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.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
A For the 2014 calendar year, or tax year beginning 01-01-2014 , and ending 12-31-2014
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
 
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 $ 30,499,444,071
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
www.kp.org
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 13
5 Total number of individuals employed in calendar year 2014 (Part V, line 2a) ...... 5 66,570
6 Total number of volunteers (estimate if necessary) ............. 6 9,089
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a -331,543
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -2,199,554
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 136,610,379 124,049,341
9 Program service revenue (Part VIII, line 2g) ......... 18,660,620,902 19,263,269,123
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 1,120,678,907 1,298,634,050
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 95,261,006 110,596,500
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 20,013,171,194 20,796,549,014
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 138,464,888 86,042,471
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) 7,669,093,333 7,495,394,650
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).... 10,071,331,383 10,494,409,899
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 17,878,889,604 18,075,847,020
19 Revenue less expenses. Subtract line 18 from line 12....... 2,134,281,590 2,720,701,994
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 39,709,611,780 42,837,008,991
21 Total liabilities (Part X, line 26)............. 22,541,003,686 26,427,878,874
22 Net assets or fund balances. Subtract line 21 from line 20..... 17,168,608,094 16,409,130,117
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 (2014)
Form 990 (2014)
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 $ 16,570,703,599 including grants of $ 0 ) (Revenue $ 18,842,516,326 )
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 $ 736,614,328 including grants of $ 0 ) (Revenue $ 396,855,322 )
Medicaid and Other Government Sponsored Programs Kaiser Foundation Hospitals (KFH) is committed to improving medical care for beneficiaries of Medicaid and other government sponsored programs, not only for Kaiser Foundation Health Plan, Inc. members, but also within the communities we serve. At the end of 2014, over 556,000 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 11,000 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 Kaiser Foundation health plan, inc. members.
4c (Code:   ) (Expenses $ 209,285,093 including grants of $ 0 ) (Revenue $ 6,674,607 )
Charity Care (Medical Financial Assistance and Charitable Health Coverage) 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 2014, this program assisted approximately 173,000 qualifying applicants, including more than 46,000 patients who were not covered by a product offered by Kaiser Foundation Health Plan, Inc. 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. More than 78,000 patients were receiving access to comprehensive health care through these programs at the end of 2014.
(Code:   ) (Expenses $ 269,773,709 including grants of $ 86,042,471 ) (Revenue $ 17,222,868 )
SEE part iii, line 4a-d description
4d Other program services (Describe in Schedule O.)
(Expenses $ 269,773,709 including grants of $ 86,042,471 ) (Revenue $ 17,222,868 )
4e Total program service expensesMediumBullet17,786,376,729
Form 990 (2014)
Form 990 (2014)
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 (2014)
Form 990 (2014)
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 domestic 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 or for domestic individuals 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), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I.... Click to see attachment
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................... Click to see attachment
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 "Yes," complete Schedule L, Part II................ Click to see attachment
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......... Click to see attachment
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 .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV..................... Click to see attachment
28b
Yes
 
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... Click to see attachment
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 (2014)
Form 990 (2014)
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
2,849
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
66,570
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 FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
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.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?.........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring 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 (2014)
Form 990 (2014)
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
13
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 , 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, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletSVP CC AND CAO
ONE KAISER PLAZA 15L
OAKLAND,CA94612 (510) 271-6385
Form 990 (2014)
Form 990 (2014)
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           0 173,500 0
(2) Thomas W Chapman........................................................................
Director
 3.5
.......................10.5 		X           0 261,807 17,500
(3) Jeffrey E Epstein........................................................................
Director
 3.0
.......................4.5 		X           0 197,467 0
(4) Daniel P Garcia........................................................................
SVP, Chief Compliance Officer
 21.0
.......................29.0 		X   X       0 1,357,344 175,853
(5) William R Graber........................................................................
Director
 2.5
.......................5.0 		X           0 231,434 0
(6) J Eugene Grigsby III........................................................................
Director
 2.5
.......................5.5 		X           0 207,925 0
(7) David Hoffmeister........................................................................
Director
 3.0
.......................4.25 		X           0 31,577 0
(8) Judith Johansen........................................................................
Director
 3.0
.......................4.5 		X           0 222,508 0
(9) Kim J Kaiser........................................................................
Director
 2.5
.......................5.0 		X           0 212,852 0
(10) Philip Marineau........................................................................
Director
 2.3
.......................4.14 		X           0 214,967 0
(11) Jenny J Ming........................................................................
Director
 1.0
.......................1.75 		X           0 48,477 0
(12) Edward YW Pei........................................................................
Director
 3.0
.......................4.0 		X           0 217,904 17,500
(13) Margaret E Porfido........................................................................
Director
 2.0
.......................4.5 		X           0 232,533 0
(14) Richard Shannon MD........................................................................
Director
 2.5
.......................4.0 		X           0 83,501 0
(15) Cynthia A Telles........................................................................
Director
 3.0
.......................4.5 		X           0 211,956 0
(16) Bernard J Tyson........................................................................
Chairman, CEO
 12.0
.......................38.0 		X   X       0 4,687,312 624,702
(17) Gregory A Adams........................................................................
EVP,GP & Region President NCAL
 22.0
.......................28.0 		    X       0 1,913,278 752,529
Form 990 (2014)
Form 990 (2014)
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) Mary Ann Barnes........................................................................
Region President - Hawaii
 50.0
.......................0.0 		    X       0 963,428 481,834
(19) Anthony A Barrueta........................................................................
SVP, Government Relations
 25.0
.......................25.0 		    X       0 971,169 288,601
(20) Raymond J Baxter........................................................................
SVP, CB,Research & Hlth Policy
 25.0
.......................25.0 		    X       0 1,403,562 177,638
(21) Chuck Bevilacqua........................................................................
SVP,KFHP Products, Svc & Admin
 0.0
.......................50.0 		    X       0 955,653 224,295
(22) Maryann M Bodayle........................................................................
Assistant Secretary
 22.5
.......................27.5 		    X       0 158,433 17,837
(23) Benjamin K Chu........................................................................
EVP,GP & Region President SCAL
 25.0
.......................25.0 		    X       0 2,044,931 885,371
(24) Charles E Columbus........................................................................
SVP, Chief HR Officer
 25.0
.......................25.0 		    X       0 1,281,129 359,524
(25) Patrick T Courneya........................................................................
EVP, Chief Medical Officer
 25.0
.......................25.0 		    X       0 592,630 237,086
(26) Richard D Daniels........................................................................
Interim EVP, CIO
 2.0
.......................48.0 		    X       0 1,192,134 255,107
(27) Philip Fasano........................................................................
EVP & CIO
 25.0
.......................25.0 		    X       0 2,029,931 459,429
(28) Diane E Gage Lofgren........................................................................
SVP,Brand Mgmt &Communications
 25.0
.......................25.0 		    X       0 2,580,805 212,676
(29) Sandra A Golze........................................................................
Assistant Secretary
 25.0
.......................25.0 		    X       0 445,186 203,395
(30) Mitchell J Goodstein........................................................................
SVP, Actuarial, U/W & Pricing
 1.0
.......................49.0 		    X       0 843,093 22,432
(31) Kimberly K Horn........................................................................
Region President - MAS
 0.0
.......................50.0 		    X       0 1,293,151 513,693
(32) Kerry Kohnen........................................................................
Region President - Georgia
 10.0
.......................40.0 		    X       0 861,380 346,358
(33) Kathryn Lancaster........................................................................
EVP & CFO
 14.0
.......................36.0 		    X       0 2,244,260 698,565
(34) Janet A Liang........................................................................
SVP & COO - NCAL
 25.0
.......................25.0 		    X       0 1,101,986 234,482
(35) Donna Lynne........................................................................
EVP, GP & Region President -CO
 18.0
.......................32.0 		    X       0 1,592,097 379,695
(36) Andrew R McCulloch........................................................................
Region President - Northwest
 25.0
.......................25.0 		    X       0 935,306 608,763
(37) Thomas R Meier........................................................................
SVP, Corporate Treasurer
 17.0
.......................33.0 		    X       0 864,149 183,340
(38) Julie Miller-Phipps........................................................................
Region President - GA
 45.0
.......................5.0 		    X       0 646,003 313,260
(39) Indrajit Obeysekere........................................................................
Assistant Secretary
 25.0
.......................25.0 		    X       0 337,634 249,063
(40) Donald H Orndoff........................................................................
SVP, NFS
 15.0
.......................35.0 		    X       0 863,698 167,586
(41) Wade Overgaard........................................................................
SVP, Health Plan Ops - CA
 0.0
.......................30.0 		    X       0 1,050,122 397,507
(42) Frank P Richardson........................................................................
Assistant Secretary, Hawaii
 25.0
.......................25.0 		    X       0 297,471 134,509
(43) Rochelle M Roth........................................................................
Assistant Secretary
 10.0
.......................40.0 		    X       0 228,471 150,768
(44) Jacqueline Sellers........................................................................
Sr Counsel/Assistant Secretary
 25.0
.......................25.0 		    X       0 252,345 191,723
(45) Arthur M Southam........................................................................
EVP, Health Plan Operations
 5.0
.......................45.0 		    X       0 2,501,640 595,175
(46) Deborah Stokes........................................................................
SVP,Corporate Controller & CAO
 16.5
.......................33.5 		    X       0 762,279 294,052
(47) Jed Weissberg........................................................................
SVP, Quality & Care Delivery
 25.0
.......................25.0 		    X       0 1,230,036 -92,238
(48) Carlos Zaragoza........................................................................
Assistant Secretary, SCAL
 25.0
.......................25.0 		    X       0 505,039 321,554
(49) Victoria B Zatkin........................................................................
VP, Off of Brd & Corp Gov Svcs
 14.0
.......................36.0 		    X       0 347,803 242,808
(50) Mark S Zemelman........................................................................
SVP,General Counsel &Secretary
 20.0
.......................30.0 		    X       0 1,511,815 433,272
(51) Derick Mark Billings........................................................................
SVP, Hospital & Area Ops -NCAL
 50.0
.......................0.0 		      X     0 564,515 94,409
(52) Odette Cristina Bolano........................................................................
SVP & Area Mgr - East Bay
 50.0
.......................0.0 		      X     0 735,593 275,166
(53) Christopher L Boyd........................................................................
SVP & Area Mgr - Santa Clara
 30.0
.......................20.0 		      X     0 567,068 136,689
(54) Michael O Brady........................................................................
SVP, Infrastructure Mgmt Group
 30.0
.......................20.0 		      X     0 999,309 192,400
(55) Virginia C Campbell........................................................................
SVP & Area Mgr - Diablo
 30.0
.......................20.0 		      X     0 1,020,304 83,145
(56) William B Caswell........................................................................
SVP, Operations
 30.0
.......................20.0 		      X     0 897,757 222,216
(57) Greg K Christian........................................................................
Exec Dir - Fontana
 30.0
.......................20.0 		      X     0 518,257 294,216
(58) Judith L Coffey........................................................................
SVP & Area Mgr - Marin/Sonoma
 30.0
.......................20.0 		      X     0 514,159 143,995
(59) Jeffrey A Collins........................................................................
SVP & Area Manager - Fresno
 30.0
.......................20.0 		      X     0 650,290 148,863
(60) Mark E Costa........................................................................
Exec Dir - Los Angeles
 30.0
.......................20.0 		      X     0 533,550 174,423
(61) GEORGE A DISALVO........................................................................
SVP-CFO, Southern Calif. Regio
 20.0
.......................30.0 		      X     0 1,214,076 290,941
(62) Elizabeth Jane Finley........................................................................
SVP & Exec Dir - San Diego
 30.0
.......................20.0 		      X     0 655,355 272,630
(63) Edward S Glavis........................................................................
SVP & Area Mgr - Roseville
 30.0
.......................20.0 		      X     0 653,136 284,090
(64) Corwin Nathaniel Harper........................................................................
SVP & Area Mgr - Napa/Solano
 30.0
.......................20.0 		      X     0 613,050 176,920
(65) Gerald A McCall........................................................................
SVP Operations
 30.0
.......................20.0 		      X     0 880,576 313,590
(66) Colleen M McKeown........................................................................
SVP & Area Mgr - Diablo
 30.0
.......................20.0 		      X     0 597,336 375,510
(67) Christine Robisch........................................................................
SVP & Area Manager - San Franc
 30.0
.......................20.0 		      X     0 583,447 264,092
(68) MICHAEL D ROWE........................................................................
SVP, CFO - NCAL
 20.0
.......................30.0 		      X     0 1,297,572 150,129
(69) Nirav Shah........................................................................
SVP, COO Clinical Operations
 50.0
.......................0.0 		      X     0 529,163 46,472
(70) Max Villalobos........................................................................
COO - North County
 30.0
.......................20.0 		      X     0 769,342 214,220
(71) Claudio F Abreu........................................................................
SVP, Regional IT Operations
 50.0
.......................0.0 		        X   0 1,114,000 217,790
(72) Diane Comer........................................................................
SVP, Business Info Officer -HP
 30.0
.......................20.0 		        X   0 731,406 192,358
(73) James Wesley Doggett Jr........................................................................
SVP, Chief IT Risk Officer
 50.0
.......................0.0 		        X   0 807,911 147,863
(74) Lazaro M Garcia........................................................................
VP, IT Svc Transition & Ops
 50.0
.......................0.0 		        X   0 634,530 178,142
(75) Kathleen Marie Scheirman........................................................................
SVP, Business Info Off-Corp Sv
 30.0
.......................20.0 		        X   0 953,381 139,170
(76) George C Halvorson........................................................................
Chairman
 0.0
.......................0.0 		          X 0 10,399,970 46,427
(77) Steven Doshay........................................................................
Assistant Secretary, CA
 0.0
.......................0.0 		          X 0 262,191 16,108
(78) Erin M Downing........................................................................
Assistant Secretary
 0.0
.......................50.0 		          X 0 103,235 29,742
(79) Marilyn Kawamura........................................................................
Region President - Mid-Atlanti
 0.0
.......................0.0 		          X 0 145,309 0
(80) Patricia Kennedy-Scott........................................................................
Region President - Ohio
 0.0
.......................0.0 		          X 0 1,275,285 80,725
(81) Herman M Weil........................................................................
SVP, Federal & State Programs
 0.0
.......................0.0 		          X 0 450,404 0
(82) Frank T Beirne........................................................................
SVP & Area Mgr - San Mateo
 50.0
.......................0.0 		          X 0 440,223 125,079
(83) Jerry C Fleming........................................................................
SVP, Health Reform Implementat
 12.0
.......................18.0 		          X 0 653,040 308,731
(84) Thomas S Hanenburg........................................................................
SVP & Area Mgr - GSAA
 50.0
.......................0.0 		          X 0 504,612 96,140
(85) Nathaniel L Oubre........................................................................
VP, CA MediCal, CHIP & CHC
 0.0
.......................0.0 		          X 0 593,703 223,297
(86) Sandra Small........................................................................
SVP, Hospital & Area Ops
 50.0
.......................0.0 		          X 0 489,698 5,526
(87) Vita M Willett........................................................................
Exec Dir - Riverside
 30.0
.......................20.0 		          X 0 512,969 872,875
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 0 80,260,833 18,611,333
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet25,007
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
WORLD WIDE TECHNOLOGY INC,
60 WELDON PARKWAY
ST LOUIS,MO63043 		IT data mgmt svcs 233,943,488
MCCARTHY BUILDING COMPANIES INC,
100 BAYVIEW CIRCLE SUITE 3000
NEWPORT BEACH,CA92660 		CONSTRUCTION SVCS 99,122,628
HENSEL PHELPS CONSTRUCTION CO,
18850 VON KARMAN AVE STE 100
IRVINE,CA92612 		CONSTRUCTION SVCS 96,372,726
TCS AMERICA,
101 PARK AVE 26TH FL
NEW YORK,NY10178 		CONSULTANCY SVCS 84,674,832
EMC 2 Corp,
176 South St
HOPKINTON,MA01748 		it data mgmt svcs 80,387,953
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet317
Form 990 (2014)
Form 990 (2014)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 91,786
e Government grants (contributions)1e 72,128,261
f All other contributions, gifts, grants, and
similar amounts not included above1f 		51,829,294
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 124,049,341
Program Service RevenueAmt Business Code
2a HOSPITAL SERV REV 900099 16,916,347,797 16,916,347,797    
b NON-PLAN & IND REV 900099 508,093,244 508,093,244    
c OTHR PRGM SERV REV 900099 1,765,813,353 1,764,230,549 1,582,804  
d MEDICARE PAYMENTS 900099 73,014,729 73,014,729    
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 19,263,269,123
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 584,631,639   -3,195,074 587,826,713
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 2,180,646  
b Less: rental expenses    
c Rental income or (loss) 2,180,646 0
d Net rental income or (loss).......MediumBullet 2,180,646 0 0 2,180,646
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 10,416,695,220 202,248
b Less: cost or other basis and sales expenses 9,700,196,821 2,698,236
c Gain or (loss) 716,498,399 -2,495,988
d Net gain or (loss)..........MediumBullet 714,002,411 0 0 714,002,411
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 19,304,214     19,304,214
b PARKING GARAGES 812930 9,759,107   248,135 9,510,972
c KP ONCALL 900099 41,596,124   32,592 41,563,532
d All other revenue .... 37,756,409   1,000,000 36,756,409
e Total. Add lines 11a–11d ...... MediumBullet 108,415,854
12 Total revenue. See Instructions......MediumBullet 20,796,549,014 19,261,686,319 -331,543 1,411,144,897
Form 990 (2014)
Form 990 (2014)
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 domestic organizations and domestic governments. See Part IV, line 21 .... 85,029,230 85,029,230
2 Grants and other assistance to domestic individuals. See Part IV, line 22 .... 837,000 837,000
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............ 176,241 176,241
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 .... 5,181,830,230 5,106,496,107 75,334,123  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 722,415,499 711,912,928 10,502,571  
9 Other employee benefits ....... 1,228,720,974 1,210,857,669 17,863,305  
10 Payroll taxes ........... 362,427,947 357,158,922 5,269,025  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 88,789   88,789  
c Accounting ........... 8,738,948   8,738,948  
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 88,510,716   88,510,716  
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 .... 7,168,760   7,168,760  
13 Office expenses ....... 2,008,945,468 1,979,739,157 29,206,311  
14 Information technology ...... 0      
15 Royalties .. 0      
16 Occupancy ........... 273,134,959 269,164,087 3,970,872  
17 Travel ............ 17,430,980 17,177,566 253,414  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 12,660,052   12,660,052  
20 Interest ........... 382,136,841 376,581,286 5,555,555  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 923,424,431 909,999,566 13,424,865  
23 Insurance .............. 77,132,249 76,010,890 1,121,359  
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 2,678,453,772 2,678,453,772    
b PURCHASED MEDICAL SERVICES 3,123,294,547 3,123,294,547    
c PURCHASED NON-MEDICAL SVC 423,790,640 417,629,516 6,161,124  
d BAD DEBT EXPENSE 110,665,118 109,056,254 1,608,864  
e All other expenses 358,833,629 356,801,991 2,031,638  
25 Total functional expenses. Add lines 1 through 24e 18,075,847,020 17,786,376,729 289,470,291 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 (2014)
Form 990 (2014)
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 ............. 37,420,811 1 73,883,134
2 Savings and temporary cash investments ......... 0 2 0
3 Pledges and grants receivable, net ........... 0 3 0
4 Accounts receivable, net ............. 277,456,151 4 333,250,704
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 ............. 497,670,155 7 278,961,365
8 Inventories for sale or use .............. 474,940,998 8 488,939,104
9 Prepaid expenses and deferred charges .......... 233,236,374 9 223,828,854
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 30,927,880,650
b Less: accumulated depreciation ..... 10b 13,808,001,946 16,813,779,504 10c 17,119,878,704
11 Investments—publicly traded securities .......... 16,449,091,590 11 18,363,951,477
12 Investments—other securities. See Part IV, line 11 ..... 4,026,959,075 12 4,912,501,313
13 Investments—program-related. See Part IV, line 11 ..... 0 13 0
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 899,057,122 15 1,041,814,336
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 39,709,611,780 16 42,837,008,991
Liabilities 17 Accounts payable and accrued expenses ......... 3,136,859,974 17 3,410,387,618
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 298,390 19 2,941,770
20 Tax-exempt bond liabilities ............. 7,049,875,464 20 6,948,848,641
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.................... 12,353,969,858 25 16,065,700,845
26 Total liabilities. Add lines 17 through 25......... 22,541,003,686 26 26,427,878,874
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 ..... 50,802,401 31 65,587,702
32 Retained earnings, endowment, accumulated income, or other funds 17,117,805,693 32 16,343,542,415
33 Total net assets or fund balances ........... 17,168,608,094 33 16,409,130,117
34 Total liabilities and net assets/fund balances ........ 39,709,611,780 34 42,837,008,991
Form 990 (2014)
Form 990 (2014)
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
20,796,549,014
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
18,075,847,020
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
2,720,701,994
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
17,168,608,094
5
Net unrealized gains (losses) on investments ...............
5
-317,928,138
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
-3,162,251,833
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
16,409,130,117
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 (2014)
Form 990 (2014)
Page 13
Form 990, Special Condition Description:
Special Condition Description
Form 990 (2014)
Form 990 (2014)
Page 14
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 Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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
a
b
c
d
e
f
Enter the number of supported organizations .............................  
g
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 listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
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) 2014
Schedule A (Form 990 or 990-EZ) 2014
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) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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 VI.)..            
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 section 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) 2014
Schedule A (Form 990 or 990-EZ) 2014
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) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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 VI.) ..            
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) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 5
Part IV
Supporting Organizations (continued)

Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 6
Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1.   Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    

Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors (explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    

Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7   Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 7
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity		  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions		  
9 Distributable amount for 2014 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  

Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2014 		(iii)
Distributable
Amount for 2014
1 Distributable amount for 2014 from Section C, line
6 		 
2 Underdistributions, if any, for years prior to 2014
(reasonable cause required--see instructions)		  
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2014 distributable amount  
i Carryover from 2009 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2014 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2014 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2014, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)		  
6 Remaining underdistributions for 2014. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)		  
7 Excess distributions carryover to 2015. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......  
e From 2014.......  
Schedule A (Form 990 or 990-EZ) (2014)
Schedule A (Form 990 or 990-EZ) 2014
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2014

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
2014
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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
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


(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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 4
Name of organization
KAISER FOUNDATION HOSPITALS
  		Employer identification number

94-1105628
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. 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) (2014)

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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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 value of contributions to (during year)    
3 Aggregate value of 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)
Revenue 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
Revenue 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) 2014

Schedule D (Form 990) 2014
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, for escrow or custodial account liability?
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 .................   952,889,634 952,889,634
b Buildings ................   21,303,494,653 8,536,210,805 12,767,283,847
c Leasehold improvements ............   217,916,168 166,175,172 51,740,996
d Equipment ................   3,241,942,665 2,294,982,671 946,959,994
e Other .................   5,211,637,530 2,810,633,297 2,401,004,233
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 17,119,878,704
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
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 		2,316,289,569 F

(B) PRIVATE EQUITY FUNDS 		1,937,344,563 F

(C) RISK PARITY FUNDS 		658,867,181 F






Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 4,912,501,313
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 5,139,605,538
RESERVE FOR WORKERS COMP RISKS 425,295,549
RESERVE FOR PROF/PUBLIC LIAB 225,207,874
RESERVE FOR SELF-INS RISK AUTO 180,000
POST RETIREMENT LIABILITIES 8,982,438,398
OTHER LONG-TERM LIABILITIES 398,318,680
OTHER CURRENT LIABILITIES 742,053,067
BROKER PAYABLES 152,601,739

Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 16,065,700,845
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) 2014

Schedule D (Form 990) 2014
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 (losses) 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) 2014

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 Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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   137,652,000
East Asia and the Pacific     Investments   202,437,000
Europe (Including Iceland and Greenland)     Investments   398,198,000
Middle East and North Africa     Investments   4,367,000
South Asia     Investments   26,940,000
Sub-Saharan Africa     Investments   10,502,000
Central America and the Caribbean     Investments   4,456,824,000
           
           
           
           
           
           
           
           
           
           
3a Sub-total .....     5,236,920,000
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     5,236,920,000
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2014
Schedule F (Form 990) 2014
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)		 (a)(c) Region (b)(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) PassThrough Fed Proj 128,322        
East Asia and the Pacific PassThrough Fed Proj 47,919        
             
             
             
             
             
             
             
             
             
             
             
             
             
             
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
2
3
Enter total number of other organizations or entities .......................MediumBullet
0
Schedule F (Form 990) 2014
Schedule F (Form 990) 2014Page 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) 2014
Schedule F (Form 990) 2014
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; do not file with Form 990)............................
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; do not file with Form 990).....................................
Schedule F (Form 990) 2014
Schedule F (Form 990) 2014
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) 2014
Additional Data


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Software Version:  



SCHEDULE H (Form 990)
Department of the TreasuryInternal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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 criteria used 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) .. 		    209,348,346 6,674,606 202,673,740 1.130 %
b Medicaid (from Worksheet 3,
column a) .... 		    695,378,086 356,659,957 338,718,129 1.890 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		    41,236,242 40,195,365 1,040,877 0.010 %
d Total Financial Assistance
and Means-Tested
Government Programs . 		    945,962,674 403,529,928 542,432,746 3.030 %
Other Benefits
     40,103,736   40,103,736 0.220 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    110,296,269 17,222,868 93,073,401 0.520 %
g Subsidized health services
(from Worksheet 6) .. 		           
h Research (from Worksheet 7)     90,345,302 61,753,522 28,591,780 0.160 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		    93,752,377   93,752,377 0.520 %
j Total. Other Benefits ..     334,497,684 78,976,390 255,521,294 1.420 %
k Total. Add lines 7d and 7j .     1,280,460,358 482,506,318 797,954,040 4.450 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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
110,665,118
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
201,814,630
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
302,352,283
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-100,537,653
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) 2014
Schedule H (Form 990) 2014
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?39
Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		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 FDN HOSPITAL - LOS ANGELES
4867 SUNSET BLVD
LOS ANGELES,CA90027
http://www.kp.org
9300077 		X X   X   X X      
2 KAISER FOUNDATION HOSPITAL- SAN DIEGO
4647 ZION AVE
SAN DIEGO,CA92120
http://www.kp.org
0800062 		X X   X   X X      
3 KAISER FDN HOSPITAL - SANTA CLARA
700 LAWRENCE EXPRESSWAY
SANTA CLARA,CA95051
http://www.kp.org
070000661 		X X   X   X X      
4 KAISER FOUNDATION HOSPITAL - FONTANA
9961 SIERRA AVE
FONTANA,CA92335
http://www.kp.org
2400159 		X X   X   X X      
5 KAISER FOUNDATION HOSPITAL - DOWNEY
9333 IMPERIAL HIGHWAY
DOWNEY,CA90242
http://www.kp.org
930000078 		X X   X   X X      
6 KAISER FOUNDATION HOSPITAL- ROSEVILLE
1600 EUREKA RD
ROSEVILLE,CA95661
http://www.kp.org
030000052 		X X   X   X X      
7 KAISER FOUNDATION HOSPITAL - OAKLAND
275 W MACARTHUR BLVD
OAKLAND,CA94611
http://www.kp.org
140000052 		X X   X   X X      
8 KAISER FDN HOSP - SUNNYSIDE MED CTR
10180 SOUTHEAST SUNNYSIDE RD
CLACKAMAS,OR97105
http://www.kp.org
1073 		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 FDN HOSPITAL - WALNUT CREEK
1425 S MAIN ST
WALNUT CREEK,CA94596
http://www.kp.org
140000290 		X X   X   X X      
11 KAISER FOUNDATION HOSPITAL - ANAHEIM
441 N LAKEVIEW AVE
ANAHEIM,CA92807
http://www.kp.org
0600091 		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 - VALLEJO
975 SERENO DR
VALLEJO,CA94589
http://www.kp.org
110000026 		X X   X   X X      
14 KAISER FOUNDATION HOSPITAL- RIVERSIDE
10800 MAGNOLIA AVE
RIVERSIDE,CA92505
http://www.kp.org
2500327 		X X   X   X X      
15 KAISER FDN HOSPITAL- SOUTH SACRAMENTO
6600 BRUCEVILLE RD
SOUTH SACRAMENTO,CA95823
http://www.kp.org
030000228 		X X   X   X X      
16 KAISER FOUNDATION HOSPITAL - IRVINE
6640 ALTON PARKWAY
IRVINE,CA92618
http://www.kp.org
0600091 		X X   X   X X      
17 KAISER FDN HOSPITAL - BALDWIN PARK
1011 BALDWIN PARK BLVD
BALDWIN PARK,CA91706
http://www.kp.org
9300920 		X X   X     X      
18 KAISER FDN HOSPITAL - SACRAMENTO
2025 MORSE AVE
SACRAMENTO,CA95825
http://www.kp.org
030000052 		X X   X   X X      
19 KAISER FDN HOSPITAL - HARBOR CITY
25825 S VERMONT AVE
HARBOR CITY,CA90710
http://www.kp.org
9300079 		X X   X   X X      
20 KAISER FOUNDATION HOSPITAL - SAN JOSE
250 HOSPITAL PARKWAY
SAN JOSE,CA95119
http://www.kp.org
070000117 		X X   X   X X      
21 KAISER FDN HOSPITAL - W LOS ANGELES
6041 CADILLAC AVE
W LOS ANGELES,CA90034
http://www.kp.org
9300081 		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 FDN HOSPITAL - PANORAMA CITY
13652 CANTARA ST
PANORAMA CITY,CA91402
http://www.kp.org
9300080 		X X   X   X X      
24 KAISER FOUNDATION HOSPITAL - ONTARIO
2295 S VINEYARD AVE
ONTARIO,CA91761
http://www.kp.org
240000159 		X X   X     X      
25 KAISER FOUNDATION HOSPITAL - MODESTO
4601 DALE RD
MODESTO,CA95356
http://www.kp.org
030000393 		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 - ANTIOCH
4501 SAND CREEK RD
ANTIOCH,CA94531
http://www.kp.org
550000614 		X X   X   X X      
29 KAISER FOUNDATION HOSPITAL - FRESNO
7300 N FRESNO ST
FRESNO,CA93720
http://www.kp.org
040000384 		X X   X   X X      
30 KAISER WESTSIDE MEDICAL CENTER
2875 NW STUCKI ROAD
HILLSBORO,OR97124
http://www.kp.org
14-1472 		X X   X     X      
31 KAISER FDN HOSPITAL - SAN LEANDRO
2500 MERCED ST
SAN LEANDRO,CA94577
http://www.kp.org
550002678 		X X   X   X X      
32 KAISER FOUNDATION HOSPITAL- VACAVILLE
1 QUALITY DR
VACAVILLE,CA95688
http://www.kp.org
550001207 		X X   X   X X      
33 KAISER FDN HOSP - SOUTH SAN FRANCISCO
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO,CA94080
http://www.kp.org
220000022 		X X   X   X X      
34 KAISER FDN HOSPITAL - SAN RAFAEL
99 MONTECILLO RD
SAN RAFAEL,CA94903
http://www.kp.org
110000357 		X X   X   X X      
35 KAISER FOUNDATION HOSPITAL - HAYWARD
27400 HESPERIAN BLVD
HAYWARD,CA94545
http://www.kp.org
140000053 		X X   X   X X      
36 KAISER FOUNDATION HOSPITAL - FREMONT
39400 PASEO PADRE PARKWAY
FREMONT,CA94538
http://www.kp.org
140000053 		X X   X   X X      
37 KAISER FDN HOSPITAL - MORENO VALLEY
27300 IRIS AVE
MORENO VALLEY,CA92555
http://www.kp.org
550000810 		X X   X   X X      
38 KAISER FOUNDATION HOSPITAL - RICHMOND
901 NEVIN ST
RICHMOND,CA94804
http://www.kp.org
140000052 		X X   X   X X      
39 KAISER FOUNDATION HOSPITAL - MANTECA
1777 W YOSEMITE AVE
MANTECA,CA95336
http://www.kp.org
030000393 		X X   X     X      
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		28
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): HTTP://WWW.KP.ORG/CHNA
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - ANTIOCH
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - ANTIOCH
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		29
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - FRESNO
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - FRESNO
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		11
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - ANAHEIM
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - ANAHEIM
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		17
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - BALDWIN PARK
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - BALDWIN PARK
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		5
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - DOWNEY
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - DOWNEY
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		4
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - FONTANA
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - FONTANA
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		16
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - IRVINE
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - IRVINE
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - LOS ANGELES
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - LOS ANGELES
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		39
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - MANTECA
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - MANTECA
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		37
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - MORENO VALLEY
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - MORENO VALLEY
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		24
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - ONTARIO
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - ONTARIO
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		23
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - PANORAMA CITY
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - PANORAMA CITY
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		26
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - REDWOOD CITY
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - REDWOOD CITY
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		14
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - RIVERSIDE
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - RIVERSIDE
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		6
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - ROSEVILLE
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - ROSEVILLE
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		18
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - SACRAMENTO
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - SACRAMENTO
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		2
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - SAN DIEGO
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - SAN DIEGO
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		12
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - SAN FRANCISCO
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - SAN FRANCISCO
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		20
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - SAN JOSE
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - SAN JOSE
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		34
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - SAN RAFAEL
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - SAN RAFAEL
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		3
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - SANTA CLARA
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - SANTA CLARA
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		27
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - SANTA ROSA
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - SANTA ROSA
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		19
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - SOUTH BAY
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - SOUTH BAY
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		15
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - SOUTH SACRAMENTO
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - SOUTH SACRAMENTO
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		33
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - SOUTH SAN FRANCISCO
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - SOUTH SAN FRANCISCO
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		32
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - VACAVILLE
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - VACAVILLE
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		13
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - VALLEJO
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - VALLEJO
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		10
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - WALNUT CREEK
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - WALNUT CREEK
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		21
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - WEST LOS ANGELES
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - WEST LOS ANGELES
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		22
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - WOODLAND HILLS
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - WOODLAND HILLS
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		35
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - HAYWARD
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - HAYWARD
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		36
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - FREMONT
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - FREMONT
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		25
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - MODESTO
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - MODESTO
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		7
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - OAKLAND
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - OAKLAND
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		38
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - RICHMOND
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - RICHMOND
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 Medical Center
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		8
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - SUNNYSIDE Medical Center
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - SUNNYSIDE Medical Center
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		30
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1 Yes  
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2 Yes  
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KAISER WESTSIDE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KAISER WESTSIDE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		9
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - HONOLULU
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - HONOLULU
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 LEANDRO
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		31
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1 Yes  
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3   No
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20  
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5    
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a    
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b    
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7    
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8    
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20  
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10    
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - SAN LEANDRO
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

