory

  securities $1,029,634,913 · other assets $0

• 7b · Less cost or other basis and sales expenses

  securities $1,050,893,093 · other assets -$22,269

• 7c · Gain or loss

  securities -$21,258,180 · other assets $22,269

• 7d · Net gain or loss

  total -$21,235,911 · excluded -$21,235,911

• 8a · Fundraising events: gross income

  $0

• 8b · Fundraising events: direct expenses

  $0

• 8c · Net income from fundraising events

  total $0

• 9a · Gaming: gross income

  $0

• 9b · Gaming: direct expenses

  $0

• 9c · Net income from gaming

  total $0

• 10a · Gross sales of inventory

  $0

• 10b · Cost of goods sold

  $0

• 10c · Net income from sales of inventory

  total $0

• 11e · Other revenue, total

  $0

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $5,742,893 · program services $5,742,893

• 2 · Grants to domestic individuals

  total $0

• 3 · Grants to foreign organizations and individuals

  total $54,112 · program services $54,112

• 4 · Benefits paid to or for members

  total $0

• 5 · Compensation of officers, directors and key employees

  total $0

• 6 · Compensation of disqualified persons

  total $0

• 7 · Other salaries and wages

  total $466,471,363 · program services $446,210,805 · management and general $20,260,558 · fundraising $0

• 8 · Pension plan contributions

  total $105,514,139 · program services $105,514,139 · management and general $0 · fundraising $0

• 9 · Other employee benefits

  total $94,857,411 · program services $83,793,137 · management and general $11,064,274 · fundraising $0

• 10 · Payroll taxes

  total $40,520,454 · program services $40,520,454 · management and general $0 · fundraising $0

• 11a · Fees: management

  total $0

• 11b · Fees: legal

  total $120,498 · program services $0 · management and general $120,498 · fundraising $0

• 11c · Fees: accounting

  total $846,846 · program services $0 · management and general $846,846 · fundraising $0

• 11d · Fees: lobbying

  total $130,000 · program services $0 · management and general $130,000 · fundraising $0

• 11e · Fees: professional fundraising services

  total $0

• 11f · Fees: investment management

  total $951,661 · program services $0 · management and general $951,661 · fundraising $0

• 11g · Fees: other

  total $0

• 12 · Advertising and promotion

  total $7,661,525 · program services $366,553 · management and general $7,294,972 · fundraising $0

• 13 · Office expenses

  total $9,285,136 · program services $9,199,581 · management and general $85,555 · fundraising $0

• 14 · Information technology

  total $181,146,748 · program services $126,861,383 · management and general $54,285,365 · fundraising $0

• 15 · Royalties

  total $0

• 16 · Occupancy

  total $29,722,833 · program services $29,722,833 · management and general $0 · fundraising $0

• 17 · Travel

  total $1,364,253 · program services $1,261,525 · management and general $102,728 · fundraising $0

• 18 · Travel or entertainment for public officials

  total $0

• 19 · Conferences, conventions and meetings

  total $320,754 · program services $0 · management and general $320,754 · fundraising $0

• 20 · Interest

  total $702,851 · program services $702,851 · management and general $0 · fundraising $0

• 21 · Payments to affiliates

  total $0

• 22 · Depreciation, depletion and amortization

  total $47,956,093 · program services $47,956,093 · management and general $0 · fundraising $0

• 23 · Insurance

  total $5,409,270 · program services $5,409,270 · management and general $0 · fundraising $0

• 24a · Other expenses: BASIC CONTRACTUAL PAYMENTS

  total $1,407,241,458 · program services $1,407,241,458 · management and general $0 · fundraising $0

• 24b · Other expenses: PURCHASED MEDICAL SERVICES

  total $755,659,510 · program services $755,659,510 · management and general $0 · fundraising $0

• 24c · Other expenses: MEDICAL & OTHER SUPPLIES

  total $617,135,100 · program services $563,731,982 · management and general $53,403,118 · fundraising $0

• 24d · Other expenses: INTER/INTRA REG. ALLOCATIONS

  total $240,072,510 · program services $233,962,420 · management and general $6,110,090 · fundraising $0

• 24e · All other expenses

  total $100,885,159 · program services $16,479,669 · management and general $84,405,490 · fundraising $0

