Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 01-01-2013 , 2013, and ending 12-31-2013
BCheck if applicable:
CName of organization
KAISER FOUNDATION HOSPITALS
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
ONE KAISER PLAZA 15L
Suite
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
OAKLAND, CA94612
D Employer identification number

94-1105628
E Telephone number

G Gross receipts $ 28,457,909,982
F Name and address of principal officer:
Bernard J Tyson
ONE KAISER PLAZA 15L
OAKLAND,CA94612
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
N/A
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1948
M State of legal domicile: CA
Part I
Summary
Activities & Governance 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.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 15
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 12
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 66,766
6 Total number of volunteers (estimate if necessary) ............. 6 9,302
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 2,630,567
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -2,656,796
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 171,916,469 136,610,379
9 Program service revenue (Part VIII, line 2g) ......... 17,596,727,947 18,660,620,902
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 691,358,421 1,120,678,907
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 83,041,135 95,261,006
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 18,543,043,972 20,013,171,194
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 64,000,882 138,464,888
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) 7,264,033,133 7,669,093,333
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 9,449,254,366 10,071,331,383
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 16,777,288,381 17,878,889,604
19 Revenue less expenses. Subtract line 18 from line 12....... 1,765,755,591 2,134,281,590
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 34,987,895,012 39,709,611,780
21 Total liabilities (Part X, line 26)............. 23,544,864,032 22,541,003,686
22 Net assets or fund balances. Subtract line 21 from line 20..... 11,443,030,980 17,168,608,094
Part II
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.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O 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? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
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 $ 16,280,204,974 including grants of $ 22,104,414 ) (Revenue $ 18,184,362,720 )
Provides Hospital and Medical Care, Training and charity care Kaiser Foundation Hospitals (KFH) provides hospital, medical and surgical care, including emergency services, extended care and home health care without regards to age, sex, race, religion or national origin or the ability to pay. KFH educates and trains medical students, physicians and other health care professionals and promotes scientific research and medical and nursing education in order to improve care for our members and our community. KFH directly invests in improvements in community health by working to increase access for the underserved, disseminating care improvements, altering the social determinants of health and educating to improve health. KFH provides charity care to low-income vulnerable patients through the Medical Financial Assistance (MFA) and Charitable Health Coverage (CHC) Programs. MFA - KFH offers financial assistance to help families and individuals that are unable to pay for all or part of the cost of urgent or emergent care provided in a Kaiser Permanente facility. CHC - these programs are available to low income adults and children who are not eligible for other public or privately sponsored coverage. More than 88,000 patients received comprehensive care for up to four years through this program.
4b (Code:   ) (Expenses $ 789,806,608 including grants of $ 0 ) (Revenue $ 439,979,841 )
Kaiser Foundation Hospitals (KFH) is committed to improving medical care for beneficiaries of Medicaid and other government sponsored programs, not only for KFHP members, but also within the communities we serve. At the end of 2013, nearly 413,000 individuals were receiving access to inpatient and emergency care at KFH's facilities under Medicaid managed care programs in the states of California, Hawaii, Oregon, and Washington. Approximately 7,200 more individuals were receiving treatment under the Children's Health Insurance Program (CHIP). In addition, KFH provided health care on a fee-for-service basis for Medicaid beneficiaries who were not enrolled as KFHP members.
4c (Code:   ) (Expenses $ 232,233,331 including grants of $ 0 ) (Revenue $ 22,875,903 )
Kaiser Foundation Hospitals (KFH) provides charity care to low-income vulnerable patients through the Medical Financial Assistance (MFA) and Charitable Health Coverage (CHC) Programs. KFH 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 2013, this program assisted approximately 169,000 qualifying applicants. The CHC programs offer 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 82,000 patients were receiving access to comprehensive health care through these programs at the end of 2013.
(Code:   ) (Expenses $ 289,965,245 including grants of $ 116,360,474 ) (Revenue $ 13,402,438 )
SEE part iii, line 4a-d description
4d Other program services (Describe in Schedule O.)
(Expenses $ 289,965,245 including grants of $ 116,360,474 ) (Revenue $ 13,402,438 )
4e Total program service expensesMediumBullet17,592,210,158
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III............................
5
 
No
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? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
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 services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
 
No
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?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IVClick to see attachment
15
Yes
 
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV... Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
20b
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
Yes
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II....................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
3,811
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
66,766
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletID
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
15
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
12
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
CA , CO , DC , GA , HI , MD , OH , OR , VA , WA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletVP - TAX SERVICESONE KAISER PLAZA 15LOAKLANDCA94612 (510) 271-6385
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Christine K Cassel........................................................................
Director
 5.0
.......................9.0 		X           0 189,000 0
(2) Thomas W Chapman........................................................................
Director
 3.5
.......................10.5 		X           0 197,476 17,500
(3) Jeffrey E Epstein........................................................................
Director
 1.5
.......................3.5 		X           0 124,090 0
(4) Daniel P Garcia........................................................................
SVP, Chief Compliance Officer
 20.0
.......................30.0 		X   X       0 1,424,478 56,135
(5) William R Graber........................................................................
Director
 2.25
.......................5.25 		X           0 231,153 0
(6) J Eugene Grigsby III........................................................................
Director
 2.5
.......................6.0 		X           0 206,425 0
(7) George C Halvorson........................................................................
Chairman
 12.0
.......................38.0 		X   X       0 10,049,725 146,207
(8) Judith Johansen........................................................................
Director
 2.6
.......................4.7 		X           0 231,370 0
(9) Kim J Kaiser........................................................................
Director
 3.0
.......................5.5 		X           0 214,808 0
(10) Philip Marineau........................................................................
Director
 2.3
.......................4.72 		X           0 211,230 0
(11) Jenny J Ming........................................................................
Director
 2.0
.......................3.1 		X           0 207,633 0
(12) Edward YW Pei........................................................................
Director
 3.0
.......................4.75 		X           0 192,630 17,500
(13) Margaret E Porfido........................................................................
Director
 2.0
.......................4.5 		X           0 229,752 0
(14) Cynthia Telles........................................................................
Director
 2.3
.......................4.8 		X           0 225,539 0
(15) Bernard J Tyson........................................................................
CEO & President
 12.0
.......................38.0 		X   X       0 4,150,020 139,874
(16) Gregory A Adams........................................................................
EVP & Grp President, NCAL/MAS
 22.0
.......................28.0 		    X       0 1,904,557 229,462
(17) Anthony A Barrueta........................................................................
SVP, Government Relations
 25.0
.......................25.0 		    X       0 922,824 94,065
Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Raymond J Baxter........................................................................
SVP, CB, Research & Health
 25.0
.......................25.0 		    X       0 1,532,717 52,106
(19) Benjamin K Chu........................................................................
EVP & Grp President, SCAL/HI
 25.0
.......................25.0 		    X       0 1,659,762 604,757
(20) Charles E Columbus........................................................................
SVP, Chief HR Officer
 25.0
.......................25.0 		    X       0 1,232,603 269,861
(21) Richard D Daniels........................................................................
SVP, Enterprise Shared Svc
 2.0
.......................48.0 		    X       0 1,358,089 163,883
(22) Steven Doshay........................................................................
Assistant Secretary, CA
 15.0
.......................35.0 		    X       0 338,268 77,960
(23) Erin M Downing........................................................................
Assistant Secretary
 14.0
.......................36.0 		    X       0 95,076 14,143
(24) Philip Fasano........................................................................
EVP & CIO
 25.0
.......................25.0 		    X       0 2,247,447 515,203
(25) Diane E Gage Lofgren........................................................................
SVP, Brand Mgmt, Communication
 25.0
.......................25.0 		    X       0 987,901 154,419
(26) Jennifer Gardner........................................................................
Assistant Secretary
 14.0
.......................36.0 		    X       0 90,505 15,348
(27) Sandra A Golze........................................................................
Assistant Secretary, NCAL
 25.0
.......................25.0 		    X       0 524,866 82,515
(28) Mitchell J Goodstein........................................................................
SVP, Actuarial, U/W & Pricing
 1.0
.......................49.0 		    X       0 1,151,848 49,234
(29) Kimberly K Horn........................................................................
Region President - MAS
 10.0
.......................40.0 		    X       0 1,151,289 398,037
(30) Patricia Kennedy-Scott........................................................................
Region President - Ohio
 5.0
.......................45.0 		    X       0 1,251,250 86,154
(31) Kerry Kohnen........................................................................
Region President - Georgia
 10.0
.......................40.0 		    X       0 847,057 14,983
(32) Kathryn Lancaster........................................................................
EVP & CFO
 12.0
.......................38.0 		    X       0 2,196,752 141,775
(33) Janet A Liang........................................................................
Region President - Hawaii
 25.0
.......................25.0 		    X       0 744,038 185,661
(34) Donna Lynne........................................................................
EVP, Grp & Regional President
 18.0
.......................32.0 		    X       0 1,236,958 413,628
(35) Andrew R Mcculloch........................................................................
Region President - Northwest
 25.0
.......................25.0 		    X       0 1,045,155 386,072
(36) Thomas R Meier........................................................................
SVP, Corporate Treasurer
 17.0
.......................33.0 		    X       0 1,047,162 44,749
(37) Indrajit Obeysekere........................................................................
Assistant Secretary
 25.0
.......................25.0 		    X       0 329,645 16,475
(38) Donald H Orndoff........................................................................
SVP, NFS
 15.0
.......................35.0 		    X       0 929,854 170,182
(39) Wade Overgaard........................................................................
SVP, Health Plan Operations
 20.0
.......................30.0 		    X       0 864,115 94,050
(40) Frank P Richardson........................................................................
Assistant Secretary, HI
 25.0
.......................25.0 		    X       0 275,316 45,108
(41) Rochelle M Roth........................................................................
Assistant Secretary
 10.0
.......................40.0 		    X       0 222,413 26,424
(42) Jacqueline Sellers........................................................................
Assistant Secretary
 25.0
.......................25.0 		    X       0 248,419 3,983
(43) Arthur M Southam........................................................................
EVP, Health Plan Operations
 5.0
.......................45.0 		    X       0 2,609,154 45,573
(44) Deborah Stokes........................................................................
SVP, CC & CAO
 14.5
.......................35.5 		    X       0 764,912 -2,441
(45) Herman M Weil........................................................................
SVP, Fed & State Programs
 10.0
.......................40.0 		    X       0 834,930 4,876
(46) Jed Weissberg........................................................................
SVP, Quality & Care Delivery
 25.0
.......................25.0 		    X       0 1,231,670 352,627
(47) John Yamamoto........................................................................
VP, Regional Counsel - SCAL
 20.0
.......................30.0 		    X       0 598,710 37,513
(48) Carlos Zaragoza........................................................................
Assistant Secretary, SCAL
 25.0
.......................25.0 		    X       0 684,732 3,219
(49) Victoria B Zatkin........................................................................
VP, Off of Brd & Corp Gov Svc
 14.0
.......................36.0 		    X       0 330,156 13,335
(50) Mark S Zemelman........................................................................
SVP, Gen. Counsel & Secretary
 16.0
.......................34.0 		    X       0 1,323,548 43,660
(51) Mary Ann Barnes........................................................................
SVP, Exec Dir - San Diego
 30.0
.......................20.0 		      X     0 567,554 57,423
(52) Frank T Beirne........................................................................
SVP & Area Mgr - San Mateo
 50.0
.......................0.0 		      X     0 480,997 93,507
(53) Christopher L Boyd........................................................................
SVP, Area Mgr - Santa Clara
 30.0
.......................20.0 		      X     0 500,147 106,947
(54) Michael O Brady........................................................................
SVP, Infrastructure Mgmt Grp
 30.0
.......................20.0 		      X     0 844,309 110,845
(55) Virginia C Campbell........................................................................
SVP & Area Mgr - Diablo
 30.0
.......................20.0 		      X     0 650,800 136,219
(56) William B Caswell........................................................................
SVP, Operations
 30.0
.......................20.0 		      X     0 801,405 103,823
(57) Greg K Christian........................................................................
Exec Dir - Fontana
 30.0
.......................20.0 		      X     0 644,082 98,373
(58) Judith L Coffey........................................................................
SVP & Area Mgr - Marin/Sonoma
 30.0
.......................20.0 		      X     0 492,620 50,652
(59) Mark E Costa........................................................................
Exec Dir - Los Angeles
 30.0
.......................20.0 		      X     0 531,294 100,919
(60) Elizabeth Jane Finley........................................................................
SVP & Exec Dir - Downey
 30.0
.......................20.0 		      X     0 508,643 35,457
(61) Edward S Glavis........................................................................
SVP & Area Mgr - Roseville
 30.0
.......................20.0 		      X     0 641,328 2,224
(62) Thomas S Hanenburg........................................................................
SVP & Area Mgr - GSAA
 50.0
.......................0.0 		      X     0 357,459 55,280
(63) Gerald A Mccall........................................................................
SVP Operations
 30.0
.......................20.0 		      X     0 869,811 -8,247
(64) Colleen M Mckeown........................................................................
SVP & Area Mgr - Diablo
 30.0
.......................20.0 		      X     0 583,702 -25,507
(65) Julie Miller-Phipps........................................................................
SVP & Exec Dir - Orange
 30.0
.......................20.0 		      X     0 774,894 -25,116
(66) Christine Robisch........................................................................
SVP & Area Manager - SF
 30.0
.......................20.0 		      X     0 492,558 45,871
(67) Sandra Small........................................................................
SVP, Hospital & Area Ops
 50.0
.......................0.0 		      X     0 908,335 -62,066
(68) Max Villalobos........................................................................
SVP & Area Manager - Napa
 30.0
.......................20.0 		      X     0 510,346 70,683
(69) Vita M Willett........................................................................
Exec Dir - Riverside
 30.0
.......................20.0 		      X     0 542,720 43,096
(70) Claudio F Abreu........................................................................
SVP, Regional IT Operations
 50.0
.......................0.0 		        X   0 728,138 217,028
(71) Lisa L Caplan........................................................................
SVP, Business Info Officer
 50.0
.......................0.0 		        X   0 748,688 94,933
(72) Diane Comer........................................................................
SVP, Business Info Officer
 30.0
.......................20.0 		        X   0 861,369 115,629
(73) James Wesley Doggett Jr........................................................................
SVP, Chief IT Risk Officer
 50.0
.......................0.0 		        X   0 773,668 161,473
(74) Kathleen Marie Scheirman........................................................................
SVP, Business Info Officer
 30.0
.......................20.0 		        X   0 981,932 119,651
(75) Jerry C Fleming........................................................................
SVP, Health Reform Impl. & Pol
 20.0
.......................30.0 		          X 0 806,046 -35,376
(76) Marilyn Kawamura........................................................................
Region President - MAS
 0.0
.......................0.0 		          X 0 414,555 16,875
(77) Jeffrey A Collins........................................................................
SVP & Area Manager - Fresno
 0.0
.......................0.0 		          X 0 566,458 75,686
(78) Corwin Nathaniel Harper........................................................................
SVP & Area Mgr - Central Vall
 0.0
.......................0.0 		          X 0 474,234 73,953
(79) Nathaniel L Oubre........................................................................
SVP & Area Mgr - East Bay
 0.0
.......................0.0 		          X 0 560,645 14,774
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 0 71,517,764 7,070,824
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet23,503
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
MCCARTHY BUILDING COMPANIES INC, 20401 SW BIRCH STREET SUITE 300NEWPORT BEACHCA92660 CONSTRUCTION SVCS 203,164,723
RUDOLPH AND SLETTEN, 1600 SEAPORT BLVD SUITE 350REDWOOD CITYCA94063 ENGINEERING SVCS 180,836,780
UCSF MEDICAL CENTER, PO BOX 39000 DEPT 3-9157SAN FRANCISCOCA941399157 MEDICAL SERVICES 82,822,045
SWINERTON BUILDERS, 17140 BERNARDO CENTER DR SUITE 216SAN DIEGOCA921282088 CONSTRUCTION SVCS 56,842,086
MERCY HOSPITAL OF FOLSOM, PO BOX 742232LOS ANGELESCA900742232 MEDICAL SERVICES 36,787,838
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet358
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 478,088
e Government grants (contributions)1e 98,911,159
f All other contributions, gifts, grants, and
similar amounts not included above1f 		37,221,132
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 136,610,379
Program Service RevenueAmt Business Code
2a HOSPITAL SERV REV 900099 16,264,429,922 16,264,429,922    
b NON-PLAN & IND REV 900099 580,277,613 580,277,613    
c OTHR PRGM SERV REV 900099 1,749,525,785 1,744,283,351 5,242,434  
d MEDICARE PAYMENTS 900099 66,387,582 66,387,582    
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 18,660,620,902
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 597,268,485   -3,974,382 601,242,867
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 1,371,314  
b Less: rental expenses    
c Rental income or (loss) 1,371,314 0
d Net rental income or (loss).......MediumBullet 1,371,314     1,371,314
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 8,966,392,579 1,756,631
b Less: cost or other basis and sales expenses 8,439,011,256 5,727,532
c Gain or (loss) 527,381,323 -3,970,901
d Net gain or (loss)..........MediumBullet 523,410,422     523,410,422
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a CAFETERIA 721210 18,999,405     18,999,405
b PARKING GARAGES 812930 9,349,404   233,673 9,115,731
c KP ONCALL 900099 42,983,749   128,842 42,854,907
d All other revenue .... 22,557,134   1,000,000 21,557,134
e Total. Add lines 11a–11d ...... MediumBullet 93,889,692
12 Total revenue. See Instructions......MediumBullet 20,013,171,194 18,655,378,468 2,630,567 1,218,551,780
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 137,723,309 137,723,309
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 539,500 539,500
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 202,079 202,079
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 0      
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 5,039,108,811 4,950,005,890 89,102,921 0
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 932,661,121 916,169,548 16,491,573  
9 Other employee benefits ....... 1,337,811,437 1,314,155,884 23,655,553  
10 Payroll taxes ........... 359,511,964 353,154,974 6,356,990  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 489,450   489,450  
c Accounting ........... 5,104,842   5,104,842  
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 56,541,213   56,541,213  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 0      
12 Advertising and promotion .... 3,804,635   3,804,635  
13 Office expenses ....... 1,880,884,768 1,847,626,442 33,258,326  
14 Information technology ...... 0      
15 Royalties .. 0      
16 Occupancy ........... 232,303,292 228,195,641 4,107,651  
17 Travel ............ 15,656,318 15,379,479 276,839  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 11,668,071   11,668,071  
20 Interest ........... 316,852,186 311,249,518 5,602,668  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 821,601,101 807,073,322 14,527,779  
23 Insurance .............. 79,908,978 78,496,005 1,412,973  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a CONTRACTUAL PAYMENTS 2,561,375,017 2,561,375,017    
b PURCHASED MEDICAL SERVICES 3,010,210,486 3,010,210,486    
c PURCHASED NON-MEDICAL SVC 387,311,636 380,463,084 6,848,552  
d BAD DEBT EXPENSE 139,333,942 136,870,201 2,463,741  
e All other expenses 548,285,448 543,319,779 4,965,669  
25 Total functional expenses. Add lines 1 through 24e 17,878,889,604 17,592,210,158 286,679,446 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 101,456,711 1 37,420,811
2 Savings and temporary cash investments ......... 0 2 0
3 Pledges and grants receivable, net ........... 0 3 0
4 Accounts receivable, net ............. 337,377,555 4 277,456,151
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net ............. 649,381,984 7 497,670,155
8 Inventories for sale or use .............. 511,792,852 8 474,940,998
9 Prepaid expenses and deferred charges .......... 328,683,183 9 233,236,374
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 29,316,476,810
b Less: accumulated depreciation ..... 10b 12,502,697,306 16,007,645,126 10c 16,813,779,504
11 Investments—publicly traded securities .......... 12,712,673,942 11 16,449,091,590
12 Investments—other securities. See Part IV, line 11 ..... 3,574,439,806 12 4,026,959,075
13 Investments—program-related. See Part IV, line 11 ..... 0 13 0
14 Intangible assets ............... 600,000 14 0
15 Other assets. See Part IV, line 11 ........... 763,843,853 15 899,057,122
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 34,987,895,012 16 39,709,611,780
Liabilities 17 Accounts payable and accrued expenses ......... 2,764,489,521 17 3,136,859,974
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 15,128 19 298,390
20 Tax-exempt bond liabilities ............. 7,218,204,551 20 7,049,875,464
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 13,562,154,832 25 12,353,969,858
26 Total liabilities. Add lines 17 through 25......... 23,544,864,032 26 22,541,003,686
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..............   27  
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........ 0 30 0
31 Paid-in or capital surplus, or land, building or equipment fund ..... 69,911,557 31 50,802,401
32 Retained earnings, endowment, accumulated income, or other funds 11,373,119,423 32 17,117,805,693
33 Total net assets or fund balances ........... 11,443,030,980 33 17,168,608,094
34 Total liabilities and net assets/fund balances ........ 34,987,895,012 34 39,709,611,780
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
20,013,171,194
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
17,878,889,604
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
2,134,281,590
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
11,443,030,980
5
Net unrealized gains (losses) on investments ...............
5
751,521,920
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
2,839,773,604
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
17,168,608,094
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number

94-1105628
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here.................................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number

94-1105628
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
KAISER FOUNDATION HOSPITALS
  		Employer identification number

94-1105628
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

   
RESTRICTED
RESTRICTED
RESTRICTED, RESTRICTEDRESTRICTED

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
KAISER FOUNDATION HOSPITALS
  		Employer identification number

94-1105628
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 4
Name of organization
KAISER FOUNDATION HOSPITALS
  		Employer identification number

94-1105628
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number

94-1105628
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   950,778,050 950,778,050
b Buildings ................   19,009,695,602 7,773,203,020 11,236,492,582
c Leasehold improvements ............   210,546,446 153,508,444 57,038,002
d Equipment ................   2,878,242,233 2,064,795,047 813,447,186
e Other .................   6,267,214,479 2,511,190,795 3,756,023,684
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 16,813,779,504
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) ABSOLUTE RETURN FUNDS 		2,122,359,310 F

(B) PRIVATE EQUITY FUNDS 		1,292,889,693 F

(C) RISK PARITY FUNDS 		611,710,072 F






Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 4,026,959,075
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
DUE TO RELATED ENTITIES 4,133,823,450
RESERVE FOR WORKERS COMP RISKS 395,626,116
RESERVE FOR PROF/PUBLIC LIAB 234,106,266
RESERVE FOR SELF-INS RISK AUTO 131,000
POST RETIREMENT LIABILITIES 6,448,199,162
OTHER LONG-TERM LIABILITIES 290,964,772
OTHER CURRENT LIABILITIES 675,626,380
BROKER PAYABLES 175,492,712

Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 12,353,969,858
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D, Part X FIN 48 Footnote: The organization's financial statements do not include a footnote under FIN 48.
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.Right pointing arrow large image Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number

94-1105628
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
For grantmakers.Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? ...............................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total expenditures
for and investments
in region
South America     Investments   36,054,000
East Asia and the Pacific     Investments   99,287,000
Europe (Including Iceland and Greenland)     Investments   172,448,000
Middle East and North Africa     Investments   2,165,000
South Asia     Investments   7,521,000
Sub-Saharan Africa     Investments   18,632,000
Central America and the Caribbean     Investments   4,247,690,000
           
           
           
           
           
           
           
           
           
           
3a Sub-total .....     4,583,797,000
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     4,583,797,000
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
Europe (Including Iceland and Greenland) Research Grant 106,869        
East Asia and the Pacific Research Grant 95,210        
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ....MediumBullet
 
3
Enter total number of other organizations or entities .......................MediumBullet
2
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
ReturnReference Explanation
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2013
Additional Data


Software ID:  
Software Version:  



SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number

94-1105628
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) .. 		    232,233,331 22,875,903 209,357,428 1.180 %
b Medicaid (from Worksheet 3,
column a) .... 		    709,523,261 379,345,627 330,177,634 1.860 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		    80,283,347 60,634,213 19,649,134 0.110 %
d Total Financial Assistance
and Means-Tested
Government Programs . 		    1,022,039,939 462,855,743 559,184,196 3.150 %
Other Benefits
     44,056,325   44,056,325 0.250 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    107,119,331 13,402,438 93,716,893 0.530 %
g Subsidized health services
(from Worksheet 6) .. 		           
h Research (from Worksheet 7)     126,916,295 101,072,458 25,843,837 0.150 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		    116,360,473   116,360,473 0.660 %
j Total. Other Benefits ..     394,452,424 114,474,896 279,977,528 1.590 %
k Total. Add lines 7d and 7j .     1,416,492,363 577,330,639 839,161,724 4.740 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
139,333,942
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
286,443,170
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
310,939,553
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-24,496,383
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?38
Name, address, primary website address, and state license number 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 KAISER FOUNDATION HOSPITAL - ANAHEIM
441 N LAKEVIEW AVE
ANAHEIM,CA92807
http://www.kp.org
600091 		X X   X   X X      
2 KAISER FDN HOSPITAL - LOS ANGELES
4867 SUNSET BLVD
LOS ANGELES,CA90027
http://www.kp.org
9300077 		X X   X   X X      
3 KAISER FOUNDATION HOSPITAL- SAN DIEGO
4647 ZION AVE
SAN DIEGO,CA92120
http://www.kp.org
800062 		X X   X   X X      
4 KAISER FDN HOSPITAL - SANTA CLARA
700 LAWRENCE EXPRESSWAY
SANTA CLARA,CA95051
http://www.kp.org
70000661 		X X   X   X X      
5 KAISER FOUNDATION HOSPITAL - FONTANA
9961 SIERRA AVE
FONTANA,CA92335
http://www.kp.org
240000159 		X X   X   X X      
6 KAISER FOUNDATION HOSPITAL - DOWNEY
9333 IMPERIAL HIGHWAY
DOWNEY,CA90242
http://www.kp.org
930000078 		X X   X   X X      
7 KAISER FDN HOSP - SUNNYSIDE MED CTR
10180 SOUTHEAST SUNNYSIDE RD
CLACKAMAS,OR97105
http://www.kp.org
1073 		X X   X     X      
8 KAISER FOUNDATION HOSPITAL- ROSEVILLE
1600 EUREKA RD
ROSEVILLE,CA95661
http://www.kp.org
550001681 		X X   X   X X      
9 KAISER FOUNDATION HOSPITAL - HONOLULU
3288 MOANALUA RD
HONOLULU,HI96819
http://www.kp.org
OHCA 31-H 		X X   X     X      
10 KAISER FOUNDATION HOSPITAL - OAKLAND
280 W MACARTHUR BLVD
OAKLAND,CA94611
http://www.kp.org
140000052 		X X   X   X X      
11 KAISER FDN HOSPITAL - WALNUT CREEK
1425 S MAIN ST
WALNUT CREEK,CA94596
http://www.kp.org
140000290 		X X   X   X X      
12 KAISER FDN HOSPITAL - SAN FRANCISCO
2425 GEARY BLVD
SAN FRANCISCO,CA94115
http://www.kp.org
220000188 		X X   X   X X      
13 KAISER FOUNDATION HOSPITAL- RIVERSIDE
10800 MAGNOLIA AVE
RIVERSIDE,CA92505
http://www.kp.org
2500327 		X X   X   X X      
14 KAISER FDN HOSPITAL - HARBOR CITY
25825 S VERMONT AVE
HARBOR CITY,CA90710
http://www.kp.org
9300079 		X X   X   X X      
15 KAISER FDN HOSPITAL - SACRAMENTO
2025 MORSE AVE
SACRAMENTO,CA95825
http://www.kp.org
30000052 		X X   X   X X      
16 KAISER FDN HOSPITAL- SOUTH SACRAMENTO
6600 BRUCEVILLE RD
SOUTH SACRAMENTO,CA95823
http://www.kp.org
30000228 		X X   X   X X      
17 KAISER FOUNDATION HOSPITAL - IRVINE
6640 ALTON PARKWAY
IRVINE,CA92618
http://www.kp.org
600091 		X X   X   X X      
18 KAISER FDN HOSPITAL - BALDWIN PARK
1011 BALDWIN PARK BLVD
BALDWIN PARK,CA91706
http://www.kp.org
9300920 		X X   X     X      
19 KAISER FDN HOSPITAL - W LOS ANGELES
6041 CADILLAC AVE
W LOS ANGELES,CA90034
http://www.kp.org
9300081 		X X   X   X X      
20 KAISER FOUNDATION HOSPITAL - SAN JOSE
250 HOSPITAL PARKWAY
SAN JOSE,CA95119
http://www.kp.org
70000117 		X X   X   X X      
21 KAISER FDN HOSPITAL - PANORAMA CITY
13652 CANTARA ST
PANORAMA CITY,CA91402
http://www.kp.org
9300080 		X X   X   X X      
22 KAISER FDN HOSPITAL - WOODLAND HILLS
5601 DE SOTO AVE
WOODLAND HILLS,CA91367
http://www.kp.org
9300358 		X X   X   X X      
23 KAISER FOUNDATION HOSPITAL - ONTARIO
2295 S VINEYARD AVE
ONTARIO,CA91761
http://www.kp.org
240000159 		X X   X     X      
24 KAISER FOUNDATION HOSPITAL - VALLEJO
975 SERENO DR
VALLEJO,CA94589
http://www.kp.org
110000026 		X X   X   X X      
25 KAISER FOUNDATION HOSPITAL - HAYWARD
27400 HESPERIAN BLVD
HAYWARD,CA94545
http://www.kp.org
140000053 		X X   X   X X      
26 KAISER FDN HOSPITAL - REDWOOD CITY
1150 VETERANS BLVD
REDWOOD CITY,CA94063
http://www.kp.org
220000021 		X X   X   X X      
27 KAISER FDN HOSPITAL - SANTA ROSA
401 BICENTENNIAL WAY
SANTA ROSA,CA95403
http://www.kp.org
110000213 		X X   X   X X      
28 KAISER FOUNDATION HOSPITAL - MODESTO
4601 DALE RD
MODESTO,CA95356
http://www.kp.org
30000393 		X X   X     X      
29 KAISER FOUNDATION HOSPITAL - FRESNO
7300 N FRESNO ST
FRESNO,CA93720
http://www.kp.org
40000384 		X X   X   X X      
30 KAISER FOUNDATION HOSPITAL - ANTIOCH
4501 SAND CREEK RD
ANTIOCH,CA94531
http://www.kp.org
550000614 		X X   X   X X      
31 KAISER FDN HOSP - SOUTH SAN FRANCISCO
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO,CA94080
http://www.kp.org
220000022 		X X   X   X X      
32 KAISER FDN HOSPITAL - SAN RAFAEL
99 MONTECILLO RD
SAN RAFAEL,CA94903
http://www.kp.org
110000357 		X X   X   X X      
33 KAISER FOUNDATION HOSPITAL- VACAVILLE
1 QUALITY DR
VACAVILLE,CA95688
http://www.kp.org
550001207 		X X   X   X X      
34 KAISER FOUNDATION HOSPITAL - FREMONT
39400 PASEO PADRE PARKWAY
FREMONT,CA94538
http://www.kp.org
140000053 		X X   X   X X      
35 KAISER FDN HOSPITAL - MORENO VALLEY
27300 IRIS AVE
MORENO VALLEY,CA92555
http://www.kp.org
550000810 		X X   X     X      
36 KAISER FOUNDATION HOSPITAL - RICHMOND
901 NEVIN ST
RICHMOND,CA94804
http://www.kp.org
140000052 		X X   X   X X      
37 KAISER WESTSIDE MEDICAL CENTER
2875 NW STUCKI ROAD
HILLSBORO,OR97124
http://www.kp.org
14-1472 		X X   X     X      
38 KAISER FOUNDATION HOSPITAL - MANTECA
1777 W YOSEMITE AVE
MANTECA,CA95336
http://www.kp.org
30000393 		X X   X     X      
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - ANTIOCH
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		30
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - FRESNO
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		29
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - ANAHEIM
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - BALDWIN PARK
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		18
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - DOWNEY
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		6
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - FONTANA
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		5
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7 Yes  
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - IRVINE
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		17
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - LOS ANGELES
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		2
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7 Yes  
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - MANTECA
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		38
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - MORENO VALLEY
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		35
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - ONTARIO
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		23
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - PANORAMA CITY
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		21
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - REDWOOD CITY
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		26
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - RIVERSIDE
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		13
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - ROSEVILLE
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		8
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - SACRAMENTO
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		15
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - SAN DIEGO
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		3
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - SAN FRANCISCO
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		12
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - SAN JOSE
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		20
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - SAN RAFAEL
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		32
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - SANTA CLARA
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		4
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - SANTA ROSA
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		27
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - SOUTH BAY (HARBOR CITY)
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		14
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - SOUTH SACRAMENTO
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		16
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - SOUTH SAN FRANCISCO
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		31
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - VACAVILLE
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		33
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - VALLEJO
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		24
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - WALNUT CREEK
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		11
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - WEST LOS ANGELES
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		19
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - WOODLAND HILLS
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		22
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - HAYWARD
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		25
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - FREMONT
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		34
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - MODESTO
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		28
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - OAKLAND
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		10
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - RICHMOND
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		36
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - SUNNYSIDE
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		7
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KAISER WESTSIDE MEDICAL CENTER
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		37
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - HONOLULU
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		9
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7 Yes  
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11   No
If "Yes," indicate the FPG family income limit for eligibility for discounted care:   %
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?9
Name and address Type of Facility (describe)
1 BROOKSIDE RESIDENTIAL TREATMENT CENTER
10180 SOUTHEAST SUNNYSIDE RD
CLACKAMAS,OR97015 		IMPATIENT MENTAL HEALTH SERVICES
2 KAISER PERMANENTE POST ACUTE CARE CENTER
1440 168TH AVE
SAN LEANDRO,CA94578 		SKILLED NURSING
3 INTERSTATE SURGICAL CENTER
3500 N INTERSTATE AVE
PORTLAND,OR97227 		AMBULATORY SURGERY
4 SUNNYBROOK SURGICAL CENTER
10180 SOUTHEAST SUNNYSIDE RD
CLACKAMAS,OR97015 		AMBULATORY SURGERY
5 SKYLINE SURGICAL CENTER
5135 SKYLINE ROAD SOUTH
SALEM,OR97306 		AMBULATORY SURGERY
6 CENTER FOR HEALTH RESEARCH
3800 N INTERSTATE AVE
PORTLAND,OR97227 		RESEARCH CENTER
7 MENTAL HEALTH CENTER
765 W COLLEGE ST
LOS ANGELES,CA90012 		MENTAL HEALTH
8 CHEMICAL DEPENDENCY PROGRAM
17046 MARYGOLD AVE
FONTANA,CA92335 		CHEMICAL DEPENDENCY PROGRAM
9 SANTA CLARA PHF
3840 HOMESTEAD RD
SANTA CLARA,CA95051 		MENTAL HEALTH
10
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Schedule H (Form 990) 2013
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number
94-1105628
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) 100 Mile Club
2191 Fifth Street
Norco,CA92860 		20-8425786 501(c)(3) 18,000       Project Support
(2) 1000 Mothers to Prevent Violence
1837 Sally Creek Cir
Hayward,CA94541 		74-3191786 501(c)(3) 16,000       Project Support
(3) 2B Successful Youth
1069 Meadowlark Dr
Fairfield,CA94533 		26-3309863 501(c)(3) 10,000       Project Support
(4) A Community for Peace
6060 Sunrise Vista dr
Citrus Heights,CA95610 		68-0457704 501(c)(3) 11,900       Project support
(5) A More Excellent Way Health Improv Org
215 Lighthouse Dr
Vallejo,CA94590 		14-2011697 501(c)(3) 17,000       Project Support
(6) A Window Between Worlds
710 4th Ave 5
Venice,CA90291 		95-4448606 501(c)(3) 10,000       Project Support
(7) A World Fit For Kids
678 S La Fayette Park Pl
Los Angeles,CA90057 		33-0550994 501(c)(3) 50,000       Mentors in Motion
(8) ABC Unified School District
16700 Norwalk Blvd
Cerritos,CA90703 		95-2380644 Government or P 12,000       Project Support
(9) Abode Services
40849 Fremont Blvd
Fremont,CA94538 		94-3087060 501(c)(3) 34,750       Project Support
(10) AccessOC
1505 East 17th St
Santa Ana,CA92705 		45-5011901 501(c)(3) 15,000       Outpatient Surgery
(11) Adolescent Counseling Services Inc
1717 Embarcadero Rd
Palo Alto,CA94303 		53-0192551 501(c)(3) 15,000       Project support
(12) Advanced Center for Eyecare
1701 Westwind Dr
Bakersfield,CA93301 		27-3257780 501(c)(3) 12,000       Project Support
(13) Afford Foundation
2821 Rio Linda Dr
Bakersfield,CA93305 		33-0480237 501(c)(3) 10,368       Project Support
(14) AIDS Project Los Angeles Inc
611 S Kingsley Dr
Los Angeles,CA90005 		95-3842506 501(c)(3) 18,000       Project support
(15) AIDS Services Center Inc
65 N Raymond Ave
Pasadena,CA91103 		95-4165358 501(c)(3) 9,400       Event Support
(16) AIDS Services Foundation of OC
17982 Skypark Circle
Irvine,CA92614 		33-0126481 501(c)(3) 10,000       HIV Medical Case
(17) Alameda County Deputy Sheriff's Assoc
16378 E 14th Street
San Leandro,CA94578 		83-0410537 501(c)(3) 20,000       Project Support
(18) Alameda County Health Care Foundation
350 Frank H Ogawa Pl
Oakland,CA94612 		94-3103136 501(c)(3) 107,150       Project Support
(19) Alameda County Health Care Services Ag
1000 San Leandro Blvd
San Leandro,CA94577 		94-6000501 Government or P 136,500       Project Support
(20) Alameda County Office of Education
313 West Winton Ave
Hayward,CA94544 		94-6002421 Government or P 95,723       Operating support
(21) Alameda Family Services
2325 Clement Ave
Alameda,CA94501 		23-7088243 501(c)(3) 20,000       Project Support
(22) Alameda Health Consortium
101 Callan Ave
San Leandro,CA94577 		51-0189590 501(c)(3) 97,150       Project support
(23) Albertina Kerr Centers Foundation Inc
424 NE 22nd Avenue
Portland,OR97232 		93-1297104 501(c)(3) 15,000       Project support
(24) Alexandria House
426 S Alexandria Ave
Los Angeles,CA90020 		95-4809755 501(c)(3) 10,000       Project Support
(25) Alliance for Housing and Healing
825 Colorado Blvd
Los Angeles,CA90041 		95-4147364 501(c)(3) 25,000       Project Support
(26) Alliance Medical Center
1381 University Ave
Healdsburg,CA95448 		94-2308748 501(c)(3) 60,000       Windsor Expansion
(27) Al-Shifa Clinic Inc
2034-B Mallory St
San Bernardino,CA92407 		33-0855769 501(c)(3) 20,000       Project support
(28) Alternatives in Action
3666 Grand Ave
Oakland,CA94610 		94-3210413 501(c)(3) 20,000       Project Support
(29) Alum Rock Counseling Center Inc
777 North 1st St
San Jose,CA95112 		23-7367637 501(c)(3) 75,000       Youth & Trauma
(30) Always Knocking Inc
7741 Amherst St
Sacramento,CA95832 		26-4635991 501(c)(3) 20,000       Project Support
(31) ALZHEIMERS DISEASE & RELATED DISOR
6632 Convoy Court
San Diego,CA92111 		95-3565388 501(c)(3) 10,000       Project support
(32) Alzheimers Disease Assoc of Kern Co Inc
5500 Olive Drive Bldg 1
Bakersfield,CA93308 		77-0017561 501(c)(3) 22,500       Project Support
(33) Alzheimer's Disease&Related Disorder
17771 Cowan Ave
Irvine,CA92614 		95-3702013 501(c)(3) 15,000       Project support
(34) Ambrose Recreation and Park District
3105 Willow Pass Rd
Bay Point,CA94565 		94-1622656 Government or P 9,900       Project support
(35) Ambulatory Surgery Access Coalition
115 Sansome St1205
San Francisco,CA94104 		94-3180356 501(c)(3) 308,500       Project Support
(36) America Walks
3903 N Borthwick
Portland,OR97227 		04-3401323 501(c)(3) 20,000       Operating Support
(37) American Diabetes Association Inc
5060 Shoreham Dr
San Diego,CA92122 		13-1623888 501(c)(3) 13,120       Project Support
(38) American Heart Association Inc
426 17th Street
Oakland,CA94612 		13-5613797 501(c)(3) 240,400       Event Support
(39) American Lung Association of California
424 Pendleton Way
Oakland,CA94621 		94-0362650 501(c)(3) 32,500       Project support
(40) American National Red Cross
1663 Market Street
San Francisco,CA94103 		53-0196605 501(c)(3) 24,800       Project support
(41) Anaheim Family Justice Center INC
150 W Vermont Ave
Anaheim,CA92805 		20-4088652 501(c)(3) 15,000       project support
(42) ANew America Community Corporation
1918 University Av
Berkeley,CA94704 		94-3342658 501(c)(3) 50,000       Project Support
(43) Angels for Sight
920 N Alameda St
Compton,CA90221 		20-0865241 501(c)(3) 8,000       4 Love of Country
(44) Another Choice Another Chance
5450 Power Inn Rd
Sacramento,CA95624 		68-0184117 501(c)(3) 85,000       Project Support
(45) Antelope Valley College Foundation
3041 West Avenue K
Lancaster,CA93536 		95-4398700 501(c)(3) 17,000       Project Support
(46) Antelope Valley Community Clinic
45104 10th St West
Lancaster,CA93534 		26-0574826 501(c)(3) 24,000       Project support
(47) Antelope Valley Partners for Health
45104 10THWSt
Lancaster,CA93534 		47-0957404 501(c)(3) 75,000       Project support
(48) Aptitud Community Academy at Goss
2475 Van Winkle Ln
San Jose,CA95116 		77-0016360 Government or P 23,000       Project Support
(49) AREA AGENCY ON AGING NAPA AND SOLANO
400 Contra Costa St
Vallejo,CA94590 		94-2742309 501(c)(3) 32,500       Project support
(50) Arrowhead United Way
646 North D Street
San Bernardino,CA92402 		95-1934586 501(c)(3) 14,990       Project Support
(51) Arts and Cultural Foundation Of Antioch
301 West 10th St
Antioch,CA94509 		68-0479175 501(c)(3) 15,000       Project support
(52) Ascencia
437 Fernando Court
Glendale,CA91204 		20-4233822 501(c)(3) 10,000       Engaging Homeless
(53) Ashland Free Medical Clinic
50 E Lewelling
San Lorenzo,CA94580 		68-0554276 501(c)(3) 15,000       Diabetes Prevention
(54) Asian American Drug Abuse Program Inc
5318 S Crenshaw Blvd
Los Angeles,CA90043 		95-2848695 501(c)(3) 10,000       Project support
(55) Asian American Recovery Services
1115 Mission Road
South San Francisco,CA94080 		94-3007538 501(c)(3) 25,000       Project Connect
(56) Asian Americans for Community Invol
2400 Moorpark Ave
San Jose,CA95128 		94-2292491 501(c)(3) 50,000       Patient Navigation
(57) Asian Health Services
818 Webster Street
Oakland,CA94607 		94-2235908 501(c)(3) 28,000       Project Support
(58) Asian Pac American Legal Cntr of SOCAL Inc
1145 Wilshire Blvd
Los Angeles,CA90017 		95-3854152 501(c)(3) 18,550       Project support
(59) Asian Pacific American Public Affairs Asoc
4000 Truxel Rd33
Sacramento,CA95834 		55-0849384 501(c)(3) 9,500       Scholarship Gala
(60) Asian Pacific Health Care Venture Inc
4216 Fountain Avenue
Los Angeles,CA90029 		95-4177752 501(c)(3) 15,000       Project Support
(61) Asian Pacific Women's Center Inc
1145 Wilshire Blvd
Los Angeles,CA90017 		93-1102854 501(c)(3) 15,000       Event Support
(62) Asian Resources Inc
5709 Stockton Blvd
Sacramento,CA95824 		94-2658135 501(c)(3) 17,750       Event Support
(63) Asian-American Educational & Cultural
1115 South E St
San Bernardino,CA92408 		33-0749876 501(c)(3) 15,000       Healthy Seniors
(64) AsianWeek Foundation
564 Market St
San Francisco,CA94104 		20-1719535 501(c)(3) 6,500       Annual Fundraiser
(65) Assistance League of Redlands
700 E RedlandU209
Redlands,CA92373 		95-2131653 501(c)(3) 15,000       Project Support
(66) Assistance League of San Bernardino
580 West 6th Street
San Bernardino,CA92410 		95-6065105 501(c)(3) 15,000       Project Support
(67) Assistance League of Victor Valley
22021 Highway 18
Apple Valley,CA92307 		95-3417060 501(c)(3) 15,000       Project support
(68) Association of Black Foundation Exec
333 7th Avenue
New York,NY10001 		23-7156531 501(c)(3) 10,000       Membership 2014
(69) Axis Community Health Inc
4361 Railroad Avenue
Pleasanton,CA94566 		94-2232394 501(c)(3) 35,000       Project Support
(70) Azusa Pacific University
901 E Alosta Avenue
Azusa,CA91702 		95-1744369 501(c)(3) 12,837       Project Support
(71) Baldwin Park Unified School District
4640 Maine Ave
Baldwin Park,CA91706 		95-6000213 Government or P 31,500       Project Support
(72) Bartz-Altadonna Community Health Ctr
43322 Gingham Ave
Lancaster,CA93535 		27-3261289 501(c)(3) 25,000       Healing Center
(73) Battle Ground HealthCare
11117 NE 189th St
Battle Ground,WA98604 		27-3148590 501(c)(3) 7,500       Event Support
(74) Bay Area Bicycle Coalition
34244 Siward Drive
Fremont,CA94555 		94-3023347 501(c)(3) 35,000       Bike to Work Day
(75) Bay Area Black United Fund Inc
1212 Broadway 810
Oakland,CA94612 		94-2602958 501(c)(3) 90,000       Project Support
(76) Bay Area Community Resources
3219 Pierce Street
Richmond,CA94804 		94-2346815 501(c)(3) 25,000       Project Restore
(77) Bay Area Community Services (BACS)
1814 Franklin St
Oakland,CA94612 		94-1708069 501(c)(3) 25,000       Project Support
(78) Bay Area Legal Aid
1735 Telegraph Ave
Oakland,CA94612 		94-1631316 501(c)(3) 20,000       Domestic Violence
(79) Bay Area Women Against Rape
470 27th Street
Oakland,CA94612 		94-2300454 501(c)(3) 15,000       Child Sexual Abuse
(80) Bay Area Womens Sports Initiative
1922 The Alameda
San Jose,CA95126 		55-0897084 501(c)(3) 40,000       Project Support
(81) Bayview Hunters Point Foundation for Com
150 Exec Park Blvd
San Francisco,CA94134 		94-1747575 501(c)(3) 10,000       Project Support
(82) Being Adept
16 Treetop Way
Kentfield,CA94904 		27-2578491 501(c)(3) 10,000       Project support
(83) Being Alive People with AIDS Act Coalit Inc
7531 Santa Monica Blvd
West Hollywood,CA90046 		95-4137742 501(c)(3) 9,854       Event Support
(84) Being Alive-San Diego
4070 Centre St
San Diego,CA92103 		33-0439092 501(c)(3) 8,000       Project Support
(85) Bellflower Unified School District
16703 S Clark Avenue
Bellflower,CA90706 		95-6000249 Government or P 6,000       Project Support
(86) Benicia Community Action Council
480 Miltary East
BENICIA,CA94510 		68-0294153 501(c)(3) 7,500       Senior Home Deliver
(87) Benicia Unified School District
350 East K Street
Benicia,CA94510 		30-0385724 Government or P 35,000       Nutrition Education
(88) Bethany Services
1600 East Truxtun
Bakersfield,CA93305 		95-2858936 501(c)(3) 10,000       Project support
(89) Bethel African Methodist Episcopal Church
855 South F Street
Oxnard,CA93030 		95-2670416 501(c)(3) 5,794       HIV/AIDS Community
(90) Bienvenidos Children's Center Inc
316 West 2nd St
Los Angeles,CA90012 		95-4042883 501(c)(3) 26,250       Project Support
(91) Black Women For Wellness
4340 11th Ave
Los Angeles,CA90008 		95-4624707 501(c)(3) 5,500       Project Support
(92) Borrego Community Health Foundation
4343 Yaqui Pass Rd
Borrego Springs,CA92004 		33-0440021 501(c)(3) 24,000       Project Support
(93) Boys & Girls Club of Coachella Valley
42600 Cook St 120
Palm Desert,CA92211 		95-6122699 501(c)(3) 10,000       Project Support
(94) Boys & Girls Club of Fontana
7723 Almeria Av
Fontana,CA92336 		33-0443344 501(c)(3) 20,000       Project Support
(95) Boys & Girls Club of Hollywood
850 N Cahuenga Blvd
Hollywood,CA90038 		95-1775142 501(c)(3) 15,000       Project Support
(96) Boys & Girls Club of Pasadena
3230 East Del Mar Blvd
Pasadena,CA91103 		95-1643305 501(c)(3) 7,500       Project support
(97) Boys & Girls Club of Salem Marion & Polk
1395 Summer St NE
Salem,OR97301 		93-0581470 501(c)(3) 10,000       Project Support
(98) Boys & Girls Club of Tracy Inc
753 W Lowell Avenue
Tracy,CA95376 		68-0028682 501(c)(3) 10,000       Project support
(99) Boys & Girls Club of Whittier Inc
7905 S Greenleaf Ave
Whittier,CA90602 		95-6151763 501(c)(3) 8,650       Healthy Lifestyles
(100) Boys & Girls Club W San Gabriel Valley
328 South Ramona Ave
Monterey Park,CA91754 		95-2782501 501(c)(3) 10,000       Project support
(101) Boys & Girls Clubs North San Mateo Co
201 West Orange Ave
South San Francisco,CA94080 		94-1497000 501(c)(3) 36,500       Operating support
(102) Boys & Girls Clubs of Fresno County
540 North Augusta St
Fresno,CA93701 		94-1149171 501(c)(3) 19,643       Kids Health,Nutri
(103) Boys & Girls Clubs of Kern County
801 Niles Street
Bakersifeld,CA93305 		95-2462246 501(c)(3) 10,000       Project support
(104) Boys & Girls Clubs of the Diablo Valley
1301 Alhambra Avenue
Martinez,CA94553 		94-1333618 501(c)(3) 10,000       Triple Play Project
(105) Boys and Girls Club of Carson
1950 E 220th St
Carson,CA90810 		33-0475452 501(c)(3) 10,000       Project Support
(106) Boys and Girls Clubs of Anaheim Inc
311 East Broadway
Anaheim,CA92805 		33-0356284 501(c)(3) 20,000       Project Support
(107) Boys and Girls Clubs of Long Beach
3635 Long Beach Blvd
Long Beach,CA90807 		95-1643977 501(c)(3) 10,000       Project support
(108) Boys Club of San Gabriel Valley
2740 Mountain View Rd
El Monte,CA91732 		95-2307624 501(c)(3) 7,500       Project Support
(109) Boys & Girls Club of Greater Sacramento
5212 Lemon Hill Ave
Sacramento,CA95824 		68-0338324 501(c)(3) 31,820       Leaders In Training
(110) Braille Institute of America Inc
741 N Vermont Ave
Los Angeles,CA90029 		95-1641426 501(c)(3) 15,000       Project support
(111) Breaking Barriers
2210 21st Street
Sacramento,CA95818 		68-0456738 501(c)(3) 9,662       Project support
(112) Breast Cancer Emergency Fund
12 Grace St
San Francisco,CA94103 		20-3203899 501(c)(3) 13,750       Breast cancer
(113) Breathe California of Sacramento-Emigrant
909 12th Street
Sacramento,CA95814 		94-1641240 501(c)(3) 29,149       Operating support
(114) Breathe California of the Bay Area
1469 Park Avenue
San Jose,CA95126 		94-1156307 501(c)(3) 25,000       Project support
(115) Brighter Beginnings
2648 International Blvd
Oakland,CA94601 		94-2949749 501(c)(3) 45,200       Event Support
(116) Buckelew Programs
900 5th Avenue
San Rafael,CA94901 		23-7088977 501(c)(3) 10,000       Project Support
(117) Buddhist Tzu Chi Medical Foundation
1000 S Garfield Ave
Alhambra,CA91801 		95-4457939 501(c)(3) 40,000       Project Support
(118) Building A Generation
932 W Cypress St
Redlands,CA92373 		54-2104001 501(c)(3) 13,000       Project support
(119) CA Consortium For Urban Indian Health
1016 Lincoln Blvd
San Francisco,CA94129 		20-4878959 501(c)(3) 75,000       Operating Support
(120) CA Center For Public Health Advocacy
1947 Galileo St101
Davis,CA95617 		95-4723901 501(c)(3) 125,000       Project Support
(121) CA Court Appointed Special Advocate Asoc
660 13th St
Oakland,CA94612 		68-0163010 501(c)(3) 100,000       Project Support
(122) CA Partnership for Safe Community
469 9th St
Oakland,CA94607 		45-3127566 501(c)(3) 125,000       Project support
(123) Cabrillo Economic Development Corp
702 County Square Drive
Ventura,CA93003 		95-3681521 501(c)(3) 20,000       Operating support
(124) Cal State Bakersfield Foundation
9001 Stockdale Highway
Bakersfield,CA93311 		95-2643086 501(c)(3) 10,000       Project support
(125) Calico Center
524 Estudillo Ave
San Leandro,CA94577 		94-3256781 501(c)(3) 24,000       Project Support
(126) California Academy of Family Physicians
1520 Pacific Avenue
San Francisco,CA94109 		94-2938597 501(c)(3) 18,800       Project Support
(127) California Black Health Network
1112 I St Suite 110
Sacramento,CA95814 		95-3794688 501(c)(3) 152,500       Project support
(128) California Black Women's Health Project
101 North La Brea Ave
Inglewood,CA90301 		95-4702923 501(c)(3) 27,250       Project Support
(129) California Dental Association Foundation
1201 K Street
Sacramento,CA95814 		68-0411536 501(c)(3) 10,000       Project support
(130) California Family Health Council Inc
3600 Wilshire Blvd
Los Angeles,CA90010 		95-2564024 501(c)(3) 140,000       Project support
(131) California Food Literacy Center
170 Sandburg Dr
Sacramento,CA95819 		45-3973268 501(c)(3) 12,500       Project support
(132) California Food Policy Advocates
436 14th St1220
Oakland,CA94612 		94-3163142 501(c)(3) 225,000       Event Support
(133) California Health Collaborative
1680 West Shaw Ave
Fresno,CA93711 		94-2862660 501(c)(3) 39,445       Project Support
(134) California Hospital Medical Cntr Foundation
1401 S Grand Avenue
Los Angeles,CA90015 		95-4000909 501(c)(3) 15,000       Project Support
(135) California Parenting Institute
3650 Standish Ave
Santa Rosa,CA95407 		94-2541640 501(c)(3) 11,500       Project Support
(136) California Primary Care Association
1231 I Street 400
Sacramento,CA95814 		94-3215565 501(c)(3) 170,000       Operating support
(137) California School Health Centers Association
1203 Preservation Park
Oakland,CA94612 		94-3201896 501(c)(3) 119,700       Project Support
(138) California State University Northridge Fou
18111 Nordhoff Street
Northridge,CA91330 		95-6196006 501(c)(3) 12,200       Project Support
(139) California State University San Marcos Fo
333 S Twin Oaks Valley
San Marcos,CA92096 		80-0390564 501(c)(3) 10,000       Project Support
(140) California Teaching Fellows Foundation
1177 E Shaw101
Fresno,CA93710 		20-0359353 501(c)(3) 90,000       Operating Support
(141) California Youth Connection
604 Mission Street 9th Fl
San Francisco,CA94105 		94-3141616 501(c)(3) 20,000       Foster Youth Bay
(142) Calistoga Family Center Inc
1500 Cedar Street
Calistoga,CA94515 		80-0023012 501(c)(3) 10,000       Project Support
(143) California Urban Partnership
1215 K Street
Sacramento,CA95814 		45-0842476 501(c)(3) 9,150       Project support
(144) Camarena Health
344 E Sixth Street
Madera,CA93637 		94-2503904 501(c)(3) 35,000       Project Support
(145) Campanile Foundation
5500 Campanile Dr
San Diego,CA92182 		33-0868418 501(c)(3) 15,000       Obesity Prevention
(146) Campbell Union High School District
3235 Union Ave
San Jose,CA95124 		94-2239786 Government or P 11,335       Project Support
(147) Campbell Union School District
401 W Hamilton Ave
Campbell,CA95008 		77-0226428 Government or P 23,000       Project Support
(148) Canal Alliance
91 Larkspur Street
San Rafael,CA94901 		94-2832648 501(c)(3) 20,000       Project Support
(149) CANCER PREVENTION INSTITUTE OF CALIFORNIA
2201 Walnut Avenue
Fremont,CA94538 		23-7427232 501(c)(3) 101,498       PassThrough Fed Proj
(150) Cangress
530 S Main St
Los Angeles,CA90013 		02-0661629 501(c)(3) 15,000       Promotion Project
(151) Cardea Services
614 Grand Ave 400
Oakland,CA94610 		94-2401949 501(c)(3) 20,000       Project Support
(152) Care Harbor
5855 Green Valley Cir
Culver City,CA90230 		27-2984870 501(c)(3) 20,000       Event Support
(153) CAREGIVERS Volunteers Assisting the Elder
1765 Goodyear Ave
Ventura,CA93010 		77-0081692 501(c)(3) 20,000       Project Support
(154) CASA of Los Angeles
201 Centre Plaza Dr
Monterey Park,CA91754 		95-3890446 501(c)(3) 19,500       Youth Prog
(155) Cascade Aids Project Inc
208 SW Fifth Ave
Portland,OR97204 		93-0903383 501(c)(3) 15,000       Project Support
(156) Catholic Charities of the Diocese of Oakland
433 Jefferson Street
Oakland,CA94607 		94-2677202 501(c)(3) 25,000       Project Support
(157) Catholic Charities of the Diocese of Stockton
400 12th Street
Modesto,CA95354 		94-1629114 501(c)(3) 40,000       Children's Health
(158) Catholic Charities San BernardinoRiverside
1450 North D Street
San Bernardino,CA92405 		95-3516461 501(c)(3) 19,000       Project support
(159) Catholic Community Svcs of Mid-Willamette
PO Box 20400
Salem,OR97307 		93-0903773 501(c)(3) 15,000       Project Support
(160) Center for AIDS Research Education
1501 21st Street
Sacramento,CA95811 		68-0162903 501(c)(3) 40,000       Project Support
(161) Center For Community Dispute Settlement (CCDS)
291 McLeod St
Livermore,CA94550 		94-3207385 501(c)(3) 15,000       Project Support
(162) Center for Community Health&Well-Being
1900 T Street
Sacramento,CA95811 		68-0248303 501(c)(3) 20,000       Project Support
(163) Center for Community Solutions
4508 Mission Bay Dr
San Diego,CA92109 		95-6379598 501(c)(3) 12,500       Project Support
(164) Center for Domestic Peace
734 A Street
San Rafael,CA94901 		94-2415856 501(c)(3) 10,000       Domestic Violence
(165) Center For Elders Independence
510- 17th Street 4th Fl
Oakland,CA94612 		94-3123446 501(c)(3) 77,200       Caregiver Education
(166) Center For Health Care Strategies Inc
200 American Metro
Hamilton,NE08619 		22-3375015 501(c)(3) 174,835       Advancing Medicaid
(167) Center for Human Development
391 Taylor Blvd120
Pleasant Hill,CA94523 		94-2520840 501(c)(3) 40,500       Project Support
(168) Center for Human Services
1700 McHenry Village
Modesto,CA95350 		94-1725620 501(c)(3) 40,000       Project Support
(169) Center for Individual and Family Counsel
5445 Laurel Canyon Blvd
North Hollywood,CA91607 		51-0204566 501(c)(3) 9,500       Mental Health
(170) Center for the Partially Sighted
18425 Burbank Blvd