KFH - SAN LEANDRO
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
KFH - LOS ANGELES EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. LINE 6A: KFH-Baldwin Park, KFH-West Los Angeles, Citrus Valley Medical Center. Line 6b: 211 Los Angeles County; A Window Between Worlds; AIDS Project Los Angeles; Alexandria House; Alliance for Housing and Healing; Alzheimer's Association, California Southland Chapter; American Heart Association; Angelus Plaza; Ascencia; Asian Pacific Health Care Venture; Aviva Family and Children's Services; Bienvenidos Children's Center, Inc.; Boys and Girls Club of Hollywood; Boys and Girls Club of Pasadena; California Children's Medical Services; CASA of Los Angeles; Center for Oral Health; Center for the Pacific Asian Family; Children's Hospital Los Angeles; Chinatown Service Center; CoachArt; Coalition for Humane Immigrant Rights of Los Angeles; Community Clinic Association of Los Angeles County; Community Health Alliance of Pasadena; Community Health Councils, Inc.; CONTRA-TIEMPO; Covenant House California-Los Angeles; Didi Hirsh Mental Health Services; Early Identification and Intervention Collabora-tive for Los Angeles County; East Los Angeles Women's Center; Eisner Pediatric and Family Medical Center; El Centro del Pueblo; Esperanza Community Housing Corporation (Promotoras); Familia Unida Living with Multiple Sclerosis; Filipino American Service Group Inc. (FASGI); Gay Lesbian Elder Housing; Hamburger Home, dba Aviva Family and Chil-dren's Services; Hathaway-Sycamores Child and Family Services; Healthy City; HEAR Center; Heart of Los Angeles Youth, Inc. (HOLA); Hollywood Community Housing Corporation; Hollywood Sunset Free Clinic; Hollywood Wilshire YMCA; JWCH Institute, Inc.; Kids' Community Clinic of Burbank; Korean American Family Service Center; Korean Health Education Information & Research Center; LA Conservation Corps; LACER After-School Programs; Latino Diabetes Association; LAUSD/Student Health and Human Services; Living Advantage; Los Angeles Child Guidance Clinic; Los Angeles County Department of Health Services; Los Angeles County Department of Mental Health (DMH); Los Angeles County Department of Public Health, Maternal, Child and Adoles-cent Health Programs; Los Angeles County Emergency Medical Services (EMS); Los Angeles Neighborhood Land Trust; Los Angeles Unified School District (LAUSD); Los Angeles Youth Network; Maternal and Child Health Access; P F Bresee Foundation; Pacific Clinics; Planned Parenthood Los Angeles; PROTOTYPES Centers for Innovation in Health, Mental Health and Social Services; Proyecto Pastoral at Dolores Mission; Socrates Opportunity Scholarship Foundation; SOS Mentor Shape Up; St. Anne's; St. Francis Medical Center; Saint John's Well Child and Family Center, Inc.; St. Vincent Medical Center; The Harmony Project; The Laurel Foundation; The Village Family Services; The Wall-Las Memorias Project; UMMA (University Muslim Medical Association) Community Clinic; University of Southern California (USC) and USC School of Dentistry; USC Troy Camp; VIP Community Mental Health Center, Inc.; Worksite Wellness LA; YMCA-Weingart East Los Angeles. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The remaining prioritized health needs for Los Angeles will not be addressed by KFH-Los Angeles because, using a set of criteria, they were not ranked as highly (in terms of high need and high feasibility) as were access to care, prevention of youth obesity/overweight and diabetes, prevention and management of cardiovascular disease and mental health. KFH-Los Angeles has particular resources and capacity to dedicate to the chosen priority areas and related health needs. In addition, there are other community partners/stakeholders who are currently addressing the needs below. The needs that will not be addressed are: Allergies, Alzheimer's disease, Arthritis, Asthma, Breast cancer, cancer (in general Cervical cancer, Colorectal cancer), Disability, Hepatitis, HIV/AIDS, Infant mortality, Intentional injury, Oral health, Unintentional injury. Though not selected as a priority need in the Implementation Strategy process, some of the above noted needs will be indirectly addressed through enhancing access to health care. KFH-Los Angeles will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - SAN DIEGO EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: Palomar Health, Rady Childrens Hospital San Diego, Scripps Health, Sharp HealthCare, Tri-City Medical Center, and UC San Diego Medical Center. Line 6b: Institute for Public Health at San Diego State University; Healthy City; Hospital Association of San Diego and Imperial Counties (HASD&IC): East Side Collaborative, Family Health Centers of San Diego Community Core Group and San Ysidro Health Center. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The remaining prioritized health needs for San Diego will not be addressed by KFH-San Diego because, using a set of criteria, they were not ranked as highly as Access to Care, Diabetes (Type 2), Mental and Behavioral Health and Obesity. KFH-San Diego has particular resources and capacity to dedicate to the chosen priority areas and related health needs. The needs that will not be addressed are: 1. Unintentional Injury; 2. High Risk Pregnancy; 3. Asthma; 4. Dementia & Alzheimers Disease; 5. Breast Cancer; 6. Acute Respiratory Infections/Pneumonia; 7. Back Pain; 8. Colorectal Cancer; 9. Lung Cancer; 10. Prostate Cancer; 11. Skin Cancer. Cervical Cancer, Chlamydia and HIV, were added for KFH San Diegos consideration of possible indicators to include in their intervention/implementation process. These issues were not selected either, due to the reasons stated above. Though not selected as a priority need in the Implementation Strategy process, some of the above noted needs will be indirectly addressed through enhancing access to health care. KFH-San Diego will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - SANTA CLARA EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: El Camino Hospital; Kaiser Permanente San Jose; Lucile Packard Children's Hospital at Stanford; O'Connor Hospital; Saint Louise Regional Hospital; Stanford Hospital and Clinics. line 6b: Hospital Council of Northern & Southern California, Santa Clara County Public Health Department, and United Way Silicon Valley. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The following health needs will not be addressed by KFH Santa Clara. Rationale for why they won't be addressed is also provided. A. Birth outcomes: Magnitude of the problem is small since overall indicators meet targets. African- Americans are a small percentage of the population, and the Santa Clara County Public Health Department has an effective, existing Black Infant Health Program addressing this need. B. Cancers: The spectrum of the problem is so broad that Community Benefit investments could not impact it. Kaiser Permanente already has significant investment in research around this health need. Santa Clara County Public Health Department has an initiative to reduce smoking rates that could prevent lung cancer. C. Cardiovascular disease, heart disease, stroke: Explanation why not chosen: The ability to make an impact with limited Community Benefit funds is low. KFH is already addressing this need through Public Affairs sponsorships. There is the potential to affect this need with obesity prevention efforts (one of the chosen needs). D. Alzheimer's disease: No prevention opportunity/promising approaches exist. Need more data on the population affected. E. Diabetes: Type 2 (majority of cases) can be addressed through same strategies as obesity (which is a chosen need). F. Oral/dental health: Not many internal assets (resources nor expertise). Needs to be addressed at a systems-level, including increasing numbers of dentists who accept Denti-Cal. Specific, effective approaches could be incorporated under Access to Care (which is a chosen need). G. Respiratory conditions: Need is not as great as others. Currently being addressed by health care systems directly. H. Sexually Transmitted Diseases, including HIV-AIDS: County as a whole meeting targets. The Santa Clara County Public Health Department addresses this issue; they have a specific new campaign underway. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH SANTA CLARA will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - FONTANA EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: KFH-Ontario. line 6b: Academy for Grassroots Organizations; Asian American Resource Center; Assistance League of Redlands; Assistance League of San Bernardino; Barstow Desert Sanctuary; Bloomington Community Health Center; Boys and Girls Clubs of Redlands; Building A Generation; Catholic Charities, San Bernardino County; Childrens Fund; City of Fontana, Community Services Department; City of San Bernardino, Parks, Recreation, and Community Services Department; City of Victorville; Colton Joint Unified School District; Community Action Partnership of San Bernardino County; Community Clinic Association of San Bernardino County; Community Health Action Network; Community Hospital of San Bernardino; County of San Bernardino Department of Behavioral Health; County of San Bernardino Department of Public Health; County of San Bernardino Economic Development Agency; Crest Forest Senior Citizens' Club Inc.; Desert Communities United Way; DOVES of Big Bear Valley; El Sol Neighborhood Educational Center; Family Assistance Program; Family Service Association of Redlands; Hearts and Lives; High Desert Homeless Services; Inland Behavioral and Health Services; Inland Congregations United for Change; Inland Empire United Way; Latino Health Collaborative; Loma Linda University, Institute for Community Partnerships; Lutheran Social Services; Mary's Mercy Center, Inc.; Mountain Community Boys & Girls Club; Mountain Counseling and Training, Inc.; Mountain Grants; Mountains Community Hospital Network for a Healthy California-African American Campaign; New Hope Free Clinic; New Hope Village Inc.; Our House Rim Family Services; Riverside-San Bernardino County Indian Health; San Bernardino City Police Department; San Bernardino City Unified School District; San Bernardino County Medical Association; St. Bernardine Medical Center; St. John of God Health Care Services; St. Mary Medical Center; The Lord's Table; Victor Valley Community Hospital; Victor Valley Community Services Council; Visin y Compromiso; We Win For Health Medical Clinic Inc. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The health needs that were not selected for KFH Fontana, in alphabetical order - include: 1. Asthma; 2. Cancer; 3. Community Violence; 4. Hepatitis; 5. HIV/AIDS and Other STDs; 6. Prenatal/Perinatal Health; 7. Teen Pregnancy. These health needs were not selected because they did not simultaneously meet the high need and high feasibility criteria. In other words, each of the health needs in some fashion did not demonstrate a combination of high magnitude and severity, large health disparities, a high number of Kaiser Foundation Hospital (KFH) assets, or a high ability to leverage internal and external KFH assets. It also made more sense to select health needs that impacted several other health needs and/or were the underlying causes of poor health outcomes. KFH-Fontana will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - DOWNEY EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. line 6b: Bellflower Unified School District; California Center for Public Health Advocacy; Cerritos College Student Health Services; City of South Gate Sports Center; Crystal Stairs; Downey Unified School District, TLC Family Resource Center; Family Health Care Centers of Greater Los Angeles (FHCCGLA); INMED Partnerships for Children; Kaiser Permanente Watts Counseling & Learning Center; Los Angeles County Department of Public Health SPA 7 Community Health Services; Montebello/Commerce YMCA; Norwalk La Mirada Unified School District, Health on Wheels; Pathways Volunteer Hospice; South Central Family Health Center; Whittier Rio Hondo AIDS Project (WRHAP); Worksite Wellness LA. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The health needs that Kaiser Foundation Hospital Downey does not intend to directly address are: asthma, cardiovascular disease, dental health, diabetes, and teen births. These needs were deemed to be of relatively lower need based on the defined criteria. Taking existing community resources into consideration, KFH Downey has selected to concentrate on those health needs that we can most effectively address given our areas of focus. Moreover, KFH Downey strategies addressES obesity and preventive health impact behaviors that impact cardiovascular disease and diabetes. KFH - Downey will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - ROSEVILLE EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: Sutter Health Sacramento Sierra Region; UC Davis Health System; Dignity Health; Kaiser Foundation Hospital - Sacramento and Kaiser Foundation Hospital - South Sacramento. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The following prioritized health needs, and their rationale, will not be addressed by KHF Roseville. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Roseville will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. 1. Limited and/or no access to dental care - Relatively low priority assigned to need; Lack of expertise and competencies to effectively address the need; Resource constraints; Other facilities or organizations in the community addressing the need. 2. Lack of health literacy - Relatively low priority assigned to need; Lack of identified effective interventions to address the need; Resource constraints. 3. Difficulty coping with aging issues - Relatively low priority assigned to need; Resource constraints. 4. Shifting economic status (from middle income to lower income) - Relatively low priority assigned to need; Resource constraints. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - OAKLAND EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. KFH Oakland will not address the following health needs because they were not ranked as highly as access to care, healthy eating and active living and violence prevention: Economic security; Affordable community-based mental health services; Affordable community-based substance abuse services; Asthma prevention and management; and Local specialty care for low-income populations. Specifically, asthma was determined to disproportionately impact African Americans in a specific section of Oakland, but not the broader service area. With few promising approaches and KPs limited capacity and assets to support non-KP members in a significant way, asthma prevention was not selected. Local specialty care for low-income populations was also not selected primarily due to KPs limited capacity and assets, and low severity of impact. Instead, asthma prevention and local specialty care for low-income populations will be addressed to some extent in KFH Oaklands access to care strategies. Affordable community-based mental health services was determined to be both of high magnitude and severity for the general public as it undergirds many other health needs. Ultimately, it was not selected because of KFH OAKLAND'S Limited capacity and assets to service county-wide needs. Affordable community-based substance abuse services was determined to be of high magnitude, but was also not selected due to KFH OAKLAND'S limited capacity and assets to employ current promising or existing practices to the broader county. While economic security was determined to be both severe in impact and widespread, it was determined that the needed strategies are beyond the scope of KFH OAKLAND's work, resources and assets. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Oakland will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KAISER SUNNYSIDE MED CTR EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Community input from across the primary and secondary service areas was incorporated into the CHNA process to identify and prioritize health needs. KPNW staff accounted for community input as part of the CHNA process in the following ways: - Identifying existing sources of primary data/community input (within 3 years prior to CHNA). - Conducting stakeholder interviews to assess local community health system capacity. - Facilitating community listening sessions and surveys. - Participating in three (3) regional collaborative groups' community health assessment process. - Community input informed the CHNA process across the KPNW region, but the sources and methodology varied across the primary and secondary hospital service areas. *Stakeholder list can be provided upon request. Line 6a: KFH Westside's CHNA was conducted with KFH Sunnyside. Both KFH hospitals share the same primary service area. Line 6b: KFH Hospitals helped found and has participated in the development of Healthy Columbia Willamette, a collaborative effort including 15 area hospitals and health systems as well as four county health departments and two Coordinated Care Organizations (CCOs) Healthy Columbia Willamette was formed to support member organizations in responding to the new ACA federal requirements and to catalyze the collective efforts of health and public health leaders in the Portland metropolitan area to have coordinated and meaningful impact on the health of the region. KPNW Community Benefit staff contributes to the on-going assessment efforts of Healthy Columbia Willamette and participates in two other regional collaborative groups in KFH's secondary service areas to expand Kaiser Permanente's community partnerships and improve community health in the Northwest region. Metro Area (members of Healthy Columbia Willamette collaborative): - Adventist Medical Center - Legacy Health System (5 hospitals) - Oregon Health & Science University - PeaceHealth Southwest Medical Center - Providence Health (4 hospitals) - Tuality Community Hospital - Health Share of Oregon (CCO) - Familycare (CCO) - Clackamas County Public Health Division - Clark County Public Health Department - Multnomah County Health Department - Washington County Public Health Division SW Washington Area: - Peace Health St. John's Medical Center - Cowlitz County Health Department - Longview School District - Pathways 2020 Mid-Valley Area: - Salem Hospital - Marion County Health Department line 7b: http://www.kp.org/chna; http://healthycolumbiawillamette.org Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. kfh hospitals prioritized and selected five health needs to address throughout our service area. Listed below are the five selected needs followed by a high-level description of the strategies we are currently implementing. For a full description of all of KFH hospitals' health improvement strategies, please refer to the Implementation Strategy report. Access to care - KFH Hospitals are primarily addressing access to care through Medicaid, Medical Financial Assistance, Charitable Health Coverage, and Community Access programs, as well as through grant funding to Safety Net clinics and contracted hospitals. Nutrition and physical activity related chronic disease - KFH Hospitals are primarily addressing chronic disease through regional collaborations promoting healthy eating active living (HEAL) policies and behaviors, and a healthy food access grant initiative, and by awarding grants to community organizations that promote HEAL clinical and community activities. Oral health - KFH Hospitals are primarily addressing oral health through Dental Medicaid, Dental Financial Assistance, and Charitable Health Coverage programs, as well as the through participation in an oral health funders collaborative and an oral health grant initiative providing supporting local organizations that provide oral health prevention and treatment services. Mental health - KFH Hospitals are primarily addressing mental health through behavioral health grants and grant initiatives that support both prevention and treatment efforts in adult and school-aged children as well as partnering with Oregon Children's theater to deliver Kaiser Permanente's Educational Theatre Program which serves children grades K-12 with programming to support health and well-being. Maternal and infant health - KFH Hospitals are primarily addressing maternal and infant health through providing perinatal care through community access programs, awarding grants to programs that improve perinatal health or provide teen pregnancy prevention, and through collaborations to support and promote breastfeeding. The remaining prioritized health needs will not be addressed because using the criteria described previously, they were not ranked as highly as Nutrition and Physical Activity-related Chronic Disease, Maternal and Infant Health, Access to Health Care, Oral Health, and Mental Health. The region has a unique set of resources and capacity to dedicate to the five selected health needs. In addition, there are other strong community partners and networks who are currently addressing the needs below. The needs that will not be addressed are: - Economic security - Cancer - Tobacco use - Sexually transmitted disease line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level.
KFH - HONOLULU EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: Hawaii is unique in that all of its community hospitals and hospital systems joined efforts to fulfill the CHNA requirements. CHNA participants included 26 of the 28 Hawaii hospitals: Castle Medical Center Hale Ho`ola Hamakua Hilo Medical Center Kahi Mohala Behavioral Health Kahuku Medical Center Kaiser Permanente Medical Center Kapi`olani Medical Center for Women & Children Ka`u Hospital Kauai Veterans Memorial Hospital Kohala Hospital Kona Community Hospital Kuakini Medical Center Kula Hospital Lana`i Community Hospital Leahi Hospital Maui Memorial Medical Center Molokai General Hospital North Hawaii Community Hospital Pali Momi Medical Center Rehabilitation Hospital of the Pacific Samuel Mahelona Memorial Hospital Shriners Hospitals for Children - Honolulu Straub Clinic & Hospital The Queen's Medical Center Wahiawa General Hospital Wilcox Memorial Hospital * Tripler Army Medical Center and the Hawaii State Hospital are not subject to the IRS CHNA requirement and were not a part of this initiative. Line 6b: The Healthcare Association of Hawaii led the effort. line 7b: http://www.kp.org/chna; http://hah.org/reports-data/community-health-needs-assessment Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The list below summarizes the health needs identified for the KFH Honolulu service area through the 2013 Community Health Needs Assessment process. - Exercise, Nutrition, Weight & Diabetes - Respiratory Diseases - Heart Disease & Stroke - Access to Health Services - Maternal, Fetal & Infant Health - Cancer - Substance Abuse & Lifestyle - Injury Prevention & Safety - Family Planning - Immunizations & Infectious Diseases - Mental Health & Disorders - Oral Health KFH Honolulu will monitor and evaluate the health needs listed above for the purpose of tracking the implementation of those strategies as well as to document the anticipated impact. Plans to monitor will be tailored to each strategy and will include the collection and documentation of tracking measures, such as the number of grants made, number of dollars spent, number of people reached/served, number and role of volunteers, and volunteer hours. In addition, KFH Honolulu will require grantees to propose, track and report outcomes, including behavior and health outcomes as appropriate. For example, outcome measures for a strategy that addresses obesity/overweight by increasing access to physical activity and healthy eating options might include number of students walking or biking to school, access to fresh locally grown fruits and vegetables at schools, or number of weekly physical activity minutes BELOW. The remaining prioritized health needs for Honolulu will not be addressed by KFH Honolulu because, using the criteria described previously, they were not ranked as highly as Exercise, Nutrition, Weight and Diabetes, and Equitable Access to Health Services. KFH Honolulu has unique resources and capacity to dedicate to the two chosen health needs, and a number of the strategies developed to address the chosen health needs will impact the other health needs that were not selected in this Implementation Strategy. Additionally, many of the specific health needs identified through the CHNA can be addressed by the selected need "Equitable Access to Health Services." In addition, there are other strong community partners who are currently addressing the needs below. The needs that will not be addressed through this Implementation Strategy are: - Oral Health - Respiratory Diseases - Injury Prevention & Safety - Heart Disease and Stroke - Maternal, Fetal and Infant Health - Cancer - Family Planning - Substance Abuse and Lifestyle - Immunizations and Infectious Diseases - Mental Health and Mental Disorders While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Honolulu will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: SEARCH AMERICA / EXPERIAN IS AN OUTSIDE VENDOR USED TO SIMPLIFY FINANCIAL SCREENING PROCESS, IMPROVE SCREENING ACCURACY AND PROVIDE MEDICAID CONVERSION STRATEGIES. THIS OUTSIDE VENDOR PROVIDES GUARANTOR DEMOGRAPHICS, HOUSEHOLD SIZE, ANNUAL INCOME AND AN FPL (FEDERAL POVERTY LEVEL THAT IS MAINTAINED BASED OFF OF CURRENT YEAR FROM U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES (FPG) FEDERAL POVERTY GUIDELINES). KP REVIEWS THE FPL PERCENTAGE AS THE PRIMARY INDICATOR OF INCOME LEVEL WHICH DETERMINES A PATIENT'S POTENTIAL ELIGIBILITY FOR HAWAII MEDICAID/QUEST AND/OR KP MEDICAL FINANCIAL ASSISTANCE PROGRAMS.
KFH - WALNUT CREEK EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: John Muir Health; ValleyCare Health System Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. Although nine significant community health needs were identified through the CHNA process, the Diablo Contributions Committee made the decision to address no more than four community health needs in order to enhance the impact of our investment and effort. The Contributions Committee decided not to address the following five needs directly as they did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing KP or community assets, the existence of promising approaches or the presence of health disparities. In addition, there are other strong community partners who are currently addressing the needs below. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Walnut Creek will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. The needs that will not be addressed are: Economic Security; Affordable, Local Mental Health Services; Affordable, Local Substance Abuse Treatment Services; Local Specialty Care for Low-Income Populations; and Parenting Skills and Support. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - ANAHEIM EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: KFH-Irvine line 6b: Acacia Adult Day Services; Access California Services; American Red Cross; AIDS Services Foundation Orange County; Asian American Senior Citizens Service Center; Cal-Islanders Humanitarian Association; The Cambodian Family; Caregiver Resource Center; Children and Families Commission of Orange County; Community Action Partnership of Orange County; Council on Aging; Court Appointed Special Advocates of Orange County; Dr. Riba's Health Club; Grandmas House of Hope; Guam Communications Network; Healthy Smiles for Kids of Orange County; Hurtt Family Health Clinic; Illumination Foundation; Institute for Healthcare Advancement; Interval House; KidWorks Community Development Corporation; Korean Community Services; La Habra Community Collaborative; Latino Health Access; Lestonnac Free Clinic; Mariposa Women & Family Center; MOMS Orange County; NAMI Orange County; Oak View Renewal Partnership; OC Food Access Coalition; Orange County Affiliate of Susan G. Komen for the Cure; Orange County Asian and Pacific Islander Community Alliance; Orange County Health Care Agency; Orange County Korean American Health Information and Education Center; Pacific Islander Health Partnership; The Raise Foundation; Senior Serv; St. Jude Medical Center; Tiger Woods Learning Center; United Way of Orange County; Vietnamese American Cancer Foundation; Anaheim Family YMCA. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. Some health needs for the Anaheim service area will not be addressed by KFH-Anaheim because they demonstrated lower 'Need,' and 'Feasibility' than the selected health needs. The selected health needs (Access to Care, Economic Instability, Mental Health, and Obesity/Overweight) demonstrate relatively higher levels of magnitude, severity, and disproportionate impact among vulnerable populations. There are strong community partners mobilizing around these issues and KFH-Anaheim has unique resources and capacity to dedicate to work focused on these health needs. the needs that will not be addressed are: 1. Asthma; 2. Breast Cancer; 3. Cardiovascular Disease; 4. Community Violence; 5. Diabetes; 6. Domestic Violence; 7. HIV/AIDS and other STDs; 8. Oral Health; 9. Prenatal Care; 10. Teen Pregnancy. Note that issues related to Substance Abuse were incorporated in the Mental Health workplan. KFH-Anaheim will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - SAN FRANCISCO EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: California Pacific Medical Center; Chinese Hospital; Saint Francis Memorial Hospital; St. Mary's Medical Center. line 6b: Anthem Blue Cross, California Pacific Medical Center, Chinese Hospital, Hospital Council of Northern and Central California, McKesson Foundation, Mount Zion Health Fund, NICOS Chinese Health Coalition, San Francisco Community Clinic Consortium, San Francisco Department of Human Services, San Francisco Department of Public Health, San Francisco Foundation, San Francisco Medical Society, San Francisco Unified School, United Way of the Bay Area. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The remaining prioritized health needs for San Francisco will not be addressed by KFH San Francisco because they were not ranked as highly as access to quality health care and services, healthy eating and physical activity, and safe and healthy living environments. These community health needs reached top priority status because they more closely matched the criterion "there are promising evidence based interventions" which includes known actions that are intended to improve that health need. The lower ranking health needs did not match that criterion or the overall criteria as well. KFH San Francisco also recognizes that there are existing efforts underway for some of the health needs not selected as priorities, or some of the strategies selected in this plan may have multiple effects that touch on the lower priorities. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH San Francisco will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. The needs that KFH San Francisco will not address are: - Behavioral health - Spread of infectious disease - Early childhood development - Seniors and persons with disabilities' access to care and services line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - VALLEJO EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: Sutter Solano Medical Center, Vallejo; North Bay Medical Center, Fairfield; La Clinica; Queen of the Valley Medical Center; St. Helena Medical Center. Line 6b: Solano County Public Health Department, Solano Coalition for Better Health, Solano County Public Health Department, Community Clinic Consortium, La Clinica de la Raza, Queen of the Valley Medical Center, St. Helena Medical Center, Napa County Public Health Department and Napa Valley Coalition of Nonprofit Agencies. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The following prioritized health needs for KFH Vallejo service area - Transportation limitations; Lack of or limited access to dental care; Limited places and social space for civic engagement; Unstable housing and homelessness; Lack of substance abuse treatment and rehabilitation; and Exposure to unclean air, environmental toxins and pesticides - will not be addressed by KFH Vallejo because, using criteria such as the severity of the problem or the ability to leverage resources, they did not rank as high as other needs. In addressing access to culturally appropriate, affordable health care services; access to affordable healthy food; lack of safe places to walk, bike, exercise, or play; and lack of employment and vocational training, KFH Vallejo has unique resources, expertise, and capacity to dedicate to the four chosen health needs. Lastly, a number of community partners have undertaken initiatives to address the needs not selected. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Vallejo will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - RIVERSIDE EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: KFH-Moreno Valley. Line 6b: Borrego Community Health Foundation; California State University, San Bernardino; Carolyn E Wylie Center; Clinicas de Salud del Pueblo Inc.; Coachella Valley Volunteers in Medicine; Community Action Partnership, Riverside County; County Executive Office, Riverside County; Desert AIDS Project; Desert Samaritans for Seniors; El Sol Neighborhood Education Center; Esperanza Youth and Family Center; FIND Food Bank; First 5 Riverside; Healthy Family Foundation; Healthy Heritage Movement; Inland Agency-The Pink Ribbon Place; Inland Empire Health Plan; Latino Health Access; Lestonnac Free Clinic; Lowe and Associates; Martha's Village and Kitchen; MFI Recovery Center; Michelle's Place, Moreno Valley Chamber of Commerce; Moreno Valley Unified School District; Murrieta Valley Unified School District; Music Changing Lives, Neighborhood Healthcare, Nonprofit Resource Center; Oak Grove Center for Education Training & the Arts; Path of Life Ministries; Project KIND; Provident Bank; Quinn Community Outreach Corp.; Regional Access Project (RAP) Foundation; Riverside Community College Dental Program; Riverside Community Health Foundation; Riverside County Department of Mental Health; Riverside County Department of Public Health; Riverside County Public Health Nursing; Riverside County Regional Medical Center; Riverside-San Bernardino County Indian; Health, Inc.; Safe Alternatives for Everyone; Southern California Permanente Medical Group (SCPMG); Southwest California Legal Council; Southwest Healthcare; St. Patrick Church; Student Run Health Clinic; The California Endowment; THINK Together; United States Veterans; United Way of the Inland Valleys; University of California, Riverside School of Medicine; Urban Community Action Project; Whiteside Manor. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The remaining prioritized health needs will not be addressed by KFH-Riverside because, using a set of criteria, they were not ranked as high as Access to Care, which includes Mental Health, Oral Health, and Service Infrastructure, Obesity and Overweight, and Diabetes, which also includes Service Infrastructure. KFH-Riverside has unique resources and capacity to dedicate to the three chosen health needs. In addition, there are other strong community partners who are currently addressing the needs below. The needs that will not be addressed are: 1. Asthma; 2. Cancer 3. Cardiovascular Disease (including hypertension, heart disease, and stroke); 4. Community Violence; 5. Economic Instability; 6. STDs and HIV. KFH-Riverside will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - SOUTH SACRAMENTO EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: Sutter Health Sacramento Sierra Region; UC Davis Health System; Dignity Health; Kaiser Foundation Hospital - Sacramento; and Kaiser Foundation Hospital - Roseville. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The following prioritized health needs for South Sacramento will not be addressed by KHF South Sacramento. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH South Sacramento will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. The justification for not addressing each need is provided below. 1. Stress of living in poverty: KP and community resource constraints; Relative lack of expertise or competencies to effectively address the need; Lack of identified effective interventions to address the need 2. Lack of access to mental health and prevention services: Resource constraints; Other facilities or organizations in the community addressing the need 3. Lack of alcohol/drug abuse treatment programs and prevention programs: Resource constraints; Lack of identified effective interventions to address the need 4. Limited access to health prevention programs and screening: Relatively low priority assigned to the need; Resource constraints 5. Lack of access to dental screenings and dental care services: Relatively low priority; Resource constraints; Other facilities or organizations in the community addressing the need; Relative lack of expertise or competencies to effectively address the need. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - IRVINE EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: KFH-Anaheim line 6b: Access California Services; AIDS Services Foundation Orange County; Alzheimers Association Orange County Chapter; Asian American Senior Citizens Service Center; Boys & Girls Club of Laguna Beach; Cal-Islanders Humanitarian Association; The Cambodian Family; Children and Families Commission of Orange County; Childrens Health Initiative of Orange County; City of San Clemente; Clinic in the Park; Council on Aging; Court Appointed Special Advocates of Orange County; Fibromyalgia and Chronic Pain Center at California State University Fullerton; Friendship Shelter; Grandmas House of Hope; Guam Communications Network; Healthy Smiles for Kids of Orange County; Help Me Grow Orange County; Human Options; Hurtt Family Health Clinic; Illumination Foundation; Irvine Public Schools Foundation; Korean Community Services; Laguna Beach Community Clinic; Latino Health Access; Lestonnac Free Clinic; Madison Park Neighborhood Association; Miracles for Families; Mission Hospital; MOMS Orange County; NAMI Orange County; Oak View Renewal Partnership; OC Food Access Coalition; Orange County Affiliate of Susan G. Komen for the Cure; Orange County Department of Education; Orange County Health Care Agency; Puente a la Salud St. Joseph Hospital; The Raise Foundation; Saddleback Memorial Medical Center; Senior Serv; Shanti Orange County; UC Irvine Community Outreach Partnership Center; UC Irvine Department of Family Medicine, Geriatrics; United Way of Orange County; Vietnamese American Cancer Foundation; Working Wardrobe. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. Some health needs for the Irvine service area will not be addressed by KFH-Irvine because they demonstrated lower 'Need,' and 'Feasibility' than the selected health needs. The selected health needs (Access to Care, Economic Instability, Mental Health, and Obesity/Overweight) demonstrate relatively higher levels of magnitude, severity, and disproportionate impact among vulnerable populations. There are strong community partners mobilizing around these issues and KFH-Irvine has unique resources and capacity to dedicate to work focused on these health needs. The needs that will not be addressed are: 1. Asthma; 2. Breast Cancer; 3. Cardiovascular Disease; 4. Community Violence; 5. Diabetes; 6. Domestic Violence; 7. HIV/AIDS and other STDs; 8. Oral Health; 9. Prenatal Care; 10. Teen Pregnancy. Note that issues related to Substance Abuse were incorporated in the Mental Health workplan. KFH-Irvine will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - BALDWIN PARK EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: KFH-Los Angeles, KFH-West Los Angeles, Citrus Valley Medical Center. line 6b: 211 Los Angeles County; Alliance for Housing and Healing; AltaMed Health Services Corporation; American Heart Association; American Red Cross; Asian Pacific Community Fund; Asian Pacific Womens Center; Asian Youth Center; Azusa Pacific University; Baldwin Park Unified School District; Bassett Unified School District; Bike San Gabriel Valley; Boys & Girls Club of the Foothills; Boys & Girls Club of West San Gabriel Valley; Boys & Girls Club San Gabriel Valley; Buddhist Tzu Chi Free Clinic; Cal Poly Pomona, Department of Agriculture; California Center for Public Health Advocacy; California State Senate, 24th Senate District; Chinatown Service Center; Citrus Valley Health Foundation; Citrus Valley Health Partners; City of Baldwin Park; City of Covina; City of Pasadena Public Health Department; Community Health Alliance of Pasadena; Drexel Smith Consulting; Early Identification and Intervention Collaborative for Los Angeles County; East San Gabriel Valley Coalition for the Homeless;East San Gabriel Valley Regional Occupational Program and Technical Center; East Valley Community Health Center; El Monte City School District; El Monte Comprehensive Community Health Center; Ettie Lee Youth and Family Services; Foothill Family Service; Foothill Unity Center; Girl Scouts of Greater Los Angeles; Greater West Covina Business Association; Herald Christian Health Center; John Wesley Community Health Institute; La Casa de San Gabriel Community Center; Latino Diabetes Association; Lincoln Training Center; Los Angeles County Department of Mental Health; Los Angeles County Department of Public Health, Maternal, Child and Adolescent Health Programs; Los Angeles County Emergency Medical Services; Majestic Realty Corporation; Montebello Unified School District; Neighborhood Homework House; New Horizons Caregivers Group; Options; Our Saviour Center/Cleaver Family Wellness Center; Planned Parenthood of Pasadena; Pueblo que Camina; Rowland Unified School District; San Gabriel Children's Center; San Gabriel Valley Conservation Corps; San Gabriel Valley Consortium on Homelessness; San Gabriel Valley Council of Governments; San Gabriel Valley Economic Partnership; San Gabriel Valley Foundation for Dental Health; San Gabriel Valley YMCA; Service Planning Area 3 - Health Planning Group; Services Center for Independent Living; THINK Together; West Covina Unified School District; YWCA San Gabriel Valley. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. Some health needs for Baldwin Park will not be addressed by KFH-Baldwin Park because, based on a set of criteria, they were not ranked as highly as the selected health needs (access to primary care and specialty health care for mental health, vision, oral health and all cancers, obesity and chronic diseases including cardiovascular disease, diabetes and hypertension, and awareness, resources and social supports with a focus on intentional injury and alcohol and substance abuse). KFH-Baldwin Park has particular resources and capacity to dedicate to the chosen priority areas and related health needs. The needs that will not be addressed are: 1. Disability; 2. Cervical Cancer; 3. Chlamydia; 4. Asthma; 5. Alzheimers disease; 6. Unintentional injury; 7. Arthritis; 8. Chronic Obstructive Pulmonary Disease (COPD); 9. HIV/AIDS; 10. Allergies; 11. Infant Mortality. KFH-Baldwin Park will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - SACRAMENTO EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: Sutter Health Sacramento Sierra Region; UC Davis Health System; Dignity Health; Kaiser Foundation Hospital - Roseville and Kaiser Foundation Hospital - South Sacramento. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The following prioritized health needs for Sacramento will not be addressed by KFH Sacramento. The justification for not addressing each need is also provided below. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Sacramento will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. 1. Lack of dental care: Relatively low priority assigned to the need; Lack of identified expertise and competencies to effectively address the need; Resource constraints. 2. Lack of health literacy: Relatively low priority assigned to the need; Lack of identified effective interventions to address the need; Resource constraints. 3. Limited coordination of care among providers, no case management services: Resource constraints organizationally; Area provider capacity constraints. 4. Lack of housing, basic shelter: Lack of identified expertise and competencies to effectively address the need; Other facilities or organizations in the community addressing the need. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - SOUTH BAY EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6b: AIDS Project Los Angeles; Alzheimer's Association, California Southland Chapter; Beach Cities Health District; Boys & Girls Club of the South Bay; Centinela Youth Services; Centro C.H.A., Inc.; Children's Dental Health Clinic; City of Carson, Parks & Recreation Department; Hawthorne Senior Center; Long Beach Department of Health and Human Services; Los Angeles Homeless Services Authority, and South Bay Coalition for the Homeless; New Star Family Center; Office of Supervisor Don Knabe; Robert F. Kennedy Institute; South Bay Center for Counseling & Human Development; South Bay Children's Health Center; South Bay Children's Health Center Association; South Bay Family Health Care Special Services for Groups - Asian and Pacific Islander Obesity Prevention Alliance. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The health needs that Kaiser Foundation Hospital South Bay does not intend to address include HIV/AIDS and asthma. These needs were deemed to be a low need based on the defined criteria. Taking existing community resources into consideration, KFH South Bay has selected to concentrate only on those health needs that we can most effectively address given our areas of focus. KFH - South Bay will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - SAN JOSE EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: El Camino Hospital; Kaiser Permanente Santa Clara; Lucile Packard Children's Hospital at Stanford; O'Connor Hospital; Saint Louise Regional Hospital; Stanford Hospital and Clinics. line 6b: Hospital Council of Northern & Southern California, Santa Clara County Public Health Department, and United Way Silicon Valley. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The following health needs will not be addressed by KFH San Jose. Rationale for why they won't be addressed is also provided. A. Birth outcomes: Magnitude of the problem is small since overall indicators meet targets. African- Americans are a small percentage of the population, and the Santa Clara County Public Health Department has an effective, existing Black Infant Health Program addressing this need. B. Cancers: The spectrum of the problem is so broad that Community Benefit investments could not impact it. Kaiser Permanente already has significant investment in research around this health need. Santa Clara County Public Health Department has an initiative to reduce smoking rates that could prevent lung cancer. C. Cardiovascular disease, heart disease, stroke: Explanation why not chosen: The ability to make an impact with limited Community Benefit funds is low. KFH is already addressing this need through Public Affairs sponsorships. There is the potential to affect this need with obesity prevention efforts (one of the chosen needs). D. Alzheimer's disease: No prevention opportunity/promising approaches exist. Need more data on the population affected. E. Diabetes: Type 2 (majority of cases) can be addressed through same strategies as obesity (which is a chosen need). F. Oral/dental health: Not many internal assets (resources nor expertise). Needs to be addressed at a systems-level, including increasing numbers of dentists who accept Denti-Cal. Specific, effective approaches could be incorporated under Access to Care (which is a chosen need). G. Respiratory conditions: Need is not as great as others. Currently being addressed by health care systems directly. H. Sexually Transmitted Diseases, including HIV-AIDS: County as a whole meeting targets. The Santa Clara County Public Health Department addresses this issue; they have a specific new campaign underway. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH San Jose will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - W LOS ANGELES EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: KFH-Los Angeles, KFH-Baldwin Park, Citrus Valley Medical Center. line 6b: 211 Los Angeles County; A Place Called Home; Airport Marina Counseling Service; Alliance for Housing and Healing; AltaMed Health Services Corporation; Alzheimer's Association, California Southland Chapter; American Heart Association; American Lung Association; Asian American Drug Abuse Program; BREATHE California of Los Angeles County; California Black Women's Health Project; CANGRESS Los Angeles Community Action Network; Catholic Charities of Los Angeles, Inc.; CCEO YouthBuild; Center for Lupus Care; Centinela Youth Services; Challengers Boys & Girls Club; Charles Drew University; City of Inglewood; Community Coalition For Substance Abuse Prevention and Treatment; Community Health Councils; Connections for Children; Crenshaw Christian Center; Culver City Education Foundation; Early Identification and Intervention Collaborative for Los Angeles County; FAME Assistance Corporation; Felicia Mahood Senior Multipurpose Center; Food and Nutrition Management Systems; Foundation for Children's Dental Health; Health Services Academy High School; Healthy African American Families II; In the Meantime Men's Group; Inside Out Community Arts; Jewish Family Service of Los Angeles; John Wesley Community Health Institute; Junior Blind of America; LA City (Western) District 10 Office; LA County Department of Public Health; LA Promise; Latino Diabetes Association; LetsMove! West LA; Living Advantage, Inc.; Los Angeles County Department of Health Services; Los Angeles County Department of Mental Health; Los Angeles County Department of Public Health, Maternal, Child and Adolescent Health Programs; Los Angeles Urban League; Model Neighborhood Program; NAMI - Urban Los Angeles; National Health Foundation; Open PATHS Counseling Center; Planned Parenthood Los Angeles; Project Angel Food; Project Chicken Soup; Sickle Cell Disease Foundation of California; Southern California Counseling Center; Southside Coalition of Community Health Centers; Special Needs Network; Special Olympics Southern California; St. Francis Medical Center; St. Joseph Center; Students Run America DBA Students Run LA; The Children's Dental Center of Greater Los Angeles; The Saban Free Clinic; UCLA Center for Health Policy Research; University Muslim Medical Association Community Clinic; Venice Boys & Girls Club; Venice Family Clinic; W.A.R.P.; Watts Health Care Corporation; Weingart YMCA; Westchester Playa Village; WISE & Healthy Aging;Women's Missionary; YMCA. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The remaining health needs for West Los Angeles will not be addressed by KFH-West Los Angeles because, using the criteria described previously, they were not selected in the ISET facilitated discussion or ranked as highly in terms of high need and feasibility as were: Chronic disease prevention and management with emphasis on obesity, diabetes, and cardiovascular disease (including hypertension and cholesterol), and asthma; Access to mental health and intervention programs with emphasis on youth well-being and the prevention of alcohol and substance abuse, violence, and homelessness; and Access to health care, diagnostic and preventive services with emphasis on HIV-AIDS, chlamydia, and cancer. KFH-West Los Angeles has particular resources and capacity to dedicate to the chosen priority areas and related health needs. The needs that will not be addressed include: Oral health, Vision, Alzheimers disease, Unintentional injury, Podiatry, Allergies, Arthritis, Infant mortality. Though not selected as a priority need in the Implementation Strategy process, some of the above noted needs will be indirectly addressed through enhancing access to health care. KFH-West Los Angeles will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13H: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - WOODLAND HILLS EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. line 6b: Valley Care Community Consortium; Ventura County Community Foundation; Los Angeles County Department of Public Health; 12th District PTA; Addison Behavioral Resources; American Cancer Society; Cabrillo Economic Development Corp; California Lutheran University; California State University, Dominguez Hills; California State University, Northridge; Camarillo Health Care District; Child Care Resource Center; Coastal Alliance for a United Sustainable Economy; Conejo Valley Unified School District; Earths Wellness PTA; First 5 Ventura County; Fullbright Elementary School Parent Center; Future Leaders of America; Gold Coast Health Plan; KED Consultants; Kids + Families Together; Landon Pediatric Foundation; Lara Consulting Group, Inc.; Livingston Memorial Visiting Nurse Association; Los Angeles County Department of Health Services; Los Angeles Unified School District; Maternal, Child, and Adolescent Health; NAMI Ventura County; NEVHC WIC; Northeast Valley Health Corporation; Pacific Camps; Pepperdine University; Planned Parenthood of Santa Barbara, Ventura & San Luis Obispo Counties; Poms & Associates; Project SAFE; Providence Health and Services; Radiance Foundation; San Fernando Valley Dental Society; Santa Barbara Ventura Counties Dental Care Foundation; Senior Concerns; Tarzana Treatment Centers; The ARC of Ventura County; The Village Family Services; United Way of Ventura County; Ventura County Agency for Aging; Ventura County Health Care Agency; Ventura County Health Care Plan; Ventura County Public Health; Ventura County WIC; Ventura Unified School District; Vitamin You; Wellness and Caregiver Center of Ventura County; YMCA. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. KFH-Woodland Hills has unique resources and capacity to address many of the health needs identified in its vast service area. The IS development team went through a thoughtful and thorough process to select the needs to be addressed over the next three years using the criteria and considerations described earlier in this document. The health needs that will not be fully addressed did not score as highly based on such criteria and considerations, and are: 1. Mental Health, 2. Physical Inactivity Adult/Youth, 3. Diabetes, 4. Uninsured Population, 5. Cardiovascular Disease 6. Prenatal Care. However, it is worth noting that the strategies that will be used to address the selected health needs will also have an indirect positive effect of the health needs that were not selected. Specifically, by addressing access to care, the uninsured population, diabetes and prenatal care health needs are indirectly addressed; through obesity prevention strategies, physical inactivity, diabetes, and cardiovascular health needs are indirectly improved; and by strengthening social and emotional supports, certain mental health issues are also addressed. KFH Woodland Hills will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - PANORAMA EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. line 6a: Mission Community Hospital, Olive View UCLA Medical Center, Antelope Valley Hospital. line 6b: Antelope Valley Partners in Health (AVPH), Los Angeles County Department of Public Health, All 4 Children, Antelope Valley Community Clinic, Antelope Valley Healthcare District, Antelope Valley Hospital, Antelope Valley Partners for Health, Antelope Valley Pregnancy Counseling Center, Asian Youth Center, AV Chess House, AV Mobility Management Project, Bartz-Altadona Community Health Center, Black Infant Health, California State University, Northridge, Catalyst Foundation, Child and Family Guidance Center, Children Center of the Antelope Valley, Childrens Bureau, Church on The Way, City of San Fernando, Community Synergy for Children and Families, El Nido Family, Center, Friends of the Family, Lancaster Department of Children and Family Services, Lancaster School District, Los Angeles Community Development Commission, Los Angeles County Department of Mental Health SA 1 and SA 2, Los Angeles County Department of Public Health, Los Angeles County Office of Education, Los Angeles County Office of Education, Los Angeles County, High Desert Health System, Los Angeles County, ValleyCare Health System, Los Angeles Department of Children and Family Services, Los Angeles Unified School District, MEND, Menfolk, Mental Health America, Mid Valley Comprehensive Health Center, Mission Community Hospital, National Alliance for Mental Illness (NAMI), Neighborhood Legal Services, New Directions for Youth, Northeast Valley Health Corporation, Olive View UCLA Medical Center, Open Arms Foster Age, Palmdale School District, Partners in Care Foundation, Protective Science Dynamics, Providence Access to Care, PSD Head Start, SCAN, Tarzana Treatment Center, Two Life Styles, Valley Trauma Center, Yes 2 Kids. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The remaining prioritized health needs for Panorama City will not be addressed by KFH Panorama City because, using a set of criteria, they were not ranked as highly in terms of high need and high feasibility as were access to care, chronic disease prevention and management and obesity and overweight prevention and reduction. KFH Panorama City has particular resources and capacity to dedicate to the chosen priority areas and related health needs. The needs that will not be addressed include: Physical Environment/Transportation, Poverty Rates, Breastfeeding. Though not selected as a priority need in the Implementation Strategy process, some of the above noted needs will be indirectly addressed through enhancing access to health care. KFH-Panorama City will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits. Website.