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $0 · end of year $0

• 2 · Savings and temporary cash investments

  beginning of year $1,663,017 · end of year $8,378,270

• 3 · Pledges and grants receivable

  beginning of year $0 · end of year $0

• 4 · Accounts receivable

  beginning of year $148,377,087 · end of year $142,108,429

• 5 · Loans and receivables from officers and key people

  beginning of year $0 · end of year $0

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 7 · Other notes and loans receivable

  beginning of year $0 · end of year $0

• 8 · Inventories for sale or use

  beginning of year $30,054,998 · end of year $34,217,524

• 9 · Prepaid expenses and deferred charges

  beginning of year $325,277,905 · end of year $550,548,977

• 10a · Land, buildings and equipment: cost or other basis

  $1,004,312,972

• 10b · Land, buildings and equipment: accumulated depreciation

  $626,264,328

• 10c · Land, buildings and equipment, net

  beginning of year $377,734,055 · end of year $378,048,644

• 11 · Investments: publicly traded securities

  beginning of year $1,094,699,866 · end of year $1,185,277,613

• 12 · Investments: other securities

  beginning of year $0 · end of year $0

• 13 · Investments: program-related

  beginning of year $0 · end of year $0

• 14 · Intangible assets

  beginning of year $862,477 · end of year $716,650

• 15 · Other assets

  beginning of year $69,645,159 · end of year $59,261,315

• 17 · Accounts payable and accrued expenses

  beginning of year $232,607,275 · end of year $266,450,966

• 18 · Grants payable

  beginning of year $0 · end of year $0

• 19 · Deferred revenue

  beginning of year $40,601,470 · end of year $41,962,610

• 20 · Tax-exempt bond liabilities

  beginning of year $0 · end of year $0

• 21 · Escrow or custodial account liability

  beginning of year $0 · end of year $0

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 23 · Secured mortgages and notes payable

  beginning of year $0 · end of year $0

• 24 · Unsecured notes and loans payable

  beginning of year $0 · end of year $0

• 25 · Other liabilities

  beginning of year $413,859,976 · end of year $604,946,174

• 29 · Capital stock, trust principal or current funds

  beginning of year $0 · end of year $0

• 30 · Paid-in or capital surplus, or land, building or equipment fund

  beginning of year -$200,771,048 · end of year -$200,771,048

• 31 · Retained earnings, endowment or other funds

  beginning of year $1,562,016,891 · end of year $1,645,968,720

The filer's explanations (Part III)

Schedule J, Part I, Line 3

THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS DESCRIBED BELOW TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF A RELATED ORGANIZATION.

SCHEDULE J, PART I, LINE 4A

Mark Zemelman $ 465,099 Laura English 375,000 LISTED PERSONS PARTICIPATED IN SEPARATION ARRANGEMENTS. DEPENDING ON POSITION LEVEL, TENURE, AND SEPARATION REASON, BENEFITS PAYABLE UNDER THESE ARRANGEMENTS PROVIDE FOR PAY AND HEALTH BENEFITS CONTINUATION PLUS PAYMENT OF ACCRUED OBLIGATIONS. IN ADDITION, FOR SOME OF THE LISTED PERSONS, BENEFITS PAYABLE INCLUDE PRORATED INCENTIVE AWARDS FOR PERFORMANCE PERIODS NOT YET ENDED. NONE OF THE LISTED PERSONS PARTICIPATED IN ARRANGEMENTS ENTITLING THEM TO CHANGE-OF-CONTROL PAYMENTS.

SCHEDULE J, PART I, LINE 4B

SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENT Gregory Adams $ 1,189,653 Kimberly Horn 5,314,752 Arthur Southam 536,824 Kathryn Lancaster 500,214 Mark Zemelman 371,550 Janet Liang 2,124,667 Thomas Meier 89,053 Donald Orndoff 110,897 Roland Lyon 109,179 Laura English 119,712 SOME OF THE PARTICIPANTS LISTED IN SCHEDULE J, PART II PARTICIPATED IN NONQUALIFIED SUPPLEMENTAL RETIREMENT PLANS. UNDER THESE PLANS, THE ORGANIZATION MAKES ANNUAL CONTRIBUTIONS TO A NOTIONAL ACCOUNT ON BEHALF OF EACH PARTICIPANT. CONTRIBUTIONS VARY BY POSITION, LEVEL AND PAY, AND VEST OVER TIME BASED ON AGE AND/OR SERVICE. PARTICIPANT ACCOUNTS ARE CREDITED WITH A FIXED RATE OF INTEREST, INVESTED IN AVAILABLE MUTUAL FUNDS OR A COMBINATION OF BOTH. CERTAIN OFFICERS ACCRUE A BENEFIT THAT VESTS BASED ON AGE AND SERVICE AND TARGETS A PERCENTAGE OF FINAL AVERAGE PAY LESS PRIOR PLAN OFFSETS. UNVESTED AMOUNTS ARE SUBJECT TO RISK OF FORFEITURE.