Tarzana,CA91356 		95-3771974 501(c)(3) 12,500       Project support
(171) Center for Wellness and Achievement
401 Van Ness Ave
San Francisco,CA94102 		39-2060766 501(c)(3) 20,000       Project support
(172) Centinela Youth Services Inc
11539 Hawthorne Bl
Hawthorne,CA90250 		95-3821576 501(c)(3) 17,500       Project support
(173) Central City Concern Inc
232 NW Sixth Ave
Portland,OR97209 		93-0728816 501(c)(3) 95,000       Recuperative Care
(174) Central City Lutheran Mission
1354 North G St
San Bernardino,CA92405 		33-0634580 501(c)(3) 13,000       Mental Health Prog
(175) Central Unified School District
4605 N Polk
Fresno,CA93722 		77-0559747 Government or P 53,042       Project support
(176) Central Valley Health Network Inc
455 Capitol Mall
Sacramento,CA95814 		68-0429643 501(c)(3) 80,000       Project support
(177) Centro de Salud La Comunidad De San Ys
1275 30th Street
San Diego,CA92154 		95-2801772 501(c)(3) 40,000       Project support
(178) Centro Laboral de Graton
2981 Bowen Street
Graton,CA95444 		68-0472311 501(c)(3) 10,000       Project support
(179) Century Center for Economic Opportunity
5021 Lennox Blvd
Lennox,CA90304 		95-3512392 501(c)(3) 6,000       Project support
(180) Cesar Chavez Foundation
316 West 2nd St
Los Angeles,CA90012 		95-2466747 501(c)(3) 9,200       Event Support
(181) Challengers Boys & Girls Club
5029 S Vermont Av
Los Angeles,CA90037 		95-2637167 501(c)(3) 7,500       Project support
(182) Chapa-De Indian Health Program Inc
11670 Atwood Road
Auburn,CA95603 		94-2583156 501(c)(3) 40,000       Project Support
(183) Charles Drew University of Medicine & Sc
1731 East 120th St
Los Angeles,CA90059 		95-6151774 501(c)(3) 274,542       Project Support
(184) Chicana Foundation of Northern California
1419 Burlingame Ave
Burlingame,CA94010 		94-2923423 501(c)(3) 5,500       Event Support
(185) Chicano & Latino Youth Leadership Proj
1130 K Street LL80
Sacramento,CA95814 		94-3069819 501(c)(3) 8,000       Event Support
(186) Child & Family Center
21545 Centre Pointe Park
Santa Clarita,CA91350 		95-3941342 501(c)(3) 15,000       Project support
(187) Child Care Resource Center Inc
20001 Prairie Street
Chatsworth,CA91311 		95-3081695 501(c)(3) 21,155       Project support
(188) Children Now
1404 Franklin St
Oakland,CA94612 		94-3059243 501(c)(3) 50,000       Operating Support
(189) Children&Families First Comm of Ventura Co
2580 E Main St 203
Ventura,CA93003 		77-0525458 Government or P 20,000       Project Support
(190) Children's Cancer Association
433 NW 4th Ave
Portland,OR97209 		93-1181662 501(c)(3) 21,000       Project support
(191) Childrens Dental Foundation
455 East Columbia St
Long Beach,CA90806 		95-2111124 501(c)(3) 35,000       Project Support
(192) Children's Fund Inc
825 E Hospitality Ln
San Bernardino,CA92415 		33-0193286 501(c)(3) 15,000       Emergency Needs
(193) Children's Hospital & Research CenterOak
747 52nd Street
Oakland,CA94609 		94-0382330 501(c)(3) 5,030,000       Project support
(194) Children's Network of Solano County
2320 Courage Drive
Fairfield,CA94533 		68-0014506 501(c)(3) 75,000       Operating Support
(195) Children's Nurturing Project
490 Chadbourne Rd
Fairfield,CA94534 		72-1553818 501(c)(3) 50,000       Project Support
(196) CHIME Charter Middle School
22280 Devonshire Dt
Chatsworth,CA91311 		95-4309518 501(c)(3) 12,500       Project Support
(197) Chinatown Service Center
767 North Hills St
Los Angeles,CA90012 		95-2918844 501(c)(3) 9,365       Event Support
(198) Christie's Place Inc
2440 Third Avenue
San Diego,CA92101 		91-1878632 501(c)(3) 20,000       Project Support
(199) City and County of San Francisco
501 Stanyan Street
San Francisco,CA94117 		94-6000417 Government or P 20,000       Project Support
(200) City Corps of the Central Coast Inc
77 North CA Street
Ventura,CA93001 		26-0621080 501(c)(3) 10,000       Project support
(201) City of Chino
13201 Central Ave
Chino,CA91710 		95-0930239 Government or P 10,000       Project support
(202) City of Downey Community Senior Center
7810 Quill Drive
Downey,CA90242 		95-1918226 Government or P 10,000       Project Support
(203) City of Folsom Parks & Recreation
50 Natoma Street
Folsom,CA95630 		94-6000334 Government or P 10,000       Project Support
(204) City of Fontana
16860 Valencia Ave
Fontana,CA92335 		95-6004770 Government or P 25,000       Healthy Living
(205) City of Fremont
3300 Capitol AveB
Fremont,CA94538 		94-6027361 Government or P 10,000       Swim for Life
(206) City of Hawaiian Gardens
21815 Pioneer Blvd
Hawaiian Gardens,CA90716 		95-2315964 Government or P 6,000       Project Support
(207) City of Inglewood
1 W Manchester Blvd
Inglewood,CA90301 		95-6000728 Government or P 16,000       Project Support
(208) City of Jurupa Valley
8304 Limonite Ave
Jurupa Valley,CA92509 		45-2260785 Government or P 25,000       Project support
(209) City of Lancaster
44933 FERN AVENUE
LANCASTER,CA93534 		95-3213004 Government or P 10,000       Project support
(210) City of Long Beach Dept of Health
3820 Cherry Ave
Long Beach,CA90807 		95-6000733 Government or P 10,000       Project Support
(211) City of Los Angeles - Dept of Transport
100 S Main St
Los Angeles,CA90012 		95-6000735 Government or P 10,000       Project Support
(212) City of Montclair
5111 Benito Street
Montclair,CA91763 		95-6005731 Government or P 10,000       Project Support
(213) City of Portland Oregon
1120 SW 5th Avenue
Portland,OR97204 		93-6002236 Government or P 100,000       Project support
(214) City of Rancho Cucamonga
10500 Civic Center Drive
Rancho Cucamonga,CA91730 		95-3213002 Government or P 9,000       Project support
(215) City of Redwood City
750 Bradford Street
Redwood City,CA94063 		94-6001116 Government or P 25,000       Operating support
(216) City of Rialto
150 S Palm Avenue
Rialto,CA92376 		95-6000768 Government or P 15,000       Project Support
(217) City of Salem
555 Liberty St SE
Salem,OR97301 		93-6002249 Government or P 8,000       Project support
(218) City of San Bernardino
201 N E St Suite 301
San Bernardino,CA92401 		95-6000772 Government or P 15,000       Project Support
(219) City of San Diego
202 C Street MF 37C
San Diego,CA92101 		95-6000776 Government or P 15,000       Project Support
(220) City of San Fernando
117 Macneil Street
San Fernando,CA91340 		95-6000779 Government or P 14,000       Project Support
(221) City of Sunnyvale
785 Morse Avenue
Sunnyvale,CA94086 		94-6000438 Government or P 19,875       Project Support
(222) City of Vancouver
PO Box 1995
Vancouver,WA98668 		91-6001288 Government or P 20,000       Project Support
(223) City Team Ministries
722 Washington Street
Oakland,CA94607 		94-1501265 501(c)(3) 6,000       Event Support
(224) Clackamas Volunteers in Medicine
700 Molalla Ave
Oregon City,OR97045 		37-1621141 501(c)(3) 23,000       Operating support
(225) CLEVELAND CLINIC FOUNDATION
9500 Euclid Avenue
Cleveland,OH44195 		34-0714585 501(c)(3) 35,234       PassThrough Fed Proj
(226) Clinica Sierra Vista
1430 Truxtun Ave
Bakersfield,CA93302 		95-2707101 501(c)(3) 30,000       Project support
(227) Clovis Unified School District
1448 N Armstrong Ave
Fresno,CA93727 		94-2840774 Government or P 60,000       Project Support
(228) Co of Santa Clara Parks & Recreation Dept
298 Garden Hill Dr
Los Gatos,CA95032 		94-6000533 Government or P 40,000       Project Support
(229) Coachella Valley Volunteers in Medicine
82-915 Avenue 48
Indio,CA92201 		26-3312826 501(c)(3) 24,000       Clinic Operations
(230) Coalition Humane Immigrant Rights of LA
2533 West Third St
Los Angeles,CA90057 		95-4421521 501(c)(3) 22,125       Project Support
(231) Collective Roots Garden Project
1785 Woodland Av
East Palo Alto,CA94303 		71-0901459 501(c)(3) 30,000       Project Support
(232) College Track
111 Broadway Ave
Oakland,CA94607 		94-3279613 501(c)(3) 400,000       Project Support
(233) COLUMBIA UNIVERSITY MEDICAL CTR
630 West 168th Street
New York,NY10032 		80-0496512 501(c)(3) 15,242       PassThrough Fed Proj
(234) COM ACTIVELY LIVING INDEPENDENT & FREE
634 SOUTH SPRING ST
LOS ANGELES,CA90014 		95-4860169 501(c)(3) 8,000       Project Support
(235) Committee on the Shelterless
900 Hopper Street
Petaluma,CA94952 		68-0176855 501(c)(3) 11,000       Operating Support
(236) Common Ground Westside HIV Community
2401 Lincoln Blvd
Santa Monica,CA90405 		95-4460765 501(c)(3) 7,500       Project Support
(237) CommuniCare Health Centers
2051 John Jones Rd
Davis,CA95616 		94-2188574 501(c)(3) 189,361       Project Support
(238) Community Action Organization
1001 SW Baseline St
Hillsboro,OR97123 		93-0554941 501(c)(3) 95,000       Project Support
(239) Community Action Partnership of Kern
5005 NBusiness Park
Bakersfield,CA93309 		95-2402760 501(c)(3) 45,000       Project Support
(240) Community Action Partnership of San Bern
696 S Tippecanoe Av
San Bernardino,CA92408 		95-2376882 501(c)(3) 35,000       Project Support
(241) Community Action Partnership of Sonoma
1300 North Dutton Ave
Santa Rosa,CA95401 		94-1648949 501(c)(3) 15,000       Give Kids a Smile
(242) Community Against Sexual Harm
3101 1st Ave
Sacramento,CA95816 		46-1498182 501(c)(3) 25,960       Project support
(243) Community Agencies for Caring Cts
16703 S Clark Ave
Bellflower,CA90706 		33-0953881 501(c)(3) 9,500       Caring Connections
(244) Community Alliance with Family Farmers
PO Box 363
Davis,CA95617 		94-2914745 501(c)(3) 50,000       Project Support
(245) Community Chaplaincy
7812 El Reno Ave
Elverta,CA95626 		20-0241444 501(c)(3) 20,000       Project Support
(246) Community Child Care Coordinating Counc
22351 City Center Dr
Hayward,CA94541 		23-7218859 501(c)(3) 44,115       Project support
(247) Community Child Care Council of Sonoma
131-A Stony Circle
Santa Rosa,CA94501 		94-2274620 501(c)(3) 20,350       Healthy Kids Club
(248) Community Clinic Association of LA County
700 S Flower St
Los Angeles,CA90017 		95-4576023 501(c)(3) 256,592       Project Support
(249) Community Clinic Consortium of Contra
3720 Barrett Ave
Richmond,CA94805 		20-0782029 501(c)(3) 80,000       Community Clinic
(250) Community Coalition For Substance Abuse Prevention
8101 South Vermont Av
Los Angeles,CA90044 		95-4298811 501(c)(3) 12,220       Event Support
(251) Community Family Guidance Center
10929 South St
Cerritos,CA90703 		38-3778773 501(c)(3) 25,000       Project support
(252) Community Health Clinic Ole
1141 Pear Tree Ln
Napa,CA94558 		23-7221695 501(c)(3) 25,000       Project support
(253) Community Health Improvement Partner
5095 Murphy Canyon
San Diego,CA92123 		33-0496092 501(c)(3) 100,000       Project Support
(254) Community Health Partnership Santa Clara
100 N Winchester Blvd
Santa Clara,CA95050 		77-0352645 501(c)(3) 130,000       Project Support
(255) Community Health Systems Inc
22675 Alessandro Blvd
Moreno Valley,CA92553 		33-0056551 501(c)(3) 30,000       Diabetes Manag
(256) Community House on Broadway
1105 Broadway
Longview,WA98632 		94-3067129 501(c)(3) 9,500       Event Support
(257) Community HousingWorks
4305 University Av
San Diego,CA92105 		33-0317950 501(c)(3) 10,000       HIV/AIDS Permanent
(258) Community Initiative
235 Montgomery St
San Francisco,CA94104 		94-3255070 501(c)(3) 24,000       Project Support
(259) Community Partners
1000 North Alameda St
Los Angeles,CA90012 		95-4302067 501(c)(3) 710,400       Project Support
(260) Community Partnership Families San Joaquin
4707 Kentfield Rd
Stockton,CA95207 		68-0475602 501(c)(3) 50,000       Project support
(261) Community Resources Council Inc
8284 Industrial Avenue
Roseville,CA95678 		94-1740316 501(c)(3) 27,485       Project Support
(262) Community Service Education (CSERF)
5380 Elvas Avenue
Sacramento,CA95819 		23-7003581 501(c)(3) 15,000       SPIRIT Program
(263) Community Violence Solutions
2101 Van Ness St
San Pablo,CA94806 		94-2411924 501(c)(3) 15,000       Project Support
(264) Comprehensive Youth Services of Fresno
3795 E Shields Av
Fresno,CA93726 		94-2219412 501(c)(3) 39,510       Project Support
(265) Concord Community Economic Dev Org
2699 Monument Blvd
Concord,CA94520 		94-3370919 501(c)(3) 28,800       Project Support
(266) Conejo Free Clinic
80 East Hillcreast Dr
Thousand Oaks,CA91360 		95-3177953 501(c)(3) 10,000       Project support
(267) Continentals of Omega Boys and Girls Cl
1 Positive Place
Vallejo,CA94589 		23-7129424 501(c)(3) 20,000       Nourishment prog
(268) Contra Costa Child Care Council
1035 Detroit Ave 200
Concord,CA94518 		94-2383037 501(c)(3) 52,400       Project Support
(269) Contra Costa County
597 Center Ave 125
Martinez,CA94553 		94-6000509 Government or P 19,500       Project Support
(270) Contra Costa InterFaith Sponsor Committee
684 Juliga Woods St
Richmond,CA94804 		68-0361176 501(c)(3) 22,500       Community Health
(271) Contra Tiempo
3131 Olympic Blvd
Santa Monica,CA90404 		20-5477825 501(c)(3) 12,000       Event Support
(272) Cope Family Center
1340 Fourth Street
Napa,CA94559 		94-2322399 501(c)(3) 20,000       Healthy Families
(273) Copper Tower Family Medical Center Inc
6 Tarman Dr
Cloverdale,CA95425 		68-0345901 501(c)(3) 15,000       Oral Health
(274) CORA Community Overcoming Relations
2211 Palm Avenue
San Mateo,CA94403 		94-2481188 501(c)(3) 35,200       Client Crisis
(275) Cornerstone Community Development Corp
1395 Bancroft Avenue
San Leandro,CA94577 		94-3100741 501(c)(3) 17,452       Project Support
(276) Coro Southern California Inc
1000 N Alameda St
Los Angeles,CA90012 		95-4274561 501(c)(3) 9,480       Event Support
(277) Council Of OC Society ofSt Vincent De Paul
8014 Marine Way
Irvine,CA92618 		95-3033494 501(c)(3) 47,500       Project support
(278) Council on Foundations Inc
2121 Crystal Dr
Arlington,VA22202 		13-6068327 501(c)(3) 10,000       Project Support
(279) County of Marin Parks and Open Space
3501 Civic Center Dr
San Rafael,CA94903 		94-6000519 Government or P 6,000       Project Support
(280) County of Sonoma Dept of Health Services
490 Mendocino Ave
Santa Rosa,CA95404 		94-6000539 Government or P 20,000       Project Support
(281) Court Appointed Special Advocate
1505 E 17th St
Santa Ana,CA92705 		33-0069334 501(c)(3) 25,000       Mentor-Advocate
(282) Court Appointed Special Advocates Fresno
1252 Fulton Mall
Fresno,CA93721 		77-0401361 501(c)(3) 25,000       Journey of Hope
(283) Covenant House California
1325 N Western Ave
Hollywood,CA90027 		13-3391210 501(c)(3) 12,000       Project Support
(284) Cowlitz Family Health Center
1057 12th Avenue
Longview,WA98632 		91-0896241 501(c)(3) 75,000       Diabetic Care
(285) Cri-Help Inc
11027 Burbank Blvd
North Hollywood,CA91601 		95-2758951 501(c)(3) 9,200       Project support
(286) Crystal Stairs Inc
5110 W Goldleaf Cir
Los Angeles,CA90056 		95-3510046 501(c)(3) 8,845       Event Support
(287) CSULA University Auxiliary Services Inc
5151 State University Dr
Los Angeles,CA90032 		95-4016653 501(c)(3) 8,580       Event Support
(288) Ctrs For Disease Contr & Prevention Inc
55 Park Place
Atlanta,GA30303 		58-2106707 501(c)(3) 90,000       Project Support
(289) Daly City Peninsula Partnership Collab
111 Lake Merced
Daly City,CA94015 		06-1734338 501(c)(3) 35,000       Operating Support
(290) DANA FARBER CANCER INSTITUTE
450 Brookline Avenue
Boston,MA02215 		04-2263040 501(c)(3) 45,384       PassThrough Fed Proj
(291) Day One
175 N Euclid Avenue
Pasadena,CA91101 		95-4172246 501(c)(3) 7,500       Event Support
(292) Delta 2000
301 W 10th St
Antioch,CA94509 		68-0420357 501(c)(3) 10,000       Project support
(293) Desarrollo Familiar Inc
205 39th Street
Richmond,CA94805 		94-2751073 501(c)(3) 60,000       Youth & Trauma
(294) Desert Samaritans for Seniors
75015 Merle Dr
Palm Desert,CA92211 		33-0762300 501(c)(3) 20,000       Senior Health care
(295) Destiny Arts Center
1000 42nd Street
Oakland,CA94608 		94-3176726 501(c)(3) 25,000       Project Support
(296) Dignity Health
185 Berry Street
San Francisco,CA94107 		94-1196203 501(c)(3) 80,000       Project Support
(297) DIVA Foundation
9000 Sunset Blvd 709
West Hollywood,CA90069 		95-4419536 501(c)(3) 10,000       Project Support
(298) Diversity In Health Training Institute
1000 San Leandro Blvd
San Leandro,CA94577 		35-2432876 501(c)(3) 90,000       Event Support
(299) Dixon Family Services
155 North Second St
Dixon,CA95620 		68-0041829 501(c)(3) 20,000       Project support
(300) Dixon Unified School District
180 S First St
Dixon,CA95620 		32-0183755 Government or P 12,000       Operating Support
(301) Dovetail Learning Inc
825 Gravenstein Hwy
Sebastopol,CA95472 		68-0673821 501(c)(3) 20,000       Project Support
(302) Downey Unified School District
13220 Bellflower Blvd
Downey,CA90242 		95-6006586 Government or P 31,250       Project Support
(303) Downtown Womens Center
325 S LA St
Los Angeles,CA90013 		31-1597223 501(c)(3) 40,000       Operating Support
(304) Drivers for Survivors Inc
39270 Paseo Padre
Fremont,CA94538 		45-4906163 501(c)(3) 10,000       Project support
(305) East Bay Agency for Children
303 Van Buren Avenue
Oakland,CA94610 		94-1358309 501(c)(3) 92,500       Project Support
(306) East Bay AIDS Advocacy Foundation
16 Maggiora Drive
Oakland,CA94605 		94-3212470 501(c)(3) 7,500       Project Support
(307) East Bay Bicycle Coalition
419 Water St
Oakland,CA94607 		94-2585652 501(c)(3) 10,000       Project Support
(308) East Bay Center for the Performing Arts
339 - 11th Street
Richmond,CA94801 		94-1692171 501(c)(3) 15,000       Project Support
(309) East Bay Community Foundation
200 Frank H Ogawa Pl
Oakland,CA94612 		94-6070996 501(c)(3) 75,000,000       Project support
(310) East Bay Community Scholarship Fund
7730 Pardee Lane
Oakland,CA94621 		51-0671019 501(c)(3) 48,000       Event Support
(311) East County Faith Based Subcomittee
4549 Delta Fair Blvd
Antioch,CA94509 		20-8682635 501(c)(3) 25,000       Walking Program
(312) East County Kids-N-Motion
3444 Chandler Cir
Bay Point,CA94565 		41-2207708 501(c)(3) 6,000       Project support
(313) East County Midnight Basketball League
4464 Lone Tree Way
Antioch,CA94531 		68-0459427 501(c)(3) 6,000       Project support
(314) East Los Angeles Women's Center
1255 South Atlantic Blvd
Los Angeles,CA90022 		51-0204577 501(c)(3) 8,000       Project Esperanza
(315) East Oakland Youth Development Center
8200 International Bl
Oakland,CA94621 		23-7334590 501(c)(3) 505,000       Capital Fund Support
(316) East San Gabriel Valley Coalition Homeless
1345 Turnbull Canyon Rd
Hacienda Heights,CA91745 		95-4508436 501(c)(3) 10,000       Project Support
(317) East Valley Community Health Center Inc
420 S Glendora Ave
West Covina,CA91790 		23-7068586 501(c)(3) 170,000       Health Planning
(318) Easter Seals Tri-Counties California
10730 Henderson Rd
Ventura,CA93004 		77-0294977 501(c)(3) 20,000       Project Support
(319) Ecumenical Ministries of Oregon
0245 SW Bancroft St
Portland,OR97239 		93-0625359 501(c)(3) 9,000       Project Support
(320) Eden Youth & Family Center
680 West Tennyson Rd
Hayward,CA94544 		94-2442586 501(c)(3) 50,000       Project Support
(321) El Centrito Family Learning Centers
450 South K St
Oxnard,CA93030 		31-1652255 501(c)(3) 20,000       Operating Support
(322) El Centro de Accion Social
37 E Del Mar Blvd
Pasadena,CA91105 		51-0192257 501(c)(3) 7,050       Project support
(323) El Monte City School District
3540 N Lexington
El Monte,CA91731 		95-6001074 Government or P 5,500       Project Support
(324) El Monte Emergency Resources Association
10900 Mulhall Street
El Monte,CA91731 		95-6097318 501(c)(3) 10,000       Healthy Choices
(325) El Nido Family Centers
10200 Sepulveda Blvd
Mission Hills,CA91345 		95-3186429 501(c)(3) 18,880       Project support
(326) El Sol Neighborhood Educational Center
1717 West 5th St
San Bernardino,CA92401 		33-0552297 501(c)(3) 7,500       Preventive Obesity
(327) El Viento Foundation
olden West College136
Huntington Beach,CA92647 		33-0905269 501(c)(3) 10,000       Healthful Living
(328) Elevate Your GAME
2019 E 120th Street
Los Angeles,CA90059 		68-0533404 501(c)(3) 16,300       Mentoring Program
(329) Elevating Soulciety
28924 Ruus Road
Hayward,CA94544 		80-0184767 501(c)(3) 20,000       Project Support
(330) Elica Health Centers
1860 Howe Ave
Sacramento,CA95825 		37-1424390 501(c)(3) 93,500       Health on Wheels
(331) Elk Grove Food Bank Services
9820 Dino Dr
Elk Grove,CA95624 		38-3664737 501(c)(3) 25,000       Operating support
(332) Elk Grove Unified School District
6300 Ehrhardt Avenue
Elk Grove,CA95624 		94-6002501 Government or P 79,007       Operating support
(333) Ella Baker Center for Human Rights
1970 Broadway 450
Oakland,CA94612 		94-3252009 501(c)(3) 22,414       Project Support
(334) Emergency Food Bank
7 West Scotts Avenue
Stockton,CA95203 		68-0002165 501(c)(3) 20,000       Feeding homeless
(335) Enrich LA
2173 Cedarhurst Dr
Los Angeles,CA90027 		27-2797687 501(c)(3) 24,000       Home and Garden
(336) Escondido Community Child Development
819 W 9th Avenue
Escondido,CA92025 		95-3264143 501(c)(3) 10,000       Project support
(337) Esperanza Community Housing Corporation
3655 S Grand Ave
Los Angeles,CA90007 		95-4230345 501(c)(3) 13,000       Project Support
(338) Essential Health Clinic
266 W Main St
Hillsboro,OR97123 		38-3672046 501(c)(3) 15,000       Operating support
(339) Exceed Enterprises
5285 SE Mallard Way
Milwaukie,OR97222 		23-7017274 501(c)(3) 15,000       Disabilities prog
(340) Exceptional Parents Unlimited Inc
4440 N First St
Fresno,CA93726 		77-0263702 501(c)(3) 40,000       Project Support
(341) Fairfield Community Services Foundation
1000 Webster St
Fairfield,CA94510 		68-0344658 501(c)(3) 9,500       Fun on the Run
(342) Faith In Action
3303 Whitemarsh Ln
Fairfield,CA94534 		68-0431992 501(c)(3) 15,000       Project support
(343) Family and Children Services
950 W Julian Street
San Jose,CA95126 		94-1167408 501(c)(3) 66,000       Project Support
(344) Family Health Care Centers of Greater LA
6501 S Garfield Ave
Bell Gardens,CA90201 		95-1641454 501(c)(3) 33,600       Project support
(345) Family Service Association
21250 Box Springs Rd
Moreno Valley,CA92557 		95-1803694 501(c)(3) 20,000       Project Support
(346) Family Service Association of Redlands
612 Lawton St
Redlands,CA92374 		95-1655614 501(c)(3) 10,000       Project Support
(347) Family Services of the Desert Inc
14080 Palm Dr E
Desert Hot Springs,CA92240 		95-2549152 501(c)(3) 15,000       Project support
(348) Family Support Services of the Bay Area
401 Grand Ave500
Oakland,CA94610 		94-3108205 501(c)(3) 50,000       Project Support
(349) Family Violence Law Center
470 - 27th Street
Oakland,CA94612 		94-2527939 501(c)(3) 20,925       Project Support
(350) Family Young Men's Christian Assoc
685 Court St NE
Salem,OR97301 		93-0386982 501(c)(3) 15,000       Project Support
(351) Feeding America San Diego
9455 Waples St
San Diego,CA92121 		26-0457477 501(c)(3) 58,000       Project support
(352) Fighting Back Partnership
505 Santa Clara St
Vallejo,CA94590 		68-0298092 501(c)(3) 20,000       Project Support
(353) First African Methodist Episcopal Church
530 - 37th
Oakland,CA94609 		23-7010426 501(c)(3) 12,500       Project Support
(354) First Place for Youth
426 17th St100
Oakland,CA94612 		94-3341034 501(c)(3) 50,000       Project Support
(355) Flood Bakersfield Ministries Inc
3509 Union Avenue
Bakersfield,CA93305 		26-2780103 501(c)(3) 22,500       Project HOME
(356) Folsom Cordova Unified School District
1965 Birkmont Drive
Rancho Cordova,CA95742 		94-6002505 Government or P 58,000       Operating support
(357) Food Bank of Contra Costa and Solano
4010 Nelson Ave
Concord,CA94520 		94-2418054 501(c)(3) 57,505       Operating Support
(358) Food In Need of Distribution Inc
83775 Citrus Ave
Indio,CA92201 		33-0006007 501(c)(3) 30,000       Project support
(359) FOOD Inc
3403 E Central Ave
Fresno,CA93725 		77-0320851 501(c)(3) 47,500       Project Support
(360) FOOD Share Inc
4156 Southbank Drive
Oxnard,CA93036 		77-0018162 501(c)(3) 30,000       Healthy Eating
(361) Foothill AIDS Project
233 W Harrison Av
Claremont,CA91711 		33-0341665 501(c)(3) 13,000       Mental Health Counse
(362) Foothill De Anza Colleges Foundation
12345 El Monte Rd
Los Altos Hills,CA94022 		94-3258220 501(c)(3) 40,000       FEI: Safe & Health
(363) Foothill Family Service
2500 E Foothill Blvd
Pasadena,CA91107 		95-1690990 501(c)(3) 10,000       Project Support
(364) Foothill Family Shelter Inc
1501 W Ninth St
Upland,CA91786 		33-0341818 501(c)(3) 13,000       Project Support
(365) Forward Fresno Foundation Inc
2331 Fresno Street
Fresno,CA93721 		94-2914776 501(c)(3) 7,500       Project Support
(366) Foundation Educational & Employment
438 South A St
Oxnard,CA93030 		30-0223314 501(c)(3) 9,500       Project Support
(367) Foundation for Clovis Schools
1450 Herndon
Clovis,CA93611 		77-0140576 501(c)(3) 30,000       Project Support
(368) Foundation for Students Rising Above
287 31st Avenue
San Francisco,CA94121 		81-0615887 501(c)(3) 20,000       College2Careers
(369) Fred Finch Children's Home Inc
3800 Coolidge Avenue
Oakland,CA94602 		94-0474080 501(c)(3) 115,000       Project support
(370) FRED HUTCHINSON CANCER RESEARCH CTR
1100 Fairview Ave North
Seattle,WA98109 		23-7156071 501(c)(3) 28,116       PassThrough Fed Proj
(371) Free Clinic of Southwest Washington
4100 Plomondon St
Vancouver,WA98661 		91-1707542 501(c)(3) 33,000       Project Support
(372) Free Medical Clinic of Greater Cleveland
12201 Euclid Ave
Cleveland,OH44106 		23-7078501 501(c)(3) 10,000       Operating Support
(373) Fresh Lifelines for Youth Inc (FLY)
568 Valley Way
Milpitas,CA95035 		52-2234595 501(c)(3) 30,000       Project support
(374) Fresh Producers Inc
420 I Street 5
Sacramento,CA95814 		20-8747234 501(c)(3) 25,000       Project Support
(375) Fresno Center for New Americans
4879 E Kings Canyon Rd
Fresno,CA93727 		77-0280265 501(c)(3) 40,000       Project Support
(376) Fresno First Steps Home
2600 Fresno St
Fresno,CA93721 		27-2531998 501(c)(3) 52,500       Event Support
(377) Fresno Unified School District
2309 Tulare Street
Fresno,CA93721 		94-6002206 Government or P 100,000       Operating support
(378) Fresno United Neighborhoods
4670 East Butler
Fresno,CA93702 		77-0348220 501(c)(3) 60,000       Project Support
(379) Friends For Youth Inc
1741 Broadway
Redwood City,CA94402 		94-2961034 501(c)(3) 10,000       Project Support
(380) Friends of Gateway Green
PO Box 16692
Portland,OR97292 		26-4534441 501(c)(3) 10,000       Operating Support
(381) Friends of Loma Vista Farms
150 Rainier Ave
Vallejo,CA94589 		32-0109022 501(c)(3) 10,000       Operating Support
(382) Friends of the Los Angeles Free Clinic
8405 Beverly Blvd
Los Angeles,CA90048 		95-3433824 501(c)(3) 13,500       Project support
(383) Friends of Veterans Memorial Senior Center
1455 Madison Ave
Redwood City,CA94061 		94-2977907 501(c)(3) 15,000       Project Support
(384) Friends ofAlam Cnty Court Appoint Advocat
1000 San Leandro Blvd
San Leandro,CA94577 		94-3309728 501(c)(3) 13,000       Project Support
(385) Gardner Family Health Network Inc
160 EVirginia St
San Jose,CA95112 		94-1743078 501(c)(3) 50,000       Project Support
(386) Gay &Lesbian Services Cntr Orange Cnty
1605 N Spurgeon St
Santa Ana,CA92701 		95-2934041 501(c)(3) 15,000       Project support
(387) Gay and Lesbian Elder Housing
1602 Ivar Avenue
Hollywood,CA90028 		35-2160631 501(c)(3) 10,000       Housing Care Proj
(388) GEISINGER CLINIC
100 N Academy Avenue
Danville,PA17822 		23-6291113 501(c)(3) 16,178       PassThrough Fed Proj
(389) George Washington University
2121 K Street NW
Washington,DC20037 		53-0196584 501(c)(3) 216,284       Project support
(390) Gifts to Share Inc
915 I Street 3rd Floor
Sacramento,CA95811 		94-2985546 501(c)(3) 15,000       WayFit Project
(391) Girl Scouts of Northern California
1310 S Bascom Ave
San Jose,CA95128 		94-1551410 501(c)(3) 30,000       Project support
(392) Girls Incorporated of Alameda County
510- 16th Street
Oakland,CA94618 		94-1558073 501(c)(3) 20,750       Project support
(393) Girls On The Run Napa Valley Inc
1767 Stockton St
St Helena,CA94574 		55-0906534 501(c)(3) 10,000       Project Support
(394) Give Every Child A Chance
610 Commerce Court
Manteca,CA95336 		68-0399384 501(c)(3) 40,000       Project support
(395) Glendale Community Free Health Clinic
134 N Kenwood St
Glendale,CA91206 		87-0732681 501(c)(3) 8,000       Project support
(396) Glendale Healthy Kids
223 N Jackson St
Glendale,CA91206 		95-4487466 501(c)(3) 10,000       Health Educ
(397) Golden Valley Health Centers
737 West Childs Av
Merced,CA95341 		94-2196086 501(c)(3) 230,000       Project Support
(398) Goodwill Southern California
342 N San Fernando Rd
Los Angeles,CA90031 		95-1641441 501(c)(3) 10,500       Project support
(399) Gospel Center Rescue Mission Inc
445 S San Joaquin St
Stockton,CA95203 		94-1375835 501(c)(3) 50,000       Project Support
(400) Grantmakers In Aging Inc
2001 Jefferson Davis
Arlington,VA22202 		13-4014982 501(c)(3) 10,000       GIA
(401) GROUP HEALTH COOPERATIVE
1730 Minor Avenue
Seattle,WA98101 		91-0511770 501(c)(3) 474,269       PassThrough Fed Proj
(402) Grupo Fremont VIP
4766 Serra Ave
Fremont,CA94538 		27-3956489 501(c)(3) 10,000       Project Support
(403) Guide Dogs for the Blind
32901 SE Kelso Road
Boring,OR97009 		94-1196195 501(c)(3) 15,000       Guide Dog Mobil
(404) H Street Clinic
1329 North H Street
San Bernardino,CA92405 		20-8191393 501(c)(3) 20,000       Health care
(405) Habitat for Humanity Greater San Francisco
690 Broadway
Redwood City,CA94063 		94-3088881 501(c)(3) 50,000       Project Support
(406) Hamburger Home
7120 Franklin Avenue
Los Angeles,CA90046 		95-1693616 501(c)(3) 10,000       Project Support
(407) Happy Hollow Corporation
1300 Senter Rd
San Jose,CA95112 		23-7219471 501(c)(3) 50,000       Project support
(408) Harbor Area Gang Alternatives
2555 Industry Way
Lynwood,CA90262 		33-0322451 501(c)(3) 32,000       Prevention Program
(409) Harbor City-Harbor Gateway Boys & Girls
1220 W 256th St
Harbor City,CA90710 		33-0450797 501(c)(3) 10,000       Project Support
(410) Harbor Free Clinic Inc
593 W 6th Street
San Pedro,CA90731 		23-7103245 501(c)(3) 15,000       Mental Health
(411) Harbor-UCLA Research and Education Inst
1124 West Carson St
Torrance,CA90502 		95-2138184 501(c)(3) 15,000       Project Support
(412) HARC
75-080 Frank Sinatra
Palm Desert,CA92211 		20-5719074 501(c)(3) 15,000       Project Support
(413) Harm Reduction Services
2800 Stockton Blvd
Sacramento,CA95817 		68-0300656 501(c)(3) 19,322       Project Support
(414) HARVARD PILGRIM HEALTH CARE
133 Brookline Avenue
Boston,MA02215 		04-2452600 501(c)(3) 186,554       PassThrough Fed Proj
(415) Hathaway-Sycamores Child and Family Svs
210 South DeLacey Ave
Pasadena,CA91105 		95-1691005 501(c)(3) 10,000       Project Support
(416) Haven Women's Center of Stanislaus
618 13th Street
Modesto,CA95354 		94-2499361 501(c)(3) 45,000       Domestic Violence
(417) Hawthorne School District
14120 SHawthorne Blvd
Hawthorne,CA90250 		95-6001545 Government or P 10,000       Project Support
(418) Hayward Unified School District
24411 Amador Street
Hayward,CA94544 		94-1693499 Government or P 15,000       Project Support
(419) HC2 The Healthy Community Consortium
200 Douglas Street
Petaluma,CA94952 		68-0475211 501(c)(3) 15,000       Project support
(420) Health Edu Council Populations At Risk
3950 Industrial Blvd
West Sacramento,CA95691 		68-0249296 501(c)(3) 97,715       Project Support
(421) HEALTH PARTNERS RESEARCH
8170 33rd Ave South
Minneapolis,MN55440 		41-1670163 501(c)(3) 45,420       PassThrough Fed Proj
(422) HEALTH RESEARCH INC
PO Box 2966
Buffalo,NY14240 		14-1402155 501(c)(3) 707,377       PassThrough Fed Proj
(423) Healthcare Found of North& Central CA
1215 K Street 730
Sacramento,CA95814 		86-1174825 501(c)(3) 50,000       Project support
(424) Healthy Aging Association
121 Downey Ave
Modesto,CA95354 		77-0546574 501(c)(3) 40,000       Project support
(425) Healthy Community Forum Gtr Sacramento
1331 Garden Highway
Sacramento,CA95833 		68-0377256 501(c)(3) 41,500       Project support
(426) Healthy Smiles for Kids of O C
10602 Chapman Ave
Garden Grove,CA92840 		38-3675065 501(c)(3) 15,000       Operating support
(427) Hearts & Lives
24028 Lake Drive
Crestline,CA92325 		20-0867845 501(c)(3) 7,500       Families Resources
(428) Hemet Unified School District
1791 West Acacia Ave
Hemet,CA92545 		52-1527174 Government or P 15,000       Project support
(429) HENRY FORD HEALTH SYSTEM
1 Ford Place-5C69
Detroit,MI48202 		38-1357020 501(c)(3) 92,673       PassThrough Fed Proj
(430) Herald Christian Health Center
923 SSan Gabriel Bl
San Gabriel,CA91776 		20-3492620 501(c)(3) 10,000       Dental Health Access
(431) Hillsides
940 Avenue 64
Pasadena,CA91105 		95-1644002 501(c)(3) 8,700       Project support
(432) Hispanas Organized for Political Equality
634 South Spring St920
Los Angeles,CA90014 		95-4718409 501(c)(3) 26,480       Project Support
(433) Hmong National Development Inc
1075 Arcade Street
St Paul,MN55106 		52-1804060 501(c)(3) 27,000       Project support
(434) Hollywood Community Housing Corp
5020 Santa Monica Bl
Los Angeles,CA90029 		95-4198215 501(c)(3) 15,000       Project Support
(435) Homeboy Industries
130 West Bruno St
Los Angeles,CA90012 		95-4800735 501(c)(3) 8,500       Event Support
(436) Honolulu Metropolitan Foursquare Church
1585 Kapiolani Blvd
Honolulu,HI96814 		90-0774243 501(c)(3) 10,000       Operating Support
(437) Hope Of The Valley Rescue Mission
8165 San Fernando Rd
Sun Valley,CA91352 		27-2053273 501(c)(3) 9,500       Event Support
(438) Hospice of Napa Valley Inc
414 S Jefferson St
Napa,CA94559 		68-0393144 501(c)(3) 15,000       Operating support
(439) Hospital Consortium of San Mateo County
225 West 37th Ave
San Mateo,CA94403 		94-2637032 501(c)(3) 6,750       Project Support
(440) Huckleberry Youth Programs Inc