KFH - ONTARIO EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: KFH-Fontana line 6b: Bilingual Family Counseling Services; Catholic Charities, San Bernardino County; Children's Fund; City of Chino; City of Montclair; City of Ontario Planning Department; City of Pomona; Community Action Partnership of San Bernardino County; Community Clinic Association of San Bernardino County; County of San Bernardino Department of Behavioral Health; County of San Bernardino Department of Public Health; County of San Bernardino Economic Development Agency; County of San Bernardino Public Defender's Office; Foothill AIDS Project; Inland Empire Alzheimer's Association; Inland Empire United Way; Inland Valley Hope Partners; Kids Come First Community Health Center; Latino Health Collaborative; Loma Linda University, Institute for Community Partnerships; Mercy House; Montclair Medical Clinic; Network for a Healthy California-African; American Campaign; Ontario Police Department; Ontario-Montclair Unified School District Reach Out; Riverside-San Bernardino County Indian Health; San Antonio Community Hospital; San Bernardino County Medical Association; Visin y Compromiso; West End Childrens Activity Resource Coalition (WE CARe); YMCA Ontario-Montclair. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The health needs that were not selected for KFH Ontario, in alphabetical order - include: 1. Asthma; 2. Cancer; 3. Community Violence; 4. Hepatitis; 5. HIV/AIDS and Other STDs; 6. Prenatal/Perinatal Health; 7. Teen Pregnancy. These health needs were not selected because they did not simultaneously meet the high need and high feasibility criteria threshold mentioned in Section VIII. In other words, each of the health needs in some fashion did not demonstrate a combination of high magnitude and severity, large health disparities, a high number of Kaiser Foundation Hospital (KFH) assets, or a high ability to leverage internal and external KFH assets. It also made more sense to select health needs that impacted several other health needs and/or were the underlying causes of poor health outcomes. KFH-Ontario will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - MODESTO EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The following health needs for Stanislaus County were not ranked as highly as Obesity/Diabetes and Health Access and will not be addressed by KFH Modesto based on the rationale described below: Hypertension, Cancer, Asthma, Mental Health, Oral Health, Tobacco Usage; and Alcohol/Drug Use. However, a number of the strategies developed to address Obesity/Diabetes and Health Access will impact these other health needs. For example, strategies to reduce obesity and diabetes promote healthy eating and physical activity, which will also contribute to preventing hypertension/high blood pressure and some types of cancer. Strategies implemented to increase access to health services by populations suffering disparities apply broadly to all of the health needs. For example, offering culturally competent care in community health clinics has the potential to improve health outcomes in many of the health needs areas. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Modesto will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. Specific rationale for the health needs "not selected to address" are found below. 1. Hypertension: Not perceived as the highest priority by the community. Many of the Obesity/Diabetes strategies will address hypertension/high blood pressure prevention. 2. Cancer: There are limited opportunities to leverage existing internal and external efforts in this area. Prevention is addressed in part through KP's strategies under Obesity/Diabetes and Health Access. 3. Mental Health: KP does not have a high level of expertise or resources to leverage in this area. 4. Asthma: According to data gathered for the CHNA, the magnitude of asthma prevalence is lower than that of other priority health needs. 5. Oral Health: KP does not offer dental services and does not have oral health expertise in-house. 6. Tobacco Usage: Not perceived as a high priority by the community. The magnitude of tobacco usage is lower than other priority health needs. 7. Alcohol/Drug Abuse: Alcohol/drug abuse was ranked as a low priority health need in the CHNA multi-voting process. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - REDWOOD CITY EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: Sequoia Hospital; Lucile Packard Children's Hospital at Stanford; San Mateo Medical Center; Seton Medical Center; Stanford Hospital and Clinics; Mills-Peninsula Health Services. line 6b: San Mateo County Health Department, Health Plan of San Mateo, Hospital Consortium of San Mateo County, Peninsula Health Care District, Peninsula Library System Community Information Program, San Mateo County Human Services Agency, Silicon Valley Community Foundation. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The rationale for the following needs not addressed include: 1. Cancer: The spectrum of the problem is so broad that Community Benefit investments could not impact it. Kaiser Permanente is doing research. Smoking prevention efforts already in place could prevent lung cancer. 2. Infant Mortality: Magnitude of the problem is small, and infant mortality rates are better than those in other counties. The health need was a lower priority for the community overall. 3. Infectious Disease: This issue is of lower impact. It is also very general, and some of the diseases fluctuate, so there are fewer proven methods to address the health need. There does not appear to be a high level of organizational commitment to the issue in comparison to other issues, and the community placed this health need as a lower priority than those ultimately chosen. 4.Poor Oral/Dental Health: Not many internal assets (resources nor expertise). Needs are addressed by San Mateo County programs. Effective approaches could be incorporated under Access to Care (which is a chosen need). 5. Respiratory Conditions: The need and potential impact of KP investment not as great as other needs. The need is currently being addressed by healthcare systems directly. 6. STDs/HIV-AIDS: This issue is less of a problem in San Mateo County compared with other health needs. There does not appear to be a high level of organizational commitment to the issue in comparison to other issues, and the community placed this health need as a lower priority than those ultimately chosen. 7. Violence: Systemic issues related to mental health and substance abuse issues were of greater concern than violence as a standalone health need. Effective approaches could be incorporated under Behavioral Health (which is a chosen need). While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Redwood City will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - SANTA ROSA EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: Sutter Medical Center; Saint Joseph Health - Sonoma County. line 6b: Sonoma County Department of Health Services. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The following prioritized health needs for Santa Rosa will not be addressed by KFH Santa Rosa because, using the following criteria they were not ranked as highly as Access to Care, Healthy Eating and Physical Fitness, Mental Health and Oral Health. The criteria used were: - Magnitude/Scale of the Problem: the health need affects a large number of people within the community - Severity of Problem: the health need has serious consequences (morbidity, mortality, and/or economic burden) for those affected - Kaiser Permanente Assets: KP has relevant expertise and/or unique assets as an integrated health system to make a meaningful contribution - Existing or Promising Approaches: there are effective or promising strategies to address the need - Health Disparities: the health need disproportionately impacts the health status of one or more vulnerable population groups - Ability to Leverage: opportunity to collaborate with existing community partners working to address the need, or to build on current programs, emerging opportunities, or other assets. - Community Prioritization: the community prioritizes the health need over other health needs KFH Santa Rosa has unique resources and capacity to dedicate to the four chosen health needs. In addition, there are other strong community partners who are currently addressing the needs below. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Santa Rosa will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. The needs that will not be addressed are: 1. Access to Substance Use Disorder Services 2. Barriers to Health Aging 3. Disparities in Educational Attainment 4. Cardiovascular Disease 5. Adverse Childhood Experiences 6. Lung, Breast and Colorectal Cancer 7. Tobacco Use line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - ANTIOCH EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: INPUT WAS GATHERED THROUGH FOCUS GROUPS AND KEY INFORMANT INTERVIEWS. LINE 6A: JOHN MUIR HEALTH Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. Although ten significant community health needs were identified through the CHNA process, the Diablo Contributions Committee made the decision to address no more than four community health needs in order to enhance the impact of our investment and effort. The Contributions Committee process described above led to the decision not to address the following five needs directly as they did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing KP or community assets, the existence of promising approaches or the presence of health disparities. In addition, there are other strong community partners who are currently addressing the needs below. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Antioch will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. The needs that will not be addressed are: Local Specialty Care for Low-Income Populations; Asthma Prevention and Management; Affordable, Local Mental Health Services; Affordable, Local Substance Abuse Treatment Services; Parenting Skills and Support; and Economic Security. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - FRESNO EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: Adventist Health/Adventist Medical Center, Hanford; Adventist Medical Center, Reedley; Clovis Community Medical Center; Coalinga Regional Medical Center; Corcoran District Hospital; Community Regional Medical Center (includes Community Behavioral health Center); Children's Hospital Central California; Fresno Heart and Surgical Hospital; Kaweah Delta Medical Center; Madera Community Hospital; San Joaquin Valley Rehabilitation Hopsital; Sierra Veiw District Hospital; St Agnes Medical Center; Tulare Regional Medical Center. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. KFH Fresno is addressing all but one of the community-identified significant health needs: mental health. The magnitude and complexity of the mental health needs in the KFH Fresno Service Area require considerable coordination between the various county health departments, community clinics and health centers as well as other providers and support services. Without the collective capacity to focus on mental health services coordination in the KFH Fresno Service Area, which includes all or part of four counties, the contributions of any one organization will not make a significant positive impact and will not be sustainable. In addition, the CHNA showed inconclusive data on the nature of the need, e.g. types of services most needed, effective outreach strategies for unique populations in the community and degree of community priority. Mental health ranked low in terms of ability to make a meaningful contribution, availability of effective strategies to address the health issue, ability to leverage existing relationships and programs, and prevention opportunity. Other lower-priority community-identified health needs include: Substance abuse; Education; Tobacco use; Responsible sexual behavior; Environmental quality; Injury and violence; Immunization; Infant mortality; and Premature death. KFH Fresno did not select these needs because they did not rank highly on internal selection criteria such as KP ability to make a meaningful contribution, existing programs to leverage, community priority, severity, magnitude and strong prevention opportunity. Some of the lower-priority health needs will be addressed indirectly through the selected priority health needs. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Fresno will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KAISER WESTSIDE MED CTR EXPLANATIONS PART V, SECTION B. ********************************************************************** line 2: Westside Medical Center opened on 8/6/2013. LINE 5: Community input from across the primary and secondary service areas was incorporated into the CHNA process to identify and prioritize health needs. KPNW staff accounted for community input as part of the CHNA process in the following ways: - Identifying existing sources of primary data/community input (within 3 years prior to CHNA). - Conducting stakeholder interviews to assess local community health system capacity. - Facilitating community listening sessions and surveys. - Participating in three (3) regional collaborative groups' community health assessment process. - Community input informed the CHNA process across the KPNW region, but the sources and methodology varied across the primary and secondary hospital service areas. *Stakeholder list can be provided upon request. Line 6a: KFH Westsides CHNA was conducted with KFH Sunnyside. Both KFH hospitals share the same primary service area. line 6b: KFH Hospitals helped found and has participated in the development of Healthy Columbia Willamette, a collaborative effort including 15 area hospitals and health systems as well as four county health departments and two Coordinated Care Organizations (CCOs) Healthy Columbia Willamette was formed to support member organizations in responding to the new ACA federal requirements and to catalyze the collective efforts of health and public health leaders in the Portland metropolitan area to have coordinated and meaningful impact on the health of the region. KPNW Community Benefit staff contributes to the on-going assessment efforts of Healthy Columbia Willamette and participates in two other regional collaborative groups in KFH's secondary service areas to expand Kaiser Permanente's community partnerships and improve community health in the Northwest region. Metro Area (members of Healthy Columbia Willamette collaborative): - Adventist Medical Center - Legacy Health System (5 hospitals) - Oregon Health & Science University - PeaceHealth Southwest Medical Center - Providence Health (4 hospitals) - Tuality Community Hospital - Health Share of Oregon (CCO) - Familycare (CCO) - Clackamas County Public Health Division - Clark County Public Health Department - Multnomah County Health Department - Washington County Public Health Division SW Washington Area: - Peace Health St. John's Medical Center - Cowlitz County Health Department - Longview School District - Pathways 2020 Mid-Valley Area: - Salem Hospital - Marion County Health Department - Polk County Health Department Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. KFH hospitals prioritized and selected five health needs to address throughout our service area. Listed below are the five selected needs followed by a high-level description of the strategies we are currently implementing. For a full description of all of KFH hospitals' health improvement strategies, please refer to the Implementation Strategy report. Access to care - KFH Hospitals are primarily addressing access to care through Medicaid, Medical Financial Assistance, Charitable Health Coverage, and Community Access programs, as well as through grant funding to Safety Net clinics and contracted hospitals. Nutrition and physical activity related chronic disease - KFH Hospitals are primarily addressing chronic disease through regional collaborations promoting healthy eating active living (HEAL) policies and behaviors, and a healthy food access grant initiative, and by awarding grants to community organizations that promote HEAL clinical and community activities. Oral health - KFH Hospitals are primarily addressing oral health through Dental Medicaid, Dental Financial Assistance, and Charitable Health Coverage programs, as well as the through participation in an oral health funders collaborative and an oral health grant initiative providing supporting local organizations that provide oral health prevention and treatment services. Mental health - KFH Hospitals are primarily addressing mental health through behavioral health grants and grant initiatives that support both prevention and treatment efforts in adult and school-aged children as well as partnering with Oregon Children's theater to deliver Kaiser Permanente's Educational Theatre Program which serves children grades K-12 with programming to support health and well-being. Maternal and infant health - KFH Hospitals are primarily addressing maternal and infant health through providing perinatal care through community access programs, awarding grants to programs that improve perinatal health or provide teen pregnancy prevention, and through collaborations to support and promote breastfeeding. The remaining prioritized health needs will not be addressed because using the criteria described previously, they were not ranked as highly as Nutrition and Physical Activity-related Chronic Disease, Maternal and Infant Health, Access to Health Care, Oral Health, and Mental Health. The region has a unique set of resources and capacity to dedicate to the five selected health needs. In addition, there are other strong community partners and networks who are currently addressing the needs below. The needs that will not be addressed are: - Economic security - Cancer - Tobacco use - Sexually transmitted disease - Injury line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level.
KFH - SAN LEANDRO EXPLANATIONS PART V, SECTION B. ********************************************************************** Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - VACAVILLE EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: Sutter Solano Medical Center, Vallejo; North Bay Medical Center, Fairfield; La Clinica. line 6b: Solano County Public Health Department, Solano Coalition for Better Health, Solano County Public Health Department, Community Clinic Consortium, and La Clinica de la Raza. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The following prioritized health needs for KFH Vacaville service area - Transportation limitations; Lack of or limited access to dental care; Limited places and social space for civic engagement; Unstable housing and homelessness; Lack of substance abuse treatment and rehabilitation; and Exposure to unclean air, environmental toxins and pesticides - will not be addressed by KFH Vacaville because, using criteria such as the severity of the problem or the ability to leverage resources, they did not rank as high as other needs. In addressing access to culturally appropriate, affordable health care services; access to affordable healthy food; lack of safe places to walk, bike, exercise, or play; and lack of employment and vocational training, KFH Vacaville has unique resources, expertise, and capacity to dedicate to the four chosen health needs. Lastly, a number of community partners have undertaken initiatives to address the needs not selected. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Vacaville will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - SOUTH SAN FRANCISCO EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: Sequoia Hospital; Lucile Packard Children's Hospital at Stanford; San Mateo Medical Center; Seton Medical Center; Stanford Hospital and Clinics; Mills-Peninsula Health Services. line 6b: San Mateo County Health Department, Health Plan of San Mateo, Hospital Consortium of San Mateo County, Peninsula Health Care District, Peninsula Library System Community Information Program, San Mateo County Human Services Agency, Silicon Valley Community Foundation. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The following health needs will not be addressed by KFH South San Francisco. Rationale for why they won't be addressed is also provided. A. Cancer: The spectrum of the problem is so broad that Community Benefit investments could not impact it. Kaiser Permanente is doing research. Smoking prevention efforts already in place could prevent lung cancer. B. Infant Mortality: Magnitude of the problem is small, and infant mortality rates are better than those in other counties. The health need was a lower priority for the community overall. C. Infectious Diseases:This issue is of lower impact. It is also very general, and some of the diseases fluctuate, so there are fewer proven methods to address the health need. There does not appear to be a high level of organizational commitment to the issue in comparison to other issues, and the community placed this health need as a lower priority than those ultimately chosen. D. Poor Oral/Dental Health: Not many internal assets (resources nor expertise). Needs are addressed by San Mateo County programs. Effective approaches could be incorporated under Access to Care (which is a chosen need). E. Respiratory Conditions: The need and potential impact of KP investment not as great as other needs. The need is currently being addressed by healthcare systems directly. F. Sexually Transmitted Diseases, including HIV-AIDS: This issue is less of a problem in San Mateo County compared with other health needs. There does not appear to be a high level of organizational commitment to the issue in comparison to other issues, and the community placed this health need as a lower priority than those ultimately chosen. G. Violence: Systemic issues related to mental health and substance abuse issues were of greater concern than violence as a standalone health need. Effective approaches could be incorporated under Behavioral Health (which is a chosen need). While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH South San Francisco will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - SAN RAFAEL EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: Marin General Hospital; Novato Community Hospital. line 6b: Healthy Marin Partnership, Marin Health and Human Services. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. Listed below are the community-prioritized health needs for Marin County that will not be addressed by KFH San Rafael because, using the following criteria, they were not ranked as highly as Access to Care, Healthy Eating and Physical Fitness, Mental Health and Substance Abuse. The criteria used were: - Level of community concern regarding the need - Ability to leverage established, or promote/encourage new community partnerships to address the need - Build community capacity and available community expertise/resources to address the need - Ability to have a meaningful impact on community health through prevention/early intervention or contributions of Kaiser Permanente resources, staff expertise, technical assistance or in-kind support - Availability of effective or promising strategies, preferably evidence-based, that could be applied to address the need - Degree of racial/ethnic/socioeconomic status inequity in the prevalence/severity of the need - Prevalence/severity of the need KFH San Rafael has unique resources and capacity to dedicate to the four chosen health needs. In addition, the selection committee recognized there are other strong community partners who are currently addressing or are better suited to address the needs below. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH San Rafael will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. The needs that will not be addressed are: - Heart Disease - Cancer - Socioeconomic Status - Social Supports line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - HAYWARD EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. Some of the prioritized health needs for Hayward - Access to Education and Training Programs; Exercise/Active Living; Access to Information and Referral to Appropriate Programs - will not be addressed by KFH Hayward because they were not ranked as high as access to behavioral health care and services, access to affordable, healthy food, ensuring safe and healthy environments and access to preventive health care services. KFH Hayward has unique resources and capacity to dedicate to the chosen health needs. The group recognized that the needs not selected would be addressed in some of the strategies developed for the other selected health needs, as a number of them have multiple outcomes that can affect other health needs. In addition, there are a number of existing organizations spearheading community-based initiatives that are currently addressing the needs not selected. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Hayward will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - FREMONT EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. Some of the prioritized health needs for Fremont - Access to Education and Training Programs; Exercise/Active Living; Access to Information and Referral to Appropriate Programs - will not be addressed by KFH Fremont because they were not ranked as high as access to behavioral health care and services, access to affordable, healthy food, ensuring safe and healthy environments and access to preventive health care services. KFH Fremont has unique resources and capacity to dedicate to the chosen health needs. The group recognized that the needs not selected would be addressed in some of the strategies developed, as a number of them have multiple outcomes. In addition, there are a number of existing organizations spearheading community-based initiatives that are currently addressing the needs not selected. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Fremont will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - MORENO VALLEY EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: KFH-Riverside line 6b: Borrego Community Health Foundation; California State University, San Bernardino; Carolyn E Wylie Center; Clinicas de Salud del Pueblo Inc.; Coachella Valley Volunteers in Medicine; Community Action Partnership, Riverside County; County Executive Office, Riverside County; Desert AIDS Project; Desert Samaritans for Seniors; El Sol Neighborhood Education Center; Esperanza Youth and Family Center; FIND Food Bank; First 5 Riverside; Healthy Family Foundation; Healthy Heritage Movement; Inland Agency-The Pink Ribbon Place; Inland Empire Health Plan; Latino Health Access; Lestonnac Free Clinic; Lowe and Associates; Martha's Village and Kitchen; MFI Recovery Center; Michelle's Place; Moreno Valley Chamber of Commerce; Moreno Valley Unified School District; Murrieta Valley Unified School District; Music Changing Lives; Neighborhood Healthcare; Nonprofit Resource Center; Oak Grove Center for Education Training & the Arts; Path of Life Ministries; Project KIND; Provident Bank; Quinn Community Outreach Corp.; Regional Access; Project Foundation; Riverside Community College Dental Program; Riverside Community Health Foundation; Riverside County Department of Mental Health; Riverside County Department of Public Health; Riverside County Public Health Nursing; Riverside County Regional Medical Center; Riverside-San Bernardino County Indian; Health, Inc.; Safe Alternatives for Everyone; Southern California Permanente Medical Group (SCPMG); Southwest California Legal Council; Southwest Healthcare; St. Patrick Church; Student Run Health Clinic; The California Endowment; THINK Together; United States Veterans; United Way of the Inland Valleys; University of California, Riverside School of Medicine; Urban Community Action Project; Whiteside Manor. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The remaining prioritized health needs for Moreno Valley will not be addressed by KFH-Moreno Valley because, using a set of criteria, they were not ranked as highly as the health needs that were selected (access to Care, which includes Mental Health, Oral Health, and Service Infrastructure, Obesity and Overweight, and Diabetes, which also includes Service Infrastructure). KFH-Moreno Valley has unique resources and capacity to dedicate to the three chosen health needs. In addition, there are other strong community partners who are currently addressing the needs below. The needs that will not be addressed are: 1. Asthma; 2. Cancer; 3. Cardiovascular Disease (including hypertension, heart disease, and stroke); 4. Community Violence; 5. Economic Instability. KFH-Moreno Valley will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - RICHMOND EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The remaining prioritized health needs for Richmond - Economic security; Affordable community-based mental health services; Safe outdoor spaces; Local specialty care for low-income populations; and Affordable community-based substance abuse services - will not be addressed by KFH Richmond because they were not ranked as highly as access to care, healthy eating active living, violence prevention and asthma prevention. Specifically, economic security will be indirectly addressed through the access to care and violence prevention strategies. Affordable community-based mental health services and affordable community-based substance abuse services were not selected because of KPs limited capacity and assets to provide services that can impact the broader service area. Although safe outdoor spaces similarly was not selected as a priority health need because of KPs limited capacity and assets to provide such services, it is addressed in the violence prevention health need. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Richmond will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - MANTECA EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: St Joseph's Medical Center; Dameron Hospital; Sutter Tracy Community Hospital. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. Needs not selected by KFH Manteca include: Lack of or limited access to dental care; Lack of or limited access to health education; Acculturation, limited cultural competence in health and related systems; and Limited transportation options. These health needs were not ranked as highly as Access to Primary and Preventive Care Services and Healthy Foods/Physical Activity and will not be addressed by KFH Manteca based on the rationale described below. However, a number of the strategies developed to address Access to Primary and Preventive Care Services and Healthy Foods/Physical Activity will impact the other health needs not selected. For example, strategies to increase healthy eating and physical activity may in part address lack of or limited access to health education. Strategies implemented to increase access to primary and preventive care services populations may address acculturation and limited cultural competence in health and related systems. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Manteca will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. Specific rationale for the health needs "not selected to address" is provided below: 1. Lack of or limited access to dental care: KFH Manteca does not offer dental services and does not have oral health expertise in-house. 2. Lack of or limited access to health education: The community assigned a moderate level of prioritization to this health need. Limited potential impact on health outcomes due to lack of opportunities for leveraging policy change or placed based strategies in this area. 3. Acculturation, limited cultural competence in health and related systems: Acculturation was ranked as the second lowest priority after criteria to select health needs to address were applied. Cultural competence is addressed in part through KFH Manteca strategies in Access to Primary Care and Preventive Services and Healthy Foods/Physical Activity. 4. Limited transportation options: Limited transportation was ranked as one of the lowest priority health needs in the CHNA. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 KAISER PERMANENTE POST ACUTE CARE CENTER
1440 168TH AVE
SAN LEANDRO,CA94578 		SKILLED NURSING
2 MENTAL HEALTH CENTER
765 W COLLEGE ST
LOS ANGELES,CA90012 		MENTAL HEALTH
3 BROOKSIDE RESIDENTIAL TREATMENT CENTER
10180 SOUTHEAST SUNNYSIDE RD
CLACKAMAS,OR97015 		INPATIENT MENTAL HEALTH SVCS
4 SANTA CLARA PHF
3840 HOMESTEAD ROAD
SANTA CLARA,CA95051 		MENTAL HEALTH
5 CHEMICAL DEPENDENCY PROGRAM
17046 MARYGOLD AVE
FONTANA,CA92335 		CHEMICAL DEPENDENCY
6 INTERSTATE SURGICAL CENTER
3500 N INTERSTATE AVE
PORTLAND,OR97227 		AMBULATORY SURGERY
7 SUNNYBROOK SURGICAL CENTER
10180 SOUTHEAST SUNNYSIDE RD
CLACKAMAS,OR97015 		AMBULATORY SURGERY
8 SKYLINE SURGICAL CENTER
5135 SKYLINE ROAD SOUTH
SALEM,OR97306 		AMBULATORY SURGERY
9 CENTER FOR HEALTH RESEARCH
3800 N INTERSTATE AVE
PORTLAND,OR97227 		RESEARCH CENTER
10
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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.
Form and Line Reference Explanation
Part I Line 7 The losses attributed to providing charity care (medical financial assistance and charitable health coverage) and participation in select government or community sponsored health coverage programs are calculated using a cost-based methodology for patients in those programs. The cost-based loss is generated through the standard systems used to report on market segments for KFHP/KFH's commercial business lines. In order to calculate the percentages reported in column (f) bad debt was excluded.
Part III Line 4 The organization's financial statement is part of a combined report, The combined statement does not have a footnote related to bad debt. The organization reports Accounts Receivable - net. The calculation begins with gross revenue and multiplies that value by a bad debt percentage which is based on a look back period that is aligned with our reserve model timelines. For specific revenue types within Account Receivable, we applied that bad debt percentage to the general ledger self pay gross charges to determine the bad debt amount. Copay charge codes (less POS payments) we apply a bad debt ratio based on a lag model to give us our estimated copay bad debt. Deductible-HMO and High Deductible Health Plan is also based on a report that pulls their respective gross charges and applies a ratio based on a lag model for those lines of business to calculate our estimated bad debt.
Part III Line 8 None of the amounts reported on Part III, line 7 has been treated as community benefit. The cost accounting system takes inputs from the General Ledger, utilization and other statistics, products from the chargemasters, and Relative Value Units (RVUs) to cost the individual products. These costs are then aggregated to form an encounter cost. Revenues received are applied to reduce the cost to a net loss, which is the reported value. Our systems aggregate these costs into the patient's assigned line of business to create our standard line of reporting.
Part III Line 9b When a patient/guarantor indicates an inability to pay (charity care), the patient/guarantor will be evaluated for charity care in accordance with established criteria outlined in the Medical Financial Assistance (MFA) Program. In addition, outside collection agencies will cancel and return on a retrospective basis any accounts that either would have qualified or now qualify for charity care according to the criteria outlined in the MFA Program.
needs assessment In California and Oregon, each KFH medical center is required to conduct a community needs assessment every three years. The assessments may be conducted individually by each hospital or in collaboration with other hospitals, community-based agencies and public service organizations. Each needs assessment provides a summary of the needs assessment process undertaken including the methodologies and data sources utilized, individuals and organizations consulted, a complete listing of the needs identified and description of the method used to prioritize needs for inclusion in the individual community benefit plans. The most recent needs assessments were completed in 2013.
patient education of eligibility for assistance In California, Hawaii, Oregon and Washington, information regarding assistance is widely available to patients and the general public as well as Health Plan members throughout the facility. Kaiser Permanente physicians and staff are also a source of information for patients requesting medical financial assistance. The availability and contact information about Kaiser Permanente's Medical Financial Assistance Program (MFAP) are posted in the emergency departments, billing and admitting offices and hospital-based outpatient departments. Information is also publicly posted on our websites and in public entrances of hospitals, medical office buildings, urgent care and outpatient pharmacies. In addition, a special MFAP 800# hotline (in several languages) has been established. This number is included on all bill correspondence, brochures and signage. MFAP information can also be found on the publicly accessible KP web site. All patients identified as "self pay" and who have received care in a Kaiser Permanente emergency department or hospital-based outpatient department are required to receive a Medical Financial Assistance brochure which contains eligibility information on the charity care programs and self pay discounts. All brochures and applications are provided in English or other appropriate languages such as Spanish, Chinese, Armenian, Russian and Farsi.
community information KFH SERVES COMMUNITIES IN CALIFORNIA, HAWAII, AND OREGON. THE COMMUNITIES WE SERVE ARE DIVERSE AND INCLUDE BOTH LESS POPULOUS AND DENSELY POPULATED CITIES AND COUNTIES. OUR COMMUNITIES ARE DIVERSE IN MANY WAYS INCLUDING INCOME, RATE OF UNINSURED, HIGH SCHOOL GRADUATION AND LIMITED ENGLISH PROFICIENCY. OUR FACILITIES AND THE PEOPLE WHO WORK WITHIN THEM ARE LOCATED WITHIN, AND ARE PART OF OUR COMMUNITIES. KFH owns and operates 39 licensed hospitals, including five licensed hospitals with multiple campuses in California, Hawaii and Oregon. In California, KFH medical centers are located in the cities of Anaheim, Antioch, Baldwin Park, Downey, Fontana, Fremont, Fresno, Harbor City, Hayward, Irvine, Los Angeles, Manteca, Modesto, Moreno Valley, Oakland, Ontario, Panorama City, Redwood City, Richmond, Riverside, Roseville, Sacramento, San Diego, San Francisco, San Jose, San Leandro, San Rafael, Santa Clara, Santa Rosa, South Sacramento, South San Francisco, Vacaville, Vallejo, Walnut Creek, West Los Angeles, and Woodland Hills. In Hawaii, the Moanalua Medical Center is located in the City of Honolulu on the island of Oahu. In Oregon, the Sunnyside Medical Center is located in the City of Clackamas and Kaiser westside medical center in Hillsboro. Ncal scal Hawaii nw ---- ---- ------ -- Total population in area (mil)* 11.8 21.7 1.3 2.7 Median Household Income**** $75,643 $59,409 $57,415 $70,098 % below 200% FPL***** 30.99 37.44 33.93 25.74 % below 100% fpl* 13.45 15.74 10.8 13.92 % w/o public or private health ins* 13.28 20.15 6.84 14.65 % Population Age 5+ with limited English Proficiency* 16.82 21.84 12.55 7.8 High School Graduation Rate** 83.85 82.96 75.3 71.8 Unemployment Rate (%)*** 7 8 4.6 6.5 (SOURCE: US CENSUS 2010 AMERICAN COMMUNITY SURVEY S2701, CPO3, AND DP03 LIMITED TO APPROXIMATE KAISER SERVICE AREAS (MSA) IN EACH OF the 4 REGIONS. (INCLUDES the ENTIRE STATE OF HAWAII) * US Census Bureau, American Community Survey: 2008-12 ** National Center for Education Statistics, NCES - Common Core of Data: 2008-09 *** US Department of Labor, Bureau of Labor Statistics: 2014 - July **** Kaiser Permanente Utility for Care Data Analysis, GEMS Member & Population Demographics Report, Q2 2015 ***** US Census Bureau, American Community Survey. 2009-13 KAISER PERMANENTE'S COMMITMENT TO THE COMMUNITY AND PROMOTION OF COMMUNITY HEALTH Since our beginnings, we have been committed to helping shape the future of health care. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. KFH is committed to the belief that good health is a fundamental right shared by all, and we recognize that good health extends beyond the doctor's office and the hospital. Like our approach to medicine, our work in the community takes a prevention-focused, evidence-based approach. We go beyond traditional corporate philanthropy or grant-making to leverage financial resources with medical research, physician expertise, and clinical practices. Historically, we have focused our investments in three areas-Health Access, Healthy Communities, and Health Knowledge-to address critical health issues in our communities. For many years, we have worked collaboratively with other organizations to address serious public health issues such as obesity, access to care, and violence. We have conducted Community Health Needs Assessments (CHNA) to better understand each community's unique needs and resources. The CHNA process informs our community investments and helps us develop strategies aimed at making long-term, sustainable change-and it allows us to deepen the strong relationships we have with other organizations that are working to improve community health. THE KFHP/KFH BOARD HAS A STANDING COMMUNITY BENEFIT COMMITTEE OF THE BOARD OF DIRECTORS TO OVERSEE THE PROGRAM-WIDE COMMUNITY BENEFIT PROGRAM. KAISER PERMANENTE ALSO HAS A NATIONAL EXECUTIVE OF KFHP AND KFH TO LEAD KAISER PERMANENTE'S COMMUNITY BENEFIT PROGRAM AS A FULL-TIME ASSIGNMENT. RAYMOND J. BAXTER, PHD IS THE SENIOR VICE PRESIDENT FOR COMMUNITY BENEFIT, RESEARCH AND HEALTH CARE POLICY REPORTING TO THE CEO AND CHAIRMAN OF THE BOARD.
promotion of community health KFH's principal purpose is to provide hospital, medical, and surgical care, including emergency services, extended care and home health care to members of the public without regard to age, sex, race, religion or national origin, or to the individual's ability to pay. KFH SHARES THE KAISER PERMANENTE MISSION, OF PROVIDING AFFORDABLE HIGH QUALITY HEALTH CARE TO OUR MEMBERS, AND IMPROVING THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE. KFH's general community benefits include: Emergency departments - KFH operates full-time emergency departments in each of its 38 licensed hospitals, including five licensed hospitals with multiple campuses in California, Hawaii and Oregon. Emergency medical services are available to all individuals regardless of their ability to pay. Care provided to all patients - Hospital care is provided to individuals with health care coverage from any private or government-sponsored health plan, insured and uninsured referrals from safety net and other public health partnerships, and uninsured patients admitted through the emergency department. Open Medical Staff Privileges - Staff privileges in the hospitals are available to community practitioners who are not affiliated with a Permanente Medical Group. Reinvestment of Surplus Revenues - KFHP pays KFH for hospital services and surplus revenues are reinvested IN THE furtherance OF THE EXEMPT PURPOSE, for capital replacement or expansion of facilities and equipment, debt amortization, improvement in patient care and services, and other community benefit services including charity care, medical education and research. In addition, KFH is committed to operating to intentionally protect and preserve the environment and scarce resources. Poor environmental quality contributes to disease and economic insecurity. Kaiser Foundation Hospitals has therefore committed itself to protecting and improving the natural environment as a key component of our mission to improve healthcare quality and affordability. To fulfill this commitment, Kaiser Foundation Hospitals maintains a structure for environmental stewardship that enables the organization to continuously improve its environmental performance. This structure includes clearly defined roles, responsibilities, plans and routines, and has resulted in five organization-wide 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: 1. Finding safe alternatives to harmful industrial chemicals 2. Responding to climate change 3. Promoting sustainable farming and food choices 4. Reducing, reusing, and recycling to eliminate waste 5. Conserving water In each of these focus areas, Kaiser Foundation Hospitals has established ambitious goals, implemented initiatives, achieved measurable improvements, and regularly reported progress to our Board of Directors, our staff, and the communities we serve.
affiliated health care system Kaiser Permanente is a not for profit, integrated health care delivery system comprised of Kaiser Foundation Hospitals, Kaiser Foundation Health Plan, and The Permanente Medical Groups. For more than 65 years, Kaiser Permanente has been dedicated to providing high-quality, affordable health care services and to improving the health of our members and the communities we serve. Kaiser Foundation Hospitals (KFH) and Kaiser Foundation Health Plan, Inc. (KFHP), with its four principal operating tax-exempt subsidiary health plans-Kaiser Foundation Health Plan of Colorado; Kaiser Foundation Health Plan of Georgia, Inc.; Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.; and Kaiser Foundation Health Plan of the Northwest, are nonprofit corporations that are part of the integrated health care delivery system known as the Kaiser Permanente Medical Care Program or "Kaiser Permanente." Kaiser Permanente is an integrated health care delivery system that combines the provision and financing of health care services. People who elect to enroll in a Kaiser Permanente health plan receive a full range of prepaid health care services, including hospital care, professional care in hospitals and physicians' offices, x-ray and laboratory services, physical therapy, emergency, ambulance transportation, preventive services, health education and certain prescribed drugs. More comprehensive drug coverage is also provided through a separate coverage rider. In the hospital-based regions - California, Hawaii and Northwest, Kaiser Permanente is comprised of several separate legal organizations: KFH - a California nonprofit public benefit corporation exempt from federal income tax under Internal Revenue Code 501(c)(3); KFHP - a California nonprofit public benefit corporation exempt from federal income tax under Internal Revenue Code 501(c)(3); Northwest Health Plan - an Oregon nonprofit corporation. Kaiser Permanente contracts with various medical groups in each respective region to provide services to members. Persons enroll in Kaiser Permanente through KFHP or one of the Health Plan subsidiaries ("Health Plan"). Health Plan provides and arranges comprehensive health care services for members on a predominantly prepaid basis and fulfills its contractual obligations to group and individual members by contracting with KFH and a Permanente Medical Group to provide the required health care services. KFHP and KFH are separate corporations governed by identical boards of directors. KFH accepts responsibility to provide or arrange necessary hospital services and facilities for Health Plan members. KFH owns and operates 39 licensed hospitals, including five licensed hospitals with multiple campuses in California, Hawaii and Oregon, which provide emergency and in-patient 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 hospital services to members for specialized care and other services.
state filing of community benefit report KFH annually prepares and submits a Consolidated Community Benefit Plan to the California Office of Statewide Health Planning and Development in compliance with Health and Safety Code Section 127340 et seq. The consolidated plan includes a hospital-specific community benefit plan for each individual medical center campus in California. KFH also annually prepares and submits a comprehensive Community benefit report to the Department of Human Services, Office for Oregon Health Policy and Research for the Sunnyside Medical Center located in the City of Clackamas.
Schedule H (Form 990) 2014
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
2014
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 Domestic Organizations and Domestic Governments. 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 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 Suite 211
Norco,CA92860 		20-8425786 501(c)(3) 20,000       Project Support
(2) 18 Reasons aka My Three Square
3150 18th St 315
San Francisco,CA94110 		45-3059509 501(c)(3) 10,000       Project Support
(3) 2B Successful Youth
1069 Meadowlark Drive
Fairfield,CA94533 		26-3309863 501(c)(3) 15,000       Event Support
(4) A Community of Friends
3701 Wilshire Blvd Suite 700
Los Angeles,CA90010 		95-4203106 501(c)(3) 8,000       Project Support
(5) A More Excellent Way Health Improvement
215 Lighthouse Drive
Vallejo,CA94590 		14-2011697 501(c)(3) 11,390       Project Support
(6) A Place Called Home
2830 South Central Avenue
Los Angeles,CA90011 		95-4427291 501(c)(3) 10,000       Event Support
(7) A Window Between Worlds
710 4th Avenue 5
Venice,CA90291 		95-4448606 501(c)(3) 17,010       Project Support
(8) ABC Unified School District
16700 Norwalk Boulevard
Cerritos,CA90703 		95-2380644 Government or P 11,950       Event Support
(9) Access Institute for Psychological
110 Gough Street Suite 301
San Francisco,CA94102 		01-0595862 501(c)(3) 25,000       Event Support
(10) AccessOC Southern California
1505 East 17th Street Suite 209
Santa Ana,CA92705 		45-5011901 501(c)(3) 10,000       Event Support
(11) Adelante Youth Alliance
805 N Madison Avenue
Pasadena,CA91104 		15-4819333 501(c)(3) 19,400       Event Support
(12) Adelanto Elementary School District
11824 Air Expressway
Adelanto,CA92301 		95-6000010 Government or P 15,000       Project Support
(13) Adolescent Counseling Services Inc
1717 Embarcadero Road Suite 4000
Palo Alto,CA94303 		53-0192551 501(c)(3) 15,000       Operating Support
(14) Advanced Center for Eyecare
1701 Westwind Dr Ste 101
Bakersfield,CA93301 		27-3257780 501(c)(3) 10,000       Event Support
(15) Advancement Project
1910 West Sunset Blvd Suite 500
Los Angeles,CA90026 		95-4835230 501(c)(3) 10,000       Event Support
(16) Afford Foundation
2821 Rio Linda Dr
Bakersfield,CA93305 		33-0480237 501(c)(3) 10,000       Project Support
(17) Afghan Elderly Association (AEA)
3300 Capitol Ave Bldg B
Fremont,CA94536 		94-3290111 501(c)(3) 25,000       Event Support
(18) AIDS Project Los Angeles Inc
611 S Kingsley Dr
Los Angeles,CA90005 		95-3842506 501(c)(3) 11,600       Conference Support
(19) AIDS Services Center Inc
65 N Raymond Ave Suite 240
Pasadena,CA91103 		95-4165358 501(c)(3) 10,000       Event Support
(20) AIDS Services Foundation
17982 Skypark Circle Suite J
Irvine,CA92614 		33-0126481 501(c)(3) 10,000       Project Support
(21) Alameda County Health Care Services
16335 E 14th Street
San Leandro,CA94578 		94-6000501 Government or P 104,046       Project Support
(22) Alameda County Office of Education
313 West Winton Ave
Hayward,CA94544 		94-6002421 Government or P 98,000       Event Support
(23) Alameda Health Consortium
101 Callan Avenue Suite 300
San Leandro,CA94577 		51-0189590 501(c)(3) 135,000       Project Support
(24) Alameda Health System Foundation
350 Frank H Ogawa Plaza Suite 900
Oakland,CA94612 		94-3103136 501(c)(3) 202,450       Project Support
(25) Albertina Kerr Centers Foundation Inc
424 NE 22nd Avenue
Portland,OR97232 		93-1297104 501(c)(3) 15,000       Project Support
(26) Allen Temple Foundation Inc
8501 International Blvd
Oakland,CA94621 		94-3171539 501(c)(3) 200,000       Conference Support
(27) Alliance Against Violence
1921 19th Street
Bakersfield,CA93301 		95-3604240 501(c)(3) 10,000       Conference Support
(28) Alliance for Housing and Healing
825 Colorado Blvd Suite 100
Los Angeles,CA90041 		95-4147364 501(c)(3) 10,000       Project Support
(29) ALLIANCE HEALTH CLINIC INC
5952 El Cajon Blvd
San Diego,CA92115 		65-1189363 501(c)(3) 10,000       Operating Support
(30) All-Inclusive Community Health Center
1311 San Fernando Blvd
Burbank,CA91504 		27-4198722 501(c)(3) 10,000       Project Support
(31) Al-Shifa Clinic Inc
2034-B Mallory Street
San Bernardino,CA92407 		33-0855769 501(c)(3) 18,000       Project Support
(32) AltaMed Health Services Corp
2040 Camfield Avenue
Los Angeles,CA90040 		95-2810095 501(c)(3) 9,000       Event Support
(33) Alternatives in Action
3666 Grand Ave Suite A
Oakland,CA94610 		94-3210413 501(c)(3) 10,000       Project Support
(34) Alum Rock Counseling Center Inc
777 North 1st Street 444
San Jose,CA95112 		23-7367637 501(c)(3) 65,000       Project Support
(35) Alum Rock Union Elementary School
2050 Kammerer Avenue
San Jose,CA95116 		77-0016360 Government or P 22,750       Project Support
(36) Always Knocking Inc
7030 Indian Lane
Sacramento,CA95822 		26-4635991 501(c)(3) 20,000       Project Support
(37) Alzheimer's Disease and Related
2515 McCabe Way Suite 200
Irvine,CA92614 		95-3702013 501(c)(3) 15,000       Project Support
(38) ALZHEIMERS DISEASE AND RELATED
6632 Convoy Court
San Diego,CA92111 		95-3565388 501(c)(3) 18,420       Project Support
(39) Alzheimers Disease Association of Kern
5500 Olive Drive Building One
Bakersfield,CA93308 		77-0017561 501(c)(3) 15,000       Event Support
(40) Ambrose Recreation and Park District
3105 Willow Pass Road
Bay Point,CA94565 		94-1622656 Government or P 12,000       Project Support
(41) Ambulatory Surgery Access Coalition
1119 Market Street Suite 400
San Francisco,CA94103 		94-3180356 501(c)(3) 328,220       Project Support
(42) America Walks
PO Box PO 10581
Portland,OR97296 		04-3401323 501(c)(3) 250,000       Operating Support
(43) American Academy of Pediatrics
1107 Fair Oaks Ave 111
South Pasadena,CA91030 		33-0025512 501(c)(3) 25,000       Event Support
(44) American Cancer Society Inc
1545 River Park Drive Suite 100
Sacramento,CA95815 		13-1788491 501(c)(3) 29,999       Event Support
(45) American Diabetes Association Inc
4600 Roseville Road Ste 130
North Highlands,CA95660 		13-1623888 501(c)(3) 27,050       Event Support
(46) American Heart Association
426 17th Street Suite 300
Oakland,CA94612 		13-5613797 501(c)(3) 284,117       Event Support
(47) American Lung Association in California
333 Hegenberger Road
Oakland,CA94621 		94-0362650 501(c)(3) 53,000       Project Support
(48) American National Red Cross
1300 West Shaw Avenue Suite 4B
Fresno,CA93711 		53-0196605 501(c)(3) 88,100       Event Support/Board Matching Gift
(49) Ann Martin Children's Center
1375 55th Street
Emeryville,CA94608 		94-6099000 501(c)(3) 11,900       Project Support
(50) Another Choice Another Chance
7000 Franklin Blvd Suite 625
Sacramento,CA95820 		68-0184117 501(c)(3) 40,000       Project Support
(51) Antelope Valley College Foundation
3041 West Avenue K
Lancaster,CA93536 		95-4398700 501(c)(3) 20,000       Project Support
(52) Antelope Valley Partners for Health
45104 10th Street West
Lancaster,CA93534 		47-0957404 501(c)(3) 30,000       Project Support
(53) Antioch Unifed School District
510 G Street
Antioch,CA94509 		86-1134505 Government or P 15,000       Event Support
(54) AREA AGENCY ON AGING-SERVING NAPA
PO Box 245693
Vallejo,CA94590 		94-2742309 501(c)(3) 20,000       Project Support
(55) Arrowhead United Way
646 North D Street
San Bernardino,CA92402 		95-1934586 501(c)(3) 10,000       Project Support
(56) Ashland Free Medical Clinic
50 E Lewelling
San Lorenzo,CA94580 		68-0554276 501(c)(3) 15,000       Project Support
(57) Asian American-Pacific Islanders
211 Sutter Street Suite 600
San Francisco,CA94118 		94-3150064 501(c)(3) 10,000       Project Support
(58) Asian Americans Advancing Justice
1145 Wilshire Blvd Second Floor
Los Angeles,CA90017 		95-3854152 501(c)(3) 14,350       Event Support
(59) Asian Americans for Community
2400 Moorpark Ave Suite 300
San Jose,CA95128 		94-2292491 501(c)(3) 50,000       Event Support
(60) Asian Community Mental Health Board
310 8th Street Suite 201
Oakland,CA94607 		94-2248390 501(c)(3) 10,000       Operating Support
(61) Asian Health Services
818 Webster Street
Oakland,CA94607 		94-2235908 501(c)(3) 14,100       Event Support
(62) Asian Pacific Islander American Public
4000 Truxel Road Suite 3
Sacramento,CA95834 		55-0849384 501(c)(3) 9,500       Conference Support
(63) Asian Pacific Women's Center Inc
244 South San Pedro St Suite 504
Los Angeles,CA90012 		93-1102854 501(c)(3) 18,500       Project Support
(64) Asian Resources Inc
2800 Stockton Blvd
Sacramento,CA95824 		94-2658135 501(c)(3) 17,700       Project Support
(65) Asian-American Educational & Cultural
1115 South E Street
San Bernardino,CA92408 		33-0749876 501(c)(3) 10,000       Project Support
(66) Assistance League of Redlands
506 Colton Avenue
Redlands,CA92374 		95-2131653 501(c)(3) 15,000       Project Support
(67) Association of Black Foundation
333 7th Avenue 14th Floor
New York,NY10001 		23-7156531 501(c)(3) 10,000       Project Support
(68) Attitudinal Healing Connection Inc
3278 West Street
Oakland,CA94608 		94-3178158 501(c)(3) 5,100       Event Support
(69) Axis Community Health Inc
4361 Railroad Avenue
Pleasanton,CA94566 		94-2232394 501(c)(3) 302,450       Event Support
(70) Azusa Pacific University
901 E Alosta Avenue
Azusa,CA91702 		95-1744369 501(c)(3) 15,000       Project Support
(71) Baldwin Park Community Center
4100 Baldwin Park Blvd
Baldwin Park,CA91706 		23-7401605 501(c)(3) 10,000       Project Support
(72) Baldwin Park Unified School District
4640 North Maine Ave
Baldwin Park,CA91706 		95-6000213 Government or P 18,000       Project Support
(73) Battle Ground HealthCare
11117 NE 189th Street Suite 216
Battle Ground,WA98604 		27-3148590 501(c)(3) 13,404       Project Support
(74) Bay Area Bicycle Coalition
1055 Azuar Drive
Fremont,CA94555 		94-3023347 501(c)(3) 35,000       Event Support
(75) Bay Area Black United Fund Inc
3950 Industrial Blvd Suite 600
Oakland,CA94612 		94-2602958 501(c)(3) 26,900       Conference Support
(76) Bay Area Business Roundtable
8517 Earhart Road
Oakland,CA94621 		80-0242181 501(c)(3) 5,800       Event Support
(77) Bay Area Community Resources
873 Second Street
Richmond,CA94804 		94-2346815 501(c)(3) 21,000       Operating Support
(78) Bay Area Council Foundation
353 Sacramento St 10th Floor
San Francisco,CA94111 		20-1826827 501(c)(3) 74,000       Project Support
(79) Bay Area Open Space Council
2150 Allston Way STE 320
Berkeley,CA94704 		46-1573954 501(c)(3) 75,000       Project Support
(80) Bay Area Women Against Rape
1985 Bonifacio Street Suite 100
Oakland,CA94612 		94-2300454 501(c)(3) 20,000       Project Support
(81) Bay Area Women's & Children's Center
1000 Webster Street First Floor
San Francisco,CA94102 		94-2722718 501(c)(3) 23,000       Operating Support
(82) Bay Area Womens Sports Initiative
1922 The Alameda Suite 420
San Jose,CA95126 		55-0897084 501(c)(3) 30,000       Project Support
(83) Bayside Community Center