Schedule J, Part I, line 7

NON-FIXED PAYMENTS THE ORGANIZATION PROVIDED NON-FIXED PAYMENTS TO SOME OF THE PERSONS LISTED. PAYMENTS WERE MADE UNDER DISCRETIONARY BONUS PROGRAMS AND INCENTIVE PLANS, BASED ON ATTAINMENT OF ORGANIZATIONAL PERFORMANCE GOALS AND INDIVIDUAL PERFORMANCE, DESIGNED TO SUPPORT THE ORGANIZATION'S MISSION TO PROVIDE HIGH-QUALITY, AFFORDABLE CARE AND IMPROVE THE HEALTH OF ITS MEMBERS AND THE COMMUNITIES IT SERVES. THE PLANS' ORGANIZATIONAL PERFORMANCE GOALS INCLUDED: QUALITY OF CARE AND SERVICE, MEMBERSHIP GROWTH, OPERATING INCOME, PER MEMBER EXPENSE TREND, AND COMMUNITY BENEFIT. PLAN DESIGNS, PERFORMANCE, AND PAYOUT LEVELS, AS WELL AS INDIVIDUAL PAYMENTS TO CERTAIN PERSONS, WERE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, COMPRISED OF INDEPENDENT DIRECTORS.

SCHEDULE J, PART II, COLUMN F

AMOUNTS INCLUDED IN SCHEDULE J, PART II, COLUMN F INCLUDE AMOUNTS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION, AS WELL AS DISTRIBUTIONS FROM A 457(B) PLAN THAT WERE PREVIOUSLY REPORTED AS REPORTABLE COMPENSATION IN ACCORDANCE WITH FORM 990 INSTRUCTIONS.

SCHEDULE J, PART II, COLUMN C

THE ACTUARIAL VALUE FOR THE MAJORITY OF INDIVIDUALS' DEFINED BENEFIT PLAN DECLINED IN 2022, RESULTING IN NEGATIVE COMPENSATION FOR CERTAIN EXECUTIVES. THE ACTUARIAL INCREASE OR DECREASE IN VALUE MAY CHANGE FOR VARIOUS REASONS, INCLUDING CONTINUED SERVICE, AGE, AND CHANGES IN ASSUMPTIONS. THE DECLINE IN ACTUARIAL VALUE OF BENEFITS DURING 2022 IS PRIMARILY DUE TO SIGNIFICANT INCREASE IN MARKET INTEREST RATES, RESULTING IN LOWER PRESENT VALUE OF BENEFITS COMPARED TO THE PRIOR YEAR. THE ACTUAL DOLLARS RECEIVED FROM THE DEFINED BENEFIT PLAN UPON RETIREMENT ARE NOT AFFECTED BY THE INTEREST RATE INCREASES. CERTAIN BOARD MEMBERS ARE ELIGIBLE FOR A RETIREE MEDICAL BENEFIT FOLLOWING RETIREMENT FROM THE BOARD. THE ACTUARIAL INCREASE OR DECREASE IN VALUE MAY CHANGE FOR VARIOUS REASONS, INCLUDING CONTINUED SERVICE, AGE, AND CHANGES IN ASSUMPTIONS, RESULTING IN NEGATIVE VALUES IN COLUMN (C) IN SOME INSTANCES.

FORM 990, PART VII, SECTION A, LINE 5

Ronald Vance RECEIVED COMPENSATION FROM AN UNRELATED ORGANIZATION, ALVAREZ & MARSAL HOLDINGS, LLC.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• NXT CAP SR FD I LLC

  N/A · Investment · DE · 0% owned · share of income $0 · share of assets $0

  Directly controlled by NA

• Garfield Health Sol E Pvt Ltd

  N/A · Admin · IN · 0% owned · share of income $0 · share of assets $0

  Directly controlled by NA

• Maui Nui ASC Holdco LLC

  N/A · Holding Co · HI · 0% owned · share of income $0 · share of assets $0

  Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• OAK TREE ASSURANCE LTD

  C CORP · INSURANCE · VT · share of income $0 · share of assets $0 · controlled entity

  Directly controlled by NA

• KAISER PERMANENTE INSURANCE COMPANY

  C CORP · INSURANCE · CA · share of income $0 · share of assets $0 · controlled entity

  Directly controlled by NA

• KAISER PERMANENTE INTERNATIONAL

  C CORP · CONSULTING · CA · share of income $0 · share of assets $0 · controlled entity

  Directly controlled by NA

• KFHP OF WASHINGTON OPTIONS INC

  C CORP · INSURANCE · WA · share of income $0 · share of assets $0 · controlled entity

  Directly controlled by NA