3310 Geary Blvd
San Francisco,CA94118 		94-1687559 501(c)(3) 100,000       Project Support
(441) Human Options Inc
5540 Trabuco Rd
Irvine,CA92620 		95-3667817 501(c)(3) 13,500       Event Support
(442) Human Services Association
6800 Florence Ave
Bell Gardens,CA90201 		95-1816054 501(c)(3) 10,000       Project Support
(443) Hunger Action Los Angeles
961 S Mariposa205
Los Angeles,CA90006 		20-5142259 501(c)(3) 29,020       General Support
(444) Hurst Ranch Historical Foundation
1717 W Merrced Ave
West Covina,CA91790 		95-4603489 Government or P 7,880       Project Support
(445) Hurtt Family Health Clinic Inc
One Hope Drive
Tustin,CA92782 		33-0906866 501(c)(3) 15,000       Prescription Assist
(446) Imperial Beach Community Clinic
949 Palm Avenue
Imperial Beach,CA91932 		23-7209592 501(c)(3) 25,000       Project support
(447) Indian Health Center of Santa Clara Valley
1333 Meridian Avenue
San Jose,CA95125 		94-2476242 501(c)(3) 50,000       Project support
(448) Info Line of San Diego County
5251 Viewridge Ct
San Diego,CA92123 		33-1029843 501(c)(3) 10,000       Military and Veteran
(449) Inland Empire United Way
9644 Hermosa Ave
Rancho Cucamonga,CA91730 		33-0502676 501(c)(3) 20,000       Kids Pack
(450) INMED Partnerships for Children Inc
1546 E Compton Ave
Compton,CA90221 		52-1482339 501(c)(3) 25,000       Event Support
(451) Inroads Inc
1970 Broadway
Oakland,CA94612 		62-0967197 501(c)(3) 85,000       Project Support
(452) Instituto Familiar De La Raza Inc
2919 Mission Street
San Francisco,CA94110 		94-2523608 501(c)(3) 52,200       Project Support
(453) Insure the Uninsured Project
2444 Wilshire Blvd
Santa Monica,CA90403 		27-4159194 501(c)(3) 73,000       Health Reform In CA
(454) Integrative Clinics International Inc
3871 Piedmont Ave
Oakland,CA94611 		74-3163881 501(c)(3) 10,000       Project Support
(455) Intercommunity Child Guidance Center
10155 Colima Road
Whittier,CA90603 		95-2031148 501(c)(3) 15,000       Project Support
(456) Intercommunity Counseling Center Inc
7702 Washington Av
Whittier,CA90608 		95-3109547 501(c)(3) 7,000       Project support
(457) Interfaith Council of Solano County
724 Ohio Street
Fairfield,CA94533 		68-0440432 501(c)(3) 15,000       Project support
(458) International Institute of the Bay Area
2600 Middlefield Rd
Redwood City,CA94063 		94-1156554 501(c)(3) 10,000       Operating Support
(459) International Rescue Committee Inc
5348 University Ave
San Diego,CA92105 		13-5660870 501(c)(3) 30,000       Project Support
(460) Janet Goeske Foundation
5257 Sierra St
Riverside,CA92504 		33-0023938 501(c)(3) 15,000       Project support
(461) Jefferson Union High School District
699 Serramonte Blvd
Daly City,CA94015 		94-3083772 Government or P 41,414       Operating Support
(462) Jewish Community Free Clinic
490 City Center Drive
Rohnert Park,CA94928 		94-3386103 501(c)(3) 15,000       Project Support
(463) Jewish Family & Children's Svcs East Bay
1855 Olympic Blvd200
Walnut Creek,CA94596 		94-3250304 501(c)(3) 16,350       Project Support
(464) Jewish Family & Childrens Svs of LB-OC
3801 E Willow Street
Long Beach,CA90815 		95-2273033 501(c)(3) 10,000       Project Support
(465) Jewish Family Service of the Desert
801 E Tahquitz Canyon
Palm Spring,CA92262 		33-0613083 501(c)(3) 15,000       Project support
(466) JOHNS HOPKINS HOSPITAL
615 North Wolfe Street
Baltimore,MD21205 		52-0591656 501(c)(3) 40,252       PassThrough Fed Proj
(467) Joyful Heart Foundation
32 West 22 St 4th Fl
New York,NY10010 		72-1519537 501(c)(3) 75,000       Project Support
(468) Jumpstart for Young Children Inc
1625 W Olympic Blv
Los Angeles,CA90015 		04-3262046 501(c)(3) 10,000       LA community
(469) Juvenile Diabetes Research Foundation
17992 Mitchell South
Irvine,CA92614 		23-1907729 501(c)(3) 6,650       Outreach Program
(470) KAISER FOUNDATION HEALTH PLAN OF COLORADO
10350 East Dakota Avenue
Denver,CO80231 		84-0591617 501(c)(3) 12,534,270       PassThrough Fed Proj
(471) KAISER FOUNDATION HEALTH PLAN OF GEORGIA
3495 Piedmont Rd NE
Atlanta,GA30305 		58-1592076 501(c)(3) 2,630,394       PassThrough Fed Proj
(472) Keaton Raphael Memorial Neuroblastoma
2260 Douglas Blvd
Roseville,CA95661 		68-0406980 501(c)(3) 20,000       Project support
(473) Kern County Children and Families Comm
2724 L Street
Bakersfield,CA93301 		77-0529128 Government or P 10,000       Project Support
(474) Kern County Superintendent of Schools
1300 17th Street
Bakersfield,CA93301 		95-6000941 Government or P 12,000       Project Support
(475) Kids Come First
1556 South Sultana
Ontario,CA91761 		33-0969025 501(c)(3) 23,500       Choosing Health
(476) Kids Community Clinic of Burbank
400 W Elmwood Ave
Burbank,CA91506 		95-4791296 501(c)(3) 10,694       Dental Treatment
(477) KidsFirst
124 Main Street
Roseville,CA95678 		68-0195225 501(c)(3) 78,420       Project Support
(478) KidWorks Community Development Corp
1902 W Chestnut Ave
Santa Ana,CA92703 		74-3081569 501(c)(3) 13,000       Health & Fitness
(479) Kingdom Causes Bellflower
16429 Bellflower Blvd
Bellflower,CA90706 		95-4849998 501(c)(3) 6,900       Project Support
(480) Korean American Family Service Center
3727 West 6th St
Los Angeles,CA90020 		95-3899329 501(c)(3) 15,000       Mental Health
(481) Korean Health Education Info Research Cntr
3727 West 6th St
Los Angeles,CA90020 		95-4074660 501(c)(3) 8,660       Event Support
(482) La Casa Community Center
203 E Mission Road
San Gabriel,CA91776 		95-1660846 501(c)(3) 10,710       Project Support
(483) La Casa De Las Madres
1663 Mission Street
San Francisco,CA94103 		94-2330864 501(c)(3) 29,460       Teen Domestic proj
(484) La Clinica De La Raza Inc
1515 Fruitvale Avenue
Oakland,CA94601 		94-1744108 501(c)(3) 230,148       Project Support
(485) LA County Department of Public Health
600 S Commonwealth Av
Los Angeles,CA90005 		95-6000927 Government or P 5,895       Project Support
(486) La Maestra Family Clinic Inc
4060 Fairmount Ave
San Diego,CA92105 		33-0473171 501(c)(3) 40,000       Project Support
(487) LACER Afterschool Programs
1277 N Wilcox Av
Hollywood,CA90038 		95-3890819 501(c)(3) 10,000       Afterschool Prog
(488) Laguna Beach Community Clinic
362 Third Street
Laguna Beach,CA92651 		95-2637633 501(c)(3) 6,500       Project support
(489) LAMP Inc
526 San Pedro Street
Los Angeles,CA90013 		95-3993742 501(c)(3) 97,000       Project Support
(490) Larkin Street Youth Services
701 Sutter St2
San Francisco,CA94109 		94-2917999 501(c)(3) 9,900       Event Support
(491) LA's Best
200 N Spring Street
Los Angeles,CA90012 		95-4311058 501(c)(3) 23,710       Event Support
(492) Latino Center For Prevention & Action
450 W Fourth St
Santa Ana,CA92701 		33-0562943 501(c)(3) 21,750       Diabetes Support
(493) Latino Community Foundation
One Embarcadero Center
San Francisco,CA94111 		81-0564400 501(c)(3) 88,900       Project Support
(494) Latino Leadership Council
2945 Bell Road 274
Auburn,CA95603 		27-0970476 501(c)(3) 25,000       Project support
(495) Legal Aid Society of San Mateo County
330 Twin Dolphin Dr
Redwood City,CA94065 		94-1451894 501(c)(3) 25,000       Domestic Violenc
(496) Leukemia & Lymphoma Society Inc
221 Main Street
San Francisco,CA94105 		13-5644916 501(c)(3) 48,500       Project Support
(497) LifeLong Medical Care
2344 Sixth Street
Berkeley,CA94710 		94-2502308 501(c)(3) 135,000       Project Support
(498) LIFT for Teens
70 Skyview Terrace
San Rafael,CA94903 		26-3584878 501(c)(3) 34,900       Event Support
(499) Lift3 Support Group
490 Chadbourne Rd
Fairfield,CA94534 		87-0723514 501(c)(3) 25,000       Project support
(500) Lighthouse Counseling Family Resource Ctr
427 A Street
Lincoln,CA95648 		35-2252834 501(c)(3) 33,324       Project Support
(501) Livermore Area Recreation and Park Dist
4444 East Avenue
Livermore,CA94550 		94-6000849 Government or P 15,000       Project Support
(502) Livermore Valley Joint Unified School Dist
685 E Jack London
Livermore,CA94550 		94-2175582 Government or P 37,500       Project Support
(503) Loaves and Fishes of Contra Costa
1985 Bonifacio St
Concord,CA94520 		68-0018077 501(c)(3) 21,000       Project support
(504) Local Ecology and Agriculture Fremont
37533 Niles Blvd
Fremont,CA94536 		27-1349266 501(c)(3) 15,000       Project support
(505) Loma Linda University
24951 North Circle Dr
Loma Linda,CA92350 		95-1816009 501(c)(3) 163,153       Project Support
(506) Long Beach Bar Foundation Inc
3515 Linden Ave
Long Beach,CA90807 		33-0585482 501(c)(3) 10,000       Project support
(507) Los Angeles Alliance for a New Economy
464 Lucas Avenue
Los Angeles,CA90017 		95-4459427 501(c)(3) 8,500       Project Support
(508) Los Angeles Brotherhood Crusade Inc
200 E Slauson Ave
Los Angeles,CA90011 		95-2543819 501(c)(3) 8,500       Project support
(509) Los Angeles Center for Law and Justice
1241 S Soto St102
Los Angeles,CA90023 		95-2690540 501(c)(3) 9,510       Event Support
(510) Los Angeles Child Guidance Clinic
3031 S Vermont Ave
Los Angeles,CA90007 		95-1690974 501(c)(3) 7,500       Project Support
(511) Los Angeles Christian Health Center
311 East Winston St
Los Angeles,CA90013 		95-4315734 501(c)(3) 23,400       Project Support
(512) Los Angeles Conservation Corps
605 West Olympic Blvd
Los Angeles,CA90015 		95-4002138 501(c)(3) 10,000       Project Support
(513) Los Angeles Neighborhood Land Trust
315 W 9th Street
Los Angeles,CA90015 		38-3687836 501(c)(3) 75,000       Operating support
(514) Los Angeles Regional Food Bank
1734 East 41st St
Los Angeles,CA90058 		95-3135649 501(c)(3) 47,500       Project support
(515) Los Angeles Team Mentoring Inc
714 W Olympic Blvd
LA,CA90017 		95-4443617 501(c)(3) 7,000       Project Support
(516) Los Angeles Trade Tech College Foundation
400 W Washington Bl
Los Angeles,CA90015 		95-3813527 501(c)(3) 9,480       Project support
(517) Los Angeles Urban League
3450 Mount Vernon Dr
Los Angeles,CA90008 		95-1691288 501(c)(3) 17,500       Project Support
(518) Los Angeles Youth Network
1754 Taft Street
Los Angeles,CA90028 		95-3953979 501(c)(3) 12,500       Project support
(519) Making Waves Education Program
3045 Research Drive
Richmond,CA94806 		94-3267851 501(c)(3) 19,300       Mental Health
(520) Mama's Kitchen
3960 Home Ave
San Diego,CA92105 		33-0434246 501(c)(3) 20,000       AIDS Nutrition Prog
(521) Marin Community Foundation
5 Hamilton Landing
Novato,CA94949 		94-3007979 501(c)(3) 12,500       Healthy Marin Partn
(522) Mariposa Women and Family Center
812 W Town Country Rd
Orange,CA92868 		95-3626580 501(c)(3) 10,000       Project support
(523) Marjaree Mason Center Inc
1600 M Street
Fresno,CA93721 		94-1156639 501(c)(3) 45,000       Project Support
(524) MARSHFIELD CLINIC RESEARCH
1000 North Oak Ave 1R3
Marshfield,WI54449 		39-0452970 501(c)(3) 110,944       PassThrough Fed Proj
(525) Marthas Village and Kitchen Inc
83791 Date Ave
Indio,CA92201 		33-0777892 501(c)(3) 24,000       Project support
(526) Martin Luther King Jr Freedom Center
333 East 8th St
Oakland,CA94606 		94-3390034 501(c)(3) 130,000       Project Support
(527) Mary's Mercy Center Inc
641 Roberds Ave
San Bernardino,CA92411 		33-0632426 501(c)(3) 10,000       Project support
(528) MASSACHUSETTS GENERAL HOSPITAL
50 Staniford Street
Boston,MA02114 		04-2697983 501(c)(3) 98,551       PassThrough Fed Proj
(529) MayView Community Health Center
270 Grant Avenue
Palo Alto,CA94306 		94-2239648 501(c)(3) 36,000       Project Support
(530) Mazon Inc Jewish Response To Hunger
10495 Santa Monica
Los Angeles,CA90025 		22-2624532 501(c)(3) 100,000       Healthy Options
(531) Meals on Wheels Family Srvs of Contra
1300 Civic Drive
Walnut Creek,CA94596 		68-0044205 501(c)(3) 6,500       Project support
(532) Meals on Wheels of Contra Costa Inc
1220 Morello Ave
Martinez,CA94553 		68-0231350 501(c)(3) 7,500       Project Support
(533) Meals on Wheels of San Francisco Inc
1375 Fairfax Avenue
San Francisco,CA94124 		94-1741155 501(c)(3) 24,050       Project Support
(534) Meals On Wheels of Solano County Inc
95 Marina Center
Suisun City,CA94585 		94-2453452 501(c)(3) 20,000       Elder Nutrition Serv
(535) Medical Education Corp Cuba (MEDICC)
1814 Franklin St
Oakland,CA94612 		31-1603765 501(c)(3) 40,000       Operating Support
(536) Medical Foundation of Marion and Polk Co
2995 Ryan Drive100
Salem,OR97301 		93-1261633 501(c)(3) 15,000       Project support
(537) Medical Ministries International
1004 San Jose 101
Clovis,CA93612 		77-0498274 501(c)(3) 10,000       Operating Support
(538) MEMORIAL SLOAN KETTERING CANCER CENTER
633 3rd Avenue
New York,NY10065 		13-1624182 501(c)(3) 73,122       PassThrough Fed Proj
(539) Men Educating Men Inc
30 W Mountain St
Pasadena,CA91103 		27-2773299 501(c)(3) 7,300       Get Healthy Fair
(540) Mend-Meet Each Need with Dignity
10641 NSan Fernando
Pacoima,CA91331 		23-7306337 501(c)(3) 27,550       MEND's Health Prog
(541) Mental Health America of Los Angeles
506 W Jackman St
Lancaster,CA93534 		95-1881491 501(c)(3) 67,700       Project Support
(542) Mentoring in Medicine & Science Inc
2201 Broadway
Oakland,CA94612 		27-3263074 501(c)(3) 49,990       Healthy Ambassador
(543) Mercy & Wisdom Healing Center
2 NW 3rd Ave
Portland,OR97209 		76-0767257 501(c)(3) 9,000       Project Support
(544) Mercy Foundation - Bakersfield
551 Shanley Ct
Bakersfield,CA93311 		77-0201321 501(c)(3) 12,000       Project Support
(545) Mercy House Living Centers
807 N Garfield
Santa Ana,CA92703 		33-0315864 501(c)(3) 18,000       Project Support
(546) Mercy Housing California
1360 Mission St300
San Francisco,CA94102 		94-3081666 501(c)(3) 75,000       Health and Housing
(547) Mexican American Legal Defense &Ed Fund
634 S Spring St 11th Fl
Los Angeles,CA90014 		74-1563270 501(c)(3) 9,310       Project Support
(548) MFI Recovery Center
5870 Arlington Ave
Riverside,CA92504 		95-2833715 501(c)(3) 24,000       Project support
(549) Mid-Peninsula Boys & Girls Club Inc
200 North Quebec St
San Mateo,CA94401 		94-1431583 501(c)(3) 43,103       Project Support
(550) Mission Solano Rescue Mission Inc
740 Travis Blvd
Fairfield,CA94533 		61-1431375 501(c)(3) 10,000       Project Support
(551) Mixteco Indigena Community Organizing
520 West 5th St
Oxnard,CA93030 		30-0045901 501(c)(3) 9,500       Project Support
(552) MLK Jr Community Health Foundation
555 S Flower St
Los Angeles,CA90071 		45-4433505 501(c)(3) 14,450       Project support
(553) MOMS Orange County
1128 WSanta Ana blvd
Santa Ana,CA92703 		33-0518078 501(c)(3) 19,500       MOMS Pregnancy
(554) Montebello Unified School District
123 SMontebello Blvd
Montebello,CA90640 		95-6002104 Government or P 10,000       Project Support
(555) Montgomery County Business Roundtable
6010 Execuctive blvd
Rockville,MD20852 		41-2047342 501(c)(3) 95,000       Project support
(556) Monument Crisis Center
2350 Monument Blvd
Concord,CA94520 		41-2111171 501(c)(3) 25,000       Project support
(557) Mountain Health & Community Svcs
31115 Highway 94
Campo,CA91906 		33-0164420 501(c)(3) 20,000       Executing Patient
(558) Move San Diego
PO Box 87588
San Diego,CA92138 		20-0685682 501(c)(3) 12,000       Community Outreach
(559) Mt Diablo Unified School Dist (MDUSD)
1936 Carlotta Drive
Concord,CA94519 		68-0091157 Government or P 34,559       Salad Bars 4 School
(560) Mt San Antonio College Foundation
1100 NGrand Ave
Walnut,CA91789 		95-6196020 501(c)(3) 20,000       Project Support
(561) Mulnomah County Oregon
426 SW Stark Street
Portland,OR97204 		93-6002309 Government or P 42,290       Project support
(562) Museum of the African Diaspora
685 Mission Street
San Francisco,CA94105 		94-3338239 501(c)(3) 41,375       Event Support
(563) Mutual Assistance Network Del Paso Hts
811 Grand Ave
Sacramento,CA95819 		68-0332694 501(c)(3) 15,000       Violence Prevention
(564) My Sister's House
3053 Freeport Blvd
Sacramento,CA95818 		68-0464114 501(c)(3) 29,280       Event Support
(565) My Three Squares
3150 18th St 315
San Francisco,CA94110 		45-3059509 501(c)(3) 10,000       Project support
(566) N of Market Senior Services Senior Ctr
333 Turk Street
San Francisco,CA94102 		23-7362588 501(c)(3) 59,350       Event Support
(567) NAMI Alameda County South
4974 Omar Street
Fremont,CA94538 		46-1028709 501(c)(3) 15,000       Mentors on Discharg
(568) Napa Emergency Women's Services
1141 Pear Tree Ln
Napa,CA94558 		94-2745889 501(c)(3) 10,000       Project support
(569) National Coalition of 100 Black Women
6175 Shattuck Ave
Oakland,CA94609 		94-3298877 501(c)(3) 13,913       Event Support
(570) National Council of YMCAs of the USA
101 N Wacker Drive
Chicago,IL60606 		36-3258696 501(c)(3) 131,250       YMCA's Diabetes
(571) National Kidney Foundation of Northern Cal
131 Steuart St 520
San Francisco,CA94105 		94-6130713 501(c)(3) 9,500       Event Support
(572) National Library of Medicine
8600 Rockville Pike
Bethesda,MD20894 		52-1417780 501(c)(3) 200,000       Gift
(573) Native American Health Center Inc
3124 Intl Blvd
Oakland,CA94601 		23-7135928 501(c)(3) 20,000       Mom and Baby proj
(574) Native American Rehabilitation Assoc
1776 SW Madison
Portland,OR97207 		23-7098400 501(c)(3) 75,000       Improving Diabetes
(575) Neighborhood Healthcare
425 North Date Street
Escondido,CA92025 		95-2796316 501(c)(3) 43,750       Project support
(576) Neighborhood House Inc
7780 SW Capitol Hwy
Portland,OR97215 		93-0386875 501(c)(3) 20,000       Project Support
(577) New Day Dental Clinic
1201 SE Tech Ctr dr
Vancouver,WA98683 		27-0475673 501(c)(3) 8,000       MLK Day Dental Se
(578) New Directions for Youth
7315 N Lankershim Blvd
North Hollywood,CA91605 		95-2973008 501(c)(3) 10,000       Project support
(579) New Horizons Caregivers Group
3120 S Hacienda Blv
Hacienda Heights,CA91745 		75-3132090 501(c)(3) 6,000       Project Support
(580) Newark Unified School District
5715 Musick Avenue
Newark,CA94560 		94-1717677 Government or P 10,000       Project Support
(581) Newport Sports Collection Foundation
100 Newport Center Dr
Newport Beach,CA92660 		33-0579344 501(c)(3) 10,000       Project support
(582) North by NE Community Health Center
3030 NE Martin Luther King
Portland,OR97212 		72-1618287 501(c)(3) 98,265       Project Support
(583) North County Health Project Inc
150 Valpeda Road
San Marcos,CA92069 		95-2847102 501(c)(3) 25,000       Project support
(584) North County Lifeline
3142 Vista Way 400
Oceanside,CA92056 		95-2794253 501(c)(3) 10,000       Project support
(585) Northeast Valley Health Corporation
1172 N Maclay Ave
San Fernando,CA91340 		23-7120632 501(c)(3) 62,540       Annual Fundraiser
(586) Northern California Center for Well-Being
365 B Tesconi Circle
Santa Rosa,CA95401 		93-1144835 501(c)(3) 23,806       Project support
(587) Northwest Housing Alternatives
2316 SE Willard St
Milwaukie,OR97222 		93-0814473 501(c)(3) 15,000       program 4 homeless
(588) NORTHWESTERN UNIVERSITY
750 N Lake Shore Drive
Chicago,IL60611 		36-2167818 501(c)(3) 64,808       PassThrough Fed Proj
(589) Novato Youth Center
680 Wilson Ave
Novato,CA94947 		94-1735064 501(c)(3) 10,000       Project Support
(590) Oak Grove Institute Foundation Inc
24275 Jefferson Ave
Murrieta,CA92562 		33-0470446 501(c)(3) 15,000       Project Support
(591) Oak Park Preschool Inc
PO511 2nd Ave
Sacramento,CA95817 		94-2538801 501(c)(3) 7,500       Project Support
(592) Oak View Renewal Partnership
17241 Oak Lane
Huntington Beach,CA92647 		61-1495237 501(c)(3) 15,000       Project Support
(593) Oakland Museum of California
1000 Oak Street
Oakland,CA94607 		45-3138892 Government or P 30,000       Project support
(594) Oakland School for the Arts
530 18th Street
Oakland,CA94612 		68-0463892 501(c)(3) 19,750       Project support
(595) Odd Fellow Rebekah Children's Homeof CA
290 IOOF Avenue
Gilroy,CA95020 		94-1167402 501(c)(3) 50,000       Project Support
(596) Off The Front
7676 North Palm
Fresno,CA93711 		27-2022802 501(c)(3) 50,000       Project support
(597) Olive Crest Treatment Center
555 Technology Ct 300
Riverside,CA92507 		95-2877102 501(c)(3) 15,000       Project support
(598) Olive View UCLA Education and Research
14445 Olive View Dr
Sylmar,CA91342 		95-2249539 501(c)(3) 75,000       Project Support
(599) Omega Boys Club of San Francisco
1060 Tennessee St
San Francisco,CA94107 		94-3171846 501(c)(3) 12,000       Project Support
(600) On Lok Day Services
1333 Bush Street
San Francisco,CA94109 		94-3101292 501(c)(3) 24,600       Project Support
(601) On The Move
780 Lincoln Ave
Napa,CA94558 		75-3149095 501(c)(3) 95,000       Project Support
(602) OneOC
2100 W Alton Ave 2
Santa Ana,CA92704 		95-2021700 501(c)(3) 20,000       Project Support
(603) Ontario-Montclair School District
950 West D Street
Ontario,CA91762 		95-6002267 Government or P 10,000       Project Support
(604) Open Heart Kitchen of Livermore Inc
1141 Catalina Dr 137
Livermore,CA94550 		94-3396038 501(c)(3) 20,000       Project Support
(605) Open PATHS Counseling Center
5731 Slauson Ave
Culver City,CA90230 		95-3221061 501(c)(3) 7,000       Project support
(606) Operation Rainbow Inc
4200 Park Blvd 157
Oakland,CA94602 		76-0022338 501(c)(3) 10,000       Project Support
(607) Operation Safe House Inc
9685 Hayes St
Riverside,CA92503 		33-0326090 501(c)(3) 20,000       Human Trafficking
(608) Operation Samahan Inc
2835 Highland Ave
National City,CA91950 		95-3008798 501(c)(3) 17,000       Project support
(609) Orange County Department of Education
200 Kalmus Drive
Costa Mesa,CA92628 		95-6000943 Government or P 15,000       Project Support
(610) Orange County Great Park Corporation
1 Civic Center Plaza
Irvine,CA92606 		20-1766377 501(c)(3) 50,194       Project Support
(611) Orange County Korean American Health
9636 Garden Grove Blv
Garden Grove,CA92844 		33-0953529 501(c)(3) 10,000       Diabetes Preventi
(612) Orangewood Children's Foundation
1575 E 17th Street
Santa Ana,CA92705 		95-3616628 501(c)(3) 30,000       Project support
(613) Oregon College Of Oriental Medicine
10525 SE Cherry Blossom Dr
Portland,OR97216 		93-0845182 501(c)(3) 20,000       Expanding Health
(614) Oregon Food Bank Inc
PO Box 55370
Portland,OR97238 		93-0785786 501(c)(3) 25,000       OFB School-Base
(615) Oregon Latino Health Coalition
240 N Broadway
Portland,OR97227 		26-1530127 501(c)(3) 103,464       Community Health
(616) Oregon Oral Health Coalition
800 NE Oregon St
Portland,OR97202 		30-0449673 501(c)(3) 15,000       First Tooth prog
(617) Oregon Primary Care Association
310 SW 4th Ave
Portland,OR97204 		93-0877986 501(c)(3) 291,711       Operating Support
(618) Oregon Public Health Institute
315 SW 5th AV
Portland,OR97204 		93-1259522 501(c)(3) 47,500       Project support
(619) Organizacion En CA De Lideres Campesinas
2101 South Rose Ave
Oxnard,CA93033 		95-4611282 501(c)(3) 25,000       Project Support
(620) Our Place Housing Solutions
16429 Bellflower Blvd
Bellflower,CA90706 		26-2435307 501(c)(3) 12,500       Project Support
(621) Outside In
1132 SW 13th Ave
Portland,OR97205 		93-0567549 501(c)(3) 8,000       Project Support
(622) Pacific Clinics
800 S Santa Anita Ave
Arcadia,CA91006 		95-1644034 501(c)(3) 7,500       Project support
(623) Pacific Symphony
3631 S Harbor Blvd
Santa Ana,CA92704 		95-3635496 501(c)(3) 10,000       Project support
(624) Pacoima Beautiful
11243 Glenoaks Blvd
Pacoima,CA91331 		95-4770745 501(c)(3) 10,000       Project Support
(625) Palm Springs Cultural Center
2100 Tahquitz Canyon
Palm Springs,CA92262 		55-0914693 501(c)(3) 12,000       Project Support
(626) Para Los Ninos
500 Lucas Avenue
Los Angeles,CA90017 		95-3443276 501(c)(3) 9,480       Event Support
(627) Parent Resource Center
811 5th Street
Modesto,CA95351 		77-0324466 501(c)(3) 30,000       Project Support
(628) Partners For A Hunger Free Oregon
712 SE Hawthorne Bl
Portland,OR97214 		20-4970868 501(c)(3) 10,000       Operating Support
(629) Partners In Care Foundation Inc
732 Mott St 150
San Fernando,CA91340 		95-3954057 501(c)(3) 8,700       Event Support
(630) Partnership for Children and Youth
1330 Broadway
Oakland,CA94612 		04-3653529 501(c)(3) 150,000       Project Support
(631) Pasadena Senior Center
85 East Holly Street
Pasadena,CA91103 		95-2085393 501(c)(3) 21,256       Project Support
(632) Pasadena Youth Center
805 N Madison Ave
Pasadena,CA91104 		15-4819333 501(c)(3) 19,580       Conference Support
(633) Passion Society
26931 Creole Place
Hayward,CA94545 		80-0105838 501(c)(3) 15,000       Project Support
(634) Path of Life Ministries
6216 Brockton
Riverside,CA92506 		33-0724945 501(c)(3) 6,140       Sheltering Hearts
(635) PATH Ventures
340 N Madison Ave
Los Angeles,CA90004 		20-1892523 501(c)(3) 50,000       Project Support
(636) Pathways 2020
1452 Hudson Street
Longview,WA98632 		91-1954815 501(c)(3) 15,000       Project Support
(637) Pathways Volunteer Hospice
3701 Michaelson St
Lakewood,CA90712 		33-0241726 501(c)(3) 18,000       Supportfor Seniors
(638) Peace Over Violence
1015 Wilshire Blvd
Los Angeles,CA90017 		51-0179305 501(c)(3) 12,500       Project support
(639) Pediatric Adolescent Diabetes Res & Educ
455 South Main Street
Orange,CA92868 		33-0099451 501(c)(3) 10,000       Diabetes Self-Care
(640) Pediatric Dental Initiative of North Coast
1380 19th Hole Drive
Windsor,CA95492 		34-2012430 501(c)(3) 15,000       Project Tooth Fairy
(641) Peer Health Exchange Inc
300 South Grand Ave
Los Angeles,CA90071 		56-2374305 501(c)(3) 7,000       Project Support
(642) Peninsula Family Service
24 2nd Avenue
San Mateo,CA94401 		94-1186169 501(c)(3) 21,500       Project Support
(643) Penny Lane Centers
15305 Rayen Street
North Hills,CA91343 		95-2633765 501(c)(3) 12,000       Project support
(644) People Assisting the Homeless
340 North Madison Ave
Los Angeles,CA90004 		95-3950196 501(c)(3) 22,000       Project support
(645) People Reaching Out Inc
5299 Auburn Blvd
Sacramento,CA95841 		94-2795430 501(c)(3) 27,000       Project Support
(646) Petaluma People Services Center
1500 Petaluma Blvd
Petaluma,CA94952 		94-2271299 501(c)(3) 12,375       Senior Services
(647) Physician Medical Forum
2201 Broadway
Oakland,CA94612 		30-0086728 501(c)(3) 20,000       Project Support
(648) Pittsburg Boys Club Inc
1001 Stoneman Ave
Pittsburg,CA94565 		94-1251108 501(c)(3) 10,000       Project Support
(649) Placer People of Faith Together
3080 Sunshine Meadow
Auburn,CA95602 		27-0240478 501(c)(3) 19,953       Project Support
(650) PLACER WOMENS CENTER INC
700 Sunrise AveN
Roseville,CA95661 		94-2578871 501(c)(3) 20,850       Project Support
(651) Planned Parenthood Los Angeles
400 West 30th Street
Los Angeles,CA90007 		95-2408623 501(c)(3) 15,500       Project Support
(652) Planned Parenthood Mar Monte-Sacramento
1605 The Alameda
San Jose,CA95126 		94-1583439 501(c)(3) 45,482       Women's health
(653) Planned Parenthood of SB &San Luis Ob Co
518 Garden Street
Santa Barbara,CA93101 		95-2319356 501(c)(3) 10,000       Project Support
(654) Planned Parenthood of the Pacific SW
1075 Camino del RioS
San Diego,CA92108 		95-6111785 501(c)(3) 30,000       Breast Health
(655) Planned Parenthood Shasta Diablo Inc
2185 Pacheco St
Concord,CA94520 		94-1575233 501(c)(3) 52,000       Project support
(656) Playworks Education Energized
1507 NW 23rd Ave A
Portland,OR97210 		94-3251867 501(c)(3) 225,000       Project Support
(657) Point Break Resources
1102 North School St
Stockton,CA95205 		94-1708137 501(c)(3) 40,000       Project Support
(658) Portland Habitat for Humanity
1478 NE Killingsworth
Portland,OR97211 		93-0801200 501(c)(3) 17,000       Habitat 4 Humanity
(659) Positive Exposure Productions Inc
43 East 20th St
New York,NY10003 		02-0536768 501(c)(3) 13,500       Operating Support
(660) Powerhouse Ministries Inc
311 Market Street
Folsom,CA95630 		68-0020855 501(c)(3) 25,000       Project support
(661) Prescott -Joseph Center for Community Enh
920 Peralta Street
Oakland,CA94607 		94-3248535 501(c)(3) 40,000       Project Support
(662) PRESIDENT AND FELLOWS OF HARVARD COLLEGE
25 Shattuck Street
Boston,MA02115 		72-1304948 501(c)(3) 6,097       PassThrough Fed Proj
(663) Pretend City Children's Museum of O C
29 Hubble
Irvine,CA92618 		33-0761254 501(c)(3) 30,000       Project support
(664) Project Access Now
PO Box 10953
Portland,OR97296 		20-8928388 501(c)(3) 98,400       Operating Support
(665) Project Angel Food
922 Vine Street
Los Angeles,CA90038 		95-4115863 501(c)(3) 22,000       Project Support
(666) Project Food
3755 Lemon St
Riverside,CA92502 		02-0627242 501(c)(3) 10,000       Project Support
(667) Project New Village
5106 Federal Blvd
San Diego,CA92105 		27-1306157 501(c)(3) 12,000       Project support
(668) Project Sister Family Services
363 S Park Avenue
Pomona,CA91769 		23-7116161 501(c)(3) 20,000       Operating support
(669) Promises2Kids
9440 Ruffin Court
San Diego,CA92123 		95-3655288 501(c)(3) 10,000       Project support
(670) PSU Foundation Portland State Univ
PO Box 751 RSP
Portland,OR97207 		48-1278529 501(c)(3) 39,939       Project support
(671) Public Counsel
610 S Ardmore Ave
Los Angeles,CA90005 		23-7105149 501(c)(3) 7,895       Homeless Support
(672) Public Health Foundation Enterprises INC
12801 SCrossroads Pkwy
City of Industry,CA91746 		95-2557063 501(c)(3) 73,260       Project support
(673) Public Health Institute
555 12th Street 10thfl
Oakland,CA94607 		94-1646278 501(c)(3) 100,000       Operating support
(674) Queen of the Valley Medical Center
3448 Villa Lane
Napa,CA94558 		94-1243669 501(c)(3) 20,000       Project Support
(675) Quest Center for Intergrative Health
2901 E Burnside Street
Portland,OR97214 		93-1121778 501(c)(3) 15,000       Mental Health Care
(676) Quinn Community Outreach Corporation
25400 Alessandro Blvd
Moreno Valley,CA92553 		33-0637525 501(c)(3) 19,464       Project support
(677) Rancho Los Amigos Foundation Inc
7601 E Imperial Hwy
Downey,CA90242 		95-3849600 501(c)(3) 9,680       Project support
(678) Rape Trauma Services
1860 El Camino Real
Burlingame,CA94010 		94-3215045 501(c)(3) 15,000       Operating support
(679) Reach Out West End Inc
1126 West Foothill Blvd
Upland,CA91786 		95-2642747 501(c)(3) 27,500       Project support
(680) Reading and Beyond
4670 E Butler Ave
Fresno,CA93702 		77-0508471 501(c)(3) 25,000       Workforce Develop
(681) Rebuilding Together Sacramento
8231 Alpine Ave
Sacramento,CA95826 		68-0246355 501(c)(3) 10,000       Project Support
(682) Rector Wardens Vestry Church Our Saviour
4368 Santa Anita Ave
El Monte,CA91731 		95-1765149 501(c)(3) 10,000       Project Support
(683) Redwood Community Health Coalition
1310 Redwood Way
Petaluma,CA94954 		94-3220029 501(c)(3) 100,000       Operating support
(684) Redwood Empire Food Bank
3990 Brickway Blvd
Santa Rosa,CA95403 		68-0121855 501(c)(3) 22,700       Project Support
(685) Regents of the University of CA-San Diego
9500 Gilman Drive
San Diego,CA92093 		95-6006144 501(c)(3) 15,000       Project Support
(686) Regents University of California Los Angeles
650 Charles E Young Dr
Los Angeles,CA90095 		95-6006143 501(c)(3) 7,000       Project Support
(687) Regional Parks Foundation
PO Box 21074
Oakland,CA94605 		23-7011877 501(c)(3) 144,900       Project Support/Healthy Festival
(688) Rescue Mission Alliance
315 North Street
Oxnard,CA93030 		23-7278002 501(c)(3) 29,600       Assist homeless
(689) Richmond Community Foundation
1014 Florida Ave299
Richmond,CA94804 		94-3337754 501(c)(3) 109,630       Project Support
(690) Rim Family Services Inc
28545 State Hwy
Skyforest,CA92385 		33-0496148 501(c)(3) 10,000       Outpatient Alcohol
(691) Ritter Center
16 Ritter Street3517
San Rafael,CA94912 		94-2675517 501(c)(3) 10,900       Event Support
(692) Riverside Area Rape Crisis Center
1845 Chicago Ave
Riverside,CA92507 		95-3245057 501(c)(3) 15,000       Project support
(693) Riverside Community College District Founda
4800 Magnolia Ave
Riverside,CA92506 		95-2993847 501(c)(3) 20,000       Project support
(694) Riverside County Physicians Memor Found
3993 Jurupa Ave
Riverside,CA92506 		95-6080778 501(c)(3) 18,000       Project Support
(695) Robert FKennedy Institute of Community
544 N Avalon Blvd
Wilmington,CA90744 		33-0531975 501(c)(3) 9,000       Community Health
(696) Roberts Family Development Center
770 Darina Ave
Sacramento,CA95815 		68-0470557 501(c)(3) 26,150       Project support
(697) Rosemary Children's Services
36 S Kinneloa Ave200
Pasadena,CA91107 		95-1661683 501(c)(3) 7,500       Project Support
(698) RotaCare Bay Area Inc
PO Box 18430
San Jose,CA95158 		77-0328723 501(c)(3) 72,000       Project Support
(699) Rotary Club of San Jose Endowment
1690 Senter Road
San Jose,CA95112 		94-6112270 501(c)(3) 25,000       Event Support
(700) Rubicon Programs Inc
2500 Bissell Avenue
Richmond,CA94804 		94-2301550 501(c)(3) 97,280       Reentry and Violence
(701) Ryse Inc
205 41st Street
Richmond,CA94805 		26-0692904 501(c)(3) 64,800       Project support
(702) SAC Health System
1454 E Second St
San Bernardino,CA92408 		33-0664371 501(c)(3) 20,000       Beter health
(703) Sacramento City Unified School District
5735 47th Avenue
Sacramento,CA95824 		94-6002491 Government or P 50,750       Operating support
(704) Sacramento Co Dept of Health and Human Svs
7001A East Pkwy
Sacramento,CA95823 		94-6000529 Government or P 50,000       Project Support
(705) Sacramento County Office of Education
10474 Mather Blvd
Sacramento,CA95826 		94-6002536 Government or P 35,000       Operating support
(706) Sacramento Kings Foundation
One Sports Parkway
Sacramento,CA95834 		68-0249718 501(c)(3) 70,000       Event Support
(707) Sacramento Loaves and Fishes
1351 North C Street
Sacramento,CA95811 		68-0189897 501(c)(3) 10,000       Project Support
(708) Sacramento Native American Health Ctr
2020 J Street
Sacramento,CA95811 		20-4287737 501(c)(3) 60,000       Member Services
(709) Sacramento Neighborhood Housing Svcs
2400 Alhambra Blvd