2202 Comstock Street
San Diego,CA92111 		95-1652902 501(c)(3) 10,000       Project Support
(84) Bear Valley Unified School District
42271 Moonridge Road
Big Bear Lake,CA92315 		95-6006065 Government or P 14,000       Project Support
(85) Being Alive-San Diego
4070 Centre Street
San Diego,CA92103 		33-0439092 501(c)(3) 10,000       Project Support
(86) Benicia Community Action Council
480 MILITARY EAST
BENICIA,CA94510 		68-0294153 501(c)(3) 10,000       Project Support
(87) Benicia Unified School District
350 East K Street
Benicia,CA94510 		30-0385724 Government or P 35,000       Project Support
(88) Berkeley Youth Alternatives
1255 Allston Way
Berkeley,CA94702 		94-1711728 501(c)(3) 12,500       Project Support
(89) Bienvenidos Children's Center Inc
316 West 2nd Street Suite 800
Los Angeles,CA90012 		95-4042883 501(c)(3) 24,000       Project Support
(90) Big Brothers Big Sisters Columbia
1827 NE 44th Ave Ste 100
Portland,OR97213 		93-1303640 501(c)(3) 15,000       Project Support
(91) Big Brothers Big Sisters of the Bay Area
649 Mission Street 5th Floor
San Francisco,CA94105 		23-7108045 501(c)(3) 65,850       Project Support
(92) Bill Wilson Center
3490 The Alameda
Santa Clara,CA95050 		94-2221849 501(c)(3) 25,000       Project Support
(93) Black Parent Initiative (BPI)
2811 NE Holman Street
Portland,OR97211 		20-5686374 501(c)(3) 15,000       Project Support
(94) Borrego Community Health Foundation
4343 Yaqui Pass Road PO Box 2369
Borrego Springs,CA92004 		33-0440021 501(c)(3) 25,000       Operating Support
(95) Boys & Girls Club of Coachella Valley
42600 Cook St 120
Palm Desert,CA92211 		95-6122699 501(c)(3) 10,000       Event Support
(96) Boys & Girls Club of El Sobrante
4660 Appian Way
El Sobrante,CA94803 		94-1525614 501(c)(3) 10,000       Event Support
(97) Boys & Girls Club of Fontana
7723 Almeria Avenue
Fontana,CA92336 		33-0443344 501(c)(3) 10,000       Operating Support
(98) Boys & Girls Club of Hollywood
850 N Cahuenga Blvd
Los Angeles,CA90038 		95-1775142 501(c)(3) 10,000       Project Support
(99) Boys & Girls Club of Pasadena
3230 E Del Mar Blvd
Pasadena,CA91107 		95-1643305 501(c)(3) 10,000       Project Support
(100) Boys & Girls Club of Southwest County
28790 Pujol Street
Temecula,CA92590 		33-0475756 501(c)(3) 10,000       Conference Support
(101) Boys & Girls Club of Tracy Inc
753 W Lowell Avenue
Tracy,CA95376 		68-0028682 501(c)(3) 40,000       Project Support
(102) Boys & Girls Club West San Gabriel
328 South Ramona Avenue
Monterey Park,CA91754 		95-2782501 501(c)(3) 10,000       Project Support
(103) Boys & Girls Clubs North
201 West Orange Avenue
South San Francisco,CA94080 		94-1497000 501(c)(3) 30,000       Operating Support
(104) Boys & Girls Clubs of Fresno County
540 North Augusta St
Fresno,CA93701 		94-1149171 501(c)(3) 15,000       Operating Support
(105) Boys & Girls Clubs of Kern County
801 Niles Street
Bakersfield,CA93305 		95-2462246 501(c)(3) 10,000       Project Support
(106) Boys & Girls Clubs of Oakland
3300 High Street PO Box 23203
Oakland,CA94623 		94-1279794 501(c)(3) 20,000       Project Support
(107) Boys & Girls Clubs of the Diablo Valley
1301 Alhambra Avenue
Martinez,CA94553 		94-1333618 501(c)(3) 10,000       Project Support
(108) Boys and Girls Club of Carson
1950 E 220th Street Suite 102
Carson,CA90810 		33-0475452 501(c)(3) 7,500       Project Support
(109) Boys and Girls Club of Manteca
3000 State University Drive
Manteca,CA95336 		94-2751177 501(c)(3) 45,200       Conference Support
(110) Boys and Girls Club of the Coastside
PO Box 545 600 Church Street
Half Moon Bay,CA94019 		94-3193725 501(c)(3) 10,000       Operating Support
(111) Boys and Girls Clubs
5212 Lemon Hill Ave Sacramento Ca
Sacramento,CA95824 		68-0338324 501(c)(3) 27,050       Event Support
(112) Boys and Girls Clubs of Anaheim Inc
311 East Broadway
Anaheim,CA92805 		33-0356284 501(c)(3) 15,000       Project Support
(113) Breast Cancer Emergency Fund
12 Grace Street Suite 300
San Francisco,CA94103 		20-3203899 501(c)(3) 13,750       Project Support
(114) Breathe California of Los Angeles County
5858 Wilshire Boulevard Suite 300
Los Angeles,CA90036 		95-1641451 501(c)(3) 10,000       Project Support
(115) Breathe California of Sacramento
909 12th Street Suite 100
Sacramento,CA95814 		94-1641240 501(c)(3) 17,589       Event Support
(116) Brighter Beginnings
3701 Barrett Avenue
Oakland,CA94601 		94-2949749 501(c)(3) 52,800       Event Support
(117) Buddhist Tzu Chi Medical Foundation
10414 Vacco St
S El Monte,CA91733 		95-4457939 501(c)(3) 82,750       Project Support
(118) Building A Generation
932 W Cypress Street
Redlands,CA92373 		54-2104001 501(c)(3) 11,000       Project Support
(119) Burrel Union Elementary School District
16704 South Jameson Avenue
Riverdale,CA96356 		77-0559681 Government or P 60,000       Project Support
(120) CSULA Auxiliary Services Inc
5151 State University Dr
Los Angeles,CA90032 		95-4016653 501(c)(3) 8,820       Conference Support
(121) Calico Center
524 Estudillo Ave
San Leandro,CA94577 		94-3256781 501(c)(3) 36,400       Project Support
(122) California Aquatic Therapy & Wellness
6801 Long Beach Boulevard
Long Beach,CA90805 		95-2382016 501(c)(3) 10,000       Operating Support
(123) California Association of Food Banks
1624 Franklin Street Suite 722
Oakland,CA94612 		68-0392816 501(c)(3) 100,000       Project Support
(124) California Black Women's Health Project
9800 S La Cienega Blvd Suite 905
Inglewood,CA90301 		95-4702923 501(c)(3) 9,750       Event Support
(125) California Center For Public Health
1947 Galileo Street Ste 101
Davis,CA95618 		95-4723901 501(c)(3) 210,000       Operating Support
(126) California Community Foundation
445 South Figueroa Street Suite 34
Los Angeles,CA90071 		95-3510055 501(c)(3) 15,000,000       Event Support
(127) California Congress of Parents
2691 Richter Avenue Suite 107
San Francisco,CA94110 		94-3033872 501(c)(3) 23,000       Project Support
(128) California Consortium For Urban Indian
1016 Lincoln Blvd Ste 111
San Francisco,CA94129 		20-4878959 501(c)(3) 60,000       Project Support
(129) California Court Appointed Special
660 13th Street Suite 300
Oakland,CA94612 		68-0163010 501(c)(3) 102,880       Project Support
(130) California Dental Association Foundation
1201 K Street Suite 1511
Sacramento,CA95814 		68-0411536 501(c)(3) 10,000       Conference Support
(131) California Family Health Council Inc
3600 Wilshire Blvd Ste 600
Los Angeles,CA90010 		95-2564024 501(c)(3) 60,000       Project Support
(132) California Food Literacy Center
2973 3rd Avenue
Sacramento,CA95817 		45-3973268 501(c)(3) 10,000       Project Support
(133) California Food Policy Advocates Inc
436 14th Street Suite 1220
Oakland,CA94612 		94-3163142 501(c)(3) 140,000       Project Support
(134) California Health Collaborative
1201 K Street Suite 1511
Fresno,CA93711 		94-2862660 501(c)(3) 91,087       Operating Support
(135) California Medical Association
3840 Rosin Court Ste 150
Sacramento,CA95834 		94-6062822 501(c)(3) 9,204       Project Support
(136) California Pan-Ethnic Health Network
1221 Preservation Park Way Suite 2
Oakland,CA94612 		94-3306223 501(c)(3) 132,585       Event Support
(137) California Parenting Institute
550 Patterson Blvd
Santa Rosa,CA95407 		94-2541640 501(c)(3) 11,600       Project Support
(138) California Primary Care Association
1231 I Street Suite 400
Sacramento,CA95814 		94-3215565 501(c)(3) 170,000       Event Support
(139) California Public Health Association
555 - 12th Street 10th Floor
Oakland,CA94607 		94-3111992 501(c)(3) 10,000       Event Support
(140) California Rural Legal Assistance
4340 Redwood Hwy Suite C400
Sacramento,CA95816 		94-2800442 501(c)(3) 50,000       Operating Support
(141) California School Health Centers
1203 Preservation Park Way Suite 3
Oakland,CA94612 		94-3201896 501(c)(3) 109,480       Conference Support
(142) California State University Long Beach
6300 E State University Drive Suit
Long Beach,CA90815 		95-6106694 501(c)(3) 13,000       Conference Support
(143) California State University Northridge
18111 Nordhoff Street
Northridge,CA91330 		95-6196006 501(c)(3) 10,000       Project Support
(144) California State University Sacramento
3000 State University Drive
Sacramento,CA95819 		68-0365325 Government or P 25,000       Project Support
(145) California Teaching Fellows Foundation
1177 E Shaw Suite 101
Fresno,CA93710 		20-0359353 501(c)(3) 70,000       Event Support
(146) California Youth Connection
1611 Telegraph Avenue Suite 1100
Oakland,CA94612 		94-3141616 501(c)(3) 60,000       Project Support
(147) Calistoga Family Center db Upper Valley
1500 Cedar Street
Castiloga,CA94515 		80-0023012 501(c)(3) 15,000       Project Support
(148) Camarena Health
1351 North C Street
Madera,CA93638 		94-2503904 501(c)(3) 81,500       Project Support
(149) Caminar
2600 S El Camino Real Suite 200
San Mateo,CA94403 		94-1639389 501(c)(3) 20,000       Operating Support
(150) Camp of Champions A & M Inc
64477 Spyglass Ave
Desert Hot Springs,CA92240 		26-2945415 501(c)(3) 14,000       Project Support
(151) Campbell Union School District
1970 Willow Street
San Jose,CA95125 		77-0226428 Government or P 23,000       Project Support
(152) Canal Alliance
414 South Jefferson Street
San Rafael,CA94901 		94-2832648 501(c)(3) 20,000       Operating Support
(153) CANCER PREVENTION INSTITUTE OF CA
2201 Walnut Avenue
Fremont,CA94538 		23-7427232 501(c)(3) 74,947       PassThrough Fed Proj
(154) Capital Public Radio Inc
7055 Folsom Boulevard
Sacramento,CA95826 		68-0223271 501(c)(3) 23,800       Event Support
(155) Care Fresno Inc
4582 E Harvey
Fresno,CA93702 		77-0434973 501(c)(3) 20,000       Operating Support
(156) Care Harbor
5855 Green Valley Circle Suite 204
Culver City,CA90230 		27-2984870 501(c)(3) 20,000       Event Support
(157) CAREGIVERS Volunteers Assisting
1765 Goodyear Avenue 205
Ventura,CA93010 		77-0081692 501(c)(3) 20,000       Project Support
(158) Cascade Aids Project Inc
208 SW Fifth Ave Suite 800
Portland,OR97204 		93-0903383 501(c)(3) 15,000       Project Support
(159) Castro Valley Unified School District
4400 Alma Avenue
Castro Valley,CA94546 		94-1694282 Government or P 24,995       Event Support
(160) Catholic Charities of Los Angeles Inc
10217 S Inglewood Ave
Lennox,CA90304 		95-1690973 501(c)(3) 8,000       Project Support
(161) Catholic Charities of the Diocese
400 12th Street Suite 4
Modesto,CA95354 		94-1629114 501(c)(3) 40,000       Project Support
(162) Catholic Charities of the Diocese
660 13th Street Suite 300
Santa Rosa,CA95403 		94-2479393 501(c)(3) 20,000       Operating Support
(163) Catholic Charities San Bernardino
1450 North D Street
San Bernardino,CA92405 		95-3516461 501(c)(3) 10,000       Project Support
(164) Center for AIDS Research Education
1500 21st Street
Sacramento,CA95811 		68-0162903 501(c)(3) 64,354       Project Support
(165) Center For Community Dispute Settlement
291 McLeod St
Livermore,CA94550 		94-3207385 501(c)(3) 21,000       Event Support
(166) Center for Community Health
1900 T Street
Sacramento,CA95811 		68-0248303 501(c)(3) 20,000       Project Support
(167) Center for Domestic Peace
665 Walnut Ave
San Rafael,CA94901 		94-2415856 501(c)(3) 10,000       Project Support
(168) Center for Health Policy Development
10 Free Street 2nd Floor
Portland,ME04101 		52-1576801 501(c)(3) 182,587       Operating Support
(169) Center for Individual and Family
5445 Laurel Canyon Blvd
North Hollywood,CA91607 		51-0204566 501(c)(3) 9,500       Project Support
(170) Center for Living and Learning
14549 Archwood St 221
Van Nuys,CA91405 		95-4406897 501(c)(3) 15,290       Project Support
(171) Center for the Pacific Asian Family Inc
543 N Fairfax Ave 108
Los Angeles,CA90036 		95-3532351 501(c)(3) 14,600       Project Support
(172) Center for the Partially Sighted
7462 N Figueroa St Suite 103
Los Angeles,CA90041 		95-3771974 501(c)(3) 7,000       Project Support
(173) Center for Wellness and Achievement
401 Van Ness Avenue Suite 319
San Francisco,CA94102 		39-2060766 501(c)(3) 25,000       Event Support
(174) Center For Youth Wellness
3450 Third Street Bldg 2 Suite 2
San Francisco,CA94124 		45-2527627 501(c)(3) 100,000       Capital Fund Support
(175) Centinela Youth Services Inc
11539 Hawthorne Blvd 5th Floor
Hawthorne,CA90250 		95-3821576 501(c)(3) 22,500       Project Support
(176) Central California Asthma Collaborative
4991 E McKinley Ave Suite 109
Fresno,CA93727 		45-3599201 501(c)(3) 30,000       Project Support
(177) Central City Concern Inc
232 NW Sixth Ave
Portland,OR97209 		93-0728816 501(c)(3) 170,000       Project Support
(178) Central City Lutheran Mission
1354 North G Street
San Bernardino,CA92405 		33-0634580 501(c)(3) 15,000       Project Support
(179) Central Coast Alliance United
2021 Sperry Avenue Suite 18
Ventura,CA93003 		77-0578864 501(c)(3) 20,000       Event Support
(180) Central Unified School District
4605 N Polk
Fresno,CA93722 		77-0559747 Government or P 60,000       Event Support
(181) Central Valley Health Network Inc
455 Capitol Mall Suite 601
Sacramento,CA95814 		68-0429643 501(c)(3) 125,000       Operating Support
(182) Centro de Salud La Comunidad
1275 30th Street
San Diego,CA92154 		95-2801772 501(c)(3) 20,000       Project Support
(183) Centro Laboral de Graton
2981 Bowen Street Mailing PO Box 4
Graton,CA95444 		68-0472311 501(c)(3) 10,000       Event Support
(184) Century Center for Economic Opportunity
5021 Lennox Blvd
Lennox,CA90304 		95-3512392 501(c)(3) 10,000       Project Support
(185) Cesar Chavez Foundation
316 West 2nd St Suite 600
Los Angeles,CA90012 		95-2466747 501(c)(3) 9,200       Event Support
(186) Challengers Boys & Girls Club
5029 S Vermont Avenue
Los Angeles,CA90037 		95-2637167 501(c)(3) 20,000       Project Support
(187) ChangeLab Solutions
2201 Broadway Suite 502
Oakland,CA94612 		26-3710746 501(c)(3) 75,000       Project Support
(188) Chapa-De Indian Health Program Inc
1220 Morello Ave Suite 210
Auburn,CA95603 		94-2583156 501(c)(3) 61,574       Project Support
(189) Charles Drew University of Medicine
1731 East 120th Street
Los Angeles,CA90059 		95-6151774 501(c)(3) 30,321       Project Support
(190) Child & Family Center
21545 Centre Pointe Parkway
Santa Clarita,CA91350 		95-3941342 501(c)(3) 15,000       Project Support
(191) Child Abuse Council of Sacramento
610 Commerce Court
North Highlands,CA95660 		94-2833431 501(c)(3) 30,000       Project Support
(192) Children Now
1404 Franklin Street Suite 700
Oakland,CA94612 		94-3059243 501(c)(3) 150,000       Operating Support
(193) Children's Cancer Association
1200 SW Natio Parkway
Portland,OR97209 		93-1181662 501(c)(3) 15,000       Project Support
(194) Childrens Community Resources
971 11th Ave
Longview,WA98632 		91-2011059 501(c)(3) 9,000       Project Support
(195) Childrens Dental Foundation
455 East Columbia Street Suite 32
Long Beach,CA90806 		95-2111124 501(c)(3) 12,500       Project Support
(196) Children's Empowerment Incorporated
480 Collins Ave Suite J
Colma,CA94014 		94-3329561 501(c)(3) 10,000       Operating Support
(197) Children's Fund Inc
348 W Hospitality Lane Suite 110
San Bernardino,CA92408 		33-0193286 501(c)(3) 10,000       Project Support
(198) Children's Health Initiative Napa County
2140 Jefferson St Suite D
Napa,CA94559 		25-1924934 501(c)(3) 25,000       Project Support
(199) Children's Hospital & Research Center
2201 Broadway Suite 600
Oakland,CA94612 		94-0382330 501(c)(3) 5,005,000       Project & Event Support
(200) Children's Network of Solano County
2320 Courage Drive Ste 107
Fairfield,CA94533 		68-0014506 501(c)(3) 75,000       Project Support
(201) Children's Nurturing Project
490 Chadbourne Road Suite A
Fairfield,CA94534 		72-1553818 501(c)(3) 40,000       Project Support
(202) Chinatown Service Center
767 North Hill Street Suite 400
Los Angeles,CA90012 		95-2918844 501(c)(3) 9,350       Conference Support
(203) Christian Counseling Service
51 West Olive Avenue
Redlands,CA92373 		33-0063237 501(c)(3) 14,000       Project Support
(204) Christie's Place Inc
2440 Third Avenue
San Diego,CA92101 		91-1878632 501(c)(3) 15,000       Project Support
(205) Cinequest Inc
410 South First St
San Jose,CA95113 		77-0250734 501(c)(3) 50,000       Project Support
(206) Cinnamongirl Inc
PO Box 27297
Oakland,CA94602 		73-1676059 501(c)(3) 7,750       Event Support
(207) Circulate San Diego
1111 6th Avenue Suite 402
San Diego,CA92101 		46-0505205 501(c)(3) 13,988       Event Support
(208) City of Baldwin Park
14403 E Pacific Avenue
Baldwin Park,CA91706 		95-6005574 Government or P 15,000       Project Support
(209) City of Carson
701 East Carson Street PO BOX 623
Carson,CA90749 		95-2513547 Government or P 10,000       Event Support
(210) City of Downey
11111 Brookshire Ave
Downey,CA90241 		95-1918226 Government or P 25,000       Project Support
(211) City of Fontana
16860 Valencia Avenue
Fontana,CA92335 		95-6004770 Government or P 10,000       Project Support
(212) City of Fremont
3300 Capitol Avenue Bldg B
Fremont,CA94538 		94-6027361 Government or P 31,000       Project Support
(213) City of Gilroy
7351 Rosanna Street
Gilroy,CA95020 		94-6000340 Government or P 6,200       Event Support
(214) City of Long Beach Department of Health
3820 Cherry Ave
Long Beach,CA90807 		95-6000733 Government or P 20,000       Event Support
(215) City of Madera
701 East 5th Street
Madera,CA93638 		94-6000365 Government or P 24,500       Project Support
(216) City of Montclair
5111 Benito Street
Montclair,CA91763 		95-6005731 Government or P 10,000       Project Support
(217) City of Norwalk
12700 Norwalk Boulevard
Norwalk,CA90631 		95-6005882 Government or P 7,500       Project Support
(218) City of Oakland Office of the Mayor
250 Frank Ogawa Plaza Suite 3315
Oakland,CA94612 		94-6000384 Government or P 25,000       Event Support
(219) City of Perris
101 North D Street
Perris,CA92570 		95-6000761 Government or P 12,000       Project Support
(220) City of Portland Oregon
1120 SW 5th Avenue 8th floor
Portland,OR97204 		93-6002236 Government or P 100,000       Operating Support
(221) City of Rancho Cucamonga
10500 Civic Center Drive
Rancho Cucamonga,CA91730 		95-3213002 Government or P 8,000       Project Support
(222) City of Vacaville
650 Merchant Street
Vacaville,CA95688 		94-6000447 Government or P 9,020       Project Support
(223) City of Victorville
14343 Civic Drive
Victorville,CA92392 		95-2235918 Government or P 10,000       Project Support
(224) City of Yucaipa
34272 Yucaipa Blvd
Yucaipa,CA92399 		33-0383731 Government or P 10,000       Project Support
(225) City Team Ministries
722 Washington Street
Oakland,CA94607 		94-1501265 501(c)(3) 7,900       Project Support
(226) City Year Inc
1414 K Street Suite 100
Sacramento,CA95814 		22-2882549 501(c)(3) 104,703       Operating Support
(227) Civicorps Schools
770 Darina Ave
Oakland,CA94607 		94-2941068 501(c)(3) 22,420       Project Support
(228) Clackamas County
2051 Kaen Road 367
Oregon City,OR97045 		93-6002286 Government or P 75,000       Project Support
(229) Clackamas Volunteers in Medicine
700 Molalla Ave PO Box 2592
Oregon City,OR97045 		37-1621141 501(c)(3) 22,500       Operating Support
(230) Clark County Food Bank
6502 NE 47th Avenue
Vancouver,WA98661 		91-1307564 501(c)(3) 15,000       Project Support
(231) Clinica Sierra Vista
1430 Truxtun Avenue Fourth Floor
Bakersfield,CA93302 		95-2707101 501(c)(3) 30,000       Project Support
(232) Coachella Valley Econonic Partnership
3111 East Tahquitz Canyon Way
Palm Springs,CA92262 		33-0642485 501(c)(3) 15,000       Project Support
(233) Coachella Valley Volunteers in Medicine
82-915 Avenue 48
Indio,CA92201 		26-3312826 501(c)(3) 25,000       Project Support
(234) Coaching Corps
310 Eighth Street Suite 300
Oakland,CA94607 		94-3310845 501(c)(3) 100,000       Project Support
(235) Coalition of Orange County Community
17701 Cowan Ste 220
Irvine,CA92614 		95-2900725 501(c)(3) 9,250       Event Support
(236) Coastside Adult Day Health Center
750 Suite 6 Mendocino Avenue
Half Moon Bay,CA94019 		94-2935784 501(c)(3) 10,000       Operating Support
(237) Collective Roots Garden Project
PO Box 50784 1785 Woodland Av
East Palo Alto,CA94303 		71-0901459 501(c)(3) 20,000       Operating Support
(238) Colette's Children Home Inc
7372 Prince Dr Ste 106
Huntington Beach,CA92647 		91-1939140 501(c)(3) 15,000       Project Support
(239) College Track
111 Broadway Ave Ste 101
Oakland,CA94607 		94-3279613 501(c)(3) 400,000       Event Support
(240) COLUMBIA UNIVERSITY MEDICAL CTR
630 West 168th Street
New York,NY10032 		13-5598093 501(c)(3) 31,649       PassThrough Fed Proj
(241) CommuniCare Health Centers
2051 John Jones Rd
Davis,CA95616 		94-2188574 501(c)(3) 40,000       Project Support
(242) Community Action Organization
1001 SW Baseline St
Hillsboro,OR97123 		93-0554941 501(c)(3) 20,000       Operating Support
(243) Community Action Partnership
1300 North Dutton Avenue
Santa Rosa,CA95401 		94-1648949 501(c)(3) 15,000       Project Support
(244) Community Action Partnership
696 S Tippecanoe Avenue
San Bernardino,CA92408 		95-2376882 501(c)(3) 20,000       Project Support
(245) Community Action Partnership
11870 Monarch Street
Garden Grove,CA92841 		95-2452787 501(c)(3) 15,000       Project Support
(246) Community Action Partnership of Kern
5005 Business Park North
Bakersfield,CA93309 		95-2402760 501(c)(3) 40,000       Project Support
(247) Community Against Sexual Harm
3101 1st Ave
Sacramento,CA95817 		46-1498182 501(c)(3) 25,987       Project Support
(248) Community Agencies for Caring
16703 S Clark Ave
Bellflower,CA90706 		33-0953881 501(c)(3) 8,000       Project Support
(249) Community Alliance with Family Farmers
4464 Lone Tree Way 1076
Davis,CA95617 		94-2914745 501(c)(3) 140,000       Project Support
(250) Community Child Care Coordinating
22351 City Center Drive
Hayward,CA94541 		23-7218859 501(c)(3) 47,400       Project Support
(251) Community Child Care Council
131-A Stony Circle 300
Santa Rosa,CA94501 		94-2274620 501(c)(3) 15,850       Operating Support
(252) Community Clinic Association
1800 Western Avenue Suite 105
San Bernardino County,CA92411 		30-0666184 501(c)(3) 8,370       Project Support
(253) Community Clinic Association
700 S Flower St Suite 3150
Los Angeles,CA90017 		95-4576023 501(c)(3) 16,500       Project Support
(254) Community Clinic Consortium
3720 Barrett Avenue
Richmond,CA94805 		20-0782029 501(c)(3) 1,126,000       Event Support
(255) Community Coalition For Substance Abuse
8101 S Vermont Ave
Los Angeles,CA90044 		95-4298811 501(c)(3) 20,000       Project Support
(256) Community Family Guidance Center
10929 South Street Suite 208B
Cerritos,CA90703 		95-3083776 501(c)(3) 25,000       Project Support
(257) Community Foundation Sonoma County
250 D Street Suite 205
Santa Rosa,CA95404 		46-5607272 501(c)(3) 75,000       Event Support
(258) Community Health Awareness Council
590 W El Camino Real
Mountain View,CA94040 		94-2223670 501(c)(3) 30,000       Project Support
(259) Community Health Center Network Inc
101 Callan Avenue Suite 300
San Leandro,CA94577 		94-3253662 501(c)(3) 200,000       Project Support
(260) Community Health Clinic Ole
1141 Pear Tree Lane Suite 100
Napa,CA94558 		23-7221695 501(c)(3) 15,000       Project Support
(261) Community Health Improvement Partners
5095 Murphy Canyon Road Suite 105
San Diego,CA92123 		33-0496092 501(c)(3) 19,700       Project Support
(262) Community Health Partners
PO Box 2853 1452 hudson Street
Longview,WA98632 		91-2016542 501(c)(3) 52,500       Project Support
(263) Community Health Partnership
1401 Parkmoor Avenue Suite 200
San Jose,CA95126 		77-0352645 501(c)(3) 245,000       Project Support
(264) Community Health Systems Inc
22675 Alessandro Boulevard
Moreno Valley,CA92553 		33-0056551 501(c)(3) 15,000       Project Support
(265) Community Integration Services Inc
10100 Balboa Blvd
Granada Hills,CA91344 		20-2300297 501(c)(3) 8,000       Project Support
(266) Community Link Capital Region
2020 Hurley Way Suite 420
Sacramento,CA95825 		94-1201196 501(c)(3) 50,000       Project Support
(267) Community Matters
652 Petaluma Ave Suite J-1
Sebastopol,CA95472 		68-0369720 501(c)(3) 60,000       Project Support
(268) Community Medical Centers Inc (EIP)
2400 Alhambra Blvd
Stockton,CA95210 		94-2437106 501(c)(3) 15,000       Project Support
(269) Community Overcoming Relationship Abuse
79 Belvedere Street Suite 101
San Mateo,CA94403 		94-2481188 501(c)(3) 33,650       Operating Support
(270) Community Partners
1000 North Alameda Street Suite 24
Los Angeles,CA90012 		95-4302067 501(c)(3) 957,808       Capital Fund Support
(271) Community Partnership for Families
401 N San Joaquin Street 216
Stockton,CA95219 		68-0475602 501(c)(3) 40,000       Project Support
(272) Community Resources Council Inc
8284 Industrial Avenue
Roseville,CA95678 		94-1740316 501(c)(3) 25,000       Project Support
(273) Community Seniorserv Inc
1200 N Knollwood Circle
Anaheim,CA92801 		95-2771715 501(c)(3) 10,000       Project Support
(274) Community Service Programs Inc
1221 E Dyer Road 120
Santa Ana,CA92705 		95-3167866 501(c)(3) 15,000       Project Support
(275) Community Service Education
5380 Elvas Avenue Suite 219
Sacramento,CA95819 		23-7003581 501(c)(3) 15,000       Event Support
(276) Community Settlement Association
4366 Bermuda Avenue
Riverside,CA92507 		95-0642985 501(c)(3) 20,000       Project Support
(277) Community Violence Solutions
1936 Carlotta Drive
San Pablo,CA94806 		94-2411924 501(c)(3) 20,000       Event Support
(278) Communitys Child Inc
25520 Woodward Ave
Lomita,CA90717 		20-2871854 501(c)(3) 7,500       Project Support
(279) Compassion Connect
12135 SE Lincoln St
Portland,OR97216 		26-2304524 501(c)(3) 15,000       Project Support
(280) Contra Costa Child Care Council
910 Irwin Street
Concord,CA94518 		94-2383037 501(c)(3) 49,000       Project Support
(281) Contra Costa Crisis Center
PO BOX 3364
Walnut Creek,CA94598 		94-1747227 501(c)(3) 50,000       Project Support
(282) Contra Costa Health Services
597 Center Avenue Suite 200
Martinez,CA94553 		94-6000509 Government or P 155,700       Project Support
(283) Contra Tiempo
4058 Tilden Avenue
Culver City,CA90232 		20-5477825 501(c)(3) 15,000       Project Support
(284) Cope Family Center
155 North Second Street
Napa,CA94559 		94-2322399 501(c)(3) 25,000       Project Support
(285) Coro Southern California Inc
1000 N Alameda Street Suite 240
Los Angeles,CA90012 		95-4274561 501(c)(3) 10,000       Project Support
(286) Council on Aging - Orange County
1971 E Fourth Street Suite 200
Santa Ana,CA92705 		95-2874089 501(c)(3) 15,000       Project Support
(287) Council on Aging Services for Seniors
30 Kawana Springs Road
Santa Rosa,CA95404 		94-6138714 501(c)(3) 14,500       Project Support
(288) County of Kern
1800 Mount Vernon Avenue
Bakersfield,CA93306 		95-6000925 Government or P 9,310       Project Support
(289) County of San Mateo
222 West 39th Ave
San Mateo,CA94403 		94-6000532 Government or P 225,417       Project Support
(290) County of Sonoma Department of Human
112 Childrens Circle
Santa Rosa,CA95409 		94-6000539 Government or P 85,000       Project Support
(291) County of Yolo
226 Buckeye Street
Woodland,CA95695 		94-6000548 Government or P 50,000       Project Support
(292) Court Appointed Special Advocates
2000 24th Street Suite 130
Bakersfield,CA93301 		77-0344298 501(c)(3) 10,000       Project Support
(293) Cowlitz Family Health Center
1057 12th Avenue
Longview,WA98632 		91-0896241 501(c)(3) 115,000       Project Support
(294) CSUS- Sacramento Community
6000 J Street
Sacramento,CA95819 		94-1337638 501(c)(3) 15,000       Project Support
(295) Cummings Valley PTO Inc
24220 Bear Valley Rd
Tehachapi,CA93561 		20-5354131 501(c)(3) 10,000       Project Support
(296) Daily Acts Organization
PO Box 293
Petaluma,CA94953 		20-3851259 501(c)(3) 7,500       Project Support
(297) DANA FARBER CANCER INSTITUTE
450 Brookline Avenue
Boston,MA02215 		04-2263040 501(c)(3) 68,795       PassThrough Fed Proj
(298) Desarollo Familiar
3569 Round Barn Circle
Richmond,CA94806 		94-2751073 501(c)(3) 40,875       Event Support
(299) Desert AIDS Project
1695 North Sunrise Way
Palm Springs,CA92262 		33-0068583 501(c)(3) 20,000       Project Support
(300) Destiny Arts Center
970 Grace Ave
Oakland,CA94608 		94-3176726 501(c)(3) 12,500       Project Support
(301) Diversity In Health Training Institute
1000 San Leandro Blvd 2nd Fl
San Leandro,CA94577 		35-2432876 501(c)(3) 95,000       Project Support
(302) Dixon Family Services
155 North Second Street
Dixon,CA95620 		68-0041829 501(c)(3) 15,000       Project Support
(303) Dovetail Learning Inc
825 Gravenstein Hwy N Suite 2
Sebastopol,CA95472 		68-0673821 501(c)(3) 20,000       Project Support
(304) Downey Unified School District
13220 Bellflower Blvd
Downey,CA90242 		95-6006586 Government or P 37,000       Event Support
(305) Downtown Streets Inc
1671 The Alameda Suite 306
San Jose,CA95126 		20-5242330 501(c)(3) 20,000       Event Support
(306) Downtown Womens Center
442 S San Pedro Street
Los Angeles,CA90013 		31-1597223 501(c)(3) 9,000       Project Support
(307) Dr Earl R Crane Children's Dental
580 West 6th Street
San Bernardino,CA92410 		95-1627155 501(c)(3) 10,000       Event Support
(308) East Bay Agency for Children
303 Van Buren Avenue
Oakland,CA94610 		94-1358309 501(c)(3) 46,700       Project Support
(309) East Bay Asian Local
310 Eighth Street Suite 200
Oakland,CA94607 		51-0171851 501(c)(3) 10,000       Project Support
(310) East Bay Bicycle Coalition
8231 Alpine Ave 3
Oakland,CA94607 		94-2585652 501(c)(3) 15,000       Project Support
(311) East Bay Regional Parks District
PO Box 21074 Crestmont Station
Oakland,CA94605 		94-6000591 Government or P 7,180       Event Support
(312) East County Faith Based Subcomittee
4549 Delta Fair Blvd
Antioch,CA94509 		20-8682635 501(c)(3) 20,700       Event Support
(313) East County Midnight Basketball League
4464 Lone Tree Way 1076
Antioch,CA94531 		68-0459427 501(c)(3) 6,000       Project Support
(314) East Los Angeles Women's Center
1255 S Atlantic Blvd
Los Angeles,CA90022 		51-0204577 501(c)(3) 15,850       Project Support
(315) East San Gabriel Valley Coalition
1345 Turnbull Canyon Road
Hacienda Heights,CA91745 		95-4508436 501(c)(3) 15,000       Project Support
(316) East Valley Community Health Center Inc
420 South Glendora Avenue
West Covina,CA91790 		23-7068586 501(c)(3) 19,037       Project Support
(317) Eden I&R Inc
2120 Diamond Blvd Suite 120
Hayward,CA94541 		94-2339050 501(c)(3) 50,000       Project Support
(318) Eden Youth & Family Center
8401 Jackson Road
Hayward,CA94544 		94-2442586 501(c)(3) 75,000       Project Support
(319) Education Outside
135 VanNess Avenue Room 408
San Francisco,CA94102 		46-0590185 501(c)(3) 20,000       Project Support
(320) Educational Service District 112
2500 NE 65th Avenue
Vancouver,WA98661 		91-0847188 Government or P 90,000       Project Support
(321) El Centrito Family Learning Centers
450 South K St Rm111
Oxnard,CA93030 		31-1652255 501(c)(3) 20,000       Event Support
(322) El Centro de Accion Social
37 East Del Mar blvd
Pasadena,CA91105 		51-0192257 501(c)(3) 9,650       Event Support
(323) El Centro de Amistad
566 South Brand Boulevard
San Fernando,CA91340 		95-3498639 501(c)(3) 10,000       Project Support
(324) El Centro de Libertad
500 Allerton Street 3rd Floor
Redwood City,CA94062 		94-3189174 501(c)(3) 10,000       Operating Support
(325) El MonteSo El Monte Emergency
10900 Mulhall Street
El Monte,CA91731 		95-6097318 501(c)(3) 10,000       Project Support
(326) El Nido Family Centers
10200 Sepulveda Blvd Suite 350
Mission Hills,CA91345 		95-3186429 501(c)(3) 7,600       Conference Support
(327) Elevate Your GAME
2019 E 120th Street
Los Angeles,CA90059 		68-0533404 501(c)(3) 17,500       Project Support
(328) Elevating Soulciety
16335 E 14th St
San Leandro,CA94578 		80-0184767 501(c)(3) 150,000       Conference Support
(329) Elica Health Centers
1860 Howe Ave Suite 440
Sacramento,CA95825 		37-1424390 501(c)(3) 104,000       Project Support
(330) Elk Grove Food Bank Services
9820 Dino Drive Suite 140
Elk Grove,CA95624 		38-3664737 501(c)(3) 26,421       Project Support
(331) Elk Grove Unified School District
9510 Elk Grove-Florin Road Suite 11
Elk Grove,CA95624 		94-6002501 Government or P 53,612       Event Support
(332) Ella Baker Center for Human Rights
1970 Broadway 1125
Oakland,CA94612 		94-3252009 501(c)(3) 54,760       Project Support
(333) Emerald Cities Collaborative Inc
1140 Connecticut Ave NW Suite 1210
Washington,DC20036 		27-0920269 501(c)(3) 75,000       Project Support
(334) Emery Unified School District
1275 61st Street
Emeryville,CA94608 		94-2296672 Government or P 23,000       Event Support
(335) Enrich LA
2173 Cedarhurst Drive
Los Angeles,CA90027 		27-2797687 501(c)(3) 20,699       Project Support
(336) Evergreen School District #114
14015 NE 28th Street
Vancouver,WA98682 		91-6001600 501(c)(3) 10,000       Project Support
(337) FUN Club Program of Manteca
314 Locust Ave
Manteca,CA95336 		26-4698800 501(c)(3) 10,000       Operating Support
(338) Fairfield Community Services Foundation
1000 Webster Street First Floor
Fairfield CA,CA94510 		68-0344658 501(c)(3) 20,000       Project Support
(339) Fairfield Police Activities League Inc
250 Travis Blvd
Fairfield,CA94533 		26-1184406 Government or P 25,050       Project Support
(340) Faith In Action
3303 Whitemarsh Lane
Fairfield,CA94534 		68-0431992 501(c)(3) 15,000       Project Support
(341) Faith in Community
2101 N Fruit Avenue
Fresno,CA93705 		77-0635938 501(c)(3) 50,000       Project Support
(342) Fame Assistance Corporation
1968 West Adams Blvd
Los Angeles,CA90018 		95-4282097 501(c)(3) 15,000       Project Support
(343) Families First Inc
251 Llewelly avenue
Campbell,CA95008 		94-2295953 501(c)(3) 10,000       Project Support
(344) Families Forward
8 Thomas
Irvine,CA92618 		33-0086043 501(c)(3) 15,000       Project Support
(345) Family and Children Services
950 W Julian Street
San Jose,CA95126 		94-1167408 501(c)(3) 60,000       Project Support
(346) Family Building Blocks Inc
2425 Lancaster Drive NE
Salem,OR97305 		93-1233373 501(c)(3) 10,000       Project Support
(347) Family Health Care Centers
6501 South Garfield Avenue
Bell Gardens,CA90201 		95-1641454 501(c)(3) 30,000       Project Support
(348) Family Health Centers of San Diego Inc
823 Gateway Center Way
San Diego,CA92102 		95-2833205 501(c)(3) 40,000       Project Support
(349) Family Resource & Referral Center
509 W Weber Avenue Ste 101
Stockton,CA95203 		94-1691503 501(c)(3) 50,000       Project Support
(350) Family Service Agency of San Bernardino
1669 North E Street
San Bernardino,CA92405 		95-1641436 501(c)(3) 14,000       Project Support
(351) Family Service Agency of San Francisco
1500 Franklin Street
San Francisco,CA94109 		94-1156530 501(c)(3) 20,000       Project Support
(352) Family Service Association
21250 Box Springs Road Suite 212
Moreno Valley,CA92557 		95-1803694 501(c)(3) 25,000       Project Support
(353) Family Support Services of the Bay Area
401 Grand Ave Suite 500
Oakland,CA94610 		94-3108205 501(c)(3) 80,000       Project Support
(354) Farmers Market Fund
240 N Broadway Suite 129
Portland,OR97227 		45-3804465 501(c)(3) 20,000       Project Support
(355) Feeding America San Diego
9455 Waples Street Suite 135
San Diego,CA92121 		26-0457477 501(c)(3) 43,240       Project Support
(356) Fighting Back Partnership
505 Santa Clara St 3rd Floor
Vallejo,CA94590 		68-0298092 501(c)(3) 15,000       Project Support
(357) Filipino Advocates for Justice
310 8th St Ste 306
Oakland,CA94607 		94-2218907 501(c)(3) 34,915       Event Support
(358) First 5 Solano
601 Texas Street Suite 210
Fairfield,CA94533 		94-6000538 Government or P 25,500       Project Support
(359) First African Methodist Episcopal Church
530 - 37th
Oakland,CA94609 		23-7010426 501(c)(3) 18,750       Event Support
(360) Five Acres-The Boys & Girls Aid Society
760 W Mountain View Street
Altadena,CA91001 		95-1647810 501(c)(3) 20,000       Project Support
(361) Flood Bakersfield Ministries Inc
3509 Union Avenue
Bakersfield,CA93305 		26-2780103 501(c)(3) 12,000       Project Support
(362) FLORIDA STATE UNIVERSITY
874 Traditions Way
Tallahassee,FL32306 		59-1961248 501(c)(3) 24,329       PassThrough Fed Proj
(363) Folsom Athletic Association
555 University Avenue Suite 114
Folsom,CA95630 		94-2835479 501(c)(3) 10,000       Capital Fund Support
(364) Folsom Cordova Unified School District
1965 Birkmont Drive
Rancho Cordova,CA95742 		94-6002505 Government or P 21,500       Project Support
(365) Fontana Unified School District
9680 Citrus Ave
Fontana,CA92334 		95-6001357 Government or P 10,000       Project Support
(366) Food Bank of Contra Costa and Solano
1815 Arnold Drive
Concord,CA94520 		94-2418054 501(c)(3) 70,450       Event Support
(367) Food In Need of Distribution Inc
83775 Citrus Avenue
Indio,CA92201 		33-0006007 501(c)(3) 50,000       Project Support
(368) FOOD Inc
3403 East Central Avenue
Fresno,CA93725 		77-0320851 501(c)(3) 215,000       Operating Support
(369) Foothill AIDS Project
233 W Harrison Ave
Claremont,CA91711 		33-0341665 501(c)(3) 24,000       Project Support
(370) Foothill Family Service
2500 E Foothill Boulevard Suite 3
Pasadena,CA91107 		95-1690990 501(c)(3) 17,500       Project Support
(371) Foothill Family Shelter Inc
1501 West Ninth Street Suite D
Upland,CA91786 		33-0341818 501(c)(3) 10,000       Project Support
(372) Foothill Unity Center
415 W Chestnut Ave
Monrovia,CA91016 		95-4310817 501(c)(3) 9,680       Event Support
(373) Foothill-De Anza Community Colleges
12345 El Monte Rd
Los Altos Hills,CA94022 		94-3258220 501(c)(3) 45,000       Project Support
(374) Foundation for Students Rising Above
287 31st Avenue
San Francisco,CA94121 		81-0615887 501(c)(3) 65,000       Project Support
(375) Fred Finch Children's Home Inc
3800 Coolidge Avenue
Oakland,CA94602 		94-0474080 501(c)(3) 10,000       Project Support
(376) FRED HUTCHINSON CANCER RESEARCH CENTER
1100 Fairview Avenue North
Seattle,WA98109 		23-7156071 501(c)(3) 64,701       PassThrough Fed Proj
(377) Free Clinic of Southwest Washington
4100 Plomondon Street
Vancouver,WA98661 		91-1707542 501(c)(3) 12,500       Operating Support
(378) Fremont Unified School District
4210 Technology Drive
Fremont,CA94538 		94-1636029 Government or P 26,000       Project Support
(379) Fresh Approach
5060 Commercial Circle Suite C
Concord,CA94520 		26-2438206 501(c)(3) 173,671       Project Support
(380) Fresh Lifelines for Youth Inc (FLY)
Sobrato Center 568 Valley Way
Milpitas,CA95035 		52-2234595 501(c)(3) 25,000       Event Support
(381) Fresno Healthy Communities Access
2043 E Divisadero Street
Fresno,CA93701 		20-4210175 501(c)(3) 100,000       Project Support
(382) Fresno Unified School District
2309 Tulare Street
Fresno,CA93721 		94-6002206 Government or P 50,000       Event Support
(383) Fresno United Neighborhoods
4670 East Butler
Fresno,CA93702 		77-0348220 501(c)(3) 76,500       Operating Support
(384) Friends For Youth Inc
401 N San Joaquin Street 216
Redwood City,CA94402 		94-2961034 501(c)(3) 10,000       Operating Support
(385) Friends of Alameda County Court
1000 San Leandro Blvd Suite 300
San Leandro,CA94577 		94-3309728 501(c)(3) 15,000       Project Support
(386) Friends of the Los Angeles Free Clinic
8405 Beverly Blvd
Los Angeles,CA90048 		95-3433824 501(c)(3) 13,500       Event Support
(387) Friends of the Veterans Memorial Senior
600 A Street Ste Y
Redwood City,CA94061 		94-2977907 501(c)(3) 10,000       Operating Support
(388) Garfield Health Center
210 N Garfield Avenue Suite 203
Monterey Park,CA91754 		76-0733752 501(c)(3) 7,500       Project Support
(389) Gay and Lesbian Community Services
1605 N Spurgeon St
Santa Ana,CA92701 		95-2934041 501(c)(3) 20,000       Project Support
(390) George Washington University
2121 K Street NW Suite 210
Washington,DC20037 		53-0196584 501(c)(3) 266,284       Project Support
(391) Gifts to Share Inc
2019 E 120th Street
Sacramento,CA95811 		94-2985546 501(c)(3) 25,000       Project Support
(392) Girl Scouts of Northern California
1310 S Bascom Avenue
San Jose,CA95128 		94-1551410 501(c)(3) 30,000       Project Support
(393) Girls Inc of Northwest Oregon
4800 SW Macadam Avenue Suite 309
Portland,OR97239 		54-2073930 501(c)(3) 15,000       Project Support
(394) Girls Incorporated of Alameda County
510 16th Street
Oakland,CA94612 		94-1558073 501(c)(3) 13,125       Event Support
(395) Girls On The Run Napa Valley
1767 Stockton Street or PO Box 2002
St Helena,CA94574 		55-0906534 501(c)(3) 15,000       Project Support
(396) Give Every Child A Chance
610 Commerce Court
Manteca,CA95336 		68-0399384 501(c)(3) 50,000       Project Support
(397) Global Center For Success Inc
1055 Azuar Drive
Vallejo,CA94592 		71-0896807 501(c)(3) 7,500       Project Support
(398) Golden Valley Health Centers
737 West Childs Avenue
Merced,CA95341 		94-2196086 501(c)(3) 40,000       Project Support
(399) Gospel Center Rescue Mission Inc
445 S San Joaquin Street
Stockton,CA95203 		94-1375835 501(c)(3) 40,000       Project Support
(400) Grace Resources Inc
45134 Sierra Hwy
Lancaster,CA93534 		95-4309251 501(c)(3) 14,314       Project Support
(401) Grandma's House of Hope
1505 E 17th St 116
Santa Ana,CA92705 		26-0391438 501(c)(3) 15,000       Project Support
(402) Grandparents As Parents Inc
22048 Sherman Way 217
Canoga Park,CA91303 		33-0592916 501(c)(3) 20,000       Event Support
(403) Grantmakers for Effective Organizations
1725 DeSales Street NW Suite 404
Washington,DC20036 		01-0669150 501(c)(3) 9,250       Project Support
(404) GROUP HEALTH COOPERATIVE
1730 Minor Avenue
Seattle,WA98101 		91-0511770 501(c)(3) 542,227       PassThrough Fed Proj
(405) Guide Dogs for the Blind
32901 SE Kelso Road
Boring,OR97009 		94-1196195 501(c)(3) 15,000       Project Support
(406) H Street Clinic
1329 North H Street
San Bernardino,CA92405 		20-8191393 501(c)(3) 15,000       Event Support
(407) Hacienda La Puente Unified School
15959 Gale Avenue
City of Industry,CA91745 		95-2623262 Government or P 7,500       Project Support
(408) Happy Hollow Corporation
1300 Senter Rd
San Jose,CA95112 		23-7219471 501(c)(3) 50,000       Project Support
(409) Harbor Area Gang Alternatives
309 W Opp Street
Wilmington,CA90744 		33-0322451 501(c)(3) 30,000       Project Support
(410) Harbor City-Harbor Gateway Boys & Girls
1220 West 256th Street
Harbor City,CA90710 		33-0450797 501(c)(3) 15,000       Project Support
(411) Harbor Free Clinic Inc
593 W 6th Street
San Pedro,CA90731 		23-7103245 501(c)(3) 15,000       Event Support
(412) Harm Reduction Services
2800 Stockton Blvd
Sacramento,CA95817 		68-0300656 501(c)(3) 25,000       Project Support
(413) HARVARD PILGRIM HEALTH CARE
133 Brookline Avenue
Boston,MA02215 		04-2452600 501(c)(3) 162,174       PassThrough Fed Proj
(414) Haven Hills Inc
PO Box 260
Canoga Park,CA91305 		95-3196247 501(c)(3) 8,500       Project Support
(415) Health Education Council
3950 Industrial Blvd Suite 600
West Sacramento,CA95691 		68-0249296 501(c)(3) 617,450       Project Support
(416) HEALTH PARTNERS RESEARCH
8170 33rd Avenue South
Minneapolis,MN55440 		41-1670163 501(c)(3) 54,259       PassThrough Fed Proj
(417) HEALTH RESEARCH INC
PO Box 2966
Buffalo,NY14240 		14-1402155 501(c)(3) 663,735       PassThrough Fed Proj
(418) Healthcare Foundation of Northern
1215 K Street Suite 730
Sacramento,CA95814 		86-1174825 501(c)(3) 50,000       Operating Support
(419) HealthRIGHT 360
1735 Mission Street Suite 2150
San Francisco,CA94103 		94-6129071 501(c)(3) 519,250       Capital Fund Support
(420) Healthy Aging Association
121 Downey Avenue Suite 102
Modesto,CA95354 		77-0546574 501(c)(3) 40,000       Project Support
(421) Healthy Smiles for Kids of Orange County
10602 Chapman Avenue Suite 200
Garden Grove,CA92840 		38-3675065 501(c)(3) 15,000       Event Support
(422) Heart of Los Angeles Youth Inc
2701 Wilshire Blvd Suite 100
Los Angeles,CA90057 		95-4397418 501(c)(3) 18,200       Conference Support
(423) Hearts & Lives
24028 Lake Drive
Crestline,CA92325 		20-0867845 501(c)(3) 15,000       Project Support
(424) Helpline Youth Counseling
12440 Firestone Boulevard Suite 10
Norwalk,CA90650 		23-7113824 501(c)(3) 12,500       Project Support
(425) Henrietta Weill Memorial Child Guidance
3628 Stockdale Highway
Bakersfield,CA93309 		95-1643391 501(c)(3) 10,000       Project Support
(426) HENRY FORD HEALTH SYSTEM
1 Ford Place-5C69
Detroit,MI48202 		38-1357020 501(c)(3) 92,975       PassThrough Fed Proj
(427) Hidden Harvest Inc
85711 Peter Rabbit Lane PO Box 26
Coachella,CA92236 		33-0821743 501(c)(3) 10,000       Project Support
(428) High Desert Community Foundation
11873 Apple Valley Road
Apple Valley,CA92308 		84-1179212 501(c)(3) 10,000       Project Support
(429) High Desert Homeless Services Inc
14049 Amargosa Road
Victorville,CA92392 		33-0459227 501(c)(3) 10,000       Project Support
(430) Hillsides
940 Avenue 64
Pasadena,CA91105 		95-1644002 501(c)(3) 8,650       Project Support
(431) Hispanas Organized for Political
634 South Spring Street Suite 920
Los Angeles,CA90014 		95-4718409 501(c)(3) 16,330       Project Support
(432) Hollywood Sunset Free Clinic
3324 W Sunset Boulevard
Los Angeles,CA90026 		23-7074488 501(c)(3) 8,000       Project Support
(433) Holy Family Day Homes of SF
299 Dolores Street
San Francisco,CA94103 		94-1156492 501(c)(3) 19,460       Board Matching Gift/Event Support
(434) Homeboy Industries
130 West Bruno Street
Los Angeles,CA90012 		95-4800735 501(c)(3) 22,000       Event Support
(435) Hope Of The Valley Rescue Mission
8165 San Fernando Road
Sun Valley,CA91352 		27-2053273 501(c)(3) 21,500       Event Support
(436) Hope through Housing Foundation
9421 Haven Avenue
Rancho Cucamonga,CA91730 		33-0802554 501(c)(3) 14,000       Project Support
(437) Hospice of Napa Valley Inc
414 South Jefferson Street
Napa,CA94559 		68-0393144 501(c)(3) 20,000       Project Support
(438) House of Ruth Inc
PO Box 459
Claremont,CA91711 		95-3276033 501(c)(3) 15,000       Project Support
(439) Housing Authority of the County of Kern
601-24th Street
Bakersfield,CA93301 		95-6001629 Government or P 10,368       Project Support
(440) Huckleberry Youth Programs Inc
3310 Geary Blvd
San Francisco,CA94118 		94-1687559 501(c)(3) 60,000       Project Support
(441) Hurtt Family Health Clinic Inc
One Hope Drive
Tustin,CA92782 		33-0906866 501(c)(3) 15,000       Event Support
(442) Imperial Beach Community Clinic
949 Palm Avenue
Imperial Beach,CA91933 		23-7209592 501(c)(3) 20,000       Project Support
(443) Indian Health Council
50100 Golsh Road
Valley Center,CA92082 		95-2506788 501(c)(3) 10,000       Project Support
(444) Info Line of San Diego County
5251 Viewridge Court Suite 130
San Diego,CA92123 		33-1029843 501(c)(3) 10,000       Project Support
(445) Inland Congregations United for Change
1441 North D Street Suite 208
San Bernardino,CA92405 		33-0480298 501(c)(3) 17,500       Project Support
(446) Inland Empire United Way
9644 Hermosa Avenue
Rancho Cucamonga,CA91730 		33-0502676 501(c)(3) 13,000       Operating Support
(447) Innovative Services NW
9414 NE 4th Plain Road
Vancouver,WA98662 		91-0782136 501(c)(3) 15,000       Project Support
(448) Inroads Inc
650 NE Holladay Street
Portland,OR97208 		62-0967197 501(c)(3) 60,000       Project Support
(449) Institute for Healthcare Improvement
20 University Road 7th Floor
Cambridge,MA02138 		38-3017223 501(c)(3) 47,500       Operating Support
(450) Institute for Local Government
1400 K Street Suite 205
Sacramento,CA95814 		94-1537757 501(c)(3) 100,000       Project Support
(451) Instituto Familiar De La Raza Inc
Short School 35 Marin Street
San Francisco,CA94110 		94-2523608 501(c)(3) 42,200       Project Support
(452) Insure the Uninsured Project
2444 Wilshire Blvd Suite 412
Santa Monica,CA90403 		27-4159194 501(c)(3) 32,950       Project Support
(453) Integrated Recovery Network
1200 Wilshire Blvd Suite 650
Los Angeles,CA90017 		27-3493736 501(c)(3) 10,000       Project Support
(454) International Association for Human
708 Tramway Dr
Milpitas,CA95035 		52-2178069 501(c)(3) 20,000       Event Support
(455) International Center for Traditional
PO Box 11923
Portland,OR97211 		91-1837139 501(c)(3) 30,000       Project Support
(456) International Rescue Committee Inc
5348 University Avenue Ste 205
San Diego,CA92105 		13-5660870 501(c)(3) 17,500       Event Support
(457) Janet Goeske Foundation
5257 Sierra Street
Riverside,CA92504 		33-0023938 501(c)(3) 15,000       Project Support
(458) Janus Youth Programs Inc
707 NE Couch Street
Portland,OR97232 		23-7345990 501(c)(3) 15,000       Operating Support
(459) Jefferson Union High School District
699 Serramonte Boulevard Suite 100
Daly City,CA94015 		94-3083772 Government or P 18,000       Operating Support
(460) Jenesse Center Inc
PO Box 8476
Los Angeles,CA90008 		95-3652529 501(c)(3) 10,000       Project Support
(461) Jewish Community Free Clinic
490 City Center Drive
Rohnert Park,CA94928 		94-3386103 501(c)(3) 20,000       Project Support
(462) Jewish Family & Childrens Service
3801 E Willow Street
Long Beach,CA90815 		95-2273033 501(c)(3) 12,500       Operating Support
(463) Jewish Family & Children's Services
2484 Shattuck Avenue Suite 210
Berkeley,CA94704 		94-3250304 501(c)(3) 12,250       Event Support
(464) Jewish Family and Children's Services
600 Fifth Avenue
San Rafael,CA94901 		94-1156528 501(c)(3) 15,000       Event Support
(465) Jewish Family Service of Los Angeles
3580 Wilshire Blvd Suite 700
Los Angeles,CA90010 		95-1691013 501(c)(3) 10,000       Project Support
(466) Jewish Family Service of San Diego
8804 Balboa Avenue
San Diego,CA92123 		95-1644024 501(c)(3) 15,000       Project Support
(467) Jewish Family Service of the Desert
801 E Tahquitz Canyon Way Suite 2
Palm Springs,CA92262 		33-0613083 501(c)(3) 25,000       Project Support
(468) JOHNS HOPKINS HOSPITAL
615 North Wolfe Street
Baltimore,MD21205 		52-0591656 501(c)(3) 49,520       PassThrough Fed Proj
(469) Jumpstart for Young Children Inc
1625 W Olympic Blvd Suite 1050
Los Angeles,CA90015 		04-3262046 501(c)(3) 10,000       Project Support
(470) Junior League of Riverside Inc
6840 Indiana Avenue Suite 255
Riverside,CA92506 		95-2017219 501(c)(3) 10,000       Project Support
(471) JWCH Institute Inc
5650 Jillson Street
Commerce,CA90040 		95-2289916 501(c)(3) 15,000       Project Support
(472) K to College
7730 Pardee Lane
Oakland,CA94621 		51-0671019 501(c)(3) 25,000       Event Support
(473) KAISER FOUNDATION HEALTH PLAN OF COLO
10350 East Dakota Avenue
Denver,CO80231 		84-0591617 501(c)(3) 6,871,818       PassThrough Fed Proj
(474) KAISER FOUNDATION HEALTH PLAN OF GEORGIA
3495 Piedmont Rd NE
Atlanta,GA30305 		58-1592076 501(c)(3) 1,055,123       PassThrough Fed Proj
(475) Keaton Raphael Memorial
2260 Douglas Blvd 150
Roseville,CA95661 		68-0406980 501(c)(3) 10,000       Project Support
(476) Kern County Children and Families
2724 L Street
Bakersfield,CA93301 		77-0529128 Government or P 10,000       Project Support
(477) Kern County Superintendent of Schools
1300 17th Street
Bakersfield,CA93301 		95-6000941 Government or P 10,000       Project Support
(478) Kidango
17560 Greger Street
Fremont,CA94538 		94-2581686 501(c)(3) 15,000       Project Support
(479) Kidpower Teenpower Fullpower
1706 Church Street 1115
San Francisco,CA94131 		77-0226712 501(c)(3) 20,000       Project Support
(480) Kids Come First
1556 South Sultana Avenue
Ontario,CA91761 		33-0969025 501(c)(3) 17,000       Project Support
(481) Kids Community Clinic of Burbank
400 W Elmwood Avenue
Burbank,CA91506 		95-4791296 501(c)(3) 23,500       Operating Support
(482) KidsFirst
124 Main Street
Roseville,CA95678 		68-0195225 501(c)(3) 68,120       Project Support
(483) KidWorks Community Development
1902 W Chestnut Ave
Santa Ana,CA92703 		74-3081569 501(c)(3) 15,000       Project Support
(484) Korean Health Education Information
3727 West 6th Street Ste 210
Los Angeles,CA90020 		95-4074660 501(c)(3) 8,660       Project Support
(485) LA Family Housing
7843 Lankershim Blvd
North Hollywood,CA91605 		95-3920560 501(c)(3) 10,000       Project Support
(486) La Casa Community Center
203 E Mission Road
San Gabriel,CA91776 		95-1660846 501(c)(3) 12,200       Project Support
(487) La Clinica De La Raza Inc
1515 Fruitvale Avenue
Oakland,CA94601 		94-1744108 501(c)(3) 103,360       Project Support
(488) La Luz Bilingual Center
17560 Greger Street
Sonoma,CA95476 		68-0228235 501(c)(3) 20,000       Event Support
(489) La Maestra Family Clinic Inc
4060 Fairmount Avenue
San Diego,CA92105 		33-0473171 501(c)(3) 40,000       Project Support
(490) LACER Afterschool Programs
1277 N Wilcox Ave Suite 2
Hollywood,CA90038 		95-3890819 501(c)(3) 12,000       Project Support
(491) Laguna Beach Community Clinic
362 Third Street
Laguna Beach,CA92651 		95-2637633 501(c)(3) 15,000       Project Support
(492) LA's Best
200 North Spring Street Ste M-120
Los Angeles,CA90012 		95-4311058 501(c)(3) 24,200       Event Support
(493) LA's Promise
1035 S Grand Avenue 2nd Floor
Los Angeles,CA90015 		20-4562686 501(c)(3) 10,000       Project Support
(494) Latino Center For Prevention & Action
450 W Fourth Street
Santa Ana,CA92701 		33-0562943 501(c)(3) 15,000       Project Support
(495) Latino Community Foundation
One Embarcadero Center Suite 1400
San Francisco,CA94111 		81-0564400 501(c)(3) 98,880       Operating Support
(496) Latino Leadership Council
2945 Bell Road 274
Auburn,CA95603 		27-0970476 501(c)(3) 25,000       Project Support
(497) Lavender Youth Recreation
127 Collingwood Street
San Francisco,CA94114 		94-3227296 501(c)(3) 20,000       Project Support
(498) Leukemia & Lymphoma Society Inc
221 Main Street Suite 1650
San Francisco,CA94105 		13-5644916 501(c)(3) 25,000       Project Support
(499) Lewis and Clark College
0615 SW Palatine Hill Road MSC 88
Portland,OR97219 		93-0386858 501(c)(3) 12,169       Board Matching Gift
(500) LifeLong Medical Care
4 West Fourth Avenue Suite 207
Berkeley,CA94710 		94-2502308 501(c)(3) 55,000       Project Support
(501) LifeWorks NW
14600 NW Cornell Road
Portland,OR97229 		93-0502822 501(c)(3) 50,000       Project Support
(502) LifeWorks Of Sonoma County
1200 College Avenue
Santa Rosa,CA95404 		68-0375462 501(c)(3) 20,000       Project Support
(503) LIFT for Teens
70 Skyview Terrace D PO Box 6799
San Rafael,CA94903 		26-3584878 501(c)(3) 48,000       Project Support
(504) Lighthouse Counseling & Family Resource
427 A Street Suite 400
Lincoln,CA95648 		35-2252834 501(c)(3) 32,723       Project Support
(505) Lincoln Child Center
1266 14th Street
Oakland,CA94607 		94-1156501 501(c)(3) 20,000       Project Support
(506) Livermore Area Recreation and Park
4444 East Avenue
Livermore,CA94550 		94-6000849 Government or P 15,000       Project Support
(507) Livermore Valley Joint Unified School
800 Marylin Avenue
Livermore,CA94551 		94-2175582 Government or P 21,000       Project Support
(508) Loaves and Fishes of Contra Costa
1985 Bonifacio Street Suite 100
Concord,CA94520 		68-0018077 501(c)(3) 20,400       Project Support
(509) Loma Linda University
24951 N Circle Drive
Loma Linda,CA92350 		95-1816009 501(c)(3) 75,000       Project Support
(510) Lomi School Foundation
211 Ridgeway Avenue
Santa Rosa,CA95401 		94-2495238 501(c)(3) 10,000       Project Support
(511) Long Beach Bar Foundation Inc
3515 Linden Ave
Long Beach,CA90807 		33-0585482 501(c)(3) 12,500       Project Support
(512) Los Angeles Alliance for a New Economy
464 Lucas Ave Ste 202
Los Angeles,CA90017 		95-4459427 501(c)(3) 8,500       Event Support
(513) Los Angeles Brotherhood Crusade Inc
200 East Slauson Avenue
Los Angeles,CA90011 		95-2543819 501(c)(3) 10,500       Conference Support
(514) Los Angeles Center for Law and Justice
1241 S Soto St Ste 102
Los Angeles,CA90023 		95-2690540 501(c)(3) 8,960       Event Support
(515) Los Angeles Community Garden Council
4470 Sunset Blvd 381
Los Angeles,CA90027 		31-1734705 501(c)(3) 10,000       Project Support
(516) Los Angeles Conservation Corps
605 W Olympic Boulevard Suite 450
Los Angeles,CA90015 		95-4002138 501(c)(3) 7,510       Event Support
(517) Los Angeles County Community
700 W Main Street PO Box 6428
Alhambra,CA91801 		77-0469732 501(c)(3) 8,000       Project Support
(518) Los Angeles County Department
600 S Commonwealth Ave Suite 700
Los Angeles,CA90005 		95-6000927 Government or P 7,895       Event Support
(519) Los Angeles Free Clinic
8405 Beverly Boulevard
Los Angeles,CA90048 		95-2539105 501(c)(3) 10,000       Project Support
(520) Los Angeles Gay And Lesbian Community
1625 N Schrader Blvd
Los Angeles,CA90028 		95-3567895 501(c)(3) 25,000       Project Support
(521) Los Angeles Team Mentoring Inc
714 West Olympic Blvd Suite 640
Los Angeles,CA90015 		95-4443617 501(c)(3) 8,000       Project Support
(522) Los Angeles Trade Tech College
400 W Washington Blvd Suite 535
Los Angeles,CA90015 		95-3813527 501(c)(3) 9,480       Event Support
(523) Los Angeles Urban League
3450 Mount Vernon Drive
Los Angeles,CA90008 		95-1691288 501(c)(3) 10,000       Conference Support
(524) Los Angeles Youth Network
7033 W Sunset Blvd Ste 225
Los Angeles,CA90028 		95-3953979 501(c)(3) 12,000       Project Support
(525) Madera County Public Health Department
14215 Road 28
Madera,CA93638 		94-6000518 Government or P 75,000       Project Support
(526) Maitri Compassionate Care
401 Duboce Avenue
San Francisco,CA94117 		94-3189198 501(c)(3) 20,000       Event Support
(527) Mama-Pikin Foundation
4974 Kanawha Bluff
Stone Mountain,GA30087 		45-2947613 501(c)(3) 10,000       Operating Support
(528) Mama's Kitchen
3960 Home Avenue
San Diego,CA92105 		33-0434246 501(c)(3) 12,000       Project Support
(529) March of Dimes Foundation
101 Montgomery St STE 300
San Francisco,CA94104 		13-1846366 501(c)(3) 21,000       Event Support
(530) Marin City Community Services District
630 Drake Avenue
Marin City,CA94965 		94-6050222 Government or P 15,000       Project Support
(531) Marin County Office of Education
1111 Las Gallinas Ave
San Rafael,CA94913 		94-6022431 Government or P 24,000       Project Support
(532) Marjaree Mason Center Inc
1600 M Street
Fresno,CA93721 		94-1156639 501(c)(3) 94,138       Project Support
(533) MARSHFIELD CLINIC RESEARCH
1000 North Oak Avenue 1R3
Marshfield,WI54449 		39-0452970 501(c)(3) 72,464       PassThrough Fed Proj
(534) Martin Luther King Jr Freedom Center
333 East 8th St
Oakland,CA94606 		94-3390034 501(c)(3) 115,000       Project Support
(535) Martin Luther King Jr Community Health
555 S Flower Street 2710
Los Angeles,CA90071 		45-4433505 501(c)(3) 13,750       Event Support
(536) Mary's Mercy Center Inc
641 Roberds Avenue
San Bernardino,CA92411 		33-0632426 501(c)(3) 10,000       Event Support
(537) MASSACHUSETTS GENERAL HOSPITAL
50 Staniford Street
Boston,MA02114 		04-2697983 501(c)(3) 43,424       PassThrough Fed Proj
(538) Maternal and Child Health Access
1111 W 6th St Fourth Fl
Los Angeles,CA90017 		95-4555879 501(c)(3) 15,000       Project Support
(539) MAYO CLINIC
200 First Street SW
Rochester,MN55905 		41-6011702 501(c)(3) 23,558       PassThrough Fed Proj
(540) Meals on Wheels Family and Community
1300 Civic Drive
Walnut Creek,CA94596 		68-0044205 501(c)(3) 5,500       Project Support
(541) Meals on Wheels of San Francisco Inc
1375 Fairfax Avenue
San Francisco,CA94124 		94-1741155 501(c)(3) 24,050       Event Support
(542) Meals On Wheels of Solano County Inc
Active 20-30 Greater Sacramento 10
Suisun City,CA94585 		94-2453452 501(c)(3) 20,000       Project Support
(543) Media Arts Center San Diego
2921 El Cajon Blvd
San Diego,CA92104 		33-0871577 501(c)(3) 12,000       Project Support
(544) Medical Education Cooperation with Cuba
1814 Franklin Street Suite 820
Oakland,CA94612 		31-1603765 501(c)(3) 40,000       Event Support
(545) Medshare International
2937 Alvarado Street
San Leandro,CA94577 		58-2433968 501(c)(3) 100,000       Project Support
(546) MEMORIAL SLOAN KETTERING CANCER CENTER
633 3rd Avenue
New York,NY10065 		13-1624182 501(c)(3) 57,467       PassThrough Fed Proj
(547) Men Educating Men Inc
30 West Mountain Street Suite D
Pasadena,CA91103 		27-2773299 501(c)(3) 13,500       Event Support
(548) Mend-Meet Each Need with Dignity
10641 N San Fernando Road
Pacoima,CA91331 		23-7306337 501(c)(3) 23,750       Project Support
(549) Mental Health America of Los Angeles
506 W Jackman St
Lancaster,CA93534 		95-1881491 501(c)(3) 15,000       Project Support
(550) Mental Health Association of San Mateo
2686 Spring Street
Redwood City,CA94063 		94-6034112 501(c)(3) 10,000       Operating Support
(551) Mental Health Systems Inc
9465 Farnham Street
San Diego,CA92123 		95-3302967 501(c)(3) 10,000       Project Support
(552) Mentor Me Petaluma
14 Keller Street
Petaluma,CA94952 		20-8525688 501(c)(3) 16,000       Project Support
(553) Mentoring in Medicine & Science Inc
2201 Broadway Suite LL13
Oakland,CA94612 		27-3263074 501(c)(3) 89,998       Project Support
(554) Mercy Foundation - Bakersfield
551 Shanley Ct
Bakersfield,CA93311 		77-0201321 501(c)(3) 15,000       Project Support
(555) Mercy House Living Centers
807 N Garfield
Santa Ana,CA92701 		33-0315864 501(c)(3) 28,000       Project Support
(556) Mexican American Legal Defense
634 South Spring St 11th Floor
Los Angeles,CA90014 		74-1563270 501(c)(3) 9,200       Conference Support
(557) Midnight Mission
601 South San Pedro Street
Los Angeles,CA90014 		95-1691293 501(c)(3) 10,000       Project Support
(558) Mid-Peninsula Boys & Girls Club Inc
200 North Quebec Street
San Mateo,CA94401 		94-1431583 501(c)(3) 15,000       Operating Support
(559) Mission Area Health Associates
240 Shotwell Street
San Francisco,CA94110 		94-2284365 501(c)(3) 27,000       Project Support
(560) Mission Edge San Diego
PO Box 12319
San Diego,CA92112 		27-2938491 501(c)(3) 15,000       Project Support
(561) Mission Solano Rescue Mission Inc
740 Travis Blvd PO Box 8
Fairfield,CA94533 		61-1431375 501(c)(3) 10,000       Project Support
(562) Mission Youth Soccer League
2560 Marin Street
San Francisco,CA94110 		94-3156408 501(c)(3) 10,000       Project Support
(563) Modesto City Schools
426 Locust Street
Modesto,CA95351 		77-0195326 Government or P 125,000       Project Support
(564) MOMS Orange County
1128 W Santa Ana Boulevard
Santa Ana,CA92703 		33-0518078 501(c)(3) 22,705       Project Support
(565) Monument Crisis Center
1990 Market Street
Concord,CA94520 		41-2111171 501(c)(3) 50,000       Event Support
(566) Monument Impact
1760 Clayton Road
Concord,CA94520 		94-3370919 501(c)(3) 618,450       Project Support
(567) Motivating Inspiring Supporting
436 14th Street Suite 150
Oakland,CA94612 		26-4513862 501(c)(3) 5,860       Event Support
(568) Mount Diablo Unified School District
1936 Carlotta Drive
Concord,CA94519 		68-0091157 Government or P 12,000       Project Support
(569) Mountain Communities Boys & Girls Club
607 Forest Shade Road PO Box 2228
Crestline,CA92325 		33-0653707 501(c)(3) 10,000       Project Support
(570) Mountain Health & Community Services
31115 Highway 94
Campo,CA91906 		33-0164420 501(c)(3) 20,000       Project Support
(571) Mountains Community Hospital Foundation
29101 Hospital Road PO Box 1493
Lake Arrowhead,CA92352 		33-0530904 501(c)(3) 11,000       Event Support
(572) Museum of the African Diaspora
685 Mission Street
San Francisco,CA94105 		94-3338239 501(c)(3) 71,000       Project Support
(573) Mutual Assistance Network
811 Grand Avenue Suite A3
Sacramento,CA95838 		68-0332694 501(c)(3) 30,000       Event Support
(574) My Sister's House
3053 Freeport Blvd No 120
Sacramento,CA95818 		68-0464114 501(c)(3) 26,940       Project Support
(575) NAMI ACS dba NAMI Alameda County South
4974 Omar Street
Fremont,CA94538 		46-1028709 501(c)(3) 30,000       Project Support
(576) NAMI North Coastal San Diego County
1701 Mission Avenue
Oceanside,CA92054 		33-0396039 501(c)(3) 7,500       Project Support
(577) Napa Solano SaneSart
1141 Pear Tree Ln Suite 220
Napa,CA94558 		68-0285816 501(c)(3) 7,500       Event Support
(578) National Coalition of 100 Black Women
c/o Cathy Adams 6175 Shattuck Ave
Oakland,CA94609 		94-3298877 501(c)(3) 6,850       Operating Support
(579) National Council of YMCAs of the USA
101 N Wacker Drive
Chicago,IL60606 		36-3258696 501(c)(3) 43,750       Operating Support
(580) National Medical Fellowships Inc
347 Fifth Avenue Suite 510
New York,NY10016 		01-0963657 501(c)(3) 8,500       Event Support
(581) Native American Rehabilitation
1776 SW Madison PO Box 1569
Portland,OR97207 		23-7098400 501(c)(3) 75,000       Operating Support
(582) Neighborhood Healthcare
425 North Date Street
Escondido,CA92025 		95-2796316 501(c)(3) 60,000       Project Support
(583) Neighborhood House Inc
7780 SW Capitol Hwy
Portland,OR97215 		93-0386875 501(c)(3) 15,000       Operating Support
(584) New Directions for Youth
7315 North Lankershim Blvd
North Hollywood,CA91605 		95-2973008 501(c)(3) 10,000       Project Support
(585) New Hope Free Clinic Inc
760 E Stuart Ave
Redlands,CA92374 		46-2473576 501(c)(3) 10,000       Event Support
(586) New Horizons Caregivers Group
3129 S Hacienda Blvd Suite 809
Hacienda Heights,CA91745 		75-3132090 501(c)(3) 9,800       Project Support
(587) Nile Sisters Development Initiative
6035 University Avenue Suite 22
San Diego,CA92115 		91-2131196 501(c)(3) 10,000       Project Support
(588) North Bay Children's Center
PO Box 50784 1785 Woodland Av
Novato,CA94949 		94-3024246 501(c)(3) 10,000       Project Support
(589) North by Northeast Community Health
3030 NE Martin Luther King Jr Blv
Portland,OR97212 		72-1618287 501(c)(3) 97,250       Project Support
(590) North Clackamas School District
4444 SE Lake Rd Dept 950
Milwaukie,OR97222 		93-0599524 Government or P 15,000       Operating Support
(591) Northeast Valley Health Corporation
1172 North Maclay Avenue
San Fernando,CA91340 		23-7120632 501(c)(3) 18,000       Project Support
(592) Northern California Center
365 B Tesconi Circle
Santa Rosa,CA95401 		93-1144835 501(c)(3) 21,940       Project Support
(593) Northern Light School
3710 Dorisa Avenue
Oakland,CA94605 		94-3097690 501(c)(3) 11,726       Operating Support
(594) Northwest Housing Alternatives
2316 SE Willard St
Milwaukie,OR97222 		93-0814473 501(c)(3) 15,000       Project Support
(595) NORTHWESTERN UNIVERSITY
750 N Lake Shore Drive
Chicago,IL60611 		36-2167818 501(c)(3) 52,071       PassThrough Fed Proj
(596) Novato Youth Center
680 Wilson Ave
Novato,CA94947 		94-1735064 501(c)(3) 20,000       Project Support
(597) Oak Grove Institute Foundation Inc
24275 Jefferson Avenue
Murrieta,CA92562 		33-0470446 501(c)(3) 10,000       Project Support
(598) Oak View Renewal Partnership
PO Box 3476
Huntington Beach,CA92605 		61-1495237 501(c)(3) 15,000       Project Support
(599) Oakland School for the Arts
530 18th Street
Oakland,CA94612 		68-0463892 501(c)(3) 49,500       Conference Support
(600) Ocean Park Community Center
1453 - 16th Street
Santa Monica,CA90404 		95-6143865 501(c)(3) 10,000       Project Support
(601) Odd Fellow- Rebekah Children's Home
290 IOOF Avenue
Gilroy,CA95020 		94-1167402 501(c)(3) 50,000       Project Support
(602) Off The Front
2044 E Nees
Fresno,CA93720 		27-2022802 501(c)(3) 50,000       Operating Support
(603) Okizu Foundation
16 Digital Drive Suite 130
Novato,CA94949 		68-0291178 501(c)(3) 12,500       Conference Support
(604) On The Move
780 Lincoln Avenue
Napa,CA94558 		75-3149095 501(c)(3) 91,500       Project Support
(605) One Step a la Vez
421 Sespe Ave
Fillmore,CA93015 		45-4604852 501(c)(3) 8,290       Operating Support
(606) Ontario-Montclair School District
950 West D Street
Ontario,CA91762 		95-6002267 Government or P 10,000       Event Support
(607) Open Heart Kitchen of Livermore Inc
1141 Catalina Drive 137
Livermore,CA94550 		94-3396038 501(c)(3) 20,000       Project Support
(608) Open PATHS Counseling Center
5731 W Slauson Ave Suite 175
Culver City,CA90230 		95-3221061 501(c)(3) 10,000       Project Support
(609) Operation Safe House Inc
9685 Hayes Street
Riverside,CA92503 		33-0326090 501(c)(3) 32,464       Project Support
(610) Operation Samahan Inc
1428 Highland Avenue
National City,CA91950 		95-3008798 501(c)(3) 20,000       Project Support
(611) Optimal Hospice Foundation
1315 Boughton Drive
Bakersfield,CA93308 		95-3334909 501(c)(3) 10,000       Project Support
(612) Orange County Department of Education
200 Kalmus Drive Ste B-1007
Costa Mesa,CA92628 		95-6000943 Government or P 15,000       Project Support
(613) Orange County Family Justice Center
150 West Vermont Avenue
Anaheim,CA92805 		20-4088652 501(c)(3) 15,000       Project Support
(614) Orangewood Children's Foundation
1575 E 17th Street
Santa Ana,CA92705 		95-3616628 501(c)(3) 30,000       Project Support
(615) Oregon CASA Network
174 Deadmond Ferry Road
Springfield,OR97477 		45-2657743 501(c)(3) 15,000       Project Support
(616) Oregon College Of Oriental Medicine
10525 SE Cherry Blossom Dr
Portland,OR97216 		93-0845182 501(c)(3) 15,000       Project Support
(617) Oregon Food Bank Inc
PO Box 55370
Portland,OR97238 		93-0785786 501(c)(3) 15,000       Operating Support
(618) Oregon Foundation for Reproductive
310 SW 4th Av Suite 840
Portland,OR97204 		93-0803636 501(c)(3) 50,000       Project Support
(619) OREGON HEALTH & SCIENCE UNIVERSITY
3181 SW Sam Jackson Park Road
Portland,OR97239 		93-1176109 501(c)(3) 6,678       PassThrough Fed Proj
(620) Oregon Primary Care Association
310 SW 4th Ave Suite 200
Portland,OR97204 		93-0877986 501(c)(3) 292,604       Operating Support
(621) Oregon Public Health Institute
310 SW 4th Ave Suite 900 Suite 20
Portland,OR97204 		93-1259522 501(c)(3) 544,698       Project Support
(622) Organizacion En California De Lideres
2101 South Rose Avenue Suite A
Oxnard,CA93033 		95-4611282 501(c)(3) 15,000       Project Support
(623) Orthopaedics Overseas Inc
1900 L St NW Suite 310
Washington,DC20036 		31-1018004 501(c)(3) 6,500       Operating Support
(624) Our Place Housing Solutions
16429 Bellflower Blvd
Bellflower,CA90706 		26-2435307 501(c)(3) 8,000       Project Support
(625) Outside In
1132 SW 13th Ave
Portland,OR97205 		93-0567549 501(c)(3) 179,500       Operating Support
(626) P F Bresee Foundation
184 Bimini Pl
Los Angeles,CA90004 		95-3797363 501(c)(3) 14,500       Event Support
(627) Pacific Clinics
800 S Santa Anita Avenue
Arcadia,CA91006 		95-1644034 501(c)(3) 12,500       Project Support
(628) Pacoima Beautiful
13520 Van Nuys Blvd Suite 200
Pacoima,CA91331 		95-4770745 501(c)(3) 10,000       Project Support
(629) Palm Springs Cultural Center
2100 Tahquitz Canyon Way
Palm Springs,CA92262 		55-0914693 501(c)(3) 10,000       Project Support
(630) PALO ALTO MEDICAL FOUNDATION
795 El Camino Real
Palo Alto,CA94301 		94-1156581 501(c)(3) 235,568       PassThrough Fed Proj
(631) Parent Resource Center
811 5th Street
Modesto,CA95351 		77-0324466 501(c)(3) 30,738       Project Support
(632) Parent Services Project Inc
79 Belvedere Street Suite 101
San Rafael,CA94901 		68-0169962 501(c)(3) 20,000       Project Support
(633) Partners In Care Foundation Inc
732 Mott Street Suite 150
San Fernando,CA91340 		95-3954057 501(c)(3) 18,600       Project Support
(634) Pasadena - Foothill Valley YWCA
1015 N Lake Ave Suite 205
Pasadena,CA91104 		95-1644059 501(c)(3) 16,900       Project Support
(635) Pasadena Senior Center
85 E Holly Street
Pasadena,CA91103 		95-2085393 501(c)(3) 21,296       Event Support
(636) Pathways Volunteer Hospice
3701 Michelson Street
Lakewood,CA90712 		33-0241726 501(c)(3) 15,000       Project Support
(637) PE 4 Kids Now Inc
3076 Vichy Avenue
Napa,CA94558 		45-4800728 501(c)(3) 7,500       Project Support
(638) Peace Over Violence
1015 Wilshire Blvd Suite 200
Los Angeles,CA90017 		51-0179305 501(c)(3) 13,500       Project Support
(639) Pediatric Dental Initiative
1380 19th Hole Drive
Windsor,CA95492 		34-3012430 501(c)(3) 15,640       Project Support
(640) Peninsula Family Service
24 2nd Avenue
San Mateo,CA94401 		94-1186169 501(c)(3) 20,000       Operating Support
(641) Penny Lane Centers
15305 Rayen Street
North Hills,CA91343 		95-2633765 501(c)(3) 9,600       Project Support
(642) People Assisting The Homeless
670 W 9th Street
San Pedro,CA90731 		95-3950196 501(c)(3) 10,000       Operating Support
(643) People for Irvine Community Health
1505 E 17th Street Suite 108
Santa Ana,CA92705 		33-0063532 501(c)(3) 25,000       Project Support
(644) People Reaching Out
8928 Volunteer Lane Suite 220
Sacramento,CA95841 		94-2795430 501(c)(3) 27,000       Project Support
(645) People's CORE
1610 Beverly Blvd Ste 2
Los Angeles,CA90026 		93-1216789 501(c)(3) 10,000       Project Support
(646) Petaluma People Services Center
1500 Petaluma Boulevard South Sui
Petaluma,CA94952 		94-2271299 501(c)(3) 11,800       Project Support
(647) Physician Medical Forum
2201 Broadway Suite 212
Oakland,CA94612 		30-0086728 501(c)(3) 50,000       Operating Support
(648) Placer County Office of Education
360 Nevada Street
Auburn,CA95603 		94-6002096 Government or P 15,000       Project Support
(649) Placer People of Faith Together
PO Box 5394
Auburn,CA95604 		27-0240478 501(c)(3) 19,253       Project Support
(650) Planned Parenthood Los Angeles
400 West 30th Street
Los Angeles,CA90007 		95-2408623 501(c)(3) 24,400       Event Support
(651) Planned Parenthood Mar Monte-Sacramento
1605 The Alameda
San Jose,CA95126 		94-1583439 501(c)(3) 102,100       Project Support
(652) Planned Parenthood Shasta Diablo Inc
2185 Pacheco Street
Concord,CA94520 		94-1575233 501(c)(3) 53,000       Project Support
(653) Playworks Education Energized
380 Washington Street
Oakland,CA94607 		94-3251867 501(c)(3) 132,800       Project Support
(654) Point Break Resources
1102 North School Street
Stockton,CA95205 		94-1708137 501(c)(3) 40,000       Event Support
(655) POINT LOMA NAZARENE UNIVERSITY
3900 LOMALAND DRIVE
SAN DIEGO,CA92106 		95-1644035 501(c)(3) 10,000       Project Support
(656) Polk County
850 Main St
Dallas,OR97338 		93-6002310 Government or P 40,000       Operating Support
(657) Pomona Community Health Center
1450 East Holt Avenue
Pomona,CA91767 		22-3914738 501(c)(3) 10,000       Project Support
(658) Pomona Valley Community Services
141 S Spring Street
Claremont,CA91711 		95-3100466 501(c)(3) 7,000       Project Support
(659) Portland Habitat for Humanity
1478 NE Killingsworth
Portland,OR97211 		93-0801200 501(c)(3) 15,000       Project Support
(660) Portland Public Schools (PPS)
501 N Dixon St
Portland,OR97227 		93-6000830 Government or P 49,500       Project Support
(661) Positive Resource Center
785 Market Street 10th Floor
San Francisco,CA94103 		94-3078431 501(c)(3) 20,000       Project Support
(662) Powerhouse Ministries Inc
311 Market St
Folsom,CA95630 		68-0020855 501(c)(3) 25,000       Project Support
(663) Prescott -Joseph Center for Community
920 Peralta Street
Oakland,CA94607 		94-3248535 501(c)(3) 42,500       Project Support
(664) Pretend City The Children's Museum
29 Hubble
Irvine,CA92618 		33-0761254 501(c)(3) 10,000       Project Support
(665) Prevention Institute
221 Oak Street
Oakland,CA94607 		94-3282858 501(c)(3) 95,000       Operating Support
(666) Project Inform Inc Aids Treatment
111 North Market Street Suite 1015
San Francsico,CA94103 		94-3052723 501(c)(3) 10,000       Conference Support
(667) Project Sister Family Services
363 South Park Avenue Suite 303
Pomona,CA91769 		23-7116161 501(c)(3) 10,000       Project Support
(668) Promises2Kids
9440 Ruffin Court Suite A
San Diego,CA92123 		95-3655288 501(c)(3) 10,000       Project Support
(669) Prototypes a Center for Innovation
1000 N Alameda Street Suite 390
Los Angeles,CA90012 		95-4092046 501(c)(3) 10,000       Project Support
(670) Public Health Foundation Enterprises
12801 Crossroads Pkwy South Suite
City of Industry,CA91746 		95-2557063 501(c)(3) 10,000       Project Support
(671) Public Health Foundation of Columbia
PO Box 995 2370 Gable Road
Saint Helens,OR97051 		81-0622430 501(c)(3) 40,000       Operating Support
(672) Public Health Institute
555 12th Street 10th Floor
Oakland,CA94607 		94-1646278 501(c)(3) 414,500       Event Support
(673) Puente de la Costa Sur
620 North Street PO Box 554
Pescadero,CA94060 		37-1484262 501(c)(3) 11,132       Operating Support
(674) Queen of the Valley Medical Center
3448 Villa Lane Suite 102
Napa,CA94558 		94-1243669 501(c)(3) 13,000       Project Support
(675) Rainbow Services Ltd
453 West 7th Street
San Pedro,CA90731 		95-3855705 501(c)(3) 10,000       Project Support
(676) Rancho Los Amigos Foundation Inc
7601 E Imperial Highway
Downey,CA90242 		95-3849600 501(c)(3) 10,000       Event Support
(677) Rape Trauma Services
1860 El Camino Real Suite 406
Burlingame,CA94010 		94-3215045 501(c)(3) 10,000       Operating Support
(678) Reach Out West End Inc
1126 West Foothill Boulevard Suite
Upland,CA91786 		95-2642747 501(c)(3) 35,000       Project Support
(679) Reading and Beyond
4670 E Butler Avenue
Fresno,CA93702 		77-0508471 501(c)(3) 20,000       Operating Support
(680) Reading Partners
180 Grand Avenue Suite 800
Oakland,CA94612 		77-0568469 501(c)(3) 8,000       Event Support
(681) REDF
221 Main Street Suite 1550
San Francisco,CA94105 		54-2132153 501(c)(3) 90,000       Project Support
(682) Redwood City Police Activities
3399 Bay Road
Redwood City,CA94063 		94-3229506 501(c)(3) 38,000       Project Support
(683) Redwood Community Health Coalition
1310 Redwood Way Suite 135
Petaluma,CA94954 		94-3220029 501(c)(3) 349,501       Project Support
(684) Redwood Empire Food Bank
3990 Brickway Blvd
Santa Rosa,CA95403 		68-0121855 501(c)(3) 22,360       Event Support
(685) REGENTS OF THE UNIVERSITY OF MICHIGAN
3003 South State Street
Ann Arbor,MI48109 		38-6006309 501(c)(3) 20,935       PassThrough Fed Proj
(686) ReImagine Mack Road Foundation
75 Quinta Court Suite D
Sacramento,CA95823 		46-4193875 501(c)(3) 50,000       Event Support
(687) Rescue Mission Alliance
16857 C Street
Victorville,CA92395 		23-7278002 501(c)(3) 10,000       Project Support
(688) Revival Center Ministries
910 Tennessee St
Vallejo,CA94590 		55-3642299 501(c)(3) 10,000       Conference Support
(689) Richmond Community Foundation
1014 Florida Ave Ste 200
Richmond,CA94804 		94-3337754 501(c)(3) 8,800       Event Support
(690) Rim Family Services Inc
28545 State Hwy Box 578
Skyforest,CA92385 		33-0496148 501(c)(3) 15,000       Project Support
(691) Rio Vista CARE Inc
PO Box 576 125 Sacramento St
Rio Vista,CA94571 		68-0063763 501(c)(3) 7,500       Project Support
(692) Riverside Community College District
4800 Magnolia Avenue
Riverside,CA92506 		95-2993847 501(c)(3) 25,000       Project Support
(693) Riverside Community Health Foundation
4445-A Magnolia Avenue
Riverside,CA92501 		23-7276444 501(c)(3) 35,000       Project Support
(694) Riverside County Physicians Memorial
3993 Jurupa Ave
Riverside,CA92506 		95-6080778 501(c)(3) 20,000       Project Support
(695) Riverside County Regional Medical Center
26520 Cactus Avenue
Moreno Valley,CA92555 		33-0374018 501(c)(3) 25,000       Project Support
(696) Robert F Kennedy Institute of Community
544 N Avalon Blvd Suite 309
Wilmington,CA90744 		33-0531975 501(c)(3) 10,000       Project Support
(697) Roberts Family Development Center
770 Darina Ave
Sacramento,CA95815 		68-0470557 501(c)(3) 24,650       Project Support
(698) Ronald McDonald House Charities
1250 Lyman Place
Los Angeles,CA90029 		95-3167869 501(c)(3) 10,000       Event Support
(699) Rosie The Riveter Trust
440 Civic Center Plaza Ste 200
Richmond,CA94807 		94-3335350 501(c)(3) 9,250       Event Support
(700) RotaCare Bay Area Inc
PO Box 18430
San Jose,CA95158 		77-0328723 501(c)(3) 68,550       Project Support
(701) Rotary Club of San Jose Endowment
1690 Senter Road
San Jose,CA95112 		94-6112270 501(c)(3) 25,000       Conference Support
(702) Rubicon Programs Inc
311 Market St
Richmond,CA94804 		94-2301550 501(c)(3) 22,150       Project Support
(703) Ryse Inc
205 41st Street
Richmond,CA94805 		26-0692904 501(c)(3) 100,170       Project Support
(704) SAC Health System
1455 E Third Street
San Bernardino,CA92410 		33-0664371 501(c)(3) 14,000       Project Support
(705) Sacramento Chinese Community Service
327 Montrose Drive
Sacramento,CA95814 		94-2581434 501(c)(3) 20,000       Event Support
(706) Sacramento City Unified School District
5735 47th Ave
Sacramento,CA95824 		94-6002491 Government or P 50,000       Project Support
(707) Sacramento Community Clinic Consortium
555 University Avenue Suite 114
Sacramento,CA95825 		68-0400624 501(c)(3) 20,000       Project Support
(708) Sacramento County Department
7001-A East Parkway Suite 600
Sacramento,CA95823 		94-6000529 Government or P 20,000       Project Support
(709) Sacramento County Office of Education
PO Box 269003 10474 Mather Blvd
Sacramento,CA95826 		94-6002536 Government or P 43,000       Conference Support
(710) Sacramento Loaves and Fishes
1351 North C Street
Sacramento,CA95813 		68-0189897 501(c)(3) 15,000       Project Support
(711) Sacramento Native American Health Center
2020 J Street
Sacramento,CA95811 		20-4287737 501(c)(3) 111,438       Project Support
(712) Sacramento Neighborhood Housing Services
2400 Alhambra Blvd
Sacramento,CA95817 		68-0118032 501(c)(3) 20,000       Project Support
(713) Sacramento Steps Forward
1331 Garden Highway Suite 100
Sacramento,CA95833 		27-4907397 501(c)(3) 25,000       Project Support
(714) Sacramento Valley Concussion Care
3902 Black Oak Court
rocklin,CA95765 		46-1474925 501(c)(3) 16,380       Project Support
(715) Sacred Heart Community Service
1381 South First Street
San Jose,CA95110 		23-7179787 501(c)(3) 12,200       Project Support
(716) Sacred Heart Nativity School
310 Edwards Avenue
San Jose,CA95110 		95-2206754 501(c)(3) 30,000       Project Support
(717) Safe Routes to School National
2323 Broadway Suite 109B
Oakland,CA94612 		46-2694434 501(c)(3) 200,000       Conference Support
(718) SafeQuest Solano
2260 Douglas Blvd 150
Fairfield,CA94533 		94-2853669 501(c)(3) 15,000       Project Support
(719) Sai Shiva Charitable Trust
6869 Verde Ridge Road
Rancho Palos Verdes,CA90275 		33-6267482 501(c)(3) 10,000       Operating Support
(720) Salem Free Clinic's
1300 Broadway St NE Suite 104
Salem,OR97301 		20-3549992 501(c)(3) 72,500       Project Support
(721) Salem Hospital
PO Box 140001
Salem,OR97309 		93-0579722 501(c)(3) 5,476,440       Operating Support
(722) Salem Schools Foundation
PO Box 993
Salem,OR97308 		93-0831467 501(c)(3) 10,000       Project Support
(723) Salem-Keizer Coalition for Equality
3850 Portland Rd NE Suite 214
Salem,OR97302 		65-1203900 501(c)(3) 15,000       Operating Support
(724) Salem-Keizer Public Schools
2450 Lancaster Dr NESte 130
Salem,OR97309 		93-6000763 501(c)(3) 15,000       Operating Support
(725) Samaritan Counseling Center
1126 W Foothill Blvd Suite 110
Upland,CA91786 		95-3160005 501(c)(3) 10,000       Project Support
(726) Samaritan House
4031 Pacific Boulevard
San Mateo,CA94403 		23-7416272 501(c)(3) 26,500       Operating Support
(727) Samuel Dixon Family Health Center Inc
25115 W Avenue Stanford Suite A-1
Valencia,CA91355 		95-4278726 501(c)(3) 7,000       Project Support
(728) San Antonio Community Hospital Dental
8593 Archibald Avenue
Rancho Cucamonga,CA91730 		95-6140562 501(c)(3) 8,000       Project Support
(729) San Bernardino County Sexual Assault
444 N Arrowhead Ave Suite 101-105
San Bernardino,CA92401 		95-3543081 501(c)(3) 22,000       Project Support
(730) San Diego American Indian Health Center
2602 First Avenue Suite 105
San Diego,CA92103 		95-3397369 501(c)(3) 20,000       Project Support
(731) San Diego City College Foundation Inc
1313 Park Blvd A-105
San Diego,CA92101 		23-7261624 501(c)(3) 10,000       Project Support
(732) San Diego County Medical Society
5575 Ruffin Road Suite 250
San Diego,CA92123 		95-2568714 501(c)(3) 20,000       Project Support
(733) San Diego Family Care
6973 Linda Vista Road
San Diego,CA92111 		95-2700856 501(c)(3) 20,000       Project Support
(734) San Diego Food Bank Corporation
9850 Distribution Avenue
San Diego,CA92121 		20-4374795 501(c)(3) 40,000       Project Support
(735) San Diego Hunger Coalition
4305 University Avenue 515
San Diego,CA92105 		30-0507718 501(c)(3) 15,000       Project Support
(736) San Diego Lesbian Gay Bisexual
3909 Centre Street
San Diego,CA92103 		23-7332048 501(c)(3) 12,300       Project Support
(737) San Diego MANA
2515 Camino del Rio South Suite 22
San Diego,CA92108 		33-0821060 501(c)(3) 11,960       Conference Support
(738) San Diego Youth Services
3255 Wing Street
San Diego,CA92110 		95-2648050 501(c)(3) 10,000       Project Support
(739) San Fernando Valley Community Mental
16360 Roscoe Blvd 2nd Floor
Van Nuys,CA91406 		95-6194487 501(c)(3) 17,900       Project Support
(740) San Francisco Community Clinic
2370 Market Street 2nd Floor
San Francisco,CA94103 		94-2897258 501(c)(3) 333,500       Project Support
(741) San Francisco General Hospital
30 Van Ness Suite 2300
San Francisco,CA94102 		94-3189424 501(c)(3) 5,276,000       Project Support
(742) San Francisco Mental Health Education
1380 Howard Street Suite 226
San Francisco,CA94103 		94-2243843 501(c)(3) 24,980       Project Support
(743) San Francisco Public Health Foundation
375 Laguna Honda Blvd - B 303
San Francisco,CA94116 		94-3117093 501(c)(3) 600,000       Event Support
(744) San Francisco Recreation and Park
McLaren Lodge 501 Stanyan Street
San Francisco,CA94117 		94-6000417 Government or P 20,000       Project Support
(745) San Francisco Study Center
1470 Fruitvale Avenue
Oakland,CA94601 		94-2168838 501(c)(3) 55,000       Project Support
(746) San Gabriel Unified School District
408 Jumipero Serra Drive
San Gabriel,CA91776 		95-6000777 Government or P 7,500       Project Support
(747) San Gabriel Valley Conservation
3629 Cypress
El Monte,CA91731 		27-0030016 501(c)(3) 7,500       Project Support
(748) San Gabriel Valley Foundation
14101 East Nelson Avenue
La Puente,CA91746 		95-4590029 501(c)(3) 10,000       Project Support
(749) San Geronimo Valley Community Cener
PO Box 194
San Geronimo,CA94963 		23-7172128 501(c)(3) 8,500       Project Support
(750) San Joaquin County Office of Education
2901 Arch Airport Road
Stockton,CA95206 		68-0006282 Government or P 85,121       Project Support
(751) San Joaquin County Public Health
1601 East Hazelton Ave
Stockton,CA95201 		94-6000531 Government or P 65,000       Project Support
(752) San Jose Children's Discovery Museum
11566 D Avenue
San Jose,CA95110 		94-2870828 501(c)(3) 30,000       Event Support
(753) San Juan Unified School District
3738 Walnut Avenue
Carmichael,CA95608 		94-6002533 Government or P 23,000       Project Support
(754) San Leandro Boys and Girls Club
401 Marina Boulevard
San Leandro,CA94577 		94-6003779 501(c)(3) 32,940       Project Support
(755) San Leandro Education Foundation
433 Callan Ave Ste 203
San Leandro,CA94577 		26-3044668 501(c)(3) 33,800       Project Support
(756) San Mateo County Sheriff's Activities
3151 Edison Way
Redwood City,CA94063 		45-0617342 501(c)(3) 20,000       Operating Support
(757) San Mateo Police Activities League
200 Franklin Parkway
San Mateo,CA94403 		31-1593896 501(c)(3) 15,000       Operating Support
(758) San Rafael City Schools
Short School 35 Marin Street
San Rafael,CA94901 		68-0194365 Government or P 13,000       Project Support
(759) Santa Clara City Library Foundation
2635 Homestead Road
Santa Clara,CA95051 		91-2125234 501(c)(3) 6,000       Event Support
(760) Santa Clara County Public Health
1400 Parkmoor Avenue Suite 120B
San Jose,CA95126 		94-6000533 Government or P 153,000       Project Support
(761) Santa Clara University
500 El Camino Real
Santa Clara,CA95053 		94-1156617 501(c)(3) 80,000       MSIS Program
(762) Santa Clarita Community Development
P O Box 802978
Santa Clarita,CA91380 		95-4587823 501(c)(3) 9,626       Project Support
(763) Santa Clarita Valley Boys and Girls Club
24909 Newhall Avenue
Newhall,CA91321 		95-2572622 501(c)(3) 10,000       Project Support
(764) Santa Rosa City Schools
211 Ridgeway Avenue
Santa Rosa,CA95401 		68-0180139 Government or P 24,000       Project Support
(765) Santa Rosa Community Health Centers
3569 Round Barn Circle
Santa Rosa,CA95403 		68-0365296 501(c)(3) 41,455       Event Support
(766) School Garden Network Foundation
PO Box 6274
Santa Rosa,CA95406 		86-1147121 501(c)(3) 7,500       Project Support
(767) School Health Clinics of Santa Clara
5671 Santa Teresa Boulevard Suite
San Jose,CA95123 		77-0031679 501(c)(3) 25,000       Project Support
(768) Second Harvest Food Bank
2950-B Jefferson Street
Riverside,CA92504 		33-0072922 501(c)(3) 10,000       Project Support
(769) Second Harvest Food Bank
704 E Industrial Park Drive
Manteca,CA95337 		68-0376587 501(c)(3) 42,500       Project Support
(770) Second Harvest Food Bank of Santa Clara
1141 Pear Tree Ln Suite 220
San Jose,CA95134 		94-2614101 501(c)(3) 45,000       Operating Support
(771) Seneca Family Of Agencies
8303 Alondra Boulevard
San Leandro,CA94578 		94-2971761 501(c)(3) 40,000       Project Support
(772) Senior Coastsiders
925 Main Street
Half Moon Bay,CA94019 		94-3119310 501(c)(3) 10,000       Operating Support
(773) Senior Community Centers of San Diego
525 14th Street Suite 200
San Diego,CA92101 		95-2850121 501(c)(3) 12,000       Project Support
(774) Senior Support of the Tri-Valley
5353 Sunol Blvd
Pleasanton,CA94596 		20-3225569 501(c)(3) 10,000       Project Support
(775) Seniors First
11566 D Avenue
Auburn,CA95603 		68-0430154 501(c)(3) 25,000       Project Support
(776) SEPULVEDA RESEARCH CORP
16111 Pulmmer Street
Sepulveda,CA91343 		95-4246275 501(c)(3) 22,387       PassThrough Fed Proj
(777) SEQUOIA FOUNDATION
2166 Avenida de la Playa
La Jolla,CA92037 		33-0100208 501(c)(3) 14,836       PassThrough Fed Proj/Event Support
(778) Serotonin Surge Charities
824 Falcon Avenue
Davis,CA95616 		68-0411254 501(c)(3) 50,000       Project Support
(779) Serve The People Inc
1206 E 17th St Suite 101
Santa Ana,CA92701 		27-0421556 501(c)(3) 15,000       Project Support
(780) Shanti Orange County
23461 South Pointe Drive Suite 100
Laguna Hills,CA92653 		33-0236592 501(c)(3) 10,000       Project Support
(781) Shanti Project Inc
730 Polk Street
San Francisco,CA94109 		94-2297147 501(c)(3) 40,000       Project Support
(782) Share Our Selves
1550 Superior Ave
Costa Mesa,CA92627 		95-3222316 501(c)(3) 10,000       Project Support
(783) Sharefest Community Development Inc
3480 Torrance Blvd Suite 110
Torrance,CA90503 		20-5651596 501(c)(3) 15,000       Project Support
(784) Sharks Foundation
525 W Santa Clara St
San Jose,CA95113 		77-0374062 501(c)(3) 35,000       Project Support
(785) Shelter Inc of Contra Costa County
1815 Arnold Drive
Martinez,CA94553 		68-0117241 501(c)(3) 14,440       Project Support
(786) Sierra Vista Children's Center
100 Poplar Ave
Modesto,CA95354 		94-2158023 501(c)(3) 80,000       Project Support
(787) Silicon Valley Creates
1624 Franklin Street Suite 722
San Jose,CA95113 		94-2825213 501(c)(3) 10,000       Project Support
(788) Single Mothers Outreach
23780 Newhall Avenue Ste 203
Newhall,CA91321 		95-4646004 501(c)(3) 7,000       Project Support
(789) Soil Born Farm Urban Agriculture Project
2140 Chase Drive
Rancho Cordova,CA95670 		20-0774693 501(c)(3) 40,000       Event Support
(790) Solano Coalition for Better Health
One Harbor Center Suite 270
Suisun City,CA94585 		94-3189914 501(c)(3) 62,520       Project Support
(791) Solano Community Foundation
665 Walnut Avenue
Vallejo,CA94592 		68-0354961 501(c)(3) 9,300       Project Support
(792) Somali Family Service of San Diego
6035 University Avenue Suite 6
San Diego,CA92115 		91-2065038 501(c)(3) 10,000       Project Support
(793) Sonoma Valley Vintners and Growers
783 Broadway
Sonoma,CA95476 		91-1934463 501(c)(3) 24,999       Project Support
(794) SOSMentor
23622 Calabasas Road Suite 146
Calabasas,CA91302 		95-4722980 501(c)(3) 22,450       Event Support
(795) South Asian Network
18173 Pioneer Blvd Suite I
Artesia,CA90701 		33-0608166 501(c)(3) 9,250       Event Support
(796) South Bay Children's Health Center
410 Camino Real
Redondo Beach,CA90277 		95-6003956 501(c)(3) 10,000       Project Support
(797) South Bay Community Services
430 F Street
Chula Vista,CA91910 		95-2693142 501(c)(3) 10,750       Project Support
(798) South Bay Family Healthcare Center
23430 Hawthorne Blvd Suite 210
Torrance,CA90505 		23-7049937 501(c)(3) 27,500       Project Support
(799) South Bay family YMCA
1201 Paseo Magda
Chula Vista,CA91910 		95-2039198 501(c)(3) 25,000       Project Support
(800) South Central Family Health Center
4425 S Central Avenue
Los Angeles,CA90011 		95-3877793 501(c)(3) 35,000       Project Support
(801) South County Outreach
7 Whatney Suite B
Irvine,CA92618 		33-0330233 501(c)(3) 15,000       Project Support
(802) South Hayward Parish
27287 Patrick Ave
Hayward,CA94544 		94-2250549 501(c)(3) 33,000       Project Support
(803) South San Francisco Friends
840 West Orange Avenue
South San Francisco,CA94080 		74-3116201 501(c)(3) 15,000       Operating Support
(804) South San Francisco High Schools
400 B Street
South San Francisco,CA94080 		94-3083861 Government or P 15,000       Operating Support
(805) South San Francisco Public Library
840 West Orange Avenue
South San Francisco,CA94080 		94-6000435 Government or P 25,000       Operating Support
(806) South West Community Health Center
7754 SW Capitol Highway
Portland,OR97219 		74-3050497 501(c)(3) 48,700       Project Support
(807) Southern Alameda County Comite For Raza
26081 Mocine Ave
Hayward,CA94544 		94-2297155 501(c)(3) 30,000       Project Support
(808) Southern California Center for Nonprofit
1000 N Alameda Street Suite 250
Los Angeles,CA90012 		95-3357253 501(c)(3) 14,950       Conference Support
(809) Southern California Grantmakers
1000 N Alameda St Ste 230
Los Angeles,CA90012 		95-2831058 501(c)(3) 7,600       Project Support
(810) Special Delivery San Diego
4021 Goldfinch Street
San Diego,CA92103 		33-0475238 501(c)(3) 10,000       Project Support
(811) Special Olympics Northern California Inc
3480 Buskirk Ave Suite 340
Pleasant Hill,CA94523 		68-0363121 501(c)(3) 50,000       Event Support
(812) Special Olympics Southern California
41880 Kalmia St 165
Murrietta,CA92562 		95-4538450 501(c)(3) 30,000       Project Support
(813) Special Service for Groups Inc
605 W Olympic Blvd Suite 600
Los Angeles,CA90015 		95-1716914 501(c)(3) 7,500       Project Support
(814) Spectrum Community Services
2621 Barrington Court
Hayward,CA94545 		94-1748275 501(c)(3) 29,000       Project Support
(815) Spiritt Family Services
13135 Barton Road
Whittier,CA90605 		95-2852683 501(c)(3) 6,000       Project Support
(816) St Francis Center
1835 South Hope Street
Los Angeles,CA90015 		95-4479271 501(c)(3) 15,000       Project Support
(817) St Hope Academy
PO Box 5447
Sacramento,CA95817 		68-0193050 501(c)(3) 18,860       Project Support
(818) St Jeanne de Lestonnac Free Clinic
1215 East Chapman Avenue
Orange,CA92866 		95-3499011 501(c)(3) 50,000       Event Support
(819) St John of God Health Care Services
13333 Palmdale Rd
Victorville,CA92392 		95-3806996 501(c)(3) 10,000       Project Support
(820) St John's Shelter for Women
8401 Jackson Road
Sacramento,CA95825 		68-0132934 501(c)(3) 20,000       Event Support
(821) St Johns Well Child and Family Center
808 W 58th St
Los Angeles,CA90037 		95-4067758 501(c)(3) 42,750       Project Support
(822) St Mary's Interfaith Community Services
5212 Lemon Hill Ave Sacramento Ca
Stockton,CA95203 		94-2687280 501(c)(3) 40,000       Project Support
(823) St Vincent de Paul of Contra Costa
2210 Gladstone Drive
Pittsburg,CA94565 		94-1448577 501(c)(3) 24,000       Project Support
(824) St Vincent de Paul Village Inc
3350 E Street
San Diego,CA92102 		33-0492302 501(c)(3) 30,000       Project Support
(825) Stand Up Placer
7055 Folsom Boulevard
Auburn,CA95603 		94-2578871 501(c)(3) 26,000       Project Support
(826) Stand for Families Free of Violence
1500 21st Street
Concord,CA94520 		94-2476576 501(c)(3) 67,740       Operating Support
(827) STANFORD UNIVERSITY
3160 Porter Drive
Palo Alto,CA94304 		94-1156365 501(c)(3) 229,675       PassThrough Fed Proj/Project Support
(828) StarVista
610 Elm Street Suite 212
San Carlos,CA94070 		94-3094966 501(c)(3) 55,222       Operating Support
(829) STEM Academy of Hollywood LAUSD
1309 N Wilton Place
Hollywood,CA90028 		95-6001908 Government or P 8,570       Event Support
(830) Stiles Hall
2400 Bancroft Way
Berkeley,CA94704 		94-1156636 501(c)(3) 75,000       Operating Support
(831) Store to Door
PO Box 4665
Portland,OR97208 		94-3105555 501(c)(3) 8,000       Operating Support
(832) Street Level Health Project
2501 International Boulevard
Oakland,CA94601 		56-2324355 501(c)(3) 22,500       Project Support
(833) Strength in Support
26938 Marbella
Mission Viejo,CA92691 		46-1896501 501(c)(3) 10,000       Project Support
(834) Students Run America
5252 Crebs Avenue
Tarzana,CA91356 		95-4430502 501(c)(3) 30,750       Project Support
(835) Sunday Friends Foundation
730 Story Road Suite 3
San Jose,CA95122 		77-0518937 501(c)(3) 25,000       Project Support
(836) Sunnyvale Community Services
725 Kifer Road
Sunnyvale,CA94086 		94-1713897 501(c)(3) 35,000       Project Support
(837) SUNRISE COMMUNITY OUTREACH CENTER INC
2105 Beverly Blvd Ste 219
Los Angeles,CA90057 		20-8444001 501(c)(3) 10,000       Project Support
(838) Support Our Students
319 South E Street
Santa Rosa,CA95401 		81-0676520 501(c)(3) 15,000       Project Support
(839) Survivors of Torture International
PO Box 151240
San Diego,CA92175 		33-0743869 501(c)(3) 10,000       Project Support
(840) Susan G Komen Breast Cancer Foundation
3191-A Airport Loop Drive
Costa Mesa,CA92626 		33-0487943 501(c)(3) 18,500       Project Support
(841) THE Clinic Inc
3834 S Western Ave
Los Angeles,CA90062 		23-7351622 501(c)(3) 10,000       Project Support
(842) Taller San Jose
801 North Broadway
Santa Ana,CA92701 		59-3816355 501(c)(3) 15,000       Project Support
(843) Tarzana Treatment Center Inc
18646 Oxnard Street
Tarzana,CA91356 		94-2219349 501(c)(3) 20,000       Project Support
(844) ThanksUSA
1390 Chain Bridge Road 260
McLean,VA22101 		20-3973151 501(c)(3) 7,000       Project Support
(845) The Alameda County Community Food Bank
2981 Bowen Street Mailing PO Box 4
Oakland,CA94621 		94-2960297 501(c)(3) 70,329       Project Support
(846) The Asian and Pacific Islander Wellness
730 Polk Street 4th Floor
San Francisco,CA94109 		94-3096109 501(c)(3) 20,000       Project Support
(847) The California Conference for Equality
444 W Ocean Blvd Suite 940
Long Beach,CA90802 		54-2178438 501(c)(3) 16,000       Project Support
(848) The California Health Care Safety-Net
1015 Nevin Ave Suite 105
Oakland,CA94607 		94-2970752 501(c)(3) 181,140       Project Support
(849) The Carolyn E Wylie Center for Children
4164 Brockton Avenue
Riverside,CA92501 		93-0670286 501(c)(3) 15,000       Project Support
(850) The Center at Blessed Sacrament
6636 Selma Avenue
Los Angeles,CA90028 		20-3022534 501(c)(3) 10,000       Project Support
(851) The Cerritos College Foundation
11110 Alondra Blvd
Norwalk,CA90650 		95-3387108 501(c)(3) 20,000       Project Support
(852) The Childrens Center of the Antelope
45111 N Fern Avenue
Lancaster,CA93534 		95-4212759 501(c)(3) 24,760       Project Support
(853) The Childrens Clinic Serving Children
2790 Atlantic Avenue
Long Beach,CA90806 		95-1643332 501(c)(3) 23,800       Event Support
(854) The Davis Street Community Center
3081 Teagarden Street
San Leandro,CA94577 		94-3121699 501(c)(3) 39,560       Project Support
(855) The Foodbank of Southern California
1444 San Francisco Avenue
Long Beach,CA90813 		95-3557056 501(c)(3) 12,000       Event Support
(856) The Foundation for Educational
438 South A Street
Oxnard,CA93030 		30-0223314 501(c)(3) 8,290       Operating Support
(857) The Gales Creek Camp Foundation
7110 SW Fir Loop Suite 170
Portland,OR97223 		93-6010464 501(c)(3) 7,500       Operating Support
(858) The Gathering Inn
201 Berkeley Ave
Roseville,CA95678 		84-1657746 501(c)(3) 40,250       Project Support
(859) The Girl Scout Council of Orange County
9500 Toledo Way Suite 100
Irvine,CA92618 		95-2023244 501(c)(3) 10,000       Project Support
(860) The HEAL Project
PO Box 3051
Half Moon Bay,CA94019 		27-0192940 501(c)(3) 21,650       Operating Support
(861) The Illumination Foundation
2691 Richter Avenue Suite 107
Irvine,CA92606 		71-1047686 501(c)(3) 20,000       Conference Support
(862) The Leaven
2397 Heath Drive
Fairfield,CA94533 		26-3653717 501(c)(3) 57,800       Project Support
(863) The Legal Aid Society-Employment Law
2118 Willow Pass Rd Suite 500
San Francisco,CA94104 		94-2783401 501(c)(3) 75,000       Project Support
(864) The Mar Vista Family Center
5075 South Slauson Avenue
Culver City,CA90230 		95-2647443 501(c)(3) 10,000       Project Support
(865) The Oregon Community Foundation
1221 SW Yamhill St Suite 100
Portland,OR97205 		23-7315673 501(c)(3) 375,000       Project Support
(866) The Positive Results Corporation
1513 E 103rd Street
Los Angeles,CA90002 		95-4455668 501(c)(3) 7,500       Project Support
(867) The Raise Foundation
1920 East Warner Avenue Suite A
Santa Ana,CA92705 		33-0240178 501(c)(3) 15,000       Project Support
(868) The Rector Wardens and Vestry
4368 Santa Anita Avenue
El Monte,CA91731 		95-1765149 501(c)(3) 10,000       Project Support
(869) The Salvation Army
180 E Ocean Blvd Ste 500
Long Beach,CA90802 		94-1156347 501(c)(3) 53,050       Operating Support
(870) The Sheriffs Community Impact Program
2350 Northrop Avenue
Sacramento,CA95825 		27-3457087 501(c)(3) 17,000       Project Support
(871) The Tech Museum of Innovation
455 Capitol Mall Suite 601
San Jose,CA95113 		94-2864660 501(c)(3) 50,000       Event Support
(872) The Tucker Maxon Oral School
2860 SE Holgate Blvd
Portland,OR97202 		93-0391592 501(c)(3) 15,000       Project Support
(873) The UCLA Foundation
10920 Wilshire Blvd 14th Floor
Los Angeles,CA90024 		95-2250801 501(c)(3) 9,490       Conference Support/Board matching gift
(874) The Vacaville Neighborhood Boys
100 Holly Lane
Vacaville,CA95688 		13-4223488 501(c)(3) 30,000       Project Support
(875) The Village Family Services
6736 Laurel Canyon Boulevard Suite
North Hollywood,CA91606 		95-4625826 501(c)(3) 28,000       Project Support
(876) The Wallace Medical Concern
124 NE 181st Street Suite 103
Portland,OR97230 		93-0853709 501(c)(3) 97,500       Project Support
(877) The Wall-Las Memorias Project
930 Colorado Blvd Ste 3
Los Angeles,CA90041 		95-4468225 501(c)(3) 6,800       Event Support
(878) Thessalonika Family Services Inc
PO Box 890326
Temecula,CA92589 		95-3551068 501(c)(3) 15,000       Project Support
(879) THINK Together
2101-A East Fourth Street
Santa Ana,CA92705 		33-0781751 501(c)(3) 43,000       Project Support
(880) Tiburcio Vasquez Health Center
22331 Mission Blvd
Hayward,CA94544 		23-7118361 501(c)(3) 50,000       Project Support
(881) Tides Center
221 Oak Street Suite D
Oakland,CA94607 		94-3213100 501(c)(3) 810,650       Project Support
(882) Tierra del Sol Foundation
9919 Sunland Blvd
Sunland,CA91040 		95-2671260 501(c)(3) 10,000       Project Support
(883) Tigard-Tualatin School District 23J
6960 SW Sandburg St
Tigard,OR97223 		93-0572833 Government or P 50,000       Operating Support
(884) Tiger Woods Foundation Inc
One Tiger Woods Way
Anaheim,CA92801 		20-0677815 501(c)(3) 10,000       Project Support
(885) Time for Change Foundation
PO Box 25040
San Bernardino,CA92406 		52-2405277 501(c)(3) 15,000       Project Support
(886) Toberman Neighborhood Center Inc
131 N Grand Avenue
San Pedro,CA90731 		95-1643387 501(c)(3) 15,000       Project Support
(887) Tracy Interfaith Ministries
311 W Grant Line Rd
Tracy,CA95378 		94-3150638 501(c)(3) 20,000       Project Support
(888) TransFormCA
436 14th Street Suite 600
Oakland,CA94612 		72-1521579 501(c)(3) 75,000       Project Support
(889) Transitional Living and Community
1200 College Avenue
Sacramento,CA95825 		94-2777955 501(c)(3) 27,503       Project Support
(890) Transportation for a Livable City
433 Natoma Street Suite 240
San Francisco,CA94103 		94-3350190 501(c)(3) 25,000       Project Support
(891) Trust for Conservation Innovation
150 Post St Ste 342
San Francisco,CA94108 		91-2166435 501(c)(3) 7,750       Project Support
(892) Turning Point Foundation
505 Poli St 401
Ventura,CA93002 		77-0213467 501(c)(3) 20,000       Project Support
(893) Twin Lakes Food Bank
327 Montrose Drive
Folsom,CA95630 		68-0225605 501(c)(3) 9,750       Project Support
(894) Ujimaa Foundation
835 Isabella Street
Oakland,CA94607 		27-0549307 501(c)(3) 40,000       Project Support
(895) Uncommon Good a California Nonprofit
211 W Foothill Blvd
Claremont,CA91711 		95-4792792 501(c)(3) 10,000       Project Support
(896) United Cancer Advocacy Action Network
1459 East Thousand Oaks Blvd Bldg
Thousand Oaks,CA91362 		27-0748389 501(c)(3) 8,290       Operating Support
(897) United Charitable Programs
1328 North La Brea Ave
Inglewood,CA90302 		20-4286082 501(c)(3) 10,000       Event Support
(898) United Negro College Fund Inc
220 Montgomery Street Suite 1120
San Francisco,CA94104 		13-1624241 501(c)(3) 10,000       Event Support
(899) United Samaritans Foundation
220 S Broadway
Turlock,CA95380 		77-0393321 501(c)(3) 30,000       Project Support
(900) United Seniors of Oakland and Alameda
7200 Bancroft Ave Ste 251
Oakland,CA94605 		94-3092404 501(c)(3) 7,500       Event Support
(901) United States Veterans Initiative
733 Hindry Ave
Inglewood,CA90301 		95-4382752 501(c)(3) 53,208       Project Support
(902) United Way of Fresno County
4949 E Kings Canyon Road
Fresno,CA93727 		94-1156514 501(c)(3) 50,000       Project Support
(903) United Way of the Bay Area
550 Kearny Street Suite 1000
San Francisco,CA94108 		94-1312348 501(c)(3) 59,350       Project Support
(904) United Way of the Stanislaus Area
422 McHenry Avenue
Modesto,CA95354 		94-1212129 501(c)(3) 115,000       Project Support
(905) United Way of Ventura County
4001 Mission Oaks Blvd Suite E
Camarillo,CA93012 		95-1945833 501(c)(3) 20,000       Project Support
(906) United Way Silicon Valley
1400 Parkmoor Avenue Suite 250
San Jose,CA95126 		94-1450153 501(c)(3) 50,000       Operating Support
(907) United Ways of California
1107 S Fair Oaks Ave 12
South Pasadena,CA91030 		94-1646369 501(c)(3) 80,000       Event Support
(908) University Muslim Medical Association
711 W Florence Avenue
Los Angeles,CA90044 		95-4666712 501(c)(3) 13,750       Project Support/board matching gift
(909) UNIVERSITY OF ALABAMA AT BIRMINGHAM
AB 990 1530 3rd Avenue S
Birmingham,AL35294 		63-0649108 501(c)(3) 71,737       PassThrough Fed Proj
(910) UNIVERSITY OF CALIFORNIA - BERKELEY
21985 Hearst Avenue
Berkeley,CA94720 		94-6002123 501(c)(3) 10,220       PassThrough Fed Proj
(911) UNIVERSITY OF CALIFORNIA - DAVIS
1850 Research Park Drive
Davis,CA95618 		94-6036494 501(c)(3) 368,966       PassThrough Fed Proj/operating support
(912) UNIVERSITY OF CALIFORNIA - IRVINE
5171 California Avenue
Irvine,CA92697 		95-2226406 501(c)(3) 542,981       PassThrough Fed Proj
(913) UNIVERSITY OF CALIFORNIA - SAN FRANCISCO
3333 California Street
San Francisco,CA94143 		94-6036493 501(c)(3) 2,042,249       PassThrough Fed Proj/Event Support
(914) UNIVERSITY OF CHICAGO PRESS THE
970 East 58th Street
Chicago,IL60637 		36-2177139 501(c)(3) 63,695       PassThrough Fed Proj
(915) UNIVERSITY OF COLORADO
13001 East 17th Avenue
Aurora,CO80045 		20-8575263 501(c)(3) 48,341       PassThrough Fed Proj
(916) UNIVERSITY OF MASSACHUSETTS WORCESTER
55 Lake Ave North
Worcester,MA01655 		04-3167352 501(c)(3) 244,335       PassThrough Fed Proj
(917) UNIVERSITY OF NORTH CAROLINA
104 Airport Drive
Chapel Hill,NC27599 		56-6001393 501(c)(3) 9,261       PassThrough Fed Proj
(918) UNIVERSITY OF PENNSYLVANIA
3451 Walnut Street
Philadelphia,PA19104 		23-1352685 501(c)(3) 307,981       PassThrough Fed Proj
(919) University of Southern California
1200 North State Street Suite 1008
Los Angeles,CA90033 		95-4192908 501(c)(3) 10,000       Event Support
(920) UNIVERSITY OF SOUTHERN CALIFORNIA
2001 Soto Street
Los Angeles,CA90089 		95-1642394 501(c)(3) 112,479       PassThrough Fed Proj
(921) University of the Pacific
3601 Pacific Avenue
Stockton,CA95211 		94-1156266 501(c)(3) 39,999       Project Support
(922) UNIVERSITY OF UTAH
75 South 2000 East
Salt Lake City,UT84112 		23-7112869 501(c)(3) 15,251       PassThrough Fed Proj
(923) UNIVERSITY OF WASHINGTON
4333 Brooklyn Avenue NE
Seattle,WA98195 		91-6001089 501(c)(3) 64,891       PassThrough Fed Proj
(924) UNIVERSTIY OF MINNESOTA
200 Oak Street SE
Minneapolis,MN55455 		41-6007513 501(c)(3) 475,529       PassThrough Fed Proj
(925) Urban Community Action Projects
2880 Hulen Place
Riverside,CA92507 		04-3656147 501(c)(3) 35,000       Operating Support
(926) Urban Habitat Program
1212 Broadway Suite 500
Oakland,CA94612 		20-0275424 501(c)(3) 60,000       Project Support
(927) Urban Tilth
31 Maine Ave
Richmond,CA94804 		20-4124161 501(c)(3) 30,000       Project Support
(928) URDC Human Services Corporation
1460 N Lake Avenue
Pasadena,CA91104 		95-4410426 501(c)(3) 15,000       Project Support
(929) UTAH STATE UNIVERSITY
1415 Old Main Hill
Logan,UT84322 		87-0276385 501(c)(3) 31,124       PassThrough Fed Proj
(930) Vacaville Public Education Foundation
401 Nut Tree Rd
Vacaville,CA95687 		61-1568727 501(c)(3) 15,000       Project Support
(931) Vallejo City Unified School District
665 Walnut Ave
Vallejo,CA94592 		68-0111380 Government or P 90,000       Project Support
(932) Valley Care Community Consortium Inc
7515 Van Nuys Blvd 5th Floor
Van Nuys,CA91405 		20-5569606 501(c)(3) 14,250       Project Support
(933) Valley Community Clinic
6801 Coldwater Canyon Ave
North Hollywood,CA91605 		23-7050082 501(c)(3) 29,000       Project Support
(934) Valley Family Center
302 S Brand Boulevard
San Fernando,CA91340 		95-4105054 501(c)(3) 10,000       Project Support
(935) Valley Public Television
1544 Van Ness Avenue
Fresno,CA93721 		77-0162617 501(c)(3) 50,000       Project Support
(936) Valley Village
20830 Sherman Way
Winnetka,CA91306 		23-7314159 501(c)(3) 15,000       Operating Support
(937) Venice Family Clinic
604 Rose Avenue
Venice,CA90291 		95-2769432 501(c)(3) 9,000       Conference Support
(938) Ventura County Medical Resource
2000 Outlet Center Drive Suite 222
Oxnard,CA93036 		95-6096141 501(c)(3) 20,000       Operating Support
(939) Verity
3990 Brickway Blvd
Santa Rosa,CA95403 		94-2437947 501(c)(3) 15,000       Project Support
(940) Virginia Garcia Memorial Foundation
PO Box 486
Cornelius,OR97113 		91-2077840 501(c)(3) 125,000       Project Support
(941) Vision To Learn
11611 San Vicente Blvd Suite 500
Los Angeles,CA90049 		45-3457853 501(c)(3) 35,000       Event Support
(942) Vision Y Compromiso
2536 Edwards Avenue
El Cerrito,CA94530 		32-0071651 501(c)(3) 30,000       Operating Support
(943) Vista Community Clinic
1000 Vale Terrace
Vista,CA92084 		95-2815615 501(c)(3) 30,000       Project Support
(944) Vista Hill Foundation
8910 Clairemont Mesa Blvd
San Diego,CA92123 		95-1944230 501(c)(3) 10,380       Project Support
(945) Vital Healthcare Capital (V-Cap)
475 Tenth Avenue 14th Floor
New York,NY10018 		45-4014553 501(c)(3) 90,000       Event Support
(946) VMC Foundation
2400 Moorpark Avenue Suite 207
San Jose,CA95128 		77-0187890 501(c)(3) 212,000       Project Support
(947) Volunteer Center of Sonoma County Inc
153 Stony Circle Suite 100
Santa Rosa,CA95401 		94-1751375 501(c)(3) 50,000       Project Support
(948) Volunteers of America of Oregon Inc
3910 SE Stark St
Portland,OR97214 		93-0395591 501(c)(3) 50,000       Operating Support
(949) Volunteers of East Los Angeles
4743 East Cesar Chavez Avenue
Los Angeles,CA90022 		95-4818943 501(c)(3) 10,000       Project Support
(950) Washington State University Foundation
PO Box 641927
Pullman,WA99164 		91-1075542 501(c)(3) 15,000       Board Matching Gift
(951) Watts Willowbrook Boys & Girls Club
1339 E120th Street
Los Angeles,CA90059 		95-1945829 501(c)(3) 7,500       Operating Support
(952) WEAVE Incorporated
900 Hopper Street PO Box 2744
Sacramento,CA95811 		94-2493158 501(c)(3) 37,100       Project Support
(953) Weigh of Life
968 23rd St
Richmond,CA94804 		20-3752206 501(c)(3) 11,000       Project Support
(954) Well of Healing Mobile Medical Clinic
7623 East Avenue
Fontana,CA92336 		33-0831503 501(c)(3) 15,000       Project Support
(955) Wellness City Challenge
2001 N Main St Suite 360
Walnut Creek,CA94596 		26-1237876 501(c)(3) 8,000       Event Support
(956) WellSpace Health
1820 J Street
Sacramento,CA95811 		94-1713704 501(c)(3) 278,000       Project Support
(957) West Contra Costa Unified School
1108 Bissell Avenue
Richmond,CA94801 		68-0000495 Government or P 40,000       Project Support
(958) West County Community Services
477 Petaluma Avenue
Sebastopol,CA95472 		94-2277740 501(c)(3) 20,000       Project Support
(959) West Covina Unified School District
1717 W Merrced Avenue
West Covina,CA91790 		95-4603489 Government or P 5,870       Project Support
(960) West End Young Men's Christian
10970 Arrow Rte 106
Rancho Cucamonga,CA91730 		95-1727678 501(c)(3) 10,000       Project Support
(961) West Oakland Health Council Inc
700 Adeline Street
Oakland,CA94607 		94-1667294 501(c)(3) 20,000       Operating Support
(962) West Side Food Bank
1710 22nd Street
Santa Monica,CA90404 		95-3685875 501(c)(3) 30,000       Project Support
(963) WestCare California Inc
611 E Belmont Ave
Fresno,CA93701 		23-7368450 501(c)(3) 41,200       Project Support
(964) Western Youth Services
23461 South Pointe Dr Suite 220
Laguna,CA92653 		95-3407054 501(c)(3) 10,000       Project Support
(965) Westminster Free Clinic
5560 Napoleon Avenue
Oak Park,CA91377 		77-0563241 501(c)(3) 20,000       Project Support
(966) Whittier Union High School District
9401 South Painter Avenue
Whittier,CA90605 		95-6003511 Government or P 10,000       Project Support
(967) Wilmington Community Free Clinic
1009 N Avalon Blvd
Wilmington,CA90744 		95-3137803 501(c)(3) 15,000       Event Support
(968) Wise & Healthy Aging
1527 4th St 2nd Floor
Santa Monica,CA90401 		95-2788014 501(c)(3) 12,000       Project Support
(969) Women Against Gun Violence
8800 Venice Boulevard Suite 304
Los Angeles,CA90034 		95-4738754 501(c)(3) 9,580       Event Support
(970) Women At Work
2555 E Colorado Blvd Suite 204
Pasadena,CA91107 		95-3411403 501(c)(3) 9,200       Conference Support
(971) Women Crowned In Glory Inc
7120 Hayvenhurst Ave suite 314
Van Nuys,CA91406 		95-4808038 501(c)(3) 8,290       Project Support
(972) Women's Empowerment
1590 North A Street
Sacramento,CA95811 		03-0520643 501(c)(3) 15,000       Project Support
(973) Women's Recovery Association
1818 Gilbreth Road Suite 230
Burlingame,CA94010 		23-7079003 501(c)(3) 10,000       Operating support
(974) Working Wardrobes for a New Start
3030 Pullman Street
Costa Mesa,CA92626 		33-0669145 501(c)(3) 15,000       Project Support
(975) Worksite Wellness LA
5955 S Western Avenue
Los Angeles,CA90047 		55-0802354 501(c)(3) 10,000       Project Support
(976) Wright Institute
2728 Durant Avenue
Berkeley,CA94704 		94-1674865 501(c)(3) 20,000       Project Support
(977) YALE UNIVERSITY
47 College Street
New Haven,CT06520 		06-0646973 501(c)(3) 238,515       PassThrough Fed Proj
(978) Yippie Foundation
1955 West Texas Street 4
Fairfield,CA94533 		27-3252623 501(c)(3) 7,500       Project Support
(979) YMCA of Greater Whittier
12510 Hadley Street
Whittier,CA90601 		95-1684795 501(c)(3) 15,000       Project Support
(980) YMCA of Silicon Valley
80 Saratoga Avenue
Santa Clara,CA95051 		94-1156318 501(c)(3) 50,000       Project Support
(981) Yolo County Childrens Alliance
600 A Street Ste Y
Davis,CA95616 		68-0526185 501(c)(3) 40,000       Project Support
(982) Yolo Family Resource Center
828 Court Street
Woodland,CA95695 		47-0871252 501(c)(3) 15,000       Project Support
(983) Yolo Family Service Agency
455 1st Street
Woodland,CA95695 		94-1452884 501(c)(3) 15,000       Project Support
(984) Young Men's Christian Association
2000 W Beverly Blvd
Montebello,CA90640 		95-1644052 501(c)(3) 129,650       Project Support
(985) Young Mens Christian Association Of The East Bay
263 South 20th Street
Richmond,CA94804 		94-1156317 501(c)(3) 142,500       Project Support
(986) Young Visionaries Youth Leadership
1331 W Kendall Ste 2
San Bernardino,CA92407 		26-0018141 501(c)(3) 20,000       Project Support
(987) YOUNG WOMENS CHRISTIAN ASSOCIATION
263 South 20th Street
Santa Rosa,CA95403 		94-2347428 501(c)(3) 15,000       Event Support
(988) Youth Action Project
600 North Arrowhead Ave 300
San Bernardino,CA92401 		42-1574359 501(c)(3) 18,000       Project Support
(989) Youth ALIVE
3300 Elm Street
Oakland,CA94609 		94-3143254 501(c)(3) 128,240       Project Support
(990) Youth and Family Services Inc
704 E Industrial Park Drive
Vallejo,CA94590 		94-2793548 501(c)(3) 7,500       Project Support
(991) Youth Enrichment Strategies
3029 Macdonald Ave
Richmond,CA94804 		03-0458294 501(c)(3) 20,000       Event Support
(992) Youth Law Center
200 Pine Street Suite 300
San Francisco,CA94104 		94-1715280 501(c)(3) 90,000       Project Support
(993) Youth Leadership Institute
4 West Fourth Avenue Suite 207
San Mateo,CA94903 		68-0184712 501(c)(3) 20,500       Operating Support
(994) Youth Policy Institute
634 S Spring Street 10th Floor
Los Angeles,CA90014 		52-1278339 501(c)(3) 10,000       Project Support
(995) Youth Radio
1701 Broadway
Oakland,CA94612 		94-3180825 501(c)(3) 162,400       Conference Support
(996) Youth Uprising
8711 MacArthur Blvd
Oakland,CA94605 		20-3321544 501(c)(3) 254,600       Capital Fund Support
(997) ZERO BREAST CANCER
4340 Redwood Hwy
San Rafael,CA94903 		68-0386016 501(c)(3) 127,895       PassThrough Fed Proj/Event Support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
997
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2014

Schedule I (Form 990) 2014
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. 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 443 837,000      












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
SCHEDULE I, PART I, LINE 2 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) 2014


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 Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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), 501(c)(4), and 501(c)(29) organizations 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) 2014

Schedule J (Form 990) 2014
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 in column(B) reported as deferred in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1Claudio F AbreuSVP, Regional IT Operations (i)
(ii)		 0
...............................
482,815 		0
...............................
262,612 		0
...............................
368,573 		0
...............................
0 		0
...............................
0 		0
...............................
1,114,000 		0
...............................
190,132
2Gregory A AdamsEVP,GP & Region President NCAL (i)
(ii)		 0
...............................
679,096 		0
...............................
977,269 		0
...............................
256,913 		0
...............................
0 		0
...............................
0 		0
...............................
1,913,278 		0
...............................
0
3Mary Ann BarnesRegion President - Hawaii (i)
(ii)		 0
...............................
392,763 		0
...............................
326,706 		0
...............................
243,959 		0
...............................
0 		0
...............................
0 		0
...............................
963,428 		0
...............................
53,713
4Anthony A BarruetaSVP, Government Relations (i)
(ii)		 0
...............................
402,637 		0
...............................
418,114 		0
...............................
150,418 		0
...............................
0 		0
...............................
0 		0
...............................
971,169 		0
...............................
83,603
5Raymond J BaxterSVP, CB,Research & Hlth Policy (i)
(ii)		 0
...............................
548,246 		0
...............................
806,346 		0
...............................
48,970 		0
...............................
0 		0
...............................
0 		0
...............................
1,403,562 		0
...............................
0
6Frank T BeirneSVP & Area Mgr - San Mateo (i)
(ii)		 0
...............................
304,277 		0
...............................
91,200 		0
...............................
44,746 		0
...............................
0 		0
...............................
0 		0
...............................
440,223 		0
...............................
0
7Chuck BevilacquaSVP,KFHP Products, Svc & Admin (i)
(ii)		 0
...............................
481,905 		0
...............................
373,412 		0
...............................
100,336 		0
...............................
0 		0
...............................
0 		0
...............................
955,653 		0
...............................
61,664
8Derick Mark BillingsSVP, Hospital & Area Ops -NCAL (i)
(ii)		 0
...............................
144,232 		0
...............................
350,000 		0
...............................
70,283 		0
...............................
0 		0
...............................
0 		0
...............................
564,515 		0
...............................
0
9Maryann M BodayleAssistant Secretary (i)
(ii)		 0
...............................
142,083 		0
...............................
15,000 		0
...............................
1,350 		0
...............................
0 		0
...............................
0 		0
...............................
158,433 		0
...............................
0
10Odette Cristina BolanoSVP & Area Mgr - East Bay (i)
(ii)		 0
...............................
183,886 		0
...............................
340,000 		0
...............................
211,707 		0
...............................
0 		0
...............................
0 		0
...............................
735,593 		0
...............................
0
11Christopher L BoydSVP & Area Mgr - Santa Clara (i)
(ii)		 0
...............................
363,653 		0
...............................
184,329 		0
...............................
19,086 		0
...............................
0 		0
...............................
0 		0
...............................
567,068 		0
...............................
0
12Michael O BradySVP, Infrastructure Mgmt Group (i)
(ii)		 0
...............................
369,783 		0
...............................
444,614 		0
...............................
184,912 		0
...............................
0 		0
...............................
0 		0
...............................
999,309 		0
...............................
115,159
13Virginia C CampbellSVP & Area Mgr - Diablo (i)
(ii)		 0
...............................
56,824 		0
...............................
184,424 		0
...............................
779,056 		0
...............................
0 		0
...............................
0 		0
...............................
1,020,304 		0
...............................
230,572
14Christine K CasselDirector (i)
(ii)		 0
...............................
173,500 		0
...............................
0 		0
...............................
0 		0
...............................
0 		0
...............................
0 		0
...............................
173,500 		0
...............................
0
15William B CaswellSVP, Operations (i)
(ii)		 0
...............................
422,575 		0
...............................
351,944 		0
...............................
123,238 		0
...............................
0 		0
...............................
0 		0
...............................
897,757 		0
...............................
66,579
16Thomas W ChapmanDirector (i)
(ii)		 0
...............................
243,148 		0
...............................
0 		0
...............................
18,659 		0
...............................
0 		0
...............................
0 		0
...............................
261,807 		0
...............................
53,148
17Greg K ChristianExec Dir - Fontana (i)
(ii)		 0
...............................
342,008 		0
...............................
158,999 		0
...............................
17,250 		0
...............................
0 		0
...............................
0 		0
...............................
518,257 		0
...............................
0
18Benjamin K ChuEVP,GP & Region President SCAL (i)
(ii)		 0
...............................
678,698 		0
...............................
1,012,479 		0
...............................
353,754 		0
...............................
0 		0
...............................
0 		0
...............................
2,044,931 		0
...............................
256,312
19Judith L CoffeySVP & Area Mgr - Marin/Sonoma (i)
(ii)		 0
...............................
345,453 		0
...............................
142,832 		0
...............................
25,874 		0
...............................
0 		0
...............................
0 		0
...............................
514,159 		0
...............................
0
20Jeffrey A CollinsSVP & Area Manager - Fresno (i)
(ii)		 0
...............................
326,794 		0
...............................
170,039 		0
...............................
153,457 		0
...............................
0 		0
...............................
0 		0
...............................
650,290 		0
...............................
87,535
21Charles E ColumbusSVP, Chief HR Officer (i)
(ii)		 0
...............................
508,905 		0
...............................
729,035 		0
...............................
43,189 		0
...............................
0 		0
...............................
0 		0
...............................
1,281,129 		0
...............................
0
22Diane ComerSVP, Business Info Officer -HP (i)
(ii)		 0
...............................
336,401 		0
...............................
358,664 		0
...............................
36,341 		0
...............................
0 		0
...............................
0 		0
...............................
731,406 		0
...............................
0
23Mark E CostaExec Dir - Los Angeles (i)
(ii)		 0
...............................
344,747 		0
...............................
170,115 		0
...............................
18,688 		0
...............................
0 		0
...............................
0 		0
...............................
533,550 		0
...............................
0
24Patrick T CourneyaEVP, Chief Medical Officer (i)
(ii)		 0
...............................
283,990 		0
...............................
200,000 		0
...............................
108,640 		0
...............................
0 		0
...............................
0 		0
...............................
592,630 		0
...............................
0
25Richard D DanielsInterim EVP, CIO (i)
(ii)		 0
...............................
556,197 		0
...............................
610,300 		0
...............................
25,637 		0
...............................
0 		0
...............................
0 		0
...............................
1,192,134 		0
...............................
0
26GEORGE A DISALVOSVP-CFO, Southern Calif. Regio (i)
(ii)		 0
...............................
501,056 		0
...............................
520,536 		0
...............................
192,484 		0
...............................
0 		0
...............................
0 		0
...............................
1,214,076 		0
...............................
117,265
27James Wesley Doggett JrSVP, Chief IT Risk Officer (i)
(ii)		 0
...............................
423,258 		0
...............................
364,844 		0
...............................
19,809 		0
...............................
0 		0
...............................
0 		0
...............................
807,911 		0
...............................
50,185
28Steven DoshayAssistant Secretary, CA (i)
(ii)		 0
...............................
0 		0
...............................
0 		0
...............................
262,191 		0
...............................
0 		0
...............................
0 		0
...............................
262,191 		0
...............................
0
29Erin M DowningAssistant Secretary (i)
(ii)		 0
...............................
94,097 		0
...............................
7,718 		0
...............................
1,420 		0
...............................
0 		0
...............................
0 		0
...............................
103,235 		0
...............................
0
30Jeffrey E EpsteinDirector (i)
(ii)		 0
...............................
190,000 		0
...............................
0 		0
...............................
7,467 		0
...............................
0 		0
...............................
0 		0
...............................
197,467 		0
...............................
0
31Philip FasanoEVP & CIO (i)
(ii)		 0
...............................
588,230 		0
...............................
1,331,024 		0
...............................
110,677 		0
...............................
0 		0
...............................
0 		0
...............................
2,029,931 		0
...............................
69,917
32Elizabeth Jane FinleySVP & Exec Dir - San Diego (i)
(ii)		 0
...............................
338,778 		0
...............................
168,877 		0
...............................
147,700 		0
...............................
0 		0
...............................
0 		0
...............................
655,355 		0
...............................
51,390
33Jerry C FlemingSVP, Health Reform Implementat (i)
(ii)		 0
...............................
197,449 		0
...............................
375,250 		0
...............................
80,341 		0
...............................
0 		0
...............................
0 		0
...............................
653,040 		0
...............................
13,995
34Diane E Gage LofgrenSVP,Brand Mgmt &Communications (i)
(ii)		 0
...............................
229,769 		0
...............................
935,706 		0
...............................
1,415,330 		0
...............................
0 		0
...............................
0 		0
...............................
2,580,805 		0
...............................
574,375
35Daniel P GarciaSVP, Chief Compliance Officer (i)
(ii)		 0
...............................
575,436 		0
...............................
732,710 		0
...............................
49,198 		0
...............................
0 		0
...............................
0 		0
...............................
1,357,344 		0
...............................
0
36Lazaro M GarciaVP, IT Svc Transition & Ops (i)
(ii)		 0
...............................
302,984 		0
...............................
230,919 		0
...............................
100,627 		0
...............................
0 		0
...............................
0 		0
...............................
634,530 		0
...............................
50,781
37Edward S GlavisSVP & Area Mgr - Roseville (i)
(ii)		 0
...............................
344,100 		0
...............................
218,436 		0
...............................
90,600 		0
...............................
0 		0
...............................
0 		0
...............................
653,136 		0
...............................
3,156
38Sandra A GolzeAssistant Secretary (i)
(ii)		 0
...............................
263,137 		0
...............................
163,477 		0
...............................
18,572 		0
...............................
0 		0
...............................
0 		0
...............................
445,186 		0
...............................
0
39Mitchell J GoodsteinSVP, Actuarial, U/W & Pricing (i)
(ii)		 0
...............................
217,700 		0
...............................
492,249 		0
...............................
133,144 		0
...............................
0 		0
...............................
0 		0
...............................
843,093 		0
...............................
4,374
40William R GraberDirector (i)
(ii)		 0
...............................
220,000 		0
...............................
0 		0
...............................
11,434 		0
...............................
0 		0
...............................
0 		0
...............................
231,434 		0
...............................
0
41J Eugene Grigsby IIIDirector (i)
(ii)		 0
...............................
207,500 		0
...............................
0 		0
...............................
425 		0
...............................
0 		0
...............................
0 		0
...............................
207,925 		0
...............................
0
42George C HalvorsonChairman (i)
(ii)		 0
...............................
0 		0
...............................
10,372,909 		0
...............................
27,061 		0
...............................
0 		0
...............................
0 		0
...............................
10,399,970 		0
...............................
0
43Thomas S HanenburgSVP & Area Mgr - GSAA (i)
(ii)		 0
...............................
315,934 		0
...............................
100,782 		0
...............................
87,896 		0
...............................
0 		0
...............................
0 		0
...............................
504,612 		0
...............................
0
44Corwin Nathaniel HarperSVP & Area Mgr - Napa/Solano (i)
(ii)		 0
...............................
330,953 		0
...............................
139,823 		0
...............................
142,274 		0
...............................
0 		0
...............................
0 		0
...............................
613,050 		0
...............................
45,530
45Kimberly K HornRegion President - MAS (i)
(ii)		 0
...............................
510,413 		0
...............................
309,257 		0
...............................
473,481 		0
...............................
0 		0
...............................
0 		0
...............................
1,293,151 		0
...............................
151,505
46Judith JohansenDirector (i)
(ii)		 0
...............................
211,000 		0
...............................
0 		0
...............................
11,508 		0
...............................
0 		0
...............................
0 		0
...............................
222,508 		0
...............................
0
47Kim J KaiserDirector (i)
(ii)		 0
...............................
207,500 		0
...............................
0 		0
...............................
5,352 		0
...............................
0 		0
...............................
0 		0
...............................
212,852 		0
...............................
0
48Marilyn KawamuraRegion President - Mid-Atlanti (i)
(ii)		 0
...............................
0 		0
...............................
137,547 		0
...............................
7,762 		0
...............................
0 		0
...............................
0 		0
...............................
145,309 		0
...............................
2,980
49Patricia Kennedy-ScottRegion President - Ohio (i)
(ii)		 0
...............................
0 		0
...............................
616,789 		0
...............................
658,496 		0
...............................
0 		0
...............................
0 		0
...............................
1,275,285 		0
...............................
0
50Kerry KohnenRegion President - Georgia (i)
(ii)		 0
...............................
390,956 		0
...............................
353,941 		0
...............................
116,483 		0
...............................
0 		0
...............................
0 		0
...............................
861,380 		0
...............................
0
51Kathryn LancasterEVP & CFO (i)
(ii)		 0
...............................
704,458 		0
...............................
1,248,561 		0
...............................
291,241 		0
...............................
0 		0
...............................
0 		0
...............................
2,244,260 		0
...............................
189
52Janet A LiangSVP & COO - NCAL (i)
(ii)		 0
...............................
441,301 		0
...............................
471,212 		0
...............................
189,473 		0
...............................
0 		0
...............................
0 		0
...............................
1,101,986 		0
...............................
0
53Donna LynneEVP, GP & Region President -CO (i)
(ii)		 0
...............................
552,267 		0
...............................
770,984 		0
...............................
268,846 		0
...............................
0 		0
...............................
0 		0
...............................
1,592,097 		0
...............................
171,108
54Philip MarineauDirector (i)
(ii)		 0
...............................
207,500 		0
...............................
0 		0
...............................
7,467 		0
...............................
0 		0
...............................
0 		0
...............................
214,967 		0
...............................
0
55Gerald A McCallSVP Operations (i)
(ii)		 0
...............................
440,891 		0
...............................
351,944 		0
...............................
87,741 		0
...............................
0 		0
...............................
0 		0
...............................
880,576 		0
...............................
2,202
56Andrew R McCullochRegion President - Northwest (i)
(ii)		 0
...............................
417,306 		0
...............................
475,517 		0
...............................
42,483 		0
...............................
0 		0
...............................
0 		0
...............................
935,306 		0
...............................
0
57Colleen M McKeownSVP & Area Mgr - Diablo (i)
(ii)		 0
...............................
365,598 		0
...............................
147,193 		0
...............................
84,545 		0
...............................
0 		0
...............................
0 		0
...............................
597,336 		0
...............................
50,304
58Thomas R MeierSVP, Corporate Treasurer (i)
(ii)		 0
...............................
326,884 		0
...............................
440,788 		0
...............................
96,477 		0
...............................
0 		0
...............................
0 		0
...............................
864,149 		0
...............................
1,478
59Julie Miller-PhippsRegion President - GA (i)
(ii)		 0
...............................
364,935 		0
...............................
202,566 		0
...............................
78,502 		0
...............................
0 		0
...............................
0 		0
...............................
646,003 		0
...............................
0
60Indrajit ObeysekereAssistant Secretary (i)
(ii)		 0
...............................
238,641 		0
...............................
93,285 		0
...............................
5,708 		0
...............................
0 		0
...............................
0 		0
...............................
337,634 		0
...............................
0
61Donald H OrndoffSVP, NFS (i)
(ii)		 0
...............................
403,330 		0
...............................
437,678 		0
...............................
22,690 		0
...............................
0 		0
...............................
0 		0
...............................
863,698 		0
...............................
0
62Nathaniel L OubreVP, CA MediCal, CHIP & CHC (i)
(ii)		 0
...............................
362,884 		0
...............................
172,222 		0
...............................
58,597 		0
...............................
0 		0
...............................
0 		0
...............................
593,703 		0
...............................
0
63Wade OvergaardSVP, Health Plan Ops - CA (i)
(ii)		 0
...............................
458,437 		0
...............................
441,728 		0
...............................
149,957 		0
...............................
0 		0
...............................
0 		0
...............................
1,050,122 		0
...............................
98,233
64Edward YW PeiDirector (i)
(ii)		 0
...............................
205,000 		0
...............................
0 		0
...............................
12,904 		0
...............................
0 		0
...............................
0 		0
...............................
217,904 		0
...............................
0
65Margaret E PorfidoDirector (i)
(ii)		 0
...............................
215,000 		0
...............................
0 		0
...............................
17,533 		0
...............................
0 		0
...............................
0 		0
...............................
232,533 		0
...............................
0
66Frank P RichardsonAssistant Secretary, Hawaii (i)
(ii)		 0
...............................
189,826 		0
...............................
84,347 		0
...............................
23,298 		0
...............................
0 		0
...............................
0 		0
...............................
297,471 		0
...............................
0
67Christine RobischSVP & Area Manager - San Franc (i)
(ii)		 0
...............................
352,114 		0
...............................
158,383 		0
...............................
72,950 		0
...............................
0 		0
...............................
0 		0
...............................
583,447 		0
...............................
42,895
68Rochelle M RothAssistant Secretary (i)
(ii)		 0
...............................
164,534 		0
...............................
41,624 		0
...............................
22,313 		0
...............................
0 		0
...............................
0 		0
...............................
228,471 		0
...............................
0
69MICHAEL D ROWESVP, CFO - NCAL (i)
(ii)		 0
...............................
566,265 		0
...............................
557,786 		0
...............................
173,521 		0
...............................
0 		0
...............................
0 		0
...............................
1,297,572 		0
...............................
0
70Kathleen Marie ScheirmanSVP, Business Info Off-Corp Sv (i)
(ii)		 0
...............................
388,645 		0
...............................
391,921 		0
...............................
172,815 		0
...............................
0 		0
...............................
0 		0
...............................
953,381 		0
...............................
0
71Jacqueline SellersSr Counsel/Assistant Secretary (i)
(ii)		 0
...............................
188,039 		0
...............................
58,756 		0
...............................
5,550 		0
...............................
0 		0
...............................
0 		0
...............................
252,345 		0
...............................
0
72Nirav ShahSVP, COO Clinical Operations (i)
(ii)		 0
...............................
316,357 		0
...............................
100,000 		0
...............................
112,806 		0
...............................
0 		0
...............................
0 		0
...............................
529,163 		0
...............................
0
73Sandra SmallSVP, Hospital & Area Ops (i)
(ii)		 0
...............................
79,410 		0
...............................
393,312 		0
...............................
16,976 		0
...............................
0 		0
...............................
0 		0
...............................
489,698 		0
...............................
3,911
74Arthur M SouthamEVP, Health Plan Operations (i)
(ii)		 0
...............................
780,801 		0
...............................
1,384,773 		0
...............................
336,066 		0
...............................
0 		0
...............................
0 		0
...............................
2,501,640 		0
...............................
7,255
75Deborah StokesSVP,Corporate Controller & CAO (i)
(ii)		 0
...............................
348,937 		0
...............................
336,625 		0
...............................
76,717 		0
...............................
0 		0
...............................
0 		0
...............................
762,279 		0
...............................
0
76Cynthia A TellesDirector (i)
(ii)		 0
...............................
205,000 		0
...............................
0 		0
...............................
6,956 		0
...............................
0 		0
...............................
0 		0
...............................
211,956 		0
...............................
0
77Bernard J TysonChairman, CEO (i)
(ii)		 0
...............................
1,191,890 		0
...............................
2,757,589 		0
...............................
737,833 		0
...............................
0 		0
...............................
0 		0
...............................
4,687,312 		0
...............................
0
78Max VillalobosCOO - North County (i)
(ii)		 0
...............................
324,609 		0
...............................
160,341 		0
...............................
284,392 		0
...............................
0 		0
...............................
0 		0
...............................
769,342 		0
...............................
45,614
79Herman M WeilSVP, Federal & State Programs (i)
(ii)		 0
...............................
0 		0
...............................
382,768 		0
...............................
67,636 		0
...............................
0 		0
...............................
0 		0
...............................
450,404 		0
...............................
51,324
80Jed WeissbergSVP, Quality & Care Delivery (i)
(ii)		 0
...............................
142,905 		0
...............................
651,724 		0
...............................
435,407 		0
...............................
0 		0
...............................
0 		0
...............................
1,230,036 		0
...............................
325,898
81Vita M WillettExec Dir - Riverside (i)
(ii)		 0
...............................
340,573 		0
...............................
153,637 		0
...............................
18,759 		0
...............................
0 		0
...............................
0 		0
...............................
512,969 		0
...............................
0
82Carlos ZaragozaAssistant Secretary, SCAL (i)
(ii)		 0
...............................
261,548 		0
...............................
161,504 		0
...............................
81,987 		0
...............................
0 		0
...............................
0 		0
...............................
505,039 		0
...............................
0
83Victoria B ZatkinVP, Off of Brd & Corp Gov Svcs (i)
(ii)		 0
...............................
201,172 		0
...............................
108,856 		0
...............................
37,775 		0
...............................
0 		0
...............................
0 		0
...............................
347,803 		0
...............................
2,368
84Mark S ZemelmanSVP,General Counsel &Secretary (i)
(ii)		 0
...............................
505,424 		0
...............................
697,669 		0
...............................
308,722 		0
...............................
0 		0
...............................
0 		0
...............................
1,511,815 		0
...............................
108,241
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
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: Virginia C. Campbell $ 490,024 Steven Doshay 257,324 Diane E. Gage Lofgren 778,333 Patricia Kennedy-Scott 548,130 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 A. Adams $ 232,137 Mary Ann Barnes 68,295 Anthony A. Barrueta 112,634 Chuck Bevilacqua 80,169 Michael O. Brady 149,725 Virginia C. Campbell 230,572 William B. Caswell 85,787 Benjamin K. Chu 326,908 Jeffrey A. Collins 115,669 George A. Disalvo 152,973 Elizabeth Jane Finley 64,567 Jerry C. Fleming 50,740 Diane E. Gage Lofgren 607,054 Lazaro M. Garcia 64,599 Edward S. Glavis 52,261 Mitchell J. Goodstein 103,107 Corwin Nathaniel Harper 58,039 Marilyn Kawamura 2,980 Patricia Kennedy-Scott 80,986 Kerry Kohnen 93,923 Kathryn Lancaster 248,666 Donna Lynne 225,342 Gerald A. McCall 65,720 Colleen M. McKeown 65,468 Thomas R. Meier 59,750 Julie Miller-Phipps 46,540 Nathaniel L. Oubre 40,725 Wade Overgaard 128,653 Christine Robisch 55,679 Sandra Small 3,911 Arthur M. Southam 292,904 Deborah Stokes 55,423 Bernard J Tyson 568,604 Max Villalobos 58,719 Jed Weissberg 393,196 Carlos Zaragoza 39,496 Victoria B. Zatkin 2,368 Mark S. Zemelman 265,554 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 Patrick Courneya sign-on bonus paid in may 2014 $200,000 mary anne barnes sign-on bonus paid in june 2014 $100,000 Kimberly k. Horn paid in 2014 - retention payment: $250,000 future retention payment - january 2015 $150,000
Schedule J, Part II, Column C The actuarial value for some individuals' defined benefit plan declined in 2014, resulting in negative values in column (C) in some instances.
Schedule J, Part II, Column F Amounts included in Schedule J, Part II, Column F include amounts previously reported as deferred compensation, as well as, distributions from a 457(b) plan that were previously reported as reportable compensation in accordance with Form 990 Instructions.
Schedule J (Form 990) 2014

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.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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 2003 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 2004 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130911WF3 03-30-2004 1,600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
C 2006 CSCDACHFFA FIXED
  		68-0164610 1309112G4 06-08-2006 916,299,000 FINANCE HEALTH CARE FACILITIES   X   X   X
D 2006 CSCDACHFFA VARIABLE
  		52-1643828 13033FK74 06-08-2006 600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
2007 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 1309116M7 02-01-2007 476,113,485 PREM/DISC REFUNDING 01A,02D,04F&G   X   X   X
2008 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795SZ1 05-01-2008 500,000,000 PAR REFUNDING 04A-D ARS BONDS& 04H   X   X   X
2009 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795D38 06-03-2009 1,638,437,048 FINANCE HEALTH CARE FACILITIES   X   X   X
2002 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130911LD0 06-01-2009 99,996,058 REOFFERING OF 2002E CSCDA (PREMIUM   X   X   X
2008 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795TP2 05-29-2009 149,996,162 REOFFERING OF 2008C CSCDA (PREMIUM   X   X   X
2011 CALIFORNIA HEALTH FACILITIES FINANCING AUTH
  		52-1643828 13033LML8 05-03-2011 204,545,000 PAR REFUNDING 01A,B,C KHAC BONDS   X   X   X
2012 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 . . . . . . . . . . . . . . 60,000,000 800,000,000 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 213,060,000 1,639,884,612 954,024,896 602,245,616
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 88,159,219 79,221,674 5,674,726
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 1,535,276,850 874,803,222 596,570,889
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 2010 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) 2014
Schedule K (Form 990) 2014
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        
6 Total of lines 4 and 5 . . . . . . . . . . . . .        
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .   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 "Yes" to 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) 2014
Schedule K (Form 990) 2014
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 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 II, LINE 5: 2006 CSCDA/CHFFA Fixed Cap Interest Allocation: Vacaville CSCDA Fixed $46,109,174, Santa Rosa CSCDA Fixed $18,929,594, Modesto CSCDA Fixed $14,182,906 = $79,221,674 2006 CSCDA/CHFFA Variable Cap Interest Allocation: Modesto CSCDA Variable = $5,674,726 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) 2014

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.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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 2003 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 2004 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130911WF3 03-30-2004 1,600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
C 2006 CSCDACHFFA FIXED
  		68-0164610 1309112G4 06-08-2006 916,299,000 FINANCE HEALTH CARE FACILITIES   X   X   X
D 2006 CSCDACHFFA VARIABLE
  		52-1643828 13033FK74 06-08-2006 600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
2007 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 1309116M7 02-01-2007 476,113,485 PREM/DISC REFUNDING 01A,02D,04F&G   X   X   X
2008 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795SZ1 05-01-2008 500,000,000 PAR REFUNDING 04A-D ARS BONDS& 04H   X   X   X
2009 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795D38 06-03-2009 1,638,437,048 FINANCE HEALTH CARE FACILITIES   X   X   X
2002 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130911LD0 06-01-2009 99,996,058 REOFFERING OF 2002E CSCDA (PREMIUM   X   X   X
2008 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795TP2 05-29-2009 149,996,162 REOFFERING OF 2008C CSCDA (PREMIUM   X   X   X
2011 CALIFORNIA HEALTH FACILITIES FINANCING AUTH
  		52-1643828 13033LML8 05-03-2011 204,545,000 PAR REFUNDING 01A,B,C KHAC BONDS   X   X   X
2012 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 . . . . . . . . . . . . . . 60,000,000 800,000,000 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 213,060,000 1,639,884,612 954,024,896 602,245,616
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 88,159,219 79,221,674 5,674,726
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 1,535,276,850 874,803,222 596,570,889
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 2010 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) 2014
Schedule K (Form 990) 2014
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        
6 Total of lines 4 and 5 . . . . . . . . . . . . .        
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .   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 "Yes" to 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) 2014
Schedule K (Form 990) 2014
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 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 II, LINE 5: 2006 CSCDA/CHFFA Fixed Cap Interest Allocation: Vacaville CSCDA Fixed $46,109,174, Santa Rosa CSCDA Fixed $18,929,594, Modesto CSCDA Fixed $14,182,906 = $79,221,674 2006 CSCDA/CHFFA Variable Cap Interest Allocation: Modesto CSCDA Variable = $5,674,726 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) 2014

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.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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 2003 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 2004 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130911WF3 03-30-2004 1,600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
C 2006 CSCDACHFFA FIXED
  		68-0164610 1309112G4 06-08-2006 916,299,000 FINANCE HEALTH CARE FACILITIES   X   X   X
D 2006 CSCDACHFFA VARIABLE
  		52-1643828 13033FK74 06-08-2006 600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
2007 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 1309116M7 02-01-2007 476,113,485 PREM/DISC REFUNDING 01A,02D,04F&G   X   X   X
2008 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795SZ1 05-01-2008 500,000,000 PAR REFUNDING 04A-D ARS BONDS& 04H   X   X   X
2009 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795D38 06-03-2009 1,638,437,048 FINANCE HEALTH CARE FACILITIES   X   X   X
2002 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130911LD0 06-01-2009 99,996,058 REOFFERING OF 2002E CSCDA (PREMIUM   X   X   X
2008 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795TP2 05-29-2009 149,996,162 REOFFERING OF 2008C CSCDA (PREMIUM   X   X   X
2011 CALIFORNIA HEALTH FACILITIES FINANCING AUTH
  		52-1643828 13033LML8 05-03-2011 204,545,000 PAR REFUNDING 01A,B,C KHAC BONDS   X   X   X
2012 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 . . . . . . . . . . . . . . 60,000,000 800,000,000 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 213,060,000 1,639,884,612 954,024,896 602,245,616
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 88,159,219 79,221,674 5,674,726
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 1,535,276,850 874,803,222 596,570,889
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 2010 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) 2014
Schedule K (Form 990) 2014
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        
6 Total of lines 4 and 5 . . . . . . . . . . . . .        
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .   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 "Yes" to 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) 2014
Schedule K (Form 990) 2014
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 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 II, LINE 5: 2006 CSCDA/CHFFA Fixed Cap Interest Allocation: Vacaville CSCDA Fixed $46,109,174, Santa Rosa CSCDA Fixed $18,929,594, Modesto CSCDA Fixed $14,182,906 = $79,221,674 2006 CSCDA/CHFFA Variable Cap Interest Allocation: Modesto CSCDA Variable = $5,674,726 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) 2014

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number

94-1105628
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2014
Schedule L (Form 990 or 990-EZ) 2014
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) kim b hurth sister of an officer 176,738 compensation   No
(2) APTUS ENDOSYSTEMS INC substantial contributor 183,138 PAYMENT FOR SERVICES   No
(3) CSL BHERING LLC substantial contributor 776,738 PAYMENT FOR SERVICES   No
(4) PERMANENTE MEDICAL GROUP SCAL substantial contributor 356,792 PAYMENT FOR SERVICES   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2014

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 990-EZ 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
2014
Open to Public
Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number

94-1105628
Return Reference Explanation
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: a1. 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. a2. 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 a3. 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: b1. Represented employees are subject to any corrective/disciplinary action provisions described in specific regional/national collective bargaining agreements and/or organizational policies and practices. b2. 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. b3. 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 15A/B 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 AND THE MANAGEMENT COMMITTEE ON COMPENSATION, PRIOR TO PAYMENT, ALL PROGRAMS AND PAYMENTS TO THE 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 TO BE COMPETITIVE TO 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 $ 14,785,301 change in interregional transfer <559,919,990> change in preferred stock & partnership capital <33,502,000> change in dividends, partnership <12,103,130> restricted grants - co 36,254,495 change in other comprehensive income <2,570,105,025> KP OnCall Book-to-Tax Difference 36,366 KPV-A Book-to-Tax Difference <1,419,720> Gain/Loss on Sale on Inv Book-to-Tax Difference 582,160,193 otti losses <618,438,323> -------------------- total other changes in net assets or fund balances <3,162,251,833>
PART iii, line 4a-4d 2014 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 investments in a range of Community Benefit programs are a fundamental embodiment of the organization's ongoing commitment to improve the general wellbeing within the broader community. These investments result in intentional, planned, measurable, and accountable benefits intended to address many of the health challenges faced at the individual, local, state, and national levels. The Affordable Care Act (ACA) enacted in 2010 codifies responsibilities that nonprofit hospital organizations such as KFH must satisfy in order to maintain their qualification as tax-exempt entities. One responsibility involves conducting a Community Health Needs Assessment (CHNA) at least once every three years at every licensed hospital facility. Kaiser Foundation Hospitals has completed similar needs assessments for many years to identify the needs and resources that guide our Community Benefit spending. The new federal legislation provides an opportunity to revisit assessment and planning processes with an eye toward enhancing compliance, transparency, efficiency, and utilization of emerging technologies. KFH's most recent CHNA process was undertaken in 2013 for each licensed hospital facility. In 2014, KFH began addressing the primary needs which were identified in the latest CHNA by developing a comprehensive set of Implementation Strategies (IS) for every facility. The IS reports describe the needs which each KFH facility has chosen to prioritize and the reasons why other needs are not being addressed during this three-year cycle. A full set of the CHNA assessments by facility as well as the related Implementation Strategy reports can be found at www.kp.org/chna 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": A. Care and Coverage for Low-Income People - Creates and supports programs that lower the financial barriers for the under- and uninsured. B. 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. C. 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. D. 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 the Community Benefit activities provided by Kaiser Foundation Hospitals: In 2014, Kaiser Foundation Hospitals expended approximately $795 million (at cost, net of $421 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.
A. Care and Coverage for Low-Income People Improving health care access for those with limited incomes and resources is fundamental to Kaiser Foundation Hospitals' mission. In 2014, the organization invested approximately $542 million (at cost, net of $404 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. A.1. 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 2014, KFH spent approximately $202 million (at cost, net of $6.7 million of related revenues) to support under- and uninsured patients treated in KFH facilities located in California, Hawaii, and Oregon. A.1.1. Medical Financial Assistance (MFA) Program Kaiser Foundation Hospitals' Medical Financial Assistance 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 Foundation Hospitals and/or from a Kaiser Permanente provider. Eligibility is based upon prescribed levels of income to patients who have exhausted other private and public sources of support. In 2014, KFH provided $146 million (at cost, net of $2.7 million in related revenues) of services under this program. At KFH, uninsured patients receive a discount on hospital and professional charges for emergency or other medically necessary care without an application and regardless of income level. The discount is provided to ensure that an uninsured individual is not charged more for emergency or other medically necessary services than the amounts generally billed to insured individuals receiving equivalent care. Contracted collection agency practices are already aligned with the organization's social values and IRC section 501(r). This legislation was finalized in December 2014 and is fully effective for the 2016 tax year. Additionally, any patient experiencing financial hardship due to high medical expenses relative to their income level may qualify for the program under special circumstances. A.1.1.1. MFA Program Offered in California 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 patient out-of-pocket costs. In 2014, KFH patients in California received full or partial forgiveness for over 173,000 inpatient days of care under the MFA program. A.1.1.2. MFA Program Offered in Hawaii In Hawaii, the MFA program is open to patients whose family income is at or below 400% of the Federal Poverty Guidelines (FPG). In 2014, KFH patients in Hawaii received full or partial forgiveness for over 4,000 inpatient days of care under the MFA program. A.1.1.3. MFA Program Offered in Oregon and Washington In Oregon and Washington, the MFA program's eligibility criteria allows insured patients falling below 300% of FPG and uninsured patients falling below 350% of FPG to receive full write off of medical charges. This population received full or partial forgiveness for over 8,000 inpatient days of care under KFH's MFA program in 2014. The MFA program also covers full or partial expenses for dental services if applicants meet qualifying guidelines. A.1.2. Charitable Health Coverage (CHC) 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 at Kaiser Foundation Hospital facilities -a much better alternative to a potentially costly emergency room visit or hospitalization. KFHP, Inc.'s CHC programs have a long history of making a real difference in the lives of low-income people who might otherwise have no permanent medical home. In 2014, more than 78,000 low-income adults and children who were not eligible for other public or privately sponsored coverage received access to health care through facilities operated by Kaiser Foundation Hospitals in California and Oregon. KFH contributed approximately $56 million (at cost, net of $4 million of related revenues) to provide subsidized care to these underserved populations in 2014. A.1.2.1. CHC Program Offered in California The Child Health Program provides medical and dental coverage to eligible children under the age of 19 in California families with income up to 300% of the Federal Poverty Guidelines who do not have access to other health insurance. After-subsidy, monthly payment amounts charged to members range from $0 to $20 per child per month, depending on family income, for a maximum of three children. Additional children are covered free of charge. A.1.2.2. CHC Program Offered in Oregon The Child Health Plan Program Plus targets eligible students. This program is open to children of low-income families who reside in one of six school districts and who do not have access to other health insurance options. The program provides comprehensive medical, dental, and prescription coverage to children between kindergarten and 12th grade, and these children must come from a household with income up to 350% of the Federal Poverty Guidelines. A.2. Participation in Medicaid and Other Government-Sponsored Programs Kaiser Foundation Hospitals has a long history of providing access to low- and moderate-income individuals as a nonprofit organization. In 2014, Kaiser Foundation Hospitals provided medical services valued at $339.6 million (at cost, net of $396.9 million of related revenues) to 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. The Affordable Care Act is expected to have a far-reaching impact on the landscape of government-sponsored programs, as these options are poised to become the key source of health coverage for a significant portion of the American population. KFH has responded to this challenge by developing organizational strategies to enable individuals whose coverage is changing - due to personal or financial circumstances - to continue to obtain medical care at facilities owned by the organization. Realized and anticipated growth in the organization's Medicaid offerings closely aligns with and supports KFH's core mission, tax exempt status, credibility in state and federal policy arenas, and community health needs focusing on access to care. A.2.1. Government-Sponsored Programs in California Highlights of the government-sponsored health care coverage programs supported by KFH in California include: A.2.1.1. Medicaid/Medi-Cal Managed Care KFH provided access to inpatient care for over 512,000 Medicaid/Medi-Cal managed care members in Northern and Southern California through various local and state government entities. Approximately $198.2 million (at cost, net of $248.4 million of related revenues) was invested in this program in 2014. Prior to 2014, KFH provided health care services to members participating in the federal- and state-funded Children's Health Insurance Program (CHIP) offered by Kaiser Foundation Health Plan, Inc. Coverage was offered under the name of the Healthy Families program, and its mission was to deliver comprehensive health benefits to children under 19 yearS of age in low- and moderate- income families. Throughout 2013, 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 umbrella. Financial losses formerly associated with the Healthy Families program are now included within the overall totals for the Medicaid/Medi-Cal managed care program. A.2.1.2. Medi-Cal Fee-for-Service KFH provided subsidized care on a fee-for-service basis to close to 150,000 Medi-Cal patients who were not enrolled as members of Kaiser Foundation Health Plan, Inc. This accounted for approximately $114.7 million (at cost, net of $64.9 million of related revenues) of inpatient services provided by KFH. A.2.1.3. Healthy San Francisco KFH provided access to approximately 1,000 KFHP, Inc. members participating in the Healthy San Francisco program at the end of 2014. 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 for all San Francisco residents, regardless of immigration or employment status, or pre-existing med
B. Community Health Initiatives (CHI) The Community Health Initiatives (CHI) strategy aims to improve the health of individuals, families, and communities by addressing the social, economic, and environmental determinants of health. The role of the community is vital to creating the conditions of health as well as the importance of non-medical resources in communities that promote well-being and prevent disease. The central premise of this approach is that excellent medical care alone is not sufficient to create healthy communities. Evidence underscores the importance of changing community environments as a critical community health strategy. Guided by this evidence, Kaiser Foundation Hospitals supports comprehensive initiatives that focus on policy and environmental changes to promote healthy eating and active living, community safety, economic stability, and social and emotional wellness. In 2014, KFH spent approximately $30 million to support Community Health Initiatives as poverty and obesity WERE identified as significant and pervasive barriers to health in the recent Community Health Needs Assessments of each KFH hospital. B.1. CHI Programs and Services The following are descriptions of two of the primary programs supported within the CHI Stream of Work: B.1.1. Healthy Eating, Active Living (HEAL) and obesity prevention Healthy eating, active living has been and continues to be a compelling focus for Kaiser Foundation Hospital's work since obesity continues to be a significant and pervasive public health problem. Despite encouraging signs of obesity rates leveling off in recent years, substantial racial and ethnic disparities continue to exist. Also, through a focus on healthy eating and active living, Kaiser Foundation Hospitals can have a marked impact on a wide range of health conditions including pre-diabetes, diabetes, cardiovascular disease and several cancers that are affected by these behaviors. Finally, a focus on nutrition, physical activity and overweight are highly aligned with Kaiser Foundation Hospital's clinical expertise in this area, including prevention orientation and a number of existing programs and partnerships. Wherever possible, KFH supports a concentration of multiple strategies that enable sustainable change. These include policies and practices reducing the availability and consumption of sugar-sweetened beverages, and active transportation policies that support public transit. B.1.2. Thriving Schools Thriving Schools is an initiative to improve healthy eating, physical activity, and school climate in K-12 schools within Kaiser Foundation Health Plan's geographic service areas, primarily through a focus on policy, systems, and environmental changes that make the healthy choice the easy choice. Also supported are interventions that target individual behavior change and family engagement and that help create a culture of health in school communities through complementary efforts targeting both teacher/staff wellness and student health. B.2. CHI Investments in the Community Kaiser Foundation Hospitals' investments in the CHI Stream of Work during 2014 included the following: B.2.1. A significant share of the total investments under this program consisted of two contributions totaling $7.5 million to the California Community Foundation (CCF) KP Southern California Fund for Charitable Contributions. These funds will be used to provide critical support in areas identified by Community Health Needs Assessments. B.2.2. In California, KFH provided awards totaling $1.8 M towards multi-million dollar, multi-year initiatives developing "HEAL Zones" in South Sacramento, Monument, Madera, and Bayview. B.2.3. An additional total of $500K was awarded to eleven school districts in support of Thriving Schools and other healthy eating active living strategies in Northern California. B.2.4. KFH also continued its support of projects under "It Takes a Neighborhood: Connecting Medical Homes to their Health Neighborhoods" through two grants totaling nearly $300,000 for Patient Centered Medical Homes in Oregon to investigate and integrate community health strategies in their delivery system and enhance their communities' ability to prevent illness amongst vulnerable populations. B.2.5. In addition, KFH invested in CHI strategies toward reducing the impact of violence in communities by supporting the Tides Center with a $600,000 award for accessibility and transition of the West Contra Costa Family Justice Center, coordinating services for 750 families experiencing assault or abuse in the Northern California area.
C. Safety Net Partnerships Kaiser Foundation Hospitals is committed to building partnerships with the institutions that serve on the front lines of health care for the uninsured and underserved. By providing support to community health centers, public hospitals, and local health departments, KFH helps them deliver care and treatment to the most vulnerable in our communities. KFH is dedicated not only to improving clinical care for racial and ethnic populations, but also to investing in communities and promoting good health for the communities served. As such, Safety Net Partnership (SNP) initiatives aim to strengthen the system of community clinics, public hospitals, and health departments to promote access to high quality care for the uninsured and underserved vulnerable populations (many are newly insured under Medicaid expansion or Exchange). In 2014, KFH expended approximately $31.3 million in total to support safety net partnerships. The following are examples of initiatives funded in accordance with the objectives of the Safety Net Partnerships Stream of Work during the year: C.1. Far-Reaching Safety Net Investments C.1.1. California Community Foundation A significant share of the total investments made under this program in 2014 consisted of two contributions totaling $7.5 million to the California Community Foundation (CCF) KP Southern California Fund for Charitable Contributions. These funds are expected to be applied towards initiatives supporting institutions that serve on the front lines of health care for the uninsured and underserved, addressing needs identified in Community Health Needs Assessments implemented pursuant to the Affordable Care Act. C.1.2. Children's Hospital and Research Center - Oakland A charitable contribution of $5 million was made to help fund the expansion of Children's Hospital and Research Center - Oakland, one of the few children's hospitals in the nation which is designated as a Federally Qualified Health Center (FQHC) for children. This initiative will expand the hospital's array of outpatient services. Children's Hospital - Oakland intends to use these funds for executing a critical capital project, building a Center for Advanced Outpatient Care, renovating critical care and surgical units and addressing California seismic compliance standards. C.2. Targeted Safety Net Programs and Services C.2.1. Quality Improvement and Population Health C.2.1.1. Oregon Community Health Worker Association In 2014, KFH awarded a grant of $320,000 to the Oregon Community Health Worker Association (ORCHWA) to build a model for community-based (CHWs) to work with health systems to address health disparities. Through a collaborative involving 5 culturally-specific organizations that employ CHWs, ORCHWA plans to help the health system integrate CHWs in new ways. CHWs working in the Warriors of Wellness project are from the African American, African immigrant, Asian immigrant, and Latino communities. By working with individuals, families and at the community level, these CHWs are increasing patient engagement, improving health literacy and making the health system more culturally sensitive and responsive. C.2.2. Improving Access and Transforming Care KFH focuses on improving access to health services and the transformation of care delivery to meet the challenges of health care reform. Efforts to improve access and transform care include work on: increasing access to specialty care services; increasing the use of health information technology in safety net settings; and eliminating health disparities. KFH also supports innovative efforts to bring services closer to where people play, live, and work through partnerships with school based health centers and community clinics. C.2.2.1. Axis Community Health One example of KFH's commitment to health care services for underserved populations, was an award of $250,000 in Northern California to Axis Community Health ("Axis"). Axis is the sole provider of free and low-cost health services in eastern Alameda County, and has been operating at full capacity, including evenings and weekends. With this grant, Axis will add exam rooms, counseling rooms, and enable the addition of 40,000 medical and 14,000 behavioral health visits per year. C.1.3. School Based Health Centers and Community Access Schools have been a focal point for community health improvement for years. In many communities, partnerships with school based health centers have been leveraged to expand access to children, youth, and their families and to create new models of care delivery that are customized to meet the service needs of these populations. In 2014, KFH launched a 3-year School-Based Health Center (SBHC) funding initiative in Oregon to support the development of new SBHC and increase the ability of existing SBHCs to provide behavioral health services to adolescents, with a focus on cultural specificity. C.1.3.1. Tigard-Tualatin School District KFH continued its commitment in 2014 with a series of grants. An example was an award of $50,000 to Oregon Tigard-Tualatin School District 23J to implement an integrated school-wide mental health early identification, intervention, and treatment services. C.1.4. ALL/PHASE Protocol In 2014, Kaiser Foundation Hospital issued a series of grants to support safety net clinics in adopting "ALL/PHASE" into clinical guidelines and care management protocols, leveraging KFH's evidence-based practices. A total of $2.3 million in investments recognized under the Care and Coverage Stream of Work was provided to safety net and community clinics for adopting ALL/PHASE, an evidence-based practice directed at improving outcomes in cardiovascular disease. Kaiser Foundation Hospital's ALL/PHASE treatment protocol targets those patients most prone to cardiovascular death. "ALL" stands for Aspirin, Lisinopril, and Lovastatin and clinical studies show it to be effective in reducing cardiovascular risk. It is projected that over a three-year period, patients that receive the ALL treatment protocol will have a 60 percent lower incidence of hospitalizations for heart attacks and strokes. C.1.4.1. Alameda Health Systems Foundation One example of the ALL/PHASE grants was an award of $200,000 funded by the Care and Coverage Stream of Work in Northern California. The recipient was the Alameda Health Systems Foundation (AHS) which serves a predominantly low-income and uninsured population. The vast majority of AHS patients are persons of color, representing significant cultural, racial/ethnic, and linguistic diversity. Chronic conditions, including diabetes and hypertension, are prevalent. The grant issued by KFH will permit AHS to expand the ALL/PHASE treatment protocol within its patient population.
D. Developing and Disseminating Knowledge The Developing and Disseminating Knowledge Stream of Work supports activities that improve health care by sharing knowledge, educating practitioners, advancing research, empowering consumers and informing policymakers about evidence-based care and health. Kaiser Foundation Hospitals spent $135.9 million (at cost, net of $17.2 million of related revenues) in 2014 to support programs and services associated with the development and dissemination of knowledge, and an additional $5 million in grants for this area. D.1. Medical Research Programs At Kaiser Foundation Hospitals, research is an essential part of what it means to be an evidence-based, learning 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 9.6 million Kaiser Foundation Health Plan, Inc. members. Through studies conducted at KFH's four regional and two national research centers, researchers address critical issues like cancer, cardiovascular conditions, diabetes, behavioral and mental health, and health care delivery improvements by leveraging the organization's research expertise, rich data sources, and delivery system environment. KFH spent approximately $26.7 million on medical research projects in 2014. Approximately $95 million of additional projects were funded by government agencies and other nonprofit organizations. In 2015, Kaiser Foundation Hospitals will expand its commitment to research by participating in the launch of a national biobank that will strengthen the ability to conduct cutting-edge studies nationwide. The biobank will be one of the largest non-governmental biobanks in the United States to examine the genetic and environmental factors that influence common diseases such as heart disease, cancer, diabetes, high blood pressure, Alzheimer's disease, asthma, and many others. D.1.1. 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. D.1.1.1. Kaiser Foundation Research Institute (KFRI) The Kaiser Foundation Research Institute provides administrative leadership and support for federally funded medical research conducted at regional research centers located in California, Hawaii, and Oregon, as well as three other states. 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., and its subsidiaries. D.1.1.2. The Center for Effectiveness and Safety Research (CESR) The Center for Effectiveness and Safety Research is a national research center that leverages the expertise of Kaiser Permanente's seven regional research centers to answer important comparative effectiveness and safety questions that affect health care delivery questions by relying on collaborations within the network. D.1.2. Regional Research Program 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: D.1.2.1. 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 clinical trials in 2014: 57 - Number of active studies (clinical and non-clinical trials) in 2014: 173 - Number of research papers published in journals in 2014: 26 - Number of investigators: 3 - Number of Support Staff: 29 D.1.2.2. The Center for Health Research Northwest The Center for Health Research Northwest has been a leader in the field of research for over 50 years. As the research landscape has shifted over that time, this Center has adapted and cultivated new strengths, while remaining true to its guiding mission of advancing knowledge that serves the public health priorities of Kaiser Foundation Hospitals. Top Research Areas: - Cardiovascular Conditions - Genetics - Mental Health - Weight Loss - Women's Health Key Statistics: - Number of clinical trials in 2014: 153 - Number of active studies (clinical and non-clinical trials) in 2014: 696 - Number of research papers published in 2014: 183 - Number of investigators: 27 - Number of support staff: 210 D.1.2.2.1. Major Areas of Funded Research The following are examples of research projects conducted by KFH investigators at the two Centers for Health Research in Hawaii and Oregon in 2014: D.1.2.2.2. SPREAD-NET: Practices Enabling Adapting and Disseminating in the Safety Net Research Area: Health Care Delivery and Comparative Health Systems In this project, researchers are comparing how effectively different "support strategies" help diverse clinics to sustainably implement an intervention proven to reduce patients' cardiovascular disease event risk. Primary Funding Provided by: National Heart, Lung, and Blood Institute D.1.2.2.3. CBT-Insomnia Augmenting Usual Care SSRIs to Improve Youth Depression Outcomes Research Area: Behavioral Health and Mental Health Existing treatments for adolescent depression are only modestly effective, in part because insomnia (which is often present) interferes with how well depression treatments work. In this study, researchers are testing an insomnia treatment to improve adolescent depression outcomes, as well as improve sleep. Primary Funding Provided by: National Institute of Mental Health D.1.2.2.4. Veterans and Use of Psychiatric Service Dogs Research Area: Behavioral Health and Mental Health In this project, researchers are documenting the ways in which service dogs assist veterans with psychiatric problems. The study team is conducting surveys and interviews with veterans with post-traumatic stress disorder who have received service dogs. They are also observing and documenting training sessions for veterans receiving dogs for the first time, and following these veterans through the end of the study period to learn about their experiences with the dogs. Primary Funding Provided by: Kaiser Foundation Hospitals D.1.2.3. The Department of Research and Evaluation - Southern California The Department of Research and Evaluation focuses on conducting research with real-world implications and translating findings into practice. The Department has been expanding and building scientific expertise in new research areas, including health services and implementation science. This helps KFH better understand how to provide more effective care for patients, and bridge the gap between research and practice. Top Research Areas: - Cancer - Cardiovascular Diseases and Diabetes - Health Services and Implementation Science - Obesity - Vaccine Safety and Effectiveness - Women's and Children's Health Key Statistics: - Number of clinical trials in 2014: 562 - Number of active studies (clinical and non-clinical trials) in 2014: 1,500 - Number of research papers published in journals in 2014: 149 - Number of investigators: 30 - Number of support staff: 350 D.1.2.3.1. Major Areas of Funded Research The following are examples of research projects conducted by KFH investigators at the Department of Research and Evaluation in Southern California in 2014: D.1.2.3.2. Trends and Disparities in Bladder Cancer Treatment Research Area: Cancer In this study, researchers are comparing recommended and actual treatment practices for bladder cancer by patient sex, race/ethnicity, and age. The underlying goal of this study is to improve health care delivery and reduce disparities in outcomes. Primary Funding Provided by: National Cancer Institute D.1.2.3.3. Trajectories of Physical Activity and Sedentary Time in Adolescent/Young Women Research Area: Cardiovascular Conditions In this study, researchers are seeking to understand the factors that predict increases or decreases in physical activity levels for girls and young women, as well as changes in sedentary behavior. Ultimately, researchers aim to develop effective interventions to stop the decline in physical a
E. Other Community Benefit investments In 2014, Kaiser Foundation Hospitals spent approximately $22.9 million to support Community Benefit activities and programs beyond the national streams of work. This included the administrative expenses of regional Community Benefit departments dedicated to supporting the organization's Community Benefit programs and services and coordinating related initiatives. The following is an example of a program funded in this area. E.1. Tumor Board and Cancer Registry KFH spent $1.3 million to support the Tumor Board and Cancer Registry in the Northwest and Hawaii regions. Besides being a statistical database utilized by clinicians and researchers within the regions, the registry submits statistics to the National Cancer Data Base annually. The Cancer Program, which oversees the registry, is surveyed for accreditation every three years by the American College of Surgeons Commission on Cancer.
F. 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 community it serves. Although costs associated with this initiative are not included in the dollars reported as Community Benefit investments, efforts in this area contribute to advancing a broader vision emphasizing healthy people and healthy environments while also improving health care quality and affordability. To fulfill the organization's commitment to the natural environment, KFH maintains a governance structure for environmental stewardship that enables the organization to continually improve its environmental performance. This structure includes clearly defined roles, responsibilities, plans and routines, and has resulted in the following five organizational focus areas. These have been selected based on their ability to result in the greatest 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 a 2008 baseline), implemented initiatives, achieved measurable improvements, and regularly reported progress to the board of directors, staff, and the general public. By replacing paper medical charts and digitizing x-ray images through an 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. F.1. Performance Metrics During 2014, key performance indicators for Kaiser Foundation Hospitals included: F.1.1. In California and Hawaii: F.1.1.1 Reducing total greenhouse gas emissions (metric tons CO2e) by 6.1% compared to the 2008 baseline for all facilities and assets under KFH's operational control*. F.1.1.2 Increasing expenditures on "sustainable food" (as defined by the Green Guide to Health Care) to approximately 19% of overall spending on food. F.1.1.3 Responsibly recycling over 24,000 tons of confidential paper, electronic equipment, and medical devices. F.1.1.4 Purchasing medical products for which at least 99% were free of harmful PVC or DEHP chemicals in the following categories: 1) breast pumps; 2) enteral nutrition products; 3) parenteral infusion devices and sets; 4) general urological (irrigation/urology sets and solutions and urinary catheters); 5) examination gloves; and 6) vascular catheters. F.1.2. In Oregon: F.1.2.1 Reducing total greenhouse gas emissions (metric tons CO2e/member) by 8.5% compared to the 2008 baseline for all facilities and assets under KFH's operational control*. F.1.2.2 Reducing KFH's energy use intensity (kBtu/rentable square foot) by 2% compared to the 2010 baseline year. F.1.2.3 Increasing expenditures on "sustainable food" (as defined by the Green Guide to Health Care) to approximately 14% of overall spending on food. F.1.2.4 Responsibly recycling nearly 800 tons of confidential paper, electronic equipment, and medical devices. F.1.2.5 Purchasing medical products for which at least 99% were free of harmful PVC or DEHP chemicals in the following categories: 1) breast pumps; 2) enteral nutrition products; 3) parenteral infusion devices and sets; 4) general urological (irrigation/urology sets and solutions and urinary catheters); 5) examination gloves; and 6) vascular catheters. * Due to normal lag times in receiving and processing utility bills, performance for this indicator reflects emissions during the preceding calendar year (i.e. 2013). Performance for this indicator includes emissions avoided through cleaner energy purchasing initiatives.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2014

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 Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2014
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 41,596,124 21,267,865 NA
 
(2) KAISER PERMANENTE VENTURES LLC SERIES A
ONE KAISER PLAZA 15L
OAKLAND,CA94612
27-2252521 		INVESTMENT CA 11,209,645 43,326,749 NA
 
(3) NEWPORT GARFIELD LLC
19540 JAMBOREE ROAD SUITE 400
IRVINE,CA92612
90-0512284 		INVESTMENT DE 3,713,721 188,873,613 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 FOUNDATION HEALTH PLAN INC
ONE KAISER PLAZA 15L

OAKLAND,CA94612
94-1340523 		HEALTH CARE CA 501(c)(3) 9 NA
 
 
No
(6) CAMP BOWIE SERVICE CENTER
ONE KAISER PLAZA 15L

OAKLAND,CA94612
94-3299123 		ADMIN CA 501(c)(3) 11 - I KFHP INC
 
Yes
 
(7) KAISER HOSPITAL ASSET MANAGEMENT INC
ONE KAISER PLAZA 15L

OAKLAND,CA94612
94-3299125 		ASSET MGT CA 501(c)(3) 11 - I KFH
 
Yes
 
(8) 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
 
(9) LOKAHI ASSURANCE LTD
ONE KAISER PLAZA 15L

OAKLAND,CA94612
91-2171891 		WC Placement HI 501(c)(3) 11 - I KFHP INC
 
Yes
 
(10) KAISER HEALTH ALTERNATIVES
ONE KAISER PLAZA 15L

OAKLAND,CA94612
93-0954562 		HEALTH CARE OR 501(c)(3) 9 KFHP INC
 
Yes
 
(11) OHP
ONE KAISER PLAZA 15L

OAKLAND,CA94612
93-0480268 		LEASING WA 501(c)(3) 11 - I KFHP INC
 
Yes
 
(12) 1800 HARRISON FOUNDATION
ONE KAISER PLAZA 15L

OAKLAND,CA94612
94-3317484 		FINANCING CA 501(c)(3) 11 - II KFHP INC
 
Yes
 
(13) 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) 2014
Schedule R (Form 990) 2014
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 		consulting CA NA
  		                 
(2) PANTHEON GLOBAL HO FUND LP

600 MONTEREY STREET 23RD FLOOR
SAN FRANCISCO,CA94111
80-0948707 		INVESTMENT DE KFH
  		n/a 11,051,741 109,900,733   No     No 100.000 %
(3) WELLINGTON TRUST COMPANY NA CTF GLOBAL

280 CONGRESS ST
BOSTON,MA02210
20-3879807 		INVESTMENT MA KFH
  		n/a 42,162,926 412,483,580   No     No 91.567 %
(4) NXT CAPITAL SENIOR LOAN FUND I LLC

191 N WACKER DR SUITE 1200
CHICAGO,IL60606
37-1651297 		INVESTMENT DE KFH
  		n/a 21,719,754 342,342,059   No     No 85.734 %
(5) GOLDMAN SACHS HO FUND B LP

30 HUDSON STREET 15TH FLOOR
JERSEY CITY,NJ07302
46-4966204 		INVESTMENT NJ KFH
  		N/A -115,136 57,638,174   No     No 99.992 %




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) KAISER PERMANENTE INTERNATIONAL

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

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

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

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

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




Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
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
 
No
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
Yes
 
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
Yes
 
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 30,231 PER AGREEMENT
(2) KAISER FOUNDATION HEALTH PLAN OF COLORADO

 A 1,263,626 PER AGREEMENT
(3) KAISER FOUNDATION HEALTH PLAN OF GEORGIA inc

 A 13,326,732 PER AGREEMENT
(4) KAISER FOUNDATION HEALTH PLAN OF THE MAS inc

 A 10,342,507 PER AGREEMENT
(5) LOKAHI ASSURANCE LTD

 A 28,565,964 PER AGREEMENT
(6) kp oncall

 a 85,385 PER AGREEMENT
(7) KAISER FOUNDATION HEALTH PLAN INC

 B 283,395 PER AGREEMENT
(8) KAISER FOUNDATION HEALTH PLAN OF GEORGIA inc

 B 59,500 PER AGREEMENT
(9) PANTHEON GLOBAL HO FUND LP

 B 73,200,000 PER AGREEMENT
(10) goldman sachs ho fund b lp

 B 58,574,008 PER AGREEMENT
(11) WELLINGTON TRUST COMPANY NA CTF GLOBAL

 B 5,032,606 PER AGREEMENT
(12) NXT CAPITAL SENIOR LOAND FUND I LLC

 B 184,428,288 PER AGREEMENT
(13) WELLINGTON TRUST COMPANY NA CTF GLOBAL

 C 7,696,182 PER AGREEMENT
(14) NXT CAPITAL SENIOR LOAND FUND I LLC

 C 155,095,265 PER AGREEMENT
(15) KAISER FOUNDATION HEALTH PLAN OF GEORGIA inc

 D 223,000,000 PER AGREEMENT
(16) KAISER FOUNDATION HEALTH PLAN OF THE MAS inc

 D 131,000,000 PER AGREEMENT
(17) LOKAHI ASSURANCE LTD

 D 28,593,059 PER AGREEMENT
(18) KAISER FOUNDATION HEALTH PLAN OF COLORADO

 G 18,205,664 PER AGREEMENT
(19) KAISER FOUNDATION HEALTH PLAN INC

 H 20,730,897 PER AGREEMENT
(20) LOKAHI ASSURANCE LTD

 H 25,333,603 PER AGREEMENT
(21) KAISER HOSPITAL ASSET MANAGEMENT inc

 H 16,843,174 PER AGREEMENT
(22) KAISER FOUNDATION HEALTH PLAN OF THE NW

 I 1,777,451 PER AGREEMENT
(23) KAISER FOUNDATION HEALTH PLAN INC

 J 3,569,163 PER AGREEMENT
(24) KAISER FOUNDATION HEALTH PLAN OF COLORADO

 J 7,443,456 PER AGREEMENT
(25) KAISER FOUNDATION HEALTH PLAN INC

 K 161,901 PER AGREEMENT
(26) KAISER HOSPITAL ASSET MANAGEMENT inc

 K 186,668,401 PER AGREEMENT
(27) KAISER FOUNDATION HEALTH PLAN INC

 L 15,958,161,953 PER AGREEMENT
(28) KAISER FOUNDATION HEALTH PLAN OF COLORADO

 L 741,372,353 PER AGREEMENT
(29) KAISER FOUNDATION HEALTH PLAN OF GEORGIA inc

 L 316,005,288 PER AGREEMENT
(30) KAISER FOUNDATION HEALTH PLAN OF THE MAS inc

 L 468,989,520 PER AGREEMENT
(31) KAISER FOUNDATION HEALTH PLAN OF THE NW

 L 1,003,484,522 PER AGREEMENT
(32) KAISER PERMANENTE INSURANCE COMPANY

 L 129,301 PER AGREEMENT
(33) LOKAHI ASSURANCE LTD

 L 3,315,635 PER AGREEMENT
(34) KAISER FOUNDATION HEALTH PLAN INC

 M 1,109,426,418 PER AGREEMENT
(35) KAISER FOUNDATION HEALTH PLAN OF COLORADO

 M 1,258,694 PER AGREEMENT
(36) KAISER FOUNDATION HEALTH PