Kaiser Foundation Health Plan of Washington

Nonprofit profile at a glance

EIN
910511770
IRS 990 coverage
2010–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
Oakland, CA, USA
Phone
5102716611
Rating
76
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospitals and Related Primary Medical Care Facilities

Official website

Reported finances

Revenue
$4,366,355,550
Expenses
$4,574,148,986
Assets
$3,160,639,857
Liabilities
$2,664,105,072

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

42 people listed

Executive titles in this filing

  • Gregory Adams (Chairman & CEO)
  • Kimberly Horn (EVP, Group President, MOC)
  • Janet Liang (EVP, Group President & COO)
  • Angela Dowling (Region President - WA)

Highest reported compensation

  • Gregory Adams (Chairman & CEO): $12,976,050 total reported compensation
  • Kimberly Horn (EVP, Group President, MOC): $6,474,308 total reported compensation
  • Janet Liang (EVP, Group President & COO): $5,011,705 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To provide high-quality, affordable health care services to improve the health of our members and the communities we serve.

What it reported doing in 2024

Member health care services and medical training for care improvement kaiser foundation health plan of Washington, inc. (kfhp-wa) provides medical and surgical care, including urgent care services, extended care and home health care, for its members without regards to age, sex, race, religion or national origin or the ability to pay. Kfhp-wa educates and trains medical students and other health care professionals and promotes scientific and nursing education in order to improve care for our members and our community. Kfhp-wa directly invests in improvements in community health by working to increase access to health care, improving the conditions for health and equity and providing health education.

Operating model

Revenue model
Earned-program. 97% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and the filing reports few safeguards for money sent abroad.

Rating breakdown

  • Financial Efficiency: 87
  • Transparency & Controls: 60
  • Accountability: 82
  • Sustainability: 27
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 98.7%; rating input score 99
  • Program expense ratio: 94.6%; rating input score 95
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: 0 of 8 controls in place; rating input score 0
    • Claims monitoring procedures: Limited
    • Requires narrative reports: Limited
    • Conducts field audits: Limited
    • May suspend future funding: Limited
    • Requires financial reports: Limited
    • Conducts site visits: Limited
    • Requires grant agreements: Limited
    • May require repayment: Limited
  • Grant itemization coverage: 94.4%; rating input score 94; 27th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 70%; rating input score 70; 21st percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -4.8%; rating input score 13; 13th percentile among comparable filings
  • Total-asset coverage ratio: 0.69; rating input score 27; 27th percentile among comparable filings
  • Liabilities to assets ratio: 0.84; rating input score 15; 15th percentile among comparable filings
  • Officer compensation ratio: 0.2%; rating input score 91; 91st percentile among comparable filings

Growth

  • Program expense growth: 6.4% per year; rating input score 100; 52nd percentile among comparable filings
  • Revenue growth: 3.3% per year; rating input score 100; 25th percentile among comparable filings
  • Asset growth: 6.2% per year; rating input score 100; 46th percentile among comparable filings

Details

  • Where the money goes: 98.7% of revenue deployed · 94.6% of spending went to programs
  • Governance: 7 of 10 board members independent · 9 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $4.3B in reported program spending
  • Leadership: top reported pay $13M · 42 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $903.4M reported
  • Consistency: 36 of 38 current checks pass · 2 findings to review
  • Schedules: 11 filed schedules · includes major donors, foreign activity, grants, executive pay, and related organizations
  • Filing history: 14 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 76 filed money-flow records
  • Related organizations: 145 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • High — Transparency & Controls: Foreign activity oversight scored 0/100.
  • High — Sustainability: Operating margin scored 13/100.
  • High — Sustainability: Total-asset coverage ratio scored 27/100.
  • High — Sustainability: Liabilities to assets ratio scored 15/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Review — Transparency & Controls: Foreign grant itemization did not reconcile in the filed values.