Sacramento,CA95817 		68-0118032 501(c)(3) 20,000       Farmers Market
(710) Sacramento Steps Forward
1331 Garden Hwy
Sacramento,CA95833 		27-4907397 501(c)(3) 15,000       Project Support
(711) Sacramento Valley Concussion Care
3902 Black Oak Ct
Rocklin,CA95765 		46-1474925 501(c)(3) 10,000       Project support
(712) Safe Alternatives for Everyone Inc
28910 Pujol Street
Temecula,CA92590 		91-1962947 501(c)(3) 15,000       Project Support
(713) Safe Alternatives to Violent Environments
1900 Mowry Ave204
Fremont,CA94538 		94-2520559 501(c)(3) 14,800       Project Support
(714) Safe Routes to School National Partnship
207 Canyon Blvd
Boulder,CO80302 		20-4306888 501(c)(3) 100,000       Safe Rts to School
(715) SafeQuest Solano
1049 Union StB
Fairfield,CA94533 		94-2853669 501(c)(3) 9,900       Project Support
(716) Salem Free Medical Clinic
1300 Broadway
Salem,OR97301 		20-3549992 501(c)(3) 58,000       SFC Diabetes
(717) Salem Hospital
PO Box 140001
Salem,OR97309 		93-0579722 501(c)(3) 2,914,537       Project Support
(718) Salvation Army
625 I Street
Modesto,CA95354 		94-1156347 501(c)(3) 55,000       Salvation Army Co
(719) Samaritan Counseling Center
1126 W Foothill Blvd
Upland,CA91786 		95-3160005 501(c)(3) 20,000       Project support
(720) Samaritan House
4031 Pacific Blvd
San Mateo,CA94403 		23-7416272 501(c)(3) 30,150       Operating support
(721) Samuel Dixon Family Health Center Inc
25115 WStanford Ave
Valencia,CA91355 		95-4278726 501(c)(3) 8,000       Project Support
(722) San Diego American Indian Health Center
2602 First Avenue
San Diego,CA92103 		95-3397369 501(c)(3) 20,000       Project support
(723) San Diego County Medical Society Fo
5575 Ruffin Rd250
San Diego,CA92123 		95-2568714 501(c)(3) 20,000       Project support
(724) San Diego Food Bank Corporation
9850 Distribution Av
San Diego,CA92121 		20-4374795 501(c)(3) 58,000       MIA-HEFP Support
(725) San Diego Lesbian Gay Bisexual & Transg
3909 Centre Street
San Diego,CA92103 		23-7332048 501(c)(3) 10,000       Project Support
(726) San Diego Public Library Foundation
820 E Street MS 17
San Diego,CA92101 		33-0959608 501(c)(3) 15,000       Health Information
(727) San Diego Unified School District
4100 Normal Street
San Diego,CA92103 		95-6002781 Government or P 34,950       Project Support
(728) San Diego Youth Services
3255 Wing Street
San Diego,CA92110 		95-2648050 501(c)(3) 15,000       Project support
(729) San Francisco AIDS Foundation
1035 Market Street
San Francisco,CA94103 		94-2927405 501(c)(3) 10,000       Project Support
(730) San Francisco Community Clinic Cons
1550 Bryant St450
San Francisco,CA94103 		94-2897258 501(c)(3) 80,000       Project Support
(731) San Francisco Food Bank
900 Pennsylvania Ave
San Francisco,CA94107 		94-3041517 501(c)(3) 9,200       Event Support
(732) San Francisco Free Clinic
4900 California Street
San Francisco,CA94118 		94-3186248 501(c)(3) 9,925       Event Support
(733) San Francisco Parks Alliance
2150 Allston Way
Berkeley,CA94704 		23-7131784 501(c)(3) 55,000       Project Support
(734) San Francisco Public Health Foundation
375 Laguna Honda Blvd
San Francisco,CA94116 		94-3117093 501(c)(3) 25,000       Project Homeless
(735) San Francisco Study Center Inc
944 Market Street
San Francisco,CA94102 		94-2168838 501(c)(3) 25,000       Project Support
(736) San Gabriel Unified School District
408 Jumipero Serra Dr
San Gabriel,CA91776 		95-6000777 Government or P 10,000       Project Support
(737) San Gabriel Valley Conservation & Svs
3629 Cypress
El Monte,CA91731 		27-0030016 501(c)(3) 10,000       Healthy Harvesters
(738) San Joaquin County Office of Education
2901Arch-Airport Road
Stockton,CA95213 		68-0006282 Government or P 83,000       Exercise Across Ca
(739) San Joaquin County Public Health Svcs
1601 East Hazelton Ave
Stockton,CA95201 		94-6000531 Government or P 40,000       Project Support
(740) San Juan Unified School District
3738 Walnut Avenue
Carmichael,CA95608 		94-6002533 Government or P 23,000       Operating support
(741) San Leandro Unified School District
14735 Juniper Street
San Leandro,CA94579 		94-6002608 Government or P 15,000       Operating support
(742) San Mateo County Sheriff's Activities
400 County Center
Redwood City,CA94063 		45-0617342 501(c)(3) 20,000       Project support
(743) San Mateo Police Activities League
200 Franklin Pwy
San Mateo,CA94403 		31-1593896 501(c)(3) 15,300       Operating Support
(744) San Rafael City Schools
35 Marin St
San Rafael,CA94901 		68-0194365 Government or P 11,500       Project Support
(745) Santa Clara City Library Foundation & Friend
2635 Homestead Rd
Santa Clara,CA95051 		91-2125234 501(c)(3) 10,000       Project Support
(746) Santa Clara County Office of Education
1290 Ridder Park Dr
San Jose,CA95131 		77-0272168 Government or P 52,500       Project Support
(747) Santa Clara University
500 El Camino Real
Santa Clara,CA95053 		94-1156617 501(c)(3) 120,000       MSIS Program
(748) Santa Clarita Community Development Corp
P O Box 802978
Santa Clarita,CA91380 		95-4587823 501(c)(3) 12,626       Project Support
(749) Santa Clarita Valley Boys and Girls Club
24909 Newhall Avenue
Newhall,CA91321 		95-2572622 501(c)(3) 10,000       Project support
(750) Santa Rosa City Schools
211 Ridgeway Ave
Santa Rosa,CA95401 		68-0180139 Government or P 24,500       Project Support
(751) Santa Rosa Community Health Center
3569 Round Barn Cir
Santa Rosa,CA95403 		68-0365296 501(c)(3) 200,000       Project support
(752) Santa Rosa Junior College District
1501 Mendocino Ave
Santa Rosa,CA95401 		94-6033759 Government or P 5,500       Project support
(753) Santa Rosa Memorial Hospital
1165 Montgomery Drive
Santa Rosa,CA95405 		94-1231005 501(c)(3) 20,000       Project Support
(754) School Health Clinics of Santa Clara Cou
5671 Santa Teresa Blv
San Jose,CA95123 		77-0031679 501(c)(3) 20,000       Project Support
(755) Schwitzer Health News LLC
1602 Watson Ave
Saint Paul,MN55116 		02-0434037 501(c)(3) 23,000       Project Support
(756) Second Harvest Food Bank of Santa Clara
4001 North 1st Street
San Jose,CA95134 		94-2614101 501(c)(3) 70,000       Project Support
(757) Second Harvest Food Bank San Joa & Stan Cty
704 E Industrial Park Dr
Manteca,CA95337 		68-0376587 501(c)(3) 20,000       Project support
(758) Seneca Family Of Agencies
2275 Arlington Drive
San Leandro,CA94578 		94-2971761 501(c)(3) 50,000       Project Support
(759) Senior Community Centers of San Diego
525 14th Street200
San Diego,CA92101 		95-2850121 501(c)(3) 12,000       Project support
(760) Senior Support of the Tri-Valley
5353 Sunol Blvd
Pleasanton,CA94596 		20-3225569 501(c)(3) 10,000       Healthy Lifestyle
(761) Seniors First
11566 D Avenue
Auburn,CA95603 		68-0430154 501(c)(3) 25,000       Project support
(762) SEPULVEDA RESEARCH CORP
16111 Pulmmer Street
Sepulveda,CA91343 		95-4246275 501(c)(3) 23,196       PassThrough Fed Proj
(763) SEQUOIA FOUNDATION
2166 Avenida de la Playa
La Jolla,CA92037 		33-0100208 501(c)(3) 8,682       Asthma Symposim/Research Grant
(764) Serotonin Surge Charities
824 Falcon Avenue
Davis,CA95616 		68-0411254 501(c)(3) 50,000       Project support
(765) Seven Tepees Youth Program
3177 Seventeenth St
San Francisco,CA94110 		94-3231059 501(c)(3) 27,500       Project Support
(766) SF Bay Area Little Brothers Friends of Eld
909 Hyde Street628
San Francisco,CA94109 		94-3143730 501(c)(3) 15,000       Project Support
(767) SF Court Appointed Special Advocate Prog
2535 Mission Street
San Francisco,CA94110 		94-3039028 501(c)(3) 20,000       Core Volunteer Advo
(768) Shanti Orange County
23461 SPointe Dr
Laguna Hills,CA92653 		33-0236592 501(c)(3) 10,000       HIV/AIDS Outreach
(769) Share Inc
PO Box 1209
Vancouver,WA98666 		91-1205119 501(c)(3) 20,000       Project Support
(770) Sharefest Community Development Inc
3480 Torrance Blvd
Torrance,CA90503 		20-5651596 501(c)(3) 15,000       YDA Project Sup
(771) Shelter from the Storm
73-555 Alessandro
Palm Desert,CA92260 		33-0293124 501(c)(3) 15,000       Children Domestic V
(772) Shelter Inc of Contra Costa County
1815 Arnold Drive
Martinez,CA94553 		68-0117241 501(c)(3) 16,000       Food Smarts
(773) Sierra Vista Children's Center
100 Poplar Ave
Modesto,CA95354 		94-2158023 501(c)(3) 80,000       Project Support
(774) Skid Row Housing Trust
1317 East 7th Street
Los Angeles,CA90021 		95-4205316 501(c)(3) 90,000       Project Support
(775) SnowCap Community Charities
17788 SE Pine St
Fairview,OR97024 		23-7121915 501(c)(3) 8,000       Food Program
(776) Soil Born Farm Urban Agriculture Project
2140 Chase Drive
Rancho Cordova,CA95670 		20-0774693 501(c)(3) 30,600       Project Support
(777) Solano Coalition for Better Health
One Harbor Center
Suisun City,CA94585 		94-3189914 501(c)(3) 40,000       Project Support
(778) Solano Community College Education Found
4000 Suisun Valley Rd
Fairfield,CA94534 		94-2985548 501(c)(3) 15,000       Violence Interventio
(779) Solano County Health & Social Svcs Dept
355 Tuolumne St
Vallejo,CA94590 		94-6000538 Government or P 20,000       Project Support
(780) Solano Midnight Sun
795 Alamo Drive
Vacaville,CA95688 		20-8124921 501(c)(3) 10,000       Breast Health Proj
(781) Somali Family Service of San Diego
6035 University Ave
San Diego,CA92115 		91-2065038 501(c)(3) 12,000       Project Support
(782) Sonoma County Adult & Youth Development
PO Box 7078
Cotati,CA94931 		94-2812489 501(c)(3) 20,000       Project Support
(783) Sonoma Valley Community Health Center
430 West Napa St
Sonoma,CA95476 		68-0286382 501(c)(3) 50,000       Capital Fund Sup
(784) SOSMentor
23622 Calabasas Rd
Calabasas,CA91302 		95-4722980 501(c)(3) 27,550       Event Support
(785) South Asian Network
18173 S Pioneer Blvd
Artesia,CA90701 		33-0608166 501(c)(3) 8,900       Project support
(786) South Bay Children's Health Center Assoc
410 Camino Real
Redondo Beach,CA90277 		95-6003956 501(c)(3) 10,000       Dental Services
(787) South Bay Community Services
430 F Street
Chula Vista,CA91910 		95-2693142 501(c)(3) 12,500       Project support
(788) South Bay Family Healthcare Center
23430 Hawthorne
Torrance,CA90505 		23-7049937 501(c)(3) 20,000       Healthy Students
(789) South Central Family Health Center
4425 South Central Ave
Los Angeles,CA90011 		95-3877793 501(c)(3) 13,000       Event Support
(790) South County Community Health Center
1798A Bay Road
East Palo Alto,CA93510 		94-3372130 501(c)(3) 353,000       Project Support
(791) South Hayward Parish
27287 Patrick Ave
Hayward,CA94544 		94-2250549 501(c)(3) 17,000       Project Support
(792) South San Francisco Friends of Library
840 W Orange Ave
South San Francisco,CA94080 		74-3116201 501(c)(3) 20,000       Healthy Choices
(793) South San Francisco High Schools
400 B Street
South San Francisco,CA94080 		94-3083861 Government or P 25,000       Operating Support
(794) South West Community Health Center
7754 SW Capitol Hwy
Portland,OR97219 		74-3050497 501(c)(3) 77,960       Project Support
(795) Southwest Washington Regional Health
Fiscal Cowlitz Health Ctr
Longview,WA98632 		46-2164971 501(c)(3) 20,000       Project support
(796) Special Olympics Northern California Inc
3480 Buskirk Ave
Pleasant Hill,CA94523 		68-0363121 501(c)(3) 55,000       Project support
(797) Special Olympics Southern California
6730 E Carson
Long Beach,CA90248 		95-4538450 501(c)(3) 10,000       Project Support
(798) Special Service for Groups Inc
605 W Olympic Blvd
Los Angeles,CA90015 		95-1716914 501(c)(3) 20,000       Project Support
(799) Spectrum Community Services
2621 Barrington Ct
Hayward,CA94545 		94-1748275 501(c)(3) 15,000       Project Support
(800) Spiritt Family Services
13135 Barton Rd
Santa Fe Springs,CA90605 		95-2852683 501(c)(3) 10,000       Project support
(801) Squash4Friends
18635 Verano St
Hesperia,CA92345 		84-1179212 501(c)(3) 10,000       Project Support
(802) St Francis Center of Redwood City
151 Buckingham Ave
Redwood City,CA94063 		94-3052056 501(c)(3) 11,581       Operating Support
(803) St Johns Well Child and Family Center Inc
808 W 58th St
Los Angeles,CA90037 		95-4067758 501(c)(3) 45,750       Diabetes Education
(804) St Joseph Center
204 Hampton Drive
Venice,CA90291 		95-3874381 501(c)(3) 90,000       Project support
(805) St Anne's Maternity Home
155 N Occidental Blvd
Los Angeles,CA90026 		95-1691306 501(c)(3) 12,500       Project Support
(806) St Francis Center
1835 South Hope St
Los Angeles,CA90015 		95-4479271 501(c)(3) 10,000       Project Support
(807) St Helena Family Center
1440 Spring St
St Helena,CA94574 		68-0362076 501(c)(3) 10,000       Project support
(808) St James Infirmary
1372 Mission Street
San Francisco,CA94103 		94-3330568 501(c)(3) 10,000       Project Support
(809) St Jeanne De Lestonnac Free Clinic
1215 E Chapman Ave
Orange,CA92866 		95-3499011 501(c)(3) 44,000       Project support
(810) St John's Shelter for Women &Children
4410 Power Inn Rd
Sacramento,CA95826 		68-0132934 501(c)(3) 20,000       Project Support
(811) St Mary's Interfaith Community Services
545 W Sonora St
Stockton,CA95203 		94-2687280 501(c)(3) 40,000       Project Support
(812) St Vincent de Paul of Contra Costa Co
2210 Gladstone Drive
Pittsburg,CA94565 		94-1448577 501(c)(3) 31,000       Project Support
(813) St Vincent De Paul Society Roseville
503 Giuseppe Ct
Roseville,CA95678 		68-0205405 501(c)(3) 27,250       Free Urgent Care
(814) St Vincent de Paul Village Inc
3350 E Street
San Diego,CA92102 		33-0492302 501(c)(3) 30,000       Project Support
(815) Stand for Families Free of Violence
1410 Danzig Plaza
Concord,CA94520 		94-2476576 501(c)(3) 70,539       Youth & Trauma
(816) STANFORD UNIVERSITY
1215 Welch Road Bldng
Stanford,CA94305 		94-1156365 501(c)(3) 124,034       PassThrough Fed Proj
(817) STARPAL
4110 54th Street
San Diego,CA92105 		33-0363138 501(c)(3) 10,000       Project Support
(818) StarVista
610 Elm St212
San Carlos,CA94070 		94-3094966 501(c)(3) 70,156       Project Support
(819) Step Up on Second Street Inc
1328 Second Street
Santa Monica,CA90401 		95-4109386 501(c)(3) 90,000       Project Support
(820) Stiles Hall
2400 Bancroft Way
Berkeley,CA94704 		94-1156636 501(c)(3) 75,000       Project Support
(821) Stone Soup Fresno
1345 Bulldog Ln
Fresno,CA93710 		77-0430680 501(c)(3) 30,000       Event Support
(822) Students Run America
5252 Crebs Avenue
Tarzana,CA91356 		95-4430502 501(c)(3) 24,000       Project Support
(823) Sunday Friends Foundation
730 Story Road3
San Jose,CA95122 		77-0518937 501(c)(3) 30,000       Project Support
(824) Sunnyvale Community Services
725 Kifer Road
Sunnyvale,CA94086 		94-1713897 501(c)(3) 35,000       Project Support
(825) Survivors of Torture International
PO Box 151240
San Diego,CA92175 		33-0743869 501(c)(3) 10,000       Medical Services
(826) Susan G Komen Foundation Inc
1500 SW 1st AVE
Portland,OR97201 		93-1068897 501(c)(3) 65,000       Project Support
(827) Susan G Komen Breast Cancer Found
3191-A Airport Loop Drive
Costa Mesa,CA92626 		33-0487943 501(c)(3) 25,000       Project Support
(828) Sustainable Economic Enterprises Of LA
6255 W Sunset Blvd
Hollywood,CA90028 		95-4597000 501(c)(3) 50,000       Project Support
(829) Tarzana Treatment Center Inc
18646 Oxnard Street
Tarzana,CA91356 		94-2219349 501(c)(3) 13,000       Project Support
(830) Teen Talk Sexuality Education
120 James Avenue
Redwood City,CA94062 		94-3227947 501(c)(3) 10,000       Operating support
(831) TERI Inc
251 Airport Road
Oceanside,CA92058 		95-3532129 501(c)(3) 10,000       Project support
(832) The Alameda County Community Food B
7900 Edgewater Drive
Oakland,CA94621 		94-2960297 501(c)(3) 16,500       Project Support
(833) The Arc of San Diego
3030 Market Street
San Diego,CA92102 		95-1863913 501(c)(3) 10,000       Project Support
(834) The Arc of San Francisco
1500 Howard Street
San Francisco,CA94103 		94-1415287 501(c)(3) 30,000       Project Support
(835) The Black Voice Foundation
3649 9th St
Riverside,CA92508 		33-0470176 501(c)(3) 10,000       Project Support
(836) The C A Conference for Equality &Justice
444 W Ocean Blvd
Long Beach,CA90802 		54-2178438 501(c)(3) 13,800       Project support
(837) The California Health Care Safety-Net Inst
70 Washington St
Oakland,CA94607 		94-2970752 501(c)(3) 18,520       Project Support
(838) The Carolyn E Wylie Center for Children
4164 Brockton Avenue
Riverside,CA92501 		93-0670286 501(c)(3) 23,000       Mental Health Treatm
(839) The Catalyst Foundation
44758 Elm Avenue
Lancaster,CA93534 		77-0357456 501(c)(3) 12,000       Project Support
(840) The Cerritos College Foundation
11110 Alondra Blvd
Norwalk,CA90650 		95-3387108 501(c)(3) 20,000       Project support
(841) The Childrens Center of the Antelope Valley
45111 N Fern Avenue
Lancaster,CA93534 		95-4212759 501(c)(3) 13,864       Event Support
(842) The Childrens Clinic Serving Children&Fam
2790 Atlantic Ave
Long Beach,CA90806 		95-1643332 501(c)(3) 13,500       Project support
(843) The Davis Street Community Center Inc
3081 Teagarden St
San Leandro,CA94577 		94-3121699 501(c)(3) 24,800       Free Dental Clinic
(844) The Foodbank of Southern California
1444 San Francisco Ave
Long Beach,CA90813 		95-3557056 501(c)(3) 11,995       Project support
(845) The Gathering Inn
201 Berkeley Ave
Roseville,CA95678 		84-1657746 501(c)(3) 14,976       Project Support
(846) The Girl Scout Council of Orange County
9500 Toledo Way100
Irvine,CA92618 		95-2023244 501(c)(3) 15,000       Project Support
(847) The Illumination Foundation
2691 Richter Ave
Irvine,CA92606 		71-1047686 501(c)(3) 30,000       Project Support
(848) The Leaven
2397 Heath Drive
Fairfield,CA94533 		26-3653717 501(c)(3) 37,000       Project Support
(849) The Link to Children
1904 Franklin St
Oakland,CA94612 		94-2224033 501(c)(3) 20,500       Project Support
(850) The Matt Garcia Foundation
2290 Burgundy Way
Fairfield,CA94533 		26-3904201 501(c)(3) 13,500       Winding Winds Consul
(851) The Outdoor Foundation
4909 Pearl East Circle
Boulder,CO80301 		84-1549065 501(c)(3) 20,000       Project Support
(852) The Raise Foundation
1920 EWarner Ave
Santa Ana,CA92705 		33-0240178 501(c)(3) 25,000       Health Access Prog
(853) The Regents of the Univ of Cal - berkeley
2150 Shattuck Ave
Berkeley,CA94704 		94-6002123 501(c)(3) 109,953       Operating support/Research Grant
(854) The Regents of the Univ of Cal - Davis
1850 Research Park Drive
Davis,CA95618 		94-6036494 501(c)(3) 192,644       Project support/resesarh grant
(855) The Regents of the Univ of Cal - San Fran
3333 California St
San Francisco,CA94115 		94-6036493 501(c)(3) 1,509,281       Project support/resesarh grant
(856) THE REGENTS OF THE UNIVERSITY OF MICHIGAN
3003 S State Street
Ann Arbor,MI48109 		38-6006309 501(c)(3) 15,057       PassThrough Fed Proj
(857) The Richstone Center Inc
13620 Cordary Ave
Hawthorne,CA90250 		23-7373745 501(c)(3) 10,000       REACH Project
(858) The Saban Free Clinic
8405 Beverly Blvd
Los Angeles,CA90048 		95-2539105 501(c)(3) 82,500       Project support
(859) The Sheriffs Community Impact Program
2350 Northrop Ave
Sacramento,CA95825 		27-3457087 501(c)(3) 11,000       Project Support
(860) The Tech Museum of Innovation
201 South Market St
San Jose,CA95113 		94-2864660 501(c)(3) 50,000       Project Support
(861) The Tower Found of San Jose State Univ
One Washington Sq
San Jose,CA95192 		83-0403915 501(c)(3) 45,000       Project Support
(862) The Transgender Law Center
870 Market St 400
San Francisco,CA94102 		05-0544006 501(c)(3) 9,600       Event Support
(863) The Trust For Public Land
101 Montgomery St
San Francisco,CA94102 		23-7222333 501(c)(3) 100,000       Parks for People
(864) The UCLA Foundation
10920 Wilshire Blvd
Los Angeles,CA90024 		95-2250801 501(c)(3) 13,620       Project Support
(865) The Wallace Medical Concern
124 NE 181st Street
Portland,OR97230 		93-0853709 501(c)(3) 93,000       Operating Support
(866) The Wall-Las Memorias Project
930 Colorado Blvd
Los Angeles,CA90041 		95-4468225 501(c)(3) 17,500       Project Support
(867) The Wellness Community Valley Ventura Inc
530 Hampshire Rd
Westlake Village,CA91361 		77-0205691 501(c)(3) 20,000       Project Support
(868) The Women's Center of San Joaquin
620 N San Joaquin St
Stockton,CA95202 		94-2341360 501(c)(3) 41,250       Domestic Violence
(869) THINK Together
2100 E Fourth St
Santa Ana,CA92705 		33-0781751 501(c)(3) 28,000       Project support
(870) Tiburcio Vasquez Health Center
22331 Mission Blvd
Hayward,CA94544 		23-7118361 501(c)(3) 105,000       Project Support
(871) Tides Center
1351 3rd St Promenade
Santa Monica,CA90401 		94-3213100 501(c)(3) 293,040       Project Support
(872) Tiger Woods Learning Center Foundation
1 Tiger Woods Way
Anaheim,CA92801 		20-0677815 501(c)(3) 10,000       Fitness&Nutrition
(873) Time for Change Foundation
PO Box 5753
San Bernardino,CA92412 		52-2405277 501(c)(3) 7,300       Project support
(874) Toberman Neighborhood Center Inc
131 N Grand Avenue
San Pedro,CA90731 		95-1643387 501(c)(3) 10,000       Project support
(875) Town of Apple Valley
14955 Dale Evans
Apple Valley,CA92307 		33-0338303 Government or P 20,000       Project support
(876) Training Institute for Leadership Enrichment
PO Box 23511
Oakland,CA94623 		68-0437852 501(c)(3) 9,600       Project support
(877) Transitional Living and Community Supp
2277 Fair Oaks Blv
Sacramento,CA95825 		94-2777955 501(c)(3) 26,782       Project Support
(878) Tri-City Health Center
39465 Paseo Padre
Fremont,CA94538 		23-7255435 501(c)(3) 16,750       Breakfast Fundraiser
(879) Ujima Family Recovery Services
1901 Church Lane
San Pablo,CA94806 		68-0127450 501(c)(3) 25,000       Project Support
(880) Ujimaa Foundation
835 Isabella Street
Oakland,CA94607 		27-0549307 501(c)(3) 50,000       Youth & Trauma
(881) United Negro College Fund
220 Montgomery St
San Francisco,CA94104 		13-1624241 501(c)(3) 10,000       Event Support
(882) United Research and Education Found
1901 Pennsylvania Ave
Washington,DC20006 		54-1880528 501(c)(3) 157,500       Project support
(883) United Samaritans Foundation
220 S Broadway
Turlock,CA95380 		77-0393321 501(c)(3) 20,000       Daily Bread Mobile
(884) United Seniors of Oakland and Alameda Co
7200 Bancroft Ave
Oakland,CA94605 		94-3092404 501(c)(3) 15,000       Project Support
(885) United States Veterans Initiative
800 W 6th Street
Los Angeles,CA90017 		95-4382752 501(c)(3) 32,500       Project Support
(886) United Way of the Stanislaus Area
422 McHenry Avenue
Modesto,CA95354 		94-1212129 501(c)(3) 40,000       Project Support
(887) United Way of Ventura County
4001 Mission Oaks Blvd
Camarillo,CA93012 		95-1945833 501(c)(3) 20,850       Oral Health
(888) University High School CSUF
2611 E Matoian Way
Fresno,CA93740 		77-0515663 501(c)(3) 7,500       Physical Fitness
(889) University Muslim Medical Association Inc
711 W Florence Ave
Los Angeles,CA90044 		95-4666712 501(c)(3) 10,600       Project Support
(890) UNIVERSITY OF ALABAMA AT BIRMINGHAM
1530 3rd Avenue S
Birmingham,AL35294 		63-0649108 501(c)(3) 145,861       PassThrough Fed Proj
(891) UNIVERSITY OF CALIFORNIA - IRVINE
5171 California Avenue
Irvine,CA92697 		95-2226406 501(c)(3) 380,631       PassThrough Fed Proj
(892) UNIVERSITY OF CALIFORNIA - SANTA CRUZ
1156 High Street
Santa Cruz,CA95064 		94-1539563 501(c)(3) 19,743       PassThrough Fed Proj
(893) University of California SF Foundation
50 Beale Street
San Francisco,CA94105 		94-2829914 501(c)(3) 50,000       Project Support
(894) UNIVERSITY OF CHICAGO PRESS THE
970 East 58th Street
Chicago,IL60637 		36-2177139 501(c)(3) 150,607       PassThrough Fed Proj
(895) UNIVERSITY OF HAWAII
2530 Dole Street
Honolulu,HI96822 		99-6000354 501(c)(3) 67,929       PassThrough Fed Proj
(896) UNIVERSITY OF MASSACHUSETTS WORCESTER
55 Lake Ave North
Worcester,MA01655 		04-3167352 501(c)(3) 210,472       PassThrough Fed Proj
(897) University of Pacific Pacific Center
3601 Pacific Avenue
Stockton,CA95211 		94-1156266 501(c)(3) 60,000       Project support
(898) UNIVERSITY OF PENNSYLVANIA
3451 Walnut Street
Philadelphia,PA19104 		23-1352685 501(c)(3) 379,259       PassThrough Fed Proj
(899) University of Southern California
3607 Trosdale Pkwy
Los Angeles,CA90089 		95-1642394 501(c)(3) 5,822       Project support/research grant
(900) UNIVERSITY OF TEXAS SW MEDICAL CENTER
5323 Harry Hines Blvd
Dallas,TX75390 		74-6000089 501(c)(3) 7,015       PassThrough Fed Proj
(901) UNIVERSITY OF UTAH
75 South 2000 East
Salt Lake City,UT84112 		23-7112869 501(c)(3) 27,242       PassThrough Fed Proj
(902) UNIVERSITY OF WASHINGTON
4333 Brooklyn Avenue NE
Seattle,WA98195 		91-6001089 501(c)(3) 58,169       PassThrough Fed Proj
(903) UNIVERSITY OF MINNESOTA
200 Oak Street SE
Minneapolis,MN55455 		41-6007513 501(c)(3) 233,033       PassThrough Fed Proj
(904) Urban Strategies Council
1720 Broadway2Fl
Oakland,CA94612 		94-3044453 501(c)(3) 75,000       Operating Support
(905) UTAH STATE UNIVERSITY
1415 Old Main Hill
Logan,UT84322 		87-0276385 501(c)(3) 23,311       PassThrough Fed Proj
(906) Vacaville Neighborhood Boys&Girls Club
100 Holly Lane
Vacaville,CA95688 		13-4223488 501(c)(3) 25,000       Healthy Habits
(907) Vacaville Public Education Foundation
401 Nut Tree Rd
Vacaville,CA95687 		61-1568727 501(c)(3) 20,000       Project Support
(908) Vacaville Social Services Corporation
267 Bennett Hill Ct
Vacaville,CA95688 		68-0364021 501(c)(3) 14,000       Project support
(909) Vallejo City Unified School District
665 Walnut Ave
Vallejo,CA94592 		68-0111380 Government or P 98,000       Student Health
(910) Vallejo Outreach Inc
210 Locust Street
Vallejo,CA94591 		94-3413623 501(c)(3) 13,300       Project Support
(911) Valley Community Clinic
6801 Coldwater
North Hollywood,CA91605 		23-7050082 501(c)(3) 26,000       Project Support
(912) Valley Family Center
302 S Brand BLVD
San Fernando,CA91340 		95-4105054 501(c)(3) 10,000       Project Support
(913) VCCool
345 W Center St
Ventura,CA93001 		26-2180702 501(c)(3) 7,500       Operating Support
(914) Venice Family Clinic
604 Rose Avenue
Venice,CA90291 		95-2769432 501(c)(3) 13,750       Project support
(915) Ventura College Foundation
4667 Telegraph Rd
Ventura,CA93003 		77-0037747 501(c)(3) 20,000       Project Support
(916) Victor Valley Community Dental Servic
14357 7th Street
Victorville,CA92392 		33-0858710 501(c)(3) 15,000       Dental Care
(917) Village Community Resource Center
633 Village Drive
Brentwood,CA94513 		41-2045701 501(c)(3) 7,997       Project support
(918) Virginia Garcia Memorial Foundation
PO Box 486
Cornelius,OR97113 		91-2077840 501(c)(3) 225,000       Project Support
(919) Vision Action Network
3700 SW Murray Blvd
Beaverton,OR97005 		93-1317190 501(c)(3) 10,000       Project support
(920) Vision Y Compromiso
2536 Edwards Ave
El Cerrito,CA94530 		32-0071651 501(c)(3) 109,300       Operating Support
(921) Vista Community Clinic
1000 Vale Terrace
Vista,CA92084 		95-2815615 501(c)(3) 30,000       Project support
(922) VMC Foundation
490 S California Ave
Palo Alto,CA94306 		77-0187890 501(c)(3) 106,500       Event Support
(923) Volunteers in Medicine - SF
4877 Mission Street
San Francisco,CA94112 		26-2593712 501(c)(3) 34,800       Event Support
(924) Watts Willowbrook Boys & Girls Club
1339 E120th Street
Los Angeles,CA90059 		95-1945829 501(c)(3) 12,000       Healthy Lives
(925) WEAVE Incorporated
1900 K Street
Sacramento,CA95811 		94-2493158 501(c)(3) 35,000       Domestic Violence
(926) Well of Healing Mobile Medical Clinic
7623 East Ave
Fontana,CA92336 		33-0831503 501(c)(3) 25,000       Project support
(927) Wellness City Challenge
2001 N Main St
Walnut Creek,CA94596 		26-1237876 501(c)(3) 12,000       Healthy Community
(928) WellSpace Health
1820 J Street
Sacramento,CA95811 		94-1713704 501(c)(3) 451,948       Project Support
(929) West Contra Costa Public Educ Fund
217C W Richmond Ave
Richmond,CA94801 		68-0005307 501(c)(3) 15,000       Event Support
(930) West Contra Costa Unified School Dist
1108 Bissell Avenue
Richmond,CA94801 		68-0000495 Government or P 50,000       Project Support
(931) West County Community Services
477 Petaluma Ave
Sebastopol,CA95472 		94-2277740 501(c)(3) 20,000       Latino Mental Health
(932) West County Health Centers Inc
14045 Mill Street
Guerneville,CA95446 		23-7310613 501(c)(3) 16,000       Oral Health Integ
(933) West End Young Men's Christian Assoc
10970 Arrow Rte 106
Rancho Cucamonga,CA91730 		95-1727678 501(c)(3) 10,000       Project Support
(934) West Marin Senior Services
11435 State Highway One
Point Reyes Station,CA94956 		51-0192320 501(c)(3) 10,000       Rural Seniors Aging
(935) West Oakland Health Council Inc
700 Adeline Street
Oakland,CA94607 		94-1667294 501(c)(3) 20,000       Project Support
(936) West Side Food Bank
1710 22nd Street
Santa Monica,CA90404 		95-3685875 501(c)(3) 30,000       Event Support
(937) Westminster Free Clinic
5560 Napoleon Ave
Oak Park,CA91377 		77-0563241 501(c)(3) 9,500       Project support
(938) Westside Family Health Center
1711 Ocean Park Blvd
Santa Monica,CA90405 		95-2931931 501(c)(3) 17,250       Event Support
(939) Westside Neighborhood Clinic
2125 Santa Fe Ave
Long Beach,CA90810 		95-2973364 501(c)(3) 15,000       Project support
(940) Whiteside Manor
2743 Orange Street
Riverside,CA92501 		23-7126416 501(c)(3) 20,000       Transitional Housing
(941) Whittier Area First Day Coalition
12426 Whittier Blvd
Whittier,CA90602 		93-1141844 501(c)(3) 15,000       Outreach Center
(942) Whittier Rio Hondo AIDS Project
12401 Slauson Avenue
Whittier,CA90606 		95-4438637 501(c)(3) 12,500       Project Support
(943) Willamette Pedestrian Coalition
240 Broadway St 215
Portland,OR97208 		93-1078749 501(c)(3) 29,865       Project Support
(944) Wilmington Community Free Clinic
1009 N Avalon Blvd
Wilmington,CA90744 		95-3137803 501(c)(3) 20,000       Project support
(945) Winters Healthcare Foundation
310 Main Street
Winters,CA95694 		68-0454670 501(c)(3) 40,000       Project support
(946) Wise & Healthy Aging
1527 Fourth Street
Santa Monica,CA90401 		95-2788014 501(c)(3) 7,000       Project support
(947) Women Against Gun Violence
8800 Venice Blvd
Los Angeles,CA90034 		95-4738754 501(c)(3) 9,580       Event Support
(948) Women At Work
2555 E Colorado Blvd
Pasadena,CA91107 		95-3411403 501(c)(3) 12,000       Project support
(949) Women Organized to Respond to Life Thre
449 15th St303
Oakland,CA94612 		94-3177103 501(c)(3) 11,000       Project Support
(950) Womens Breast Cancer Resource Ctr
27645 Jefferson Ave
Temecula,CA92590 		33-0951216 501(c)(3) 24,000       Breast Health Serv
(951) Women's Empowerment
1590 North A Street
Sacramento,CA95811 		03-0520643 501(c)(3) 10,500       Substance Abuse
(952) Womens Initiative For Self Employment
1814 Franklin St
Oakland,CA94612 		94-3081525 501(c)(3) 9,250       Event Support
(953) Worksite Wellness LA
5955 S Western Ave
Los Angeles,CA90047 		55-0802354 501(c)(3) 19,000       Project support
(954) Wright Institute
2728 Durant Avenue
Berkeley,CA94704 		94-1674865 501(c)(3) 15,000       Project Support
(955) YALE UNIVERSITY
47 College Street
New Haven,CT06520 		06-0646973 501(c)(3) 254,466       PassThrough Fed Proj
(956) YESHIVA UNIVERSITY
1300 Morris Park Avenue
Bronx,NY10461 		13-1624225 501(c)(3) 18,118       PassThrough Fed Proj
(957) YMCA of Greater Whittier
12510 E Hadley St
Whittier,CA90601 		95-1684795 501(c)(3) 75,000       Project Support
(958) YMCA of Metropolitan Los Angeles
11531 S Downey Ave
Downey,CA90241 		95-1644052 501(c)(3) 110,970       Diabetes Prevention
(959) YMCA of Silicon ValleyProject Cornerst
80 Saratoga Ave
Santa Clara,CA95051 		94-1156318 501(c)(3) 54,440       Creating School
(960) YMCA of the East Bay
2350 Broadway
Oakland,CA94612 		94-1156317 501(c)(3) 110,500       Eat Well,Live Active/Project Support
(961) Yolo County Childrens Alliance
600 A Street
Davis,CA95616 		68-0526185 501(c)(3) 26,500       Project support
(962) Yolo Family Service Agency
433 First Street
Woodland,CA95695 		94-1452884 501(c)(3) 15,000       Counseling children
(963) Young Mens Christian Association of SF
50 California Street
San Francisco,CA94111 		94-0997140 501(c)(3) 60,000       Project support
(964) YOUNG WOMENS CHRISTIAN ASSOC
1421 Guerneville Rd
Santa Rosa,CA95403 		94-2347428 501(c)(3) 10,000       Domestic Violence
(965) Youth ALIVE
3300 Elm Street
Oakland,CA94609 		94-3143254 501(c)(3) 110,750       Hospital-based Viol
(966) Youth and Family Services Inc
1017 Tennessee St
Vallejo,CA94590 		94-2793548 501(c)(3) 20,000       Project Support
(967) Youth Enrichment Strategies
3029 Macdonald Ave
Richmond,CA94804 		03-0458294 501(c)(3) 10,000       Project Support
(968) Youth Policy Institute
634 S Spring St
Los Angeles,CA90014 		52-1278339 501(c)(3) 10,000       Event Support
(969) Youth Radio
1701 Broadway
Oakland,CA94612 		94-3180825 501(c)(3) 50,000       Project Support
(970) Youth Speak Collective
444 S Brand Blvd
San Fernando,CA91340 		27-0126980 501(c)(3) 7,000       Project Youth
(971) Youth Uprising
8711 MacArthur Blvd
Oakland,CA94605 		20-3321544 501(c)(3) 200,000       Project Support
(972) YouthPower Community Solutions
606 E Mill Street
San Bernardino,CA92408 		27-4413788 501(c)(3) 15,000       Feed Community Prog
(973) YWCA of San Pedro
437 West 9th Street
San Pedro,CA90731 		95-1691337 501(c)(3) 7,500       Breast Cancer
(974) YWCA of Silicon Valley
375 S Third Street
San Jose,CA95112 		94-1186196 501(c)(3) 25,000       Child Abuse Prevent
(975) YWCA San Gabriel Valley
943 North Grand Ave
Covina,CA91724 		95-1641967 501(c)(3) 9,500       Project support
(976) Zero Breast Cancer
4340 Redwood Hwy
San Rafael,CA94903 		68-0386016 501(c)(3) 92,407       Event Support/Research Grant
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
1488
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) Scholarships 305 539,500      












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
PROCEDURES FOR MONITORING THE USE OF GRANTS Grantees are required to submit a final report that describes progress toward goals, impact to date, as well as financial accounting for how funds were used.
Schedule I (Form 990) 2013


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number

94-1105628
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
Yes
 
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)Claudio F AbreuSVP, Regional IT Operations (i)
(ii)		 0
379,568 		0
150,000 		0
198,570 		0
197,945 		0
19,083 		0
945,166 		0
0
(2)Gregory A AdamsEVP & Grp President, NCAL/MAS (i)
(ii)		 0
662,079 		0
977,090 		0
265,388 		0
209,465 		0
19,997 		0
2,134,019 		0
240,740
(3)Mary Ann BarnesSVP, Exec Dir - San Diego (i)
(ii)		 0
370,008 		0
176,532 		0
21,014 		0
38,759 		0
18,664 		0
624,977 		0
0
(4)Anthony A BarruetaSVP, Government Relations (i)
(ii)		 0
418,917 		0
482,944 		0
20,963 		0
76,554 		0
17,511 		0
1,016,889 		0
0
(5)Raymond J BaxterSVP, CB, Research & Health (i)
(ii)		 0
546,699 		0
937,063 		0
48,955 		0
24,491 		0
27,615 		0
1,584,823 		0
0
(6)Frank T BeirneSVP & Area Mgr - San Mateo (i)
(ii)		 0
301,244 		0
135,766 		0
43,987 		0
71,454 		0
22,053 		0
574,504 		0
0
(7)Christopher L BoydSVP, Area Mgr - Santa Clara (i)
(ii)		 0
363,456 		0
117,593 		0
19,098 		0
87,754 		0
19,193 		0
607,094 		0
0
(8)Michael O BradySVP, Infrastructure Mgmt Grp (i)
(ii)		 0
367,746 		0
442,064 		0
34,499 		0
62,045 		0
48,800 		0
955,154 		0
0
(9)Virginia C CampbellSVP & Area Mgr - Diablo (i)
(ii)		 0
367,705 		0
204,747 		0
78,348 		0
113,425 		0
22,794 		0
787,019 		0
0
(10)Lisa L CaplanSVP, Business Info Officer (i)
(ii)		 0
305,189 		0
298,191 		0
145,308 		0
80,731 		0
14,202 		0
843,621 		0
0
(11)Christine K CasselDirector (i)
(ii)		 0
189,000 		0
  		0
  		0
  		0
  		0
189,000 		0
 
(12)William B CaswellSVP, Operations (i)
(ii)		 0
420,644 		0
343,584 		0
37,177 		0
80,421 		0
23,402 		0
905,228 		0
0
(13)Thomas W ChapmanDirector (i)
(ii)		 0
197,476 		0
  		0
  		0
17,500 		0
  		0
214,976 		0
 
(14)Greg K ChristianExec Dir - Fontana (i)
(ii)		 0
337,789 		0
188,388 		0
117,905 		0
76,201 		0
22,172 		0
742,455 		0
100,694
(15)Benjamin K ChuEVP & Grp President, SCAL/HI (i)
(ii)		 0
661,943 		0
971,101 		0
26,718 		0
582,825 		0
21,932 		0
2,264,519 		0
0
(16)Judith L CoffeySVP & Area Mgr - Marin/Sonoma (i)
(ii)		 0
320,510 		0
146,631 		0
25,479 		0
30,743 		0
19,909 		0
543,272 		0
0
(17)Jeffrey A CollinsSVP & Area Manager - Fresno (i)
(ii)		 0
325,548 		0
202,635 		0
38,275 		0
64,901 		0
10,785 		0
642,144 		0
0
(18)Charles E ColumbusSVP, Chief HR Officer (i)
(ii)		 0
498,916 		0
692,644 		0
41,043 		0
242,807 		0
27,054 		0
1,502,464 		0
0
(19)Diane ComerSVP, Business Info Officer (i)
(ii)		 0
334,346 		0
364,688 		0
162,335 		0
91,386 		0
24,243 		0
976,998 		0
126,033
(20)Mark E CostaExec Dir - Los Angeles (i)
(ii)		 0
341,391 		0
171,243 		0
18,660 		0
77,381 		0
23,538 		0
632,213 		0
0
(21)Richard D DanielsSVP, Enterprise Shared Svc (i)
(ii)		 0
509,342 		0
662,346 		0
186,401 		0
137,916 		0
25,967 		0
1,521,972 		0
164,671
(22)James Wesley Doggett JrSVP, Chief IT Risk Officer (i)
(ii)		 0
403,099 		0
238,735 		0
131,834 		0
141,232 		0
20,241 		0
935,141 		0
0
(23)Steven DoshayAssistant Secretary, CA (i)
(ii)		 0
162,721 		0
56,680 		0
118,867 		0
62,376 		0
15,584 		0
416,228 		0
0
(24)Philip FasanoEVP & CIO (i)
(ii)		 0
747,945 		0
1,456,592 		0
42,910 		0
492,751 		0
22,452 		0
2,762,650 		0
0
(25)Elizabeth Jane FinleySVP & Exec Dir - Downey (i)
(ii)		 0
318,748 		0
155,196 		0
34,699 		0
17,219 		0
18,238 		0
544,100 		0
0
(26)Jerry C FlemingSVP, Health Reform Impl. & Pol (i)
(ii)		 0
196,891 		0
510,651 		0
98,504 		0
-54,674 		0
19,298 		0
770,670 		0
51,637
(27)Diane E Gage LofgrenSVP, Brand Mgmt, Communication (i)
(ii)		 0
457,359 		0
489,815 		0
40,727 		0
127,623 		0
26,796 		0
1,142,320 		0
0
(28)Daniel P GarciaSVP, Chief Compliance Officer (i)
(ii)		 0
572,755 		0
802,546 		0
49,177 		0
25,730 		0
30,405 		0
1,480,613 		0
0
(29)Edward S GlavisSVP & Area Mgr - Roseville (i)
(ii)		 0
326,511 		0
229,836 		0
84,981 		0
-17,443 		0
19,667 		0
643,552 		0
45,100
(30)Sandra A GolzeAssistant Secretary, NCAL (i)
(ii)		 0
260,623 		0
155,384 		0
108,859 		0
63,953 		0
18,562 		0
607,381 		0
91,671
(31)Mitchell J GoodsteinSVP, Actuarial, U/W & Pricing (i)
(ii)		 0
430,281 		0
570,896 		0
150,671 		0
29,408 		0
19,826 		0
1,201,082 		0
105,543
(32)William R GraberDirector (i)
(ii)		 0
231,153 		0
  		0
  		0
  		0
  		0
231,153 		0
 
(33)J Eugene Grigsby IIIDirector (i)
(ii)		 0
206,425 		0
  		0
  		0
  		0
  		0
206,425 		0
 
(34)George C HalvorsonChairman (i)
(ii)		 0
1,302,727 		0
7,147,272 		0
1,599,726 		0
112,605 		0
33,602 		0
10,195,932 		0
0
(35)Thomas S HanenburgSVP & Area Mgr - GSAA (i)
(ii)		 0
252,057 		0
45,000 		0
60,402 		0
42,126 		0
13,154 		0
412,739 		0
0
(36)Corwin Nathaniel HarperSVP & Area Mgr - Central Vall (i)
(ii)		 0
296,741 		0
152,097 		0
25,396 		0
50,293 		0
23,660 		0
548,187 		0
0
(37)Kimberly K HornRegion President - MAS (i)
(ii)		 0
498,055 		0
375,000 		0
278,234 		0
379,817 		0
18,220 		0
1,549,326 		0
0
(38)Judith JohansenDirector (i)
(ii)		 0
231,370 		0
  		0
  		0
  		0
  		0
231,370 		0
 
(39)Kim J KaiserDirector (i)
(ii)		 0
214,808 		0
  		0
  		0
  		0
  		0
214,808 		0
 
(40)Marilyn KawamuraRegion President - MAS (i)
(ii)		 0
0 		0
405,942 		0
8,613 		0
16,875 		0
0 		0
431,430 		0
0
(41)Patricia Kennedy-ScottRegion President - Ohio (i)
(ii)		 0
347,024 		0
352,484 		0
551,742 		0
63,286 		0
22,868 		0
1,337,404 		0
510,424
(42)Kerry KohnenRegion President - Georgia (i)
(ii)		 0
390,038 		0
162,041 		0
294,978 		0
-6,735 		0
21,718 		0
862,040 		0
272,426
(43)Kathryn LancasterEVP & CFO (i)
(ii)		 0
676,598 		0
1,210,688 		0
309,466 		0
125,720 		0
16,055 		0
2,338,527 		0
266,810
(44)Janet A LiangRegion President - Hawaii (i)
(ii)		 0
381,973 		0
324,426 		0
37,639 		0
162,576 		0
23,085 		0
929,699 		0
0
(45)Donna LynneEVP, Grp & Regional President (i)
(ii)		 0
522,385 		0
671,301 		0
43,272 		0
386,467 		0
27,161 		0
1,650,586 		0
0
(46)Philip MarineauDirector (i)
(ii)		 0
211,230 		0
  		0
  		0
  		0
  		0
211,230 		0
 
(47)Gerald A MccallSVP Operations (i)
(ii)		 0
439,201 		0
343,584 		0
87,026 		0
-32,479 		0
24,232 		0
861,564 		0
63,402
(48)Andrew R MccullochRegion President - Northwest (i)
(ii)		 0
406,081 		0
598,748 		0
40,326 		0
361,680 		0
24,392 		0
1,431,227 		0
0
(49)Colleen M MckeownSVP & Area Mgr - Diablo (i)
(ii)		 0
364,273 		0
200,336 		0
19,093 		0
-43,356 		0
17,849 		0
558,195 		0
0
(50)Thomas R MeierSVP, Corporate Treasurer (i)
(ii)		 0
325,824 		0
438,610 		0
282,728 		0
14,386 		0
30,363 		0
1,091,911 		0
244,843
(51)Julie Miller-PhippsSVP & Exec Dir - Orange (i)
(ii)		 0
357,778 		0
178,303 		0
238,813 		0
-41,757 		0
16,641 		0
749,778 		0
219,933
(52)Jenny J MingDirector (i)
(ii)		 0
207,633 		0
  		0
  		0
  		0
  		0
207,633 		0
 
(53)Indrajit ObeysekereAssistant Secretary (i)
(ii)		 0
232,413 		0
92,900 		0
4,332 		0
1,487 		0
14,988 		0
346,120 		0
0
(54)Donald H OrndoffSVP, NFS (i)
(ii)		 0
401,454 		0
505,726 		0
22,674 		0
143,813 		0
26,369 		0
1,100,036 		0
0
(55)Nathaniel L OubreSVP & Area Mgr - East Bay (i)
(ii)		 0
362,731 		0
130,669 		0
67,245 		0
-6,930 		0
21,704 		0
575,419 		0
48,427
(56)Wade OvergaardSVP, Health Plan Operations (i)
(ii)		 0
442,536 		0
400,294 		0
21,285 		0
68,237 		0
25,813 		0
958,165 		0
0
(57)Edward YW PeiDirector (i)
(ii)		 0
192,630 		0
  		0
  		0
17,500 		0
  		0
210,130 		0
 
(58)Margaret E PorfidoDirector (i)
(ii)		 0
229,752 		0
  		0
  		0
  		0
  		0
229,752 		0
 
(59)Frank P RichardsonAssistant Secretary, HI (i)
(ii)		 0
186,799 		0
65,274 		0
23,243 		0
22,695 		0
22,413 		0
320,424 		0
0
(60)Christine RobischSVP & Area Manager - SF (i)
(ii)		 0
320,530 		0
154,974 		0
17,054 		0
34,161 		0
11,710 		0
538,429 		0
0
(61)Rochelle M RothAssistant Secretary (i)
(ii)		 0
161,237 		0
38,925 		0
22,251 		0
9,945 		0
16,479 		0
248,837 		0
0
(62)Kathleen Marie ScheirmanSVP, Business Info Officer (i)
(ii)		 0
387,001 		0
418,606 		0
176,325 		0
101,037 		0
18,614 		0
1,101,583 		0
0
(63)Jacqueline SellersAssistant Secretary (i)
(ii)		 0
187,644 		0
55,237 		0
5,538 		0
-7,251 		0
11,234 		0
252,402 		0
0
(64)Sandra SmallSVP, Hospital & Area Ops (i)
(ii)		 0
457,069 		0
418,191 		0
33,075 		0
-71,369 		0
9,303 		0
846,269 		0
0
(65)Arthur M SouthamEVP, Health Plan Operations (i)
(ii)		 0
775,034 		0
1,476,834 		0
357,286 		0
22,139 		0
23,434 		0
2,654,727 		0
311,627
(66)Deborah StokesSVP, CC & CAO (i)
(ii)		 0
346,256 		0
347,325 		0
71,331 		0
-22,132 		0
19,691 		0
762,471 		0
50,089
(67)Cynthia TellesDirector (i)
(ii)		 0
225,539 		0
  		0
  		0
  		0
  		0
225,539 		0
 
(68)Bernard J TysonCEO & President (i)
(ii)		 0
1,094,700 		0
2,373,012 		0
682,308 		0
111,774 		0
28,100 		0
4,289,894 		0
555,429
(69)Max VillalobosSVP & Area Manager - Napa (i)
(ii)		 0
338,458 		0
151,780 		0
20,108 		0
48,228 		0
22,455 		0
581,029 		0
0
(70)Herman M WeilSVP, Fed & State Programs (i)
(ii)		 0
354,155 		0
422,920 		0
57,855 		0
-30,580 		0
35,456 		0
839,806 		0
0
(71)Jed WeissbergSVP, Quality & Care Delivery (i)
(ii)		 0
513,468 		0
692,619 		0
25,583 		0
329,746 		0
22,881 		0
1,584,297 		0
0
(72)Vita M WillettExec Dir - Riverside (i)
(ii)		 0
337,773 		0
186,267 		0
18,680 		0
25,867 		0
17,229 		0
585,816 		0
0
(73)John YamamotoVP, Regional Counsel - SCAL (i)
(ii)		 0
305,944 		0
228,100 		0
64,666 		0
-9,425 		0
46,938 		0
636,223 		0
46,881
(74)Carlos ZaragozaAssistant Secretary, SCAL (i)
(ii)		 0
258,454 		0
173,555 		0
252,723 		0
-20,420 		0
23,639 		0
687,951 		0
210,266
(75)Victoria B ZatkinVP, Off of Brd & Corp Gov Svc (i)
(ii)		 0
200,385 		0
91,393 		0
38,378 		0
8,542 		0
4,793 		0
343,491 		0
0
(76)Mark S ZemelmanSVP, Gen. Counsel & Secretary (i)
(ii)		 0
493,974 		0
632,158 		0
197,416 		0
17,865 		0
25,795 		0
1,367,208 		0
155,249
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 3 Top Management Officials' Compensation: Kaiser Foundation Hospitals 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 4A SEVERANCE PAYMENTS: Steven Doshay $ 111,786 Listed persons participated in arrangements entitling them to severance benefits in the event of termination by the organization without cause or due to job elimination. Depending on position level, tenure, and termination reason, severance 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, severance 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 PAYMENTS: Gregory Adams $ 240,740 Anthony Barrueta 702 Lisa Caplan 109,430 Greg Christian 100,694 Diane Comer 126,033 Richard Daniels 164,671 Jerry Fleming 68,919 Edward Glavis 46,675 Sandra Golze 91,671 Mitchell Goodstein 108,113 George Halvorson 1,500,000 Marilyn Kawamura 3,119 Patricia Kennedy-Scott 510,424 Kerry Kohnen 272,426 Kathryn Lancaster 267,106 Gerald Mccall 65,417 Thomas Meier 246,161 Julie Miller-Phipps 219,933 Nathaniel Oubre 48,427 Wade Overgaard 99 Sandra Small 5,465 Arthur Southam 314,156 Deborah Stokes 50,089 Bernard Tyson 555,429 John Yamamoto 47,652 Carlos Zaragoza 210,266 Victoria Zatkin 2,976 Mark Zemelman 156,419 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 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. SCHEDULE J, PART I, LINE 8 KIM HORN - SIGN-ON BONUS PAID IN 2013 $ 375,000 - RETENTION PAYMENT PAID IN 2013 200,000 - FUTURE RETENTION PAYMENT (OCTOBER 2014) 250,000 - FUTURE RETENTION PAYMENT (JANUARY 2015) 150,000
Schedule J, Part II Jeffrey Epstein - Board of Directors effective April 1, 2013.
Schedule J, Part II, Column C The actuarial value for some individuals' defined benefit plan declined in 2013, resulting in negative values in column (C) in some instances.
Schedule J (Form 990) 2013

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number
94-1105628
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		52-1598225 130911RW2 08-06-2003 213,060,000 PAR REFUNDING CHFFA 83,85,93 SER C   X   X   X
B CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130911WF3 03-30-2004 1,600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
C CSCDACHFFA FIXED
  		68-0164610 1309112G4 06-08-2006 916,299,000 FINANCE HEALTH CARE FACILITIES   X   X   X
D CSCDACHFFA VARIABLE
  		52-1643828 13033fk74 06-08-2006 600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 1309116m7 02-01-2007 476,113,486 PREM/DISC REFUNDING 01A,02D,04F&G   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795sz1 05-01-2008 500,000,000 PAR REFUNDING 04A-D ARS BONDS& 04H   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795d38 06-03-2009 1,638,437,048 FINANCE HEALTH CARE FACILITIES   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130911ld0 06-01-2009 99,996,058 REOFFERING OF 2002E CSCDA (PREMIUM   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795tp2 05-29-2009 149,996,162 REOFFERING OF 2008C CSCDA (PREMIUM   X   X   X
CALIFORNIA HEALTH FACILITIES FINANCING AUTH
  		52-1643828 13033lml8 05-03-2011 204,545,000 PAR REFUNDING 01A,B,C KHAC BONDS   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 1307955g8 04-18-2012 1,007,791,119 FINANCE HEALTH CARE FACILITIES   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 60,000,000 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 213,060,000 1,639,844,037 954,024,896 602,245,616
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 88,159,219 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 0 6,375,000 0 0
8 Credit enhancement from proceeds . . . . . . . . . . . 0 10,073,543 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 0 1,535,236,275 954,024,896 602,245,616
11 Other spent proceeds . . . . . . . . . . . . . . 213,060,000 0 0 0
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2009 2009 2009 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X     X   X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X   X   X   X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?   X   X   X   X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .                
b Exception to rebate? . . . . . . . . X   X   X   X  
c No rebate due? . . . . . . . . X   X   X   X  
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X   X     X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . .                
e Was the hedge terminated? . . . . . .                
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		0
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X X     X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
PART I 2003 CSCDA The 2003 bonds refunded were bonds issued from October 1983, November 1985, and May 1993. 2006 CSCDA / CHFFA 2006 CSCDA / CHFFA Variable and 2006 CSCDA / CHFFA Fixed have multiple Issuers and therefore multiple EIN numbers. The EIN number reported matched the reported cusip. PART II, LINE 3 Difference between total proceeds (Part II line 3) and issue price (Part I), for all applicable bond issues, is due to interest earned on the construction fund. PART IV, LINE 2C 2004 CSCDA - Date: 01/14/2009 2006 CSCDA / CHFFA - Date: 06/07/2011 2002 CSCDA - Date: 11/27/2012
Schedule K (Form 990) 2013

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number
94-1105628
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		52-1598225 130911RW2 08-06-2003 213,060,000 PAR REFUNDING CHFFA 83,85,93 SER C   X   X   X
B CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130911WF3 03-30-2004 1,600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
C CSCDACHFFA FIXED
  		68-0164610 1309112G4 06-08-2006 916,299,000 FINANCE HEALTH CARE FACILITIES   X   X   X
D CSCDACHFFA VARIABLE
  		52-1643828 13033fk74 06-08-2006 600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 1309116m7 02-01-2007 476,113,486 PREM/DISC REFUNDING 01A,02D,04F&G   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795sz1 05-01-2008 500,000,000 PAR REFUNDING 04A-D ARS BONDS& 04H   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795d38 06-03-2009 1,638,437,048 FINANCE HEALTH CARE FACILITIES   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130911ld0 06-01-2009 99,996,058 REOFFERING OF 2002E CSCDA (PREMIUM   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795tp2 05-29-2009 149,996,162 REOFFERING OF 2008C CSCDA (PREMIUM   X   X   X
CALIFORNIA HEALTH FACILITIES FINANCING AUTH
  		52-1643828 13033lml8 05-03-2011 204,545,000 PAR REFUNDING 01A,B,C KHAC BONDS   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 1307955g8 04-18-2012 1,007,791,119 FINANCE HEALTH CARE FACILITIES   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 60,000,000 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 213,060,000 1,639,844,037 954,024,896 602,245,616
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 88,159,219 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 0 6,375,000 0 0
8 Credit enhancement from proceeds . . . . . . . . . . . 0 10,073,543 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 0 1,535,236,275 954,024,896 602,245,616
11 Other spent proceeds . . . . . . . . . . . . . . 213,060,000 0 0 0
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2009 2009 2009 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X     X   X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X   X   X   X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?   X   X   X   X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .                
b Exception to rebate? . . . . . . . . X   X   X   X  
c No rebate due? . . . . . . . . X   X   X   X  
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X   X     X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . .                
e Was the hedge terminated? . . . . . .                
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		0
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X X     X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
PART I 2003 CSCDA The 2003 bonds refunded were bonds issued from October 1983, November 1985, and May 1993. 2006 CSCDA / CHFFA 2006 CSCDA / CHFFA Variable and 2006 CSCDA / CHFFA Fixed have multiple Issuers and therefore multiple EIN numbers. The EIN number reported matched the reported cusip. PART II, LINE 3 Difference between total proceeds (Part II line 3) and issue price (Part I), for all applicable bond issues, is due to interest earned on the construction fund. PART IV, LINE 2C 2004 CSCDA - Date: 01/14/2009 2006 CSCDA / CHFFA - Date: 06/07/2011 2002 CSCDA - Date: 11/27/2012
Schedule K (Form 990) 2013

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number
94-1105628
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		52-1598225 130911RW2 08-06-2003 213,060,000 PAR REFUNDING CHFFA 83,85,93 SER C   X   X   X
B CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130911WF3 03-30-2004 1,600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
C CSCDACHFFA FIXED
  		68-0164610 1309112G4 06-08-2006 916,299,000 FINANCE HEALTH CARE FACILITIES   X   X   X
D CSCDACHFFA VARIABLE
  		52-1643828 13033fk74 06-08-2006 600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 1309116m7 02-01-2007 476,113,486 PREM/DISC REFUNDING 01A,02D,04F&G   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795sz1 05-01-2008 500,000,000 PAR REFUNDING 04A-D ARS BONDS& 04H   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795d38 06-03-2009 1,638,437,048 FINANCE HEALTH CARE FACILITIES   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130911ld0 06-01-2009 99,996,058 REOFFERING OF 2002E CSCDA (PREMIUM   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795tp2 05-29-2009 149,996,162 REOFFERING OF 2008C CSCDA (PREMIUM   X   X   X
CALIFORNIA HEALTH FACILITIES FINANCING AUTH
  		52-1643828 13033lml8 05-03-2011 204,545,000 PAR REFUNDING 01A,B,C KHAC BONDS   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 1307955g8 04-18-2012 1,007,791,119 FINANCE HEALTH CARE FACILITIES   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 60,000,000 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 213,060,000 1,639,844,037 954,024,896 602,245,616
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 88,159,219 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 0 6,375,000 0 0
8 Credit enhancement from proceeds . . . . . . . . . . . 0 10,073,543 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 0 1,535,236,275 954,024,896 602,245,616
11 Other spent proceeds . . . . . . . . . . . . . . 213,060,000 0 0 0
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2009 2009 2009 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X     X   X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X   X   X   X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?   X   X   X   X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .                
b Exception to rebate? . . . . . . . . X   X   X   X  
c No rebate due? . . . . . . . . X   X   X   X  
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X   X     X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . .                
e Was the hedge terminated? . . . . . .                
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		0
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X X     X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
PART I 2003 CSCDA The 2003 bonds refunded were bonds issued from October 1983, November 1985, and May 1993. 2006 CSCDA / CHFFA 2006 CSCDA / CHFFA Variable and 2006 CSCDA / CHFFA Fixed have multiple Issuers and therefore multiple EIN numbers. The EIN number reported matched the reported cusip. PART II, LINE 3 Difference between total proceeds (Part II line 3) and issue price (Part I), for all applicable bond issues, is due to interest earned on the construction fund. PART IV, LINE 2C 2004 CSCDA - Date: 01/14/2009 2006 CSCDA / CHFFA - Date: 06/07/2011 2002 CSCDA - Date: 11/27/2012
Schedule K (Form 990) 2013

Additional Data


Software ID:  
Software Version:  

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number

94-1105628
Return Reference Explanation
PART I, LINE 19 REVENUE LESS EXPENSE DISCLOSURE: CURRENT YEAR REVENUE LESS EXPENSES $ 2,134,281,590 OTTI (NOTE 1) <323,780,241> BOOK GAIN ON SALE OF INVESTMENTS 1,154,300,490 TAX GAIN ON SALE OF INVESTMENTS <527,381,323> KP OnCall book income 225,166 KP OnCall tax income <235,186> KPV-A book income <2,337,608> KPV-A tax income <316,667> NXT Capital book income 19,515,995 NXT Capital tax income <19,515,995> HCMS Capital book income <2,128,208> HCMS Capital tax income 2,128,208 UNAUDITED STANDALONE GAAP REVENUE LESS EXPENSES $ 2,434,756,221 NOTE 1: OTHER THAN TEMPORARY IMPAIRMENT OF INVESTMENT RECOGNIZED FOR FINANCIAL STATEMENT PURPOSES, WHICH WILL BE TAX REPORTED WHEN REALIZED
PART V, LINE 4B Kaiser Foundation Hospitals' foreign investments are held in a U.S. third party custodian bank. Kaiser Foundation Hospitals personnel cannot directly access the foreign investments.
PART VI, LINE 11B 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 benefit reporting details are presented to the community benefit committee of the board for review. 3. The complete tax return is reviewed and signed by a Pricewaterhousecoopers LLP tax advisor. 4. The complete tax return is reviewed and signed by an officer or a member of management designated by an officer. 5. A copy of the return is provided to each board member prior to filing.
PART VI, LINE 12C Compliance Enforcement: A. 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 process 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 informs 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.
PART VI, LINE 15 Compensation Determination: The 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.
PART VI, LINE 18 Available on GuideStar.org website
PART VI, LINE 19 Public Inspection Copy: - Governing documents - are available as provided to the California Secretary of State on state agency website or upon request. - Conflict of Interest is available on KP website under vendor Principles of Responsibility or upon request. - Financial Statements are on file with the state regulatory agency. Combined data is published for Kaiser Foundation Health Plan Inc. and subsidiaries and Kaiser Foundation Hospitals and Subsidiaries with audit opinion by KPMG. To request copies contact: Vice President - tax services Kaiser Foundation Health Plan and Hospitals One Kaiser Plaza, Suite 15L Oakland, CA 94612
PART VII, SECTION A, COLUMN B Hours for Related Organization: Individuals 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.
PART XI, LINE 9 Other Changes in Net Assets or Fund Balances: Change in Donated Capital $ <19,109,156> Change in Interregional Transfer <59,916,459> Restricted Grants - CO <147,583,374> Prior Period Adjustment - HCMS Retained Earnings <30,760,223> Prior Period Adjustment - HCMS Preferred Stock 33,502,000 Change in Interregional transfer 2,763,166,185 KP OnCall book income 225,166 KP OnCall tax income <235,186> KPV-A book income <2,337,608> KPV-A tax income <316,667> NXT Capital book income 19,515,995 NXT Capital tax income <19,515,995> HCMS Capital book income <2,128,208> HCMS Capital tax income 2,128,208 Gain/Loss on sale of inv. - Book 1,154,300,490 Gain/Loss on sale of inv. - Tax <527,381,323> OTTI Losses <323,780,241> _________________ TOTAL <$ 2,839,773,604>
PART III, LINE 4a-4d 2013 COMMUNITY BENEFIT REPORT: KAISER FOUNDATION HOSPITALS LEGAL AFFILIATION WITH KAISER FOUNDATION HEALTH PLAN, INC. AND ITS SUBSIDIARIES KAISER FOUNDATION HOSPITALS (KFH) AND KAISER FOUNDATION HEALTH PLAN, INC. (KFHP, INC.) AND ITS FOUR PRINCIPAL OPERATING SUBSIDIARIES ARE SEPARATE CORPORATIONS GOVERNED BY IDENTICAL BOARDS OF DIRECTORS. KFH ACCEPTS RESPONSIBILITY TO PROVIDE OR ARRANGE NECESSARY INPATIENT SERVICES AND FACILITIES FOR MEMBERS OF HEALTH PLANS ADMINISTERED BY KFHP, INC. KFH OWNS AND OPERATES LICENSED HOSPITALS IN CALIFORNIA, HAWAII AND OREGON. THESE FACILITIES PROVIDE EMERGENCY AND INPATIENT SERVICES TO ALL PERSONS IN THE COMMUNITY, REGARDLESS OF MEMBERSHIP OR ABILITY TO PAY. STAFF PRIVILEGES ARE AVAILABLE ON A NONDISCRIMINATORY BASIS TO PHYSICIANS IN THE COMMUNITIES SERVED. KFH ALSO CONTRACTS WITH OTHER COMMUNITY HOSPITALS TO PROVIDE SERVICES TO MEMBERS FOR SPECIALIZED CARE AND OTHER SERVICES. KAISER FOUNDATION HOSPITALS' COMMITMENT TO THE COMMUNITY KFH'S MISSION IS TO PROVIDE HOSPITAL, MEDICAL, AND SURGICAL CARE, INCLUDING EMERGENCY SERVICES, EXTENDED CARE, AND HOME HEALTH CARE TO THE PUBLIC WITHOUT REGARD TO AGE, SEX, RACE, RELIGION, OR NATIONAL ORIGIN, OR TO THE INDIVIDUAL'S ABILITY TO PAY. KFH STRIVES FOR EXCELLENCE IN SERVING ITS PATIENTS THROUGH MARKET-LEADING PERFORMANCE IN QUALITY AND SERVICE. AS A NONPROFIT ORGANIZATION, KAISER FOUNDATION HOSPITALS IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES BEYOND THE POPULATION OF PATIENTS SERVED BY ITS FACILITIES. ANNUAL DIRECT COMMUNITY BENEFIT INVESTMENTS (DCBI) ARE A FUNDAMENTAL EMBODIMENT OF THE ORGANIZATION'S ONGOING COMMITMENT TO IMPROVE GENERAL WELLBEING WITHIN THE BROADER COMMUNITY. THESE INVESTMENTS RESULT IN INTENTIONAL, PLANNED, BUDGETED, MEASURABLE, ACCOUNTABLE BENEFITS INTENDED TO ADDRESS MANY OF THE HEALTH CHALLENGES FACED AT THE INDIVIDUAL, LOCAL, STATE, AND NATIONAL LEVELS. IN 2007, THE BOARD OF DIRECTORS OF KAISER FOUNDATION HEALTH PLAN, INC. AND KAISER FOUNDATION HOSPITALS REFINED THE FOCUS OF THE ORGANIZATIONS' COMMUNITY BENEFIT PROGRAMS AND ESTABLISHED THE FOLLOWING FOUR PRIORITY AREAS WHICH HAVE COME TO BE KNOWN AS "STREAMS OF WORK": - CARE AND COVERAGE FOR LOW-INCOME PEOPLE - CREATES AND SUPPORTS PROGRAMS THAT LOWER THE FINANCIAL BARRIERS FOR THE UNDER- AND UNINSURED. - COMMUNITY HEALTH INITIATIVES - 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. - 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. - DEVELOPING AND DISSEMINATING KNOWLEDGE - IMPROVES HEALTH CARE BY SHARING OUR KNOWLEDGE - EDUCATING PRACTITIONERS, ADVANCING RESEARCH, EMPOWERING CONSUMERS AND INFORMING POLICYMAKERS ABOUT EVIDENCE BASED CARE AND HEALTH. THE FOLLOWING ARE DETAILS OF COMMUNITY BENEFIT ACTIVITIES PROVIDED BY KAISER FOUNDATION HOSPITALS IN 2013, KAISER FOUNDATION HOSPITALS EXPENDED $836 MILLION (AT COST, NET OF $476 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. CARE AND COVERAGE FOR LOW-INCOME PEOPLE IN 2013, KAISER FOUNDATION HOSPITALS INVESTED APPROXIMATELY $559 MILLION (AT COST, NET OF $463 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 KFH FACILITY. CHARITABLE CARE (MEDICAL FINANCIAL ASSISTANCE AND CHARITABLE HEALTH COVERAGE PROGRAMS) KAISER FOUNDATION HOSPITALS PROVIDES CHARITY CARE TO LOW-INCOME VULNERABLE POPULATIONS THROUGH THE MEDICAL FINANCIAL ASSISTANCE (MFA) AND CHARITABLE HEALTH COVERAGE (CHC) PROGRAMS. IN 2013, KFH SPENT APPROXIMATELY $209 MILLION (AT COST, NET OF $23 MILLION OF RELATED REVENUES) ON UNDER- AND UNINSURED PATIENTS TREATED IN KFH FACILITIES LOCATED IN CALIFORNIA, HAWAII, AND OREGON. MEDICAL FINANCIAL ASSISTANCE (MFA) PROGRAM - KAISER FOUNDATION HOSPITALS' MEDICAL FINANCIAL ASSISTANCE (MFA) PROGRAM PROVIDES FINANCIAL ASSISTANCE FOR EMERGENCY AND MEDICALLY NECESSARY SERVICES, MEDICATIONS, AND SUPPLIES TO PATIENTS WITH A DEMONSTRATED FINANCIAL NEED. PATIENTS MUST RECEIVE HEALTH CARE SERVICES AT FACILITIES OPERATED BY KAISER PERMANENTE OR FROM A KAISER PERMANENTE PROVIDER. ELIGIBILITY IS BASED UPON PRESCRIBED LEVELS OF INCOME AND EXPENSES. IN 2013, THE PROGRAM ASSISTED MORE THAN 169,000 QUALIFYING APPLICANTS. - IN 2013, KFH CONTRIBUTED APPROXIMATELY $156 MILLION (AT COST, NET OF $17 MILLION OF RELATED REVENUES) TO ASSIST PATIENTS WITH LIMITED OR NO RESOURCES IN PAYING FOR MEDICAL CARE. THE MFA PROGRAM STRIVES TO ASSIST FAMILIES AND INDIVIDUALS WHO ARE UNABLE TO MEET ALL OR PART OF THE COSTS OF THIS CARE ON AN IMMEDIATE AND NONRECURRING BASIS. THE PROGRAM IS DESIGNED TO ASSIST AS MANY PATIENTS AS REASONABLY POSSIBLE AND IS GENERALLY AVAILABLE TO PEOPLE IN GREATEST FINANCIAL NEED, INCLUDING THOSE EXPERIENCING UNUSUAL OR UNFORTUNATE CIRCUMSTANCES. - IN CALIFORNIA, THE MFA PROGRAM'S ELIGIBILITY CRITERIA ALLOWS PATIENTS FALLING BELOW 350% OF THE FEDERAL POVERTY GUIDELINES (FPG) TO RECEIVE FULL WRITE-OFF OF MEDICAL CHARGES. UNINSURED PATIENTS WHO DO NOT QUALIFY FOR MFA BUT MAKE LESS THAN 400% OF FPG WILL RECEIVE UP TO A 70% DISCOUNT ON CHARGES. CONTRACTED COLLECTION AGENCY PRACTICES ARE ALIGNED WITH THE ORGANIZATION'S SOCIAL VALUES AND PROPOSED IRS SECTION 501(R). ADDITIONALLY, ANY PATIENT EXPERIENCING FINANCIAL HARDSHIP DUE TO UNREASONABLE MEDICAL EXPENSES RELATIVE TO THEIR INCOME MAY QUALIFY FOR THE PROGRAM UNDER "SPECIAL CIRCUMSTANCES". - IN HAWAII, THE PROGRAM IS OPEN TO MEMBERS AND NONMEMBERS WHO CANNOT PAY FOR MEDICALLY NECESSARY SERVICES, HAVE EXHAUSTED PRIVATE AND PUBLIC SOURCES OF SUPPORT, AND MEET ELIGIBILITY REQUIREMENTS. IN OREGON AND WASHINGTON, THE MFA PROGRAM COVERS FULL OR PARTIAL EXPENSES FOR DENTAL SERVICES IF APPLICANTS MEET QUALIFYING GUIDELINES. CHARITABLE HEALTH 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 FOUNDATION HEALTH PLAN, INC. MEMBERSHIP CARD AND ACCESS TO THE FULL RANGE OF SERVICES AND PROVIDERS IN KAISER FOUNDATION HOSPITAL FACILITIES--A MUCH BETTER ALTERNATIVE TO A POTENTIALLY COSTLY EMERGENCY ROOM VISIT OR HOSPITALIZATION. SINCE INCEPTION IN THE EARLY 1980S, CHC PROGRAMS HAVE MADE A REAL DIFFERENCE IN THE LIVES OF LOW-INCOME PEOPLE WHO MIGHT OTHERWISE HAVE NO OTHER SOURCE OF CARE. - IN 2013, MORE THAN 82,000 LOW-INCOME ADULTS AND CHILDREN WHO WERE NOT ELIGIBLE FOR OTHER PUBLIC OR PRIVATELY SPONSORED COVERAGE RECEIVED ACCESS TO HEALTH CARE COVERAGE THROUGH FACLITIES OPERATED BY KAISER FOUNDATION HOSPITALS IN CALIFORNIA, HAWAII, AND OREGON. KFH CONTRIBUTED APPROXIMATELY $53 MILLION (AT COST, NET OF $6 MILLION OF RELATED REVENUES) TO PROVIDE SUBSIDIZED CARE TO THESE UNDERSERVED POPULATIONS IN 2013.
PARTICIPATION IN MEDICAID AND OTHER GOVERNMENT-SPONSORED PROGRAMS IN 2013, KAISER FOUNDATION HOSPITALS PROVIDED COVERAGE AND SERVICES VALUED AT $350 MILLION (AT COST, NET OF $440 MILLION OF RELATED REVENUES) FOR LOW-INCOME INDIVIDUALS PARTICIPATING IN GOVERNMENT-SPONSORED PROGRAMS IN CALIFORNIA, HAWAII, OREGON, AND WASHINGTON. IMPROVING ACCESS TO CARE FOR VULNERABLE POPULATIONS IS FUNDAMENTAL TO KFH'S SOCIAL MISSION TO IMPROVE THE HEALTH OF COMMUNITIES SERVED AND CONSISTENT WITH THE OBLIGATIONS OF A TAX EXEMPT ORGANIZATION. HIGHLIGHTS OF THE GOVERNMENT-SPONSORED HEALTH CARE COVERAGE PROGRAMS SUPPORTED BY KFH IN CALIFORNIA INCLUDE: - MEDICAID/MEDI-CAL - KFH PROVIDED ACCESS TO INPATIENT CARE FOR APPROXIMATELY 377,000 MEDI-CAL (MEDICAID) MANAGED CARE MEMBERS IN NORTHERN AND SOUTHERN CALIFORNIA THROUGH VARIOUS LOCAL AND STATE GOVERNMENT ENTITIES. APPROXIMATELY $214 MILLION (AT COST, NET OF $304 MILLION OF RELATED REVENUES) WAS INVESTED IN THIS PROGRAM IN 2013. - MEDI-CAL FEE-FOR-SERVICE - KFH PROVIDED SUBSIDIZED CARE ON A FEE-FOR-SERVICE BASIS TO APPROXIMATELY 105,000 MEDI-CAL PATIENTS WHO WERE NOT ENROLLED AS MEMBERS OF KAISER FOUNDATION HEALTH PLAN, INC. THIS REPRESENTED APPROXIMATELY $100 MILLION (AT COST, NET OF $44 MILLION OF RELATED REVENUES) OF INPATIENT SERVICES PROVIDED BY KFH. - HEALTHY FAMILIES (CALIFORNIA'S CHIP PROGRAM) - HEALTHY FAMILIES IS A FEDERAL AND STATE FUNDED INSURANCE PROGRAM THAT PROVIDES COMPREHENSIVE HEALTH BENEFITS, INCLUDING DENTAL AND VISION CARE, TO CHILDREN UNDER 19 YEARS OF AGE IN LOW- AND MODERATE-INCOME FAMILIES. THE PROGRAM IS AN OFFERING UNDER THE FEDERAL CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP), WHICH ENABLES STATES TO CREATE NEW HEALTH INSURANCE COVERAGE OR EXPAND MEDICAID PROGRAMS. TO QUALIFY, FAMILIES MUST DEMONSTRATE TOTAL INCOME BETWEEN 100% AND 250% OF THE FEDERAL POVERTY GUIDELINES AND THE CHILDREN MUST BE INELIGIBLE FOR MEDI-CAL OR EMPLOYER BASED COVERAGE. - IN 2013, SUBSTANTIALLY ALL OF THE APPROXIMATELY 190,000 MEMBERS OF THE HEALTHY FAMILIES PROGRAM WERE TRANSITIONED TO A PLAN OFFERING SIMILAR BENEFITS UNDER THE MEDICAID/MEDI-CAL PRODUCT DESCRIBED ABOVE. KFH PROVIDED, AND WILL CONTINUE TO PROVIDE ACCESS TO INPATIENT CARE FOR ALL OF THE CALIFORNIA CHILDREN ENROLLED UNDER THIS PROGRAM THROUGHOUT THE TRANSITION. - HEALTHY SAN FRANCISCO - KFH PROVIDED ACCESS TO OVER 2,900 MEMBERS PARTICIPATING IN THE HEALTHY SAN FRANCISCO PROGRAM AT THE END OF 2013. HEALTHY SAN FRANCISCO IS A PROGRAM CREATED BY THE CITY AND COUNTY OF SAN FRANCISCO TO MAKE HEALTH CARE SERVICES ACCESSIBLE AND AFFORDABLE FOR UNINSURED RESIDENTS. IT IS AVAILABLE TO ALL SAN FRANCISCO RESIDENTS, REGARDLESS OF IMMIGRATION OR EMPLOYMENT STATUS, OR PRE-EXISTING MEDICAL CONDITIONS. WHILE THIS PROGRAM IS NOT AN INSURANCE PLAN, IT DOES PROVIDE ACCESS TO PRIMARY CARE, PREVENTIVE SERVICES, AND HOSPITALIZATION WITHIN THE CITY AND COUNTY OF SAN FRANCISCO. HIGHLIGHTS OF THE GOVERNMENT-SPONSORED HEALTH CARE COVERAGE PROGRAMS SUPPORTED BY KFH IN HAWAII INCLUDE: - QUEST & MEDICAID FEE-FOR-SERVICE - QUEST IS A MEDICAID MANAGED CARE PROGRAM RUN BY HAWAII'S DEPARTMENT OF HUMAN SERVICES. THE STATE ADMINISTERS THE QUEST PROGRAM AND PAYS KAISER FOUNDATION HEALTH PLAN, INC. TO PROVIDE COVERAGE OF MEDICAL AND MENTAL HEALTH SERVICES. KFH PROVIDES ACCESS TO OUR HEALTH CARE FACILITIES UNDER THE QUEST PROGRAM ON THE ISLANDS OF OAHU AND MAUI. IN 2013, KFH CARED FOR OVER 21,000 INDIVIDUALS ENROLLED IN QUEST AND EXPENDED APPROXIMATELY $8.6 MILLION (AT COST, NET OF $20 MILLION OF RELATED REVENUE) ON SUBSIDIZED MEDICAL CARE SERVICES. THE HAWAII REGION ALSO CONTRIBUTED AN ADDITIONAL $6.1 MILLION (AT COST, NET OF $3.6 MILLION OF RELATED REVENUES) TOWARDS SUBSIDIZED CARE FOR MEDICAID FEE-FOR-SERVICE PATIENTS. - CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) - THIS GOVERNMENT PROGRAM PROVIDES HEALTH INSURANCE COVERAGE TO CHILDREN WITH FAMILY INCOME UP TO TWICE THE FEDERAL POVERTY GUIDELINE FOR HAWAII UNDER TITLE XXI OF THE SOCIAL SECURITY ACT. CHIP IS ONE OF SEVERAL AID CATEGORIES UNDER THE QUEST PROGRAM. MORE THAN 4,100 CHILDREN ENROLLED IN THIS PROGRAM WERE CARED FOR AT KFH FACILITIES IN HAWAII AT A TOTAL EXPENSE OF $813 THOUSAND (AT COST, NET OF $1.4 MILLION OF RELATED REVENUES) IN 2013. HIGHLIGHTS OF THE GOVERNMENT-SPONSORED HEALTH CARE COVERAGE PROGRAMS SUPPORTED BY KFH IN OREGON AND WASHINGTON INCLUDE: - OREGON HEALTH PLAN - KAISER FOUNDATION HOSPITALS PROVIDES MEDICAL CARE TO INDIVIDUALS PARTICIPATING IN THE OREGON HEALTH PLAN PLUS PROGRAM. MEMBERSHIP IN THIS PROGRAM IS ADMINISTERED BY KAISER FOUNDATION HEALTH PLAN, INC. WHICH RECEIVES MONTHLY CAPITATION PREMIUMS FROM OREGON'S DIVISION OF MEDICAL ASSISTANCE PROGRAM (DMAP) THROUGH A PARTNERSHIP WITH HEALTH SHARE OF OREGON (HSO). MEMBERS ARE ENROLLED BASED UPON ELIGIBILITY CRITERIA FOR QUALIFIED PARTICIPANTS WHO RESIDE IN CLACKAMAS, MULTNOMAH, WASHINGTON, POLK, AND MARION COUNTIES. - HEALTHY OPTIONS - HEALTHY OPTIONS IS A MEDICAID PROGRAM FOR LOW INCOME INDIVIDUALS THAT MEET ELIGIBILITY REQUIREMENTS FOR MEDICAID. IT IS A STATE PROGRAM MANAGED BY THE WASHINGTON STATE HEALTH CARE AUTHORITY (HCA). KAISER FOUNDATION HOSPTIALS PROVIDES SERVICES AT OUR FACILITIES TO ELIGIBLE PARTICIPANTS WHO RESIDE IN EITHER CLARK OR COWLITZ COUNTIES THROUGH A SUBCONTRACT WITH MOLINA HEALTHCARE. KFH WAS PROVIDING ACCESS TO MEDICAL CARE TO OVER 2,000 HEALTHY OPTIONS PARTICIPANTS AT THE END OF 2013. - MEDICAID FEE-FOR-SERVICE - KFH PROVIDED $2.5 MILLION (AT COST, NET OF $926 THOUSAND OF RELATED REVENUES) OF SUBSIDIZED CARE TO MEDICAID FEE-FOR-SERVICE PATIENTS LIVING IN THE STATES OF OREGON AND WASHINGTON IN 2013. WHEN A MEDICAID PATIENT RECEIVES SERVICES FROM KAISER FOUNDATION HOSPITALS UNDER THIS PROGRAM, THESE EXPENSES ARE RECORDED AS NON-CAPITATED SERVICES AND BILLED TO THE MEDICAID PROGRAM ON A FEE-FOR-SERVICE BASIS. - OREGON AND WASHINGTON MEDICAL INSURANCE POOLS - THESE PROGRAMS PROVIDE COVERAGE TO INDIVIDUALS WHO DO NOT HAVE ACCESS TO INDIVIDUAL INSURANCE DUE TO PRE-EXISTING CONDITIONS THAT DISQUALIFY THEM FROM PARTICIPATING IN OTHER GROUP PLANS. LEGISLATION ALLOWS THE STATES TO SPREAD A PORTION OF THE EXPENSES FOR ENROLLEES ACROSS THE POOLS OF INDIVIDUALS WHO ARE INSURED WHOLLY OR IN PART BY ALL HEALTH INSURERS, RE-INSURERS, AND STOP-LOSS CARRIERS LICENSED IN THESE STATES. GRANTS AND DONATIONS FOR CARE AND COVERAGE IN 2013, KFH DONATED APPROXIMATELY $26.9 MILLION TO NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS TO HELP LOW-INCOME FAMILIES AND UNINSURED CHILDREN NAVIGATE THE ENROLLMENT AND RECERTIFICATION PROCESSES FOR PUBLIC AND PRIVATE PROGRAMS AND IMPROVE THEIR ABILITY TO ACCESS NEEDED MEDICAL CARE. EAST BAY FOUNDATION KFH FUND FOR COMMUNITY BENEFIT THE GREATEST SHARE OF THE TOTAL INVESTMENT UNDER THIS PROGRAM CONSISTED OF A SINGLE CONTRIBUTION OF $21.7 MILLION TO THE EAST BAY FOUNDATION KFH FUND FOR COMMUNITY BENEFIT. THESE FUNDS WILL BE USED TO PROVIDE CRITICAL SUPPORT IN AREAS IDENTIFIED BY COMMUNITY HEALTH NEEDS ASSESSMENTS IMPLEMENTED PURSUANT TO THE AFFORDABLE CARE ACT. THESE NEEDS ARE EXPECTED TO ADDRESS ACCESS TO CARE AND COVERAGE FOR LOW INCOME PEOPLE AND VULNERABLE POPULATIONS. CENTERS FOR ELDERS INDEPENDENCE THE CENTERS FOR ELDERS INDEPENDENCE (CEI) IS A COMMUNITY BASED ORGANIZATION THAT ASSUMES A PORTION OF THE RISK OF SERVING VERY FRAIL, ELDERLY RESIDENTS IN ALAMEDA COUNTY BY PROVIDING AND ARRANGING FOR COMPREHENSIVE SERVICES TO MAINTAIN THESE CLIENTS IN THEIR HOMES. IN NORTHERN CALIFORNIA, KFH AWARDED CEI A GRANT OF $75,000 TO SUPPORT ITS CAREGIVER EDUCATION AND SUPPORT PROJECT, WHICH ENHANCES COMPREHENSIVE CARE COORDINATION FOR CEI PARTICIPANTS BY PROVIDING THEIR FAMILY MEMBERS AND OTHER UNPAID CAREGIVERS WITH INFORMATION, SKILLS, EDUCATION, AND OTHER FORMS OF SUPPORT. COMMUNITY HEALTH INITIATIVES IN 2013, KFH EXPENDED APPROXIMATELY $36 MILLION TO SUPPORT WORK ASSOCIATED WITH THE COMMUNITY HEALTH INTITIATIVES STREAM OF WORK. THE GREATEST SHARE OF THE TOTAL INVESTMENT UNDER THIS PROGRAM CONSISTED OF A SINGLE CONTRIBUTION OF $21.7 MILLION TO THE EAST BAY FOUNDATION KFH FUND FOR COMMUNITY BENEFIT. THESE FUNDS WILL BE USED TO PROVIDE CRITICAL SUPPORT IN AREAS IDENTIFIED BY COMMUNITY HEALTH NEEDS ASSESSMENTS IMPLEMENTED PURSUANT TO THE AFFORDABLE CARE ACT. THESE NEEDS ARE EXPECTED TO ADDRESS HEALTHY EATING ACTIVE LIVING (HEAL), AND VIOLENCE PREVENTION AND REDUCTION. THE FOLLOWING ARE EXAMPLES OF ADDITIONAL PROGRAMS AND SERVICES FUNDED DURING THE YEAR: HEALTHY EATING ACTIVE LIVING (HEAL) PROGRAMS - THE HEAL INITIATIVE COMBATS OBESITY BY PROMOTING PLACE-BASED HEALTHY EATING AND ACTIVE LIVING PROGRAMS AND INTERVENTIONS IN THE COMMUNITY. THE PROGRAM SUPPORTS COMMUNITY HEALTH INITIATIVES AND COALITIONS EFFECTING MEDICAL, ENVIRONMENTAL, AND SOCIAL COMMUNITY-LEVEL CHANGES SUCH AS EMPOWERING RESIDENTS TO EAT HEALTHY FOODS, CHANGING PHYSICAL AND SOCIAL ENVIRONMENTS TO PROMOTE PHYSICAL ACTIVITY, AND SUPPORTING POLICY CHANGES TO REDUCE RACIAL AND ETHNIC HEALTH DISPARITIES, PARTICULARLY THOSE RELATED TO POOR NUTRITION AND INACTIVITY. COMMUNITY HEALTH EDUCATION AND PREVENTION PROGRAMS - KFH PRO
SAFETY NET PARTNERSHIPS IN 2013, KFH CONTRIBUTED $45.9 MILLION TO SUPPORT SAFETY NET PARTNERSHIPS. THE GREATEST SHARE OF THE TOTAL INVESTMENT UNDER THIS PROGRAM CONSISTED OF TOTAL CONTRIBUTIONS OF $31.7 MILLION TO THE EAST BAY FOUNDATION KFH FUND FOR COMMUNITY BENEFIT. THESE FUNDS WILL BE USED TO PROVIDE CRITICAL SUPPORT IN AREAS IDENTIFIED BY COMMUNITY HEALTH NEEDS ASSESSMENTS IMPLEMENTED PURSUANT TO THE AFFORDABLE CARE ACT. THESE NEEDS ARE EXPECTED TO ADDRESS BEHAVIORAL HEALTH, AND SCHOOL-BASED CLINICS AND OTHER CLINICAL INTERVENTIONS. BY BUILDING PARTNERSHIPS WITH THE COMMUNITY HEALTH CENTERS, PUBLIC HOSPITALS, LOCAL HEALTH DEPARTMENTS, AND OTHER COMMUNITY-BASED ORGANIZATIONS THAT SERVE ON THE FRONT LINES OF HEALTH CARE FOR THE UNINSURED AND UNDERSERVED, KFH IN OREGON AND WASHINGTON WORKS TO ADDRESS HEALTH DISPARITIES, EXPAND ACCESS, AND DELIVER HIGH QUALITY HEALTHCARE TO PEOPLE IN THE COMMUNITY. KFH'S SAFETY NET WORK FALLS INTO THE FOLLOWING THREE CATEGORIES: 1) QUALITY IMPROVEMENT AND POPULATION HEALTH THE ULTIMATE GOALS FOR THE NORTHWEST'S QUALITY IMPROVEMENT GRANT PROGRAMS ARE TO REDUCE HEALTH DISPARITIES, MANAGE CHRONIC CONDITIONS, INTEGRATE PREVENTION AND BEHAVIORAL HEALTH, AND STRENGTHEN THE SOCIAL, CULTURAL, AND ENVIRONMENTAL FACTORS THAT PROMOTE WELLNESS. THE "CLINICAL QUALITY IMPROVEMENT IN THE SAFETY NET" FUNDING INITIATIVE INVOLVES EIGHT COMMUNITY HEALTH CENTERS PARTICIPATING IN AN INITIATIVE THAT RUNS FROM 2011 TO 2014 WITH A TOTAL INVESTMENT OF $1.2 MILLION. SEVERAL OF THE GRANTEES ARE IMPROVING CLINICAL CARE FOR CHRONIC DISEASES IN SPECIFIC POPULATIONS SUCH AS DIABETES IN LATINO PATIENTS AND HYPERTENSION IN AFRICAN AMERICAN PATIENTS. 2) LEADERSHIP DEVELOPMENT EACH YEAR, APPROXIMATELY 10-20 SAFETY NET LEADERS PARTICIPATE IN THE IMPROVEMENT ADVISOR PROGRAM AND THE ADVANCED LEADERSHIP PROGRAMS SPONSORED BY KFH. THESE INDIVIDUALS RECEIVE ACCESS TO IMPROVEMENT MENTORS IN ADDITION TO FULL SCHOLARSHIPS TO PARTICIPATE IN THE PROGRAMS ALONGSIDE KFH CLINICIANS AND STAFF. TWO STAFF MEMBERS FROM THE VIRGINIA GARCIA MEMORIAL HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) LOCATED NEAR PORTLAND OREGON, PARICIPATED IN THE IMPROVEMENT ADVISOR PROGRAM IN 2013. 3) IMPROVING ACCESS AND TRANSFORMING CARE THE PRIMARY FOCUS OF THIS INITIATIVE IS ON IMPROVING ACCESS TO HEALTH SERVICES AND TRANSFORMING CARE DELIVERY TO MEET THE CHALLENGES OF HEALTH CARE REFORM. IN PARTNERSHIP WITH PROVIDENCE HEALTH PLAN, KFH IN THE NORTHWEST STATES OF OREGON AND WASHINGTON IS FUNDING INNOVATIVE MODELS TO INTEGRATE MENTAL AND BEHAVIORAL HEALTH AND PRIMARY CARE IN THE REGION. PROJECTS INCLUDE THE CREATION OF A PRIMARY CARE CLINIC WITHIN A SUBSTANCE ABUSE TREATMENT PROGRAM, PLACEMENT OF ADDICTION COUNSELORS AT PRIMARY CARE CLINICS, AND IMPLEMENTATION OF A UNIVERSAL SUBSTANCE ABUSE SCREENING TOOL IN COMMUNITY HEALTH CENTERS ACROSS THE AREA SERVED BY KFH. GRANTS AND DONATIONS FOR SAFETY NET PARTNERSHIPS THE FOLLOWING ARE EXAMPLES OF THE COMMUNITY ORGANIZATIONS SUPPORTED BY GRANTS AWARDED THROUGH THE SAFETY NET PARTNERSHIP STREAM OF WORK IN 2013: - HOME FOR GOOD FUNDERS COLLABORATIVE KFH IN SOUTHERN CALIFORNIA ENGAGED WITH THIS COLLABORATIVE WHICH IS COMPRISED OF FOUNDATIONS, BUSINESSES, AND FINANCIAL INSTITUTIONS, AS WELL AS CITY AND COUNTY LEADERSHIP. THE FUNDERS COLLABORATIVE COLLECTIVELY ADDRESSES HOMELESSNESS IN LOS ANGELES COUNTY. IN 2013, THE FOLLOWING ARE EXAMPLES OF GRANTS AWARDED BY KFH TO PROVIDE SUPPORTIVE SERVICES (MEDICAL AND DENTAL CARE, MENTAL HEALTH SERVICES, JOB/SKILL TRAINING, FINANCIAL EDUCATION, ETC.) TO HOMELESS CLIENTS IN ORDER TO ENABLE THEM WITH THE SKILLS, TRAINING, AND OPPORTUNITIES TO GET INTO HOUSING AND MAINTAIN THEIR HOMES. - STEP UP ON SECOND STREET WAS AWARDED $90,000 TO SUPPORT CLIENTS WITH PERMANENT SUPPORTIVE HOUSING SERVICES. - THE ST. JOSEPH CENTER WAS AWARDED $90,000 TO PROVIDE ONSITE PERMANENT SUPPORTIVE HOUSING SERVICES TO HOMELESS INDIVIDUALS. - THE SKID ROW HOUSING TRUST WAS AWARDED $90,000 TO SUPPORT THE ST. GEORGE HUB SUPPORTIVE HOUSING PROGRAM. - PATH VENTURES WAS AWARDED $50,000 TO SUPPORT PERMANENT SUPPORTIVE HOUSING AND MOVE-IN ASSISTANCE. - MENTAL HEALTH AMERICA LOS ANGELES WAS AWARDED $60,000 TO PROVIDE ONSITE PERMANENT SUPPORTIVE HOUSING SERVICES TO HOMELESS INDIVIDUALS. - THE LAMP COMMUNITY WAS AWARDED $90,000 FOR SUPPORTIVE SERVICES WITH A FOCUS ON HOUSING STABILITY. - A GRANT OF $150,000 TO THE EAST VALLEY COMMUNITY HEALTH CENTER (EVCHC) FACILITATED ACCESS TO SCREENING, DIAGNOSIS, AND TREATMENT OF SPECIALTY CARE NEEDS OF ALL PATIENTS SERVED BY PARTICIPATING CLINICS. IN 2013, EVCHC DEVELOPED SPECIALTY CARE CLINIC HUBS TO SERVE THE EAST SAN GABRIEL VALLEY AND POMONA. COMMUNITY HEALTH ALLIANCE OF PASADENA DEVELOPED ANOTHER HUB THAT SERVED THE WEST SAN GABRIEL VALLEY AND PASADENA. - TO SUPPORT HEALTH CARE SERVICES FOR UNDERSERVED POPULATIONS, KFH IN NORTHERN CALIFORNIA AWARDED APPROXIMATELY $85,000 TO THE ALAMEDA COUNTY HEALTH CARE FOUNDATION TO SUPPORT THE BILINGUAL ASSESSMENT AND TRAINING PROJECT. THE FUNDS ARE INTENDED TO DECREASE BARRIERS AND INCREASE POSITIVE OUTCOMES IN A MAJOR SAFETY NET HOSPITAL BY INCREASING LANGUAGE PROFICIENCY OF THE HOSPITAL'S BILINGUAL STAFF. THE PROJECT LEVERAGES KFH'S EVIDENCE-BASED PRACTICES TO THE ALAMEDA COUNTY PUBLIC HOSPITAL THROUGH IMPLEMENTATION OF ITS QUALITY BILINGUAL STAFF (QBS) ASSESSMENT AND TRAINING MODEL. - AS PART OF ITS CONTINUING SAFETY NET PARTNERSHIP, KFH AWARDED A GRANT OF $300,000 TO OPERATION ACCESS TO COORDINATE THE PROVISION OF FREE SURGICAL AND SPECIALTY HEALTH CARE SERVICES TO UNINSURED PEOPLE IN THE GREATER BAY AREA. OPERATION ACCESS ORGANIZES A NETWORK OF MEDICAL CENTERS AND MEDICAL PROFESSIONALS TO PROVIDE CARE TO UNINSURED ADULT MEN AND WOMEN WHO RECEIVE PRIMARY CARE FROM COMMUNITY CLINICS, AND NEED ACCESS TO CRITICAL HEALTH CARE SERVICES NOT AVAILABLE AT THE CLINIC LEVEL. KAISER FOUNDATION HOSPITALS PROVIDES BOTH FINANCIAL SUPPORT AND CHARITY CARE THROUGH THE VOLUNTEERISM OF CLINICAL PROVIDERS IN TWELVE MEDICAL FACILITIES IN NORTHERN CALIFORNIA. DEVELOPING AND DISSEMINATING KNOWLEDGE KAISER FOUNDATION HOSPITALS SPENT $141 MILLION IN 2013 TO SUPPORT PROGRAMS AND SERVICES ASSOCIATED WITH THE DEVELOPMENT AND DISSEMINATION OF KNOWLEDGE. MEDICAL RESEARCH - FOR KAISER FOUNDATION HOSPITALS, RESEARCH IS AN ESSENTIAL PART OF WHAT IT MEANS TO BE AN EVIDENCE-BASED ORGANIZATION. ACHIEVEMENTS REALIZED UNDER THIS PROGRAM ARE MADE POSSIBLE THROUGH A DEDICATED GROUP OF RESEARCHERS, THE COMPREHENSIVE NATURE OF KFH'S ELECTRONIC MEDICAL RECORD SYSTEM, AND ACCESS TO THE HEALTH DATA OF OVER 9 MILLION KAISER FOUNDATION HEALTH PLAN, INC. MEMBERS. THROUGH STUDIES CONDUCTED AT KFH'S FOUR REGIONAL AND ONE NATIONAL RESEARCH CENTERS, RESEARCHERS ADDRESS CRITICAL ISSUES LIKE CANCER, CARDIOVASCULAR CONDITIONS, DIABETES, AND IMPROVEMENTS IN HEALTH CARE. KFH SPENT $23 MILLION ON MEDICAL RESEARCH PROJECTS IN 2013. IN ADDITION, THERE WERE APPROXIMATELY $105 MILLION OF PROJECTS SPONSORED BY GOVERNMENT AGENCIES AND OTHER NONPROFIT ORGANIZATIONS. NATIONAL RESEARCH PROGRAM - KAISER FOUNDATION HOSPITALS HAS A LONG HISTORY OF CONDUCTING HEALTH SERVICES AND MEDICAL RESEARCH THAT ADDRESSES HEALTH CARE POLICY, QUALITY OF CARE, AND QUALITY OF LIFE. THE RESULTS HAVE YIELDED FINDINGS THAT AFFECT NOT JUST THE PRACTICE OF MEDICINE WITHIN THE ORGANIZATION, BUT ALSO FOR SOCIETY-AT-LARGE. KAISER FOUNDATION RESEARCH INSTITUTE (KFRI) - THE KAISER FOUNDATION RESEARCH INSTITUTE PROVIDES ADMINISTRATIVE SERVICES FOR FEDERALLY FUNDED MEDICAL RESEARCH CONDUCTED AT REGIONAL RESEARCH CENTERS LOCATED IN CALIFORNIA, HAWAII, AND OREGON. KFRI PERSONNEL ARE DESIGNATED AS THE AUTHORIZED ORGANIZATIONAL OFFICIAL FOR ALL FEDERALLY FUNDED RESEARCH PERFORMED BY BOTH KAISER FOUNDATION HOSPITALS AND KAISER FOUNDATION HEALTH PLAN, INC. OVERVIEW OF RESEARCH CONDUCTED BY KAISER FOUNDATION HOSPITALS KFH'S RESEARCH ORGANIZATION INCLUDES INVESTIGATORS AND STAFF AT FOUR REGIONAL RESEARCH CENTERS, CLINICIAN RESEARCHERS WORKING AT KFH'S MEDICAL CENTERS, AND RESEARCH GROUPS BASED WITHIN THE NATIONAL ORGANIZATION. THE REGIONAL RESEARCH CENTERS INCLUDE: - THE CENTERS FOR HEALTH RESEARCH (TWO LOCATED IN OREGON AND HAWAII) - THE DEPARTMENT OF RESEARCH AND EVALUATION (SOUTHERN CALIFORNIA) - THE DIVISION OF RESEARCH (NORTHERN CALIFORNIA) THE PRINCIPAL RESEARCH ACTIVITIES CONDUCTED BY THESE FOUR REGIONAL CENTERS INCLUDE THE FOLLOWING: THE CENTER FOR HEALTH RESEARCH HAWAII: THE WORK UNDERTAKEN BY THE CENTER FOR HEALTH RESEARCH HAWAII IS SPECIALLY ATTUNED TO THE HEALTH ISSUES OF THE LOCAL POPULATION, WHICH SUFFERS DISPROPORTIONATELY FROM SEVERAL CHRONIC DISEASES, PRIMARILY DIABETES AND HEART DISEASE. RESEARCH INCLUDES CHRONIC DISEASE PREVENTION AND EPIDEMIOLOGY, AS WELL AS HEALTH TECHNOLOGY AND CARE DELIVERY RESEARCH. TOP RESEARCH AREAS: - CHRONIC DISEASES - DIABETES - EPIDEMIOLOGY - HEALTH INFORMATION TECHNOLOGY - HEALTH SERVICES KEY STATISTICS: - NUMBER OF RESEARCH PAPERS PUBLISHED IN JOURNALS IN 2013: 31 - NUMBER OF INVESTIGATORS: 4 - NUMBER OF SU
HEALTH SCIENCES AND MEDICAL LIBRARIES - KFH ACTIVELY SUPPORTS MEDICAL LIBRARIES, AND OTHER HEALTH RESOURCE AND INFORMATION DISSEMINATION SERVICES. THESE PROGRAMS GIVE MEDICAL STAFF AND THE GREATER PROFESSIONAL COMMUNITY ACCESS TO HEALTH-RELATED RESEARCH CONDUCTED WITHIN AND OUTSIDE OF KAISER PERMANENTE. MEDICAL LIBRARIES PARTICIPATED IN AN INTER-LOAN SYSTEM WITH OTHER COMMUNITY HOSPITALS, SUPPORTED STUDENTS IN TRAINING AND EDUCATION PROGRAMS TO CONDUCT LITERATURE SEARCHES, AND CONDUCTED SEARCHES FOR COMMUNITY CLINICS AND OTHER COMMUNITY-BASED ORGANIZATIONS ON ADVANCES IN MEDICAL TREATMENT, CLINICAL PROTOCOLS AND NEW DEVELOPMENT ON SPECIFIC HEALTH ISSUES. DURING 2013, HEALTH SCIENCES AND MEDICAL LIBRARIES IN CALIFORNIA, HAWAII, OREGON AND WASHINGTON COMPLETED THOUSANDS OF REQUESTS FOR GENERAL KNOWLEDGE AND LITERATURE SEARCHES FOR RESEARCH PURPOSES. EDUCATIONAL THEATRE PROGRAMS (ETP) - EDUCATIONAL THEATRE PROGRAMS USE LIVE THEATRE, MUSIC, COMEDY, AND DRAMA TO INSPIRE CHILDREN, TEENS, AND ADULTS TO MAKE HEALTHIER CHOICES AND BETTER DECISIONS ABOUT THEIR WELL-BEING. THESE EDUCATIONAL PROGRAMS WERE DEVELOPED WITH THE ADVICE OF TEACHERS, PARENTS, STUDENTS, HEALTH EDUCATORS, MEDICAL PROFESSIONALS, AND PROFESSIONAL THEATRE ARTISTS. ALL PERFORMANCES ARE DELIVERED BY PROFESSIONAL ACTORS WHO ARE ALSO TRAINED AS PEER HEALTH EDUCATORS, AND PERFORMED FREE OF CHARGE FOR THE COMMUNITY. ETP ALSO PROVIDES SCHOOLS AND ORGANIZATIONS WITH SUPPLEMENTARY EDUCATIONAL MATERIALS, SUCH AS WORKBOOKS, PARENT AND TEACHER GUIDES, AND STUDENT WALLET CARDS TO REINFORCE THE MESSAGES PRESENTED ON STAGE. - KFH IN CALIFORNIA AND THE NORTHWEST SPENT $10.2 MILLION TO PROVIDE MORE THAN 573,000 CHILDREN AND ADULTS THE OPPORTUNITY TO VIEW OR PARTICIPATE IN ONE OF THE MORE THAN 3,200 PERFORMANCES, WORKSHOPS, AND OTHER EDUCATIONAL INTERACTIONS OFFERED DURING 2013. SELF SUFFICIENCY PROGRAMS KFH PROVIDED COMMUNITY-BASED PROGRAMS AND SERVICES TO LOW-INCOME RESIDENTS AND STUDENTS THROUGH LEARNING CENTERS AND YOUTH EMPLOYMENT PROGRAMS. IN 2013, KFH SPENT $6.4 MILLION TO SUPPORT THE FOLLOWING PROGRAMS. LEARNING CENTERS 1) THE WATTS COUNSELING AND LEARNING CENTER (WCLC) PROVIDES LOW-INCOME, INNER-CITY FAMILIES IN SOUTHERN CALIFORNIA WITH A VARIETY OF MENTAL HEALTH, COUNSELING, EDUCATION, AND SOCIAL SERVICES. WCLC ALSO OFFERS A STATE-LICENSED AND NATIONALLY ACCREDITED PRESCHOOL PROGRAM, OUTREACH PROGRAMS INCLUDING "KIDS CAN COPE", SUPPORT GROUPS FOR CHILDREN DEALING WITH SIBLINGS OR PARENTS FIGHTING CANCER, PRE-EMPLOYMENT TRAINING FOR HIGH SCHOOL YOUTH, EDUCATIONAL AWARDS FOR HIGH SCHOOL SUTDENTS, AND TRAINING FOR GRADUATE SOCIAL WORK INTERNS FROM LOCAL UNIVERSITIES. 2) EDUCATIONAL OUTREACH PROGRAM (EOP) ADDRESSES EDUCATIONAL DISPARITIES EXISTING IN SOUTHERN CALIFORNIA'S EAST SAN GABRIEL AREA. EOP OPERATES SUCCESSFUL PROGRAMS THAT EXPOSE HIGH SCHOOL STUDENTS TO HEALTH CAREERS AND AFTER-SCHOOL HOMEWORK ASSISTANCE PROGRAMS THAT ENABLE STUDENTS TO IMPROVE THEIR ACADEMIC PERFORMANCE AND CONSIDER PROFESSIONAL OPPORTUNITIES. EOP OFFERS PROGRAMS AND ACTIVITIES TO IMPROVE SCHOOL PERFORMANCE AND FAMILY COMMUNICATION, TEACH SKILLS TO MEET LIFE'S CHALLENGES AND ALLEVIATE STRESS, DEVELOP LEADERSHIP ABILITIES, AND INCREASE AWARENESS OF PROFESSIOAL OPPORTUNITIES IN HEALTH CARE. INROADS - SINCE 1987, KFH IN NORTHERN CALIFORNIA HAS WORKED WITH THE INROADS ORGANIZATION TO FORM LAUNCH (LEARN ABOUT UNLIMITED NEW CAREERS IN HEALTH). THIS UNIQUE PROGRAM IS DESIGNED TO PROVIDE CULTURALLY DIVERSE STUDENTS WITH PRACTICAL EXPERIENCE IN THE HEALTH CARE FIELD AND TO OFFER SUCCESSFUL PARTICIPANTS EXCITING CAREER OPPORTUNITIES FOLLOWING GRADUATION. THE PROGRAM'S OFFERINGS ARE BROKEN DOWN INTO TWO DISTINCT "TRACS" TO CHOOSE FROM. HEALTH TRAC INTERNS GAIN HANDS-ON EXPERIENCE WORKING ALONGSIDE KFH'S DEDICATED STAFF OF HEALTH PROFESSIONALS. BUSINESS TRAC INTERNSHIPS FOCUS ON FINANCE AND ACCOUNTING, ADMINISTRATION, HUMAN RESOURCES, INFORMATION TECHNOLOGY, SALES AND MARKETING, AND OTHER BUSINESS FUNCTIONS. HEALTH PROFESSIONAL EDUCATION KFH SPENT APPROXIMATELY $93.7 MILLION (AT COST, NET OF $13.4 MILLION IN RELATED REVENUES) TO PROVIDE CONTINUING MEDICAL EDUCATION TO HEALTHCARE PROFESSIONALS AFFILIATED WITH COLLEGES AND UNIVERSITIES AND OTHER HEALTH CARE PROVIDERS. GRADUATE MEDICAL EDUCATION - KAISER FOUNDATION HOSPITALS PROVIDES TRAINING AND EDUCATION FOR MEDICAL RESIDENTS AND INTERNS IN THE INTEREST OF EDUCATING THE NEXT GENERATION OF PHYSICIANS. THE NATIONALLY ACCLAIMED PROGRAM ATTRACTS SOME OF THE TOP MEDICAL SCHOOL GRADUATES IN THE UNITED STATES AND SERVES AS A NATIONAL MODEL BY EXPOSING FUTURE HEALTH CARE PROVIDERS TO AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. RESIDENTS ARE OFFERED THE OPPORTUNITY TO SERVE A LARGE, CULTURALLY DIVERSE PATIENT BASE IN A SETTING WITH SOPHISTICATED TECHNOLOGY AND INFORMATION SYSTEMS, ESTABLISHED CLINICAL GUIDELINES AND AN EMPHASIS ON PREVENTIVE AND PRIMARY CARE. - KFH CONTRIBUTED $71.9 MILLION TO EDUCATE APPROXIMATELY 675 INDEPENDENT AND MORE THAN 1,900 AFFILIATED INTERNS AND RESIDENTS IN CALIFORNIA, HAWAII, OREGON, AND WASHINGTON. THE MAJORITY OF MEDICAL RESIDENTS ARE STUDYING WITHIN THE PRIMARY CARE MEDICINE AREAS OF FAMILY PRACTICE, INTERNAL MEDICINE, OB/GYN, PEDIATRICS, PREVENTIVE MEDICINE, AND PSYCHIATRY. - AS PART OF THEIR TRAINING, THE INDEPENDENT RESIDENTS HAVE ROTATIONS AT SCHOOL-BASED HEALTH CENTERS, COMMUNITY CLINICS, AND HOMELESS SHELTERS. THESE AMBULATORY SETTINGS PROVIDE PRIMARY MEDICAL CARE SERVICES TO LOW-INCOME CHILDREN AND ADOLESCENTS, THE HOMELESS, AND OTHER VULNERABLE POPULATIONS. COMMUNITY ROTATIONS GIVE RESIDENTS EXPERIENCE IN SETTINGS THAT SERVE UNINSURED CLIENTS, GIVING THEM A BETTER UNDERSTANDING OF THE BARRIERS TO HEALTH CARE AND THE AVAILABILITY OF RESOURCES. - THE GRADUATE MEDICAL EDUCATION PROGRAM OFFERED BY KFH IN HAWAII PROVIDES OPPORTUNITIES EACH YEAR FOR MEDICAL STUDENTS, RESIDENTS, AND FELLOWS TO GAIN EXPERIENCE IN A HIGH-FUNCTIONING TEACHING HOSPITAL. PARTICIPANTS FROM THE UNIVERSITY OF HAWAII'S JOHN A. BURNS SCHOOL OF MEDICINE TRIPLER ARMY MEDICAL CENTER, AND AFFILIATES FROM ACROSS THE UNITED STATES WORK UNDER THE GUIDANCE OF SEASONED ATTENDING PHYSICIANS IN VARIOUS DEPARTMENTS AND SPECIALTIES. NURSE PRACTITIONER AND OTHER NON-PHYSICIAN TRAINING PROGRAMS DURING 2013, KFH SUPPORTED MORE THAN 2,700 STUDENTS PURSUING A CAREER IN THE ALLIED HEALTH CARE FIELD AND SPENT $21.8 MILLION ON TRAINING AND EDUCATION PROGRAMS FOR NURSE PRACTITIONERS, NURSES, RADIOLOGY AND SONOGRAPHY TECHNICIANS, PHYSICAL THERAPISTS, POST-GRADUATE PSYCHOLOGY AND SOCIAL WORK STUDENTS, PHARMACISTS, AND OTHER NON-PHYSICIAN HEALTH PROFESSIONALS. THE FOLLOWING ARE DESCRIPTIONS OF A FEW TRAINING PROGRAMS OFFERED IN 2013. - IN THE NORTHWEST, KFH PROVIDES UNCOMPENSATED ON-SITE CLINICAL TRAINING FOR STUDENTS FROM 19 COMMUNITY INSTITUTIONS WHO ARE PURSUING CAREERS IN THE HEALTH CARE FIELD. THE GRADUATE MEDICAL EDUCATION DEPARTMENT PROVIDES ADMINISTRATIVE SUPPORT FOR THE NURSE PRACTITIONER, PHYSICIAN ASSISTANT, ALLOPATHIC MEDICINE, MIDWIFERY, OPTOMETRY, PODIATRY, NURSE ANESTHETIST AND BEHAVIORAL HEALTH PROGRAMS. - THE KAISER PERMANENTE SCHOOL OF ALLIED HEALTH SCIENCES (KPSAHS), LOCATED IN RICHMOND, CALIFORNIA, WAS ORIGINALLY ESTABLISHED IN 1989 AS A RADIOLOGY PROGRAM IN RESPONSE TO THE SEVERE SHORTAGE OF RADIOLOGY TECHNOLOGISTS. DUE TO THE CONTINUED NATIONAL SHORTAGE OF MEDICAL IMAGING AND THERAPY WORKFORCE, KPSAHS EXPANDED THE SCHOOL TO INCLUDE 18-MONTH PROGRAMS IN SONOGRAPHY, NUCLEAR MEDICINE AND RADIATION THERAPY. IN ADDITION, THE SCHOOL PROVIDES COURSES IN ANATOMY AND PHYSIOLOGY AND ADVANCED/BASIC PHLEBOTOMY. - IN SOUTHERN CALIFORNIA, KFH PARTNERS WITH COMMUNITY COLLEGES AS A CLINICAL AFFILIATE FOR RADIOLOGIC TECHNOLOGY, DIAGNOSTIC MEDICAL SONOGRAPHY (ULTRASOUND), AND/OR NUCLEAR MEDICINE. STUDENTS OFFICIALLY ENROLLED IN THESE PROGRAMS COMPLETE A CLINICAL INTERNSHIP AS AN INTEGRAL PART OF THE CURRICULUM. - THROUGH THE PHARMACIST RESIDENCY PROGRAMS IN CALIFORNIA, LICENSED PHARMACISTS GAIN ADDITIONAL EXPERIENCE AND TRAINING IN THE PROVISION OF PHARMACEUTICAL CARE AND ADMINISTRATIVE PHARMACY SERVICES IN AN INTEGRATED MANAGED CARE ORGANIZATION DURING A ONE- OR TWO-YEAR POSTGRADUATE EDUCATION AND TRAINING PROGRAM. THESE PROGRAMS ENABLE RESIDENTS TO IMPROVE THEIR CLINICAL KNOWLEDGE AND SKILLS WHILE ENHANCING CONTINUITY OF PATIENT CARE IN A WIDE RANGE OF AMBULATORY, INTERMEDIATE AND HOSPITAL SETTINGS. - THE PHYSICAL THERAPY ORTHOPEDIC RESIDENCY PROGRAM PROVIDES EDUCATION IN THE SPECIALTY AREA OF ORTHOPEDIC PHYSICAL THERAPY. THIS PROGRAM OFFERS PHYSICAL THERAPY RESIDENCY POSITIONS AT NON-KFH FACILITIES IN SOUTHERN CALIFORNIA. PROGRAM GRADUATES ARE ABLE TO SIT FOR BOARD CERTIFICATION EXAMINATIONS IN ORTHOPEDIC PHYSICAL THERAPY, AND APPLY TO PARTICIPATE IN A PHYSICAL THERAPY FELLOWSHIP PROGRAM. - THE BOARD OF REGISTERED NURSES (BRN) WORK STUDY PROGRAM GIVES NURSING STUDENTS VALUABLE DIRECT CLINICAL EXPERIENCE BEFORE GRADUATION, ALLOWING THEM TO ENTER THE WORKPLACE WITH ADDITIONAL CONFIDENCE AND COMPETENCE. THIS PROGRAM PROVIDES ST
ENVIRONMENTAL STEWARDSHIP POOR ENVIRONMENTAL QUALITY CONTRIBUTES TO DISEASE AND ECONOMIC INSECURITY. KAISER FOUNDATION HOSPITALS HAS COMMITTED ITSELF TO PROTECTING AND IMPROVING THE NATURAL ENVIRONMENT AS A KEY COMPONENT OF ITS MISSION TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. ALTHOUGH COSTS ASSOCIATED WITH THIS INITIATIVE ARE NOT INCLUDED IN THE DOLLARS REPORTED IN DIRECT COMMUNITY BENEFIT INVESTMENTS, EFFORTS IN THIS AREA CONTRIBUTE TO ADVANCING A BROADER VISION EMPHASIZING HEALTHY PEOPLE AND HEALTHY ENVIRONMENTS. TO FULFILL THIS COMMITMENT, KFH MAINTAINS A GOVERNANCE STRUCTURE FOR ENVIRONMENTAL STEWARDSHIP THAT ENABLES THE ORGANIZATION TO CONTINUOUSLY IMPROVE ITS PERFORMANCE. THIS STRUCTURE INCLUDES CLEARLY DEFINED ROLES, RESPONSIBILITIES, PLANS, AND ROUTINES, AND HAS RESULTED IN FIVE ORGANIZATIONAL FOCUS AREAS THAT HAVE BEEN SELECTED BASED ON THEIR ABILITY TO HAVE THE MOST IMPACT ON THE ENVIRONMENTAL FORCES THAT SHAPE ENVIRONMENTAL AND HUMAN HEALTH: - FINDING SAFE ALTERNATIVES TO HARMFUL INDUSTRIAL CHEMICALS - RESPONDING TO CLIMATE CHANGE - PROMOTING SUSTAINABLE FARMING AND FOOD CHOICES - REDUCING, REUSING, AND RECYCLING TO ELIMINATE WASTE - CONSERVING WATER IN EACH OF THESE FOCUS AREAS, KFH HAS ESTABLISHED AMBITIOUS GOALS (INCLUDING A TARGET TO REDUCE TOTAL GREENHOUSE GAS EMISSIONS BY 30% BY 2020, COMPARED TO OUR 2008 BASELINE), IMPLEMENTED INITIATIVES, ACHIEVED MEASURABLE IMPROVEMENTS, OBTAINED EXTERNAL ASSURANCE OF PERFORMANCE, AND REGULARLY REPORTED PROGRESS TO THE BOARD OF DIRECTORS, STAFF, AND THE PUBLIC. BY REPLACING PAPER MEDICAL CHARTS AND DIGITIZING X-RAY IMAGES THROUGH THE ELECTRONIC MEDICAL RECORD SYSTEM, KAISER FOUNDATION HOSPITALS IS ALSO CONTRIBUTING TO THE AVOIDANCE OF APPROXIMATELY 1,000 TONS OF PAPER WASTE AND 200,000 POUNDS OF X-RAY FILM PER YEAR. DURING 2013, KEY PERFORMANCE INDICATORS FOR KAISER FOUNDATION HOSPITALS INCLUDED: IN CALIFORNIA - REDUCING TOTAL GREENHOUSE GAS EMISSIONS (METRIC TONS CO2E/GROSS SQUARE FOOT) BY 11% COMPARED TO THE 2008 BASELINE FOR ALL FACILITIES AND ASSETS UNDER KFH'S OPERATIONAL CONTROL. - RECYCLING, REUSING, OR COMPOSTING APPROXIMATELY 35% OF THE WASTE GENERATED IN KFH'S FACILITIES. - INCREASING SPENDING ON "SUSTAINABLE FOOD" (AS DEFINED BY THE GREEN GUIDE TO HEALTH CARE) TO 18% OF OVERALL SPENDING ON FOOD. IN OREGON - REDUCING TOTAL GREENHOUSE GAS EMISSIONS (METRIC TONS CO2E/GROSS SQUARE FOOT) BY 5% COMPARED TO THE 2008 BASELINE FOR ALL FACILITIES AND ASSETS UNDER KFH'S OPERATIONAL CONTROL. - RECYCLING, REUSING, OR COMPOSTING APPROXIMATELY 40% OF THE WASTE GENERATED IN KFH'S FACILITIES. - INCREASING SPENDING ON "SUSTAINABLE FOOD" (AS DEFINED BY THE GREEN GUIDE TO HEALTH CARE) TO APPROXIMATELY 18% OF OVERALL SPENDING ON FOOD. IN HAWAII - REDUCING TOTAL GREENHOUSE GAS EMISSIONS (METRIC TONS CO2E/GROSS SQUARE FOOT) BY 18% COMPARED TO THE 2008 BASELINE FOR ALL FACILITIES AND ASSETS UNDER KFH'S OPERATIONAL CONTROL. - RECYCLING, REUSING, OR COMPOSTING APPROXIMATELY 23% OF THE WASTE GENERATED IN KFH'S FACILITIES. - INCREASING SPENDING ON "SUSTAINABLE FOOD" (AS DEFINED BY THE GREEN GUIDE TO HEALTH CARE) TO APPROXIMATELY 18% OF OVERALL SPENDING ON FOOD. IN ALL STATES SERVED BY KFH - IDENTIFYING THE CHEMICALLY-SAFEST PRODUCTS IN THE FOLLOWING THREE PRODUCT CATEGORIES AND BEGINNING A TRANSITION TO THESE PRODUCTS IN ALL OF KFH'S FACILITIES: 1) ADULT MATTRESSES (THERAPEUTIC SURFACES); 2) NEONATAL MATTRESSES (THERAPEUTIC SURFACES); AND 3) SHAMPOOS, BODY WASHES, AND LOTIONS USED ON PATIENTS IN NEONATAL INTENSIVE CARE UNITS, PEDIATRIC INTENSIVE CARE UNITS, AND OTHER PEDIATRIC ENVIRONMENTS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number

94-1105628
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) KP ONCALL LLC
ONE KAISER PLAZA 15L
OAKLAND,CA94612
91-2166347 		CALL CENTER CA 42,983,749 19,916,287 NA
 
(2) KAISER PERMANENTE VENTURES LLC SERIES A
ONE KAISER PLAZA 15L
OAKLAND,CA94612
27-2252521 		INVESTMENT CA 410,067 46,045,627 NA
 
(3) NEWPORT GARFIELD LLC
19540 JAMBOREE ROAD SUITE 400
IRVINE,CA92612
90-0512284 		INVESTMENT DE 7,002,654 185,145,777 KFH
 






Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) KAISER FDN HEALTH PLAN OF COLORADO

ONE KAISER PLAZA 15L

OAKLAND,CA94612
84-0591617 		HEALTH CARE CO 501(c)(3) 9 KFHP INC
 
Yes
 
(2) KAISER FDN HEALTH PLAN OF GEORGIA INC

ONE KAISER PLAZA 15L

OAKLAND,CA94612
58-1592076 		HEALTH CARE GA 501(c)(3) 9 KFHP INC
 
Yes
 
(3) KFHP OF THE MID-ATLANTIC STATES INC

ONE KAISER PLAZA 15L

OAKLAND,CA94612
52-0954463 		HEALTH CARE MD 501(c)(3) 9 KFHP INC
 
Yes
 
(4) KAISER FDN HEALTH PLAN OF THE NORTHWEST

ONE KAISER PLAZA 15L

OAKLAND,CA94612
93-0798039 		HEALTH CARE OR 501(c)(3) 9 KFHP INC
 
Yes
 
(5) KAISER FDN HEALTH PLAN OF OHIO

ONE KAISER PLAZA 15L

OAKLAND,CA94612
34-0922268 		HEALTH CARE OH 501(c)(3) 9 KFHP INC
 
Yes
 
(6) KAISER FOUNDATION HEALTH PLAN INC

ONE KAISER PLAZA 15L

OAKLAND,CA94612
94-1340523 		HEALTH CARE CA 501(c)(3) 9 NA
 
 
No
(7) CAMP BOWIE SERVICE CENTER

ONE KAISER PLAZA 15L

OAKLAND,CA94612
94-3299123 		ADMIN CA 501(c)(3) 11 - I KFHP INC
 
Yes
 
(8) KAISER HOSPITAL ASSET MANAGEMENT INC

ONE KAISER PLAZA 15L

OAKLAND,CA94612
94-3299125 		ASSET MGT CA 501(c)(3) 11 - I KFH
 
Yes
 
(9) KAISER HEALTH PLAN ASSET MANAGEMENT INC

ONE KAISER PLAZA 15L

OAKLAND,CA94612
94-3299124 		ASSET MGT CA 501(c)(3) 11 - I KFHP INC
 
Yes
 
(10) LOKAHI ASSURANCE LTD

ONE KAISER PLAZA 15L

OAKLAND,CA94612
91-2171891 		WC Placement HI 501(c)(3) 11 - I KFHP INC
 
Yes
 
(11) KAISER HEALTH ALTERNATIVES

ONE KAISER PLAZA 15L

OAKLAND,CA94612
93-0954562 		HEALTH CARE OR 501(c)(3) 9 KFHP INC
 
Yes
 
(12) OHP

ONE KAISER PLAZA 15L

OAKLAND,CA94612
93-0480268 		LEASING WA 501(c)(3) 11 - I KFHP INC
 
Yes
 
(13) 1800 HARRISON FOUNDATION

ONE KAISER PLAZA 15L

OAKLAND,CA94612
94-3317484 		FINANCING CA 501(c)(3) 11 - II KFHP INC
 
Yes
 
(14) KAISER HOSPITAL ASSISTANCE CORPORATION

ONE KAISER PLAZA 15L

OAKLAND,CA94612
31-1779500 		FINANCING CA 501(c)(3) 11 - III-NF KFH
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) HCMS LLC

ONE KAISER PLAZA 15L
OAKLAND,CA94612
20-3924985 		CARE MANAGEMENT CA NA
  		                 
(2) PANTHEON GLOBAL HO FUND LP

600 MONTEREY STREET 23RD FLOOR
SAN FRANCISCO,CA94111
80-0948707 		INVESTMENT DE KFH
  		N/A 0 28,561,820   No     No 99.000 %
(3) WELLINGTON TRUST COMPANY NA CTF GLOBAL

280 CONGRESS ST
BOSTON,MA02210
20-3879807 		INVESTMENT MA KFH
  		N/A 50,395,728 399,664,806   No     No 91.560 %
(4) NXT CAPITAL SENIOR LOAN FUND I LLC

191 N WACKER DR SUITE 1200
CHICAGO,IL60606
37-1651297 		INVESTMENT DE KFH
  		N/A 21,312,092 291,548,831   No     No 84.490 %






Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) ARCHIMEDES INC

ONE KAISER PLAZA 15L
OAKLAND,CA94612
20-3774729 		CONSULTING CA NA
  		C CORP       Yes  
(2) KAISER PERMANENTE INTERNATIONAL

ONE KAISER PLAZA 15L
OAKLAND,CA94612
94-3245176 		CONSULTING CA NA
  		C CORP       Yes  
(3) KAISER PERMANENTE INSURANCE COMPANY

ONE KAISER PLAZA 15L
OAKLAND,CA94612
94-3203402 		INSURANCE CA NA
  		C CORP       Yes  
(4) KAISER PROPERTIES SERVICES INC

ONE KAISER PLAZA 15L
OAKLAND,CA94612
94-3259432 		REAL ESTATE CA NA
  		C CORP       Yes  
(5) OAK TREE ASSURANCE LTD

ONE KAISER PLAZA 15L
OAKLAND,CA94612
03-0329760 		INSURANCE VT NA
  		C CORP       Yes  
(6) GV-KF FUND LP

C/O GSAM TAX DEPT 30 HUDSON ST 15
JERSEY CITY,NJ07302
98-1087932 		INVESTMENT CJ KFH
  		C CORP 30,508 33,727,135 100.000 % Yes  


Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
Yes
 
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
Yes
 
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) KAISER FOUNDATION HEALTH PLAN INC

 A 91,337,026 PER AGREEMENT
(2) KAISER FOUNDATION HEALTH PLAN OF GEORGIA inc

 A 8,076,202 PER AGREEMENT
(3) KAISER FOUNDATION HEALTH PLAN OF THE MAS inc

 A 4,003,956 PER AGREEMENT
(4) KAISER FOUNDATION HEALTH PLAN OF OHIO

 A 4,651,949 PER AGREEMENT
(5) LOKAHI ASSURANCE LTD

 A 28,984,970 PER AGREEMENT
(6) KAISER FOUNDATION HEALTH PLAN OF GEORGIA inc

 B 57,509 PER AGREEMENT
(7) PANTHEON GLOBAL HO FUND LP

 B 29,000,000 PER AGREEMENT
(8) GV-KF FUND LP

 B 29,436,088 PER AGREEMENT
(9) WELLINGTON TRUST COMPANY NA CTF GLOBAL

 B 7,101 PER AGREEMENT
(10) NXT CAPITAL SENIOR LOAND FUND I LLC

 B 144,159,678 PER AGREEMENT
(11) GV-KF FUND LP

 C 1,723,727 PER AGREEMENT
(12) WELLINGTON TRUST COMPANY NA CTF GLOBAL

 C 202,754,253 PER AGREEMENT
(13) NXT CAPITAL SENIOR LOAND FUND I LLC

 C 93,902,135 PER AGREEMENT
(14) KAISER FOUNDATION HEALTH PLAN OF GEORGIA inc

 D 58,000,000 PER AGREEMENT
(15) KAISER FOUNDATION HEALTH PLAN OF OHIO

 D 100,000,000 PER AGREEMENT
(16) LOKAHI ASSURANCE LTD

 D 29,105,044 PER AGREEMENT
(17) KAISER HOSPITAL ASSET MANAGEMENT inc

 H 12,307,237 PER AGREEMENT
(18) KAISER FOUNDATION HEALTH PLAN OF THE NW

 I 1,194,326 PER AGREEMENT
(19) KAISER FOUNDATION HEALTH PLAN OF COLORADO

 J 620,288 PER AGREEMENT
(20) KAISER HOSPITAL ASSET MANAGEMENT inc

 K 173,915,828 PER AGREEMENT
(21) KAISER FOUNDATION HEALTH PLAN INC

 L 12,498,291,174 PER AGREEMENT
(22) KAISER FOUNDATION HEALTH PLAN OF COLORADO

 L 177,572,938 PER AGREEMENT
(23) KAISER FOUNDATION HEALTH PLAN OF GEORGIA inc

 L 272,467,250 PER AGREEMENT
(24) KAISER FOUNDATION HEALTH PLAN OF THE MAS inc

 L 274,881,905 PER AGREEMENT
(25) KAISER FOUNDATION HEALTH PLAN OF THE NW

 L 866,329,653 PER AGREEMENT
(26) KAISER FOUNDATION HEALTH PLAN OF OHIO

 L 71,144,612 PER AGREEMENT
(27) LOKAHI ASSURANCE LTD

 L 31,774,247 PER AGREEMENT
(28) OAK TREE ASSURANCE LTD

 L 467,000 PER AGREEMENT
(29) KAISER FOUNDATION HEALTH PLAN INC

 M 6,772,251,501 PER AGREEMENT
(30) KAISER FOUNDATION HEALTH PLAN OF COLORADO

 M 146,796,110 PER AGREEMENT
(31) KAISER FOUNDATION HEALTH PLAN OF THE MAS inc

 M 171,764,448 PER AGREEMENT
(32) KAISER FOUNDATION HEALTH PLAN OF OHIO

 M 42,742,024 PER AGREEMENT
(33) LOKAHI ASSURANCE LTD

 M 198,231,867 PER AGREEMENT
(34) OAK TREE ASSURANCE LTD

 M 482,000 PER AGREEMENT
(35) KAISER FOUNDATION HEALTH PLAN INC

 O 19,927,725 PER AGREEMENT
(36) KAISER FOUNDATION HEALTH PLAN INC

 P 12,406,140,442 PER AGREEMENT
(37) KAISER FOUNDATION HEALTH PLAN OF COLORADO

 P 32,762,419 PER AGREEMENT
(38) KAISER FOUNDATION HEALTH PLAN OF GEORGIA inc

 P 2,077,868 PER AGREEMENT
(39) KAISER FOUNDATION HEALTH PLAN OF THE MAS inc

 P 597,208,425 PER AGREEMENT
(40) KAISER FOUNDATION HEALTH PLAN OF THE NW

 P 358,285,514 PER AGREEMENT
(41) KAISER FOUNDATION HEALTH PLAN OF OHIO

 P 313,216 PER AGREEMENT
(42) KAISER PERMANENTE INSURANCE COMPANY

 P 56,344 PER AGREEMENT
(43) OAK TREE ASSURANCE LTD

 P 188,664 PER AGREEMENT
(44) KAISER PROPERTIES SERVICES INC

 P 163,244 PER AGREEMENT
(45) LOKAHI ASSURANCE LTD

 P 10,777,361 PER AGREEMENT
(46) ARCHIMEDES INC

 P 500,000 PER AGREEMENT
(47) KAISER FOUNDATION HEALTH PLAN INC

 Q 8,512,378,195 PER AGREEMENT
(48) KAISER FOUNDATION HEALTH PLAN OF COLORADO

 Q 27,322,023 PER AGREEMENT
(49) KAISER FOUNDATION HEALTH PLAN OF GEORGIA inc

 Q 60,351,499 PER AGREEMENT
(50) KAISER FOUNDATION HEALTH PLAN OF THE MAS inc

 Q 252,078,861 PER AGREEMENT
(51) KAISER FOUNDATION HEALTH PLAN OF THE NW

 Q 1,162,872,209 PER AGREEMENT
(52) KAISER FOUNDATION HEALTH PLAN OF OHIO

 Q 2,693,443 PER AGREEMENT
(53) KAISER PERMANENTE INSURANCE COMPANY

 Q 1,594,008 PER AGREEMENT
(54) LOKAHI ASSURANCE LTD

 Q 164,410,614 PER AGREEMENT
(55) CAMP BOWIE SERVICE CENTER

 Q 209,057 PER AGREEMENT
(56) ARCHIMEDES INC

 Q 505,137 PER AGREEMENT
(57) OAK TREE ASSURANCE LTD

 Q 185,483 PER AGREEMENT
(58) KAISER FOUNDATION HEALTH PLAN INC

 R 48,874,410,739 PER AGREEMENT
(59) KAISER FOUNDATION HEALTH PLAN OF THE MAS inc

 R 2,285,247,211 PER AGREEMENT
(60) KAISER FOUNDATION HEALTH PLAN OF THE NW

 R 378,866,624 PER AGREEMENT
(61) KAISER FOUNDATION HEALTH PLAN OF OHIO

 R 1,776,626,712 PER AGREEMENT
(62) KAISER HOSPITAL ASSET MANAGEMENT inc

 R 1,560,804 PER AGREEMENT
(63) KAISER PERMANENTE INSURANCE COMPANY

 R 5,330,981 PER AGREEMENT
(64) LOKAHI ASSURANCE LTD

 R 101,655,400 PER AGREEMENT
(65) KAISER FOUNDATION HEALTH PLAN OF GEORGIA inc

 R 705,976,057 PER AGREEMENT
(66) KAISER FOUNDATION HEALTH PLAN INC

 S 35,254,375,657 PER AGREEMENT
(67) KAISER FOUNDATION HEALTH PLAN OF GEORGIA inc

 S 908,483,493 PER AGREEMENT
(68) KAISER FOUNDATION HEALTH PLAN OF THE MAS inc

 S 2,222,438,537 PER AGREEMENT
(69) KAISER FOUNDATION HEALTH PLAN OF THE NW

 S 1,368,359,475 PER AGREEMENT
(70) KAISER FOUNDATION HEALTH PLAN OF OHIO

 S 1,574,091,171 PER AGREEMENT
(71) KAISER HOSPITAL ASSET MANAGEMENT inc

 S 13,913,028 PER AGREEMENT
(72) LOKAHI ASSURANCE LTD

 S 105,531,600 PER AGREEMENT
(73) KAISER PERMANENTE INSURANCE COMPANY

 S 5,330,981 PER AGREEMENT
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V?UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R, Part II In 2013, Kaiser Foundation Health Plan, Inc. and HealthSpan Partners, an unrelated not-for-profit Ohio-based health system, entered into a definitive agreement to transfer the sole corporate membership of Kaiser Foundation Health Plan of Ohio to HealthSpan Partners. On October 1, 2013, the member substitution transaction was completed.
Schedule R (Form 990) 2013
Additional Data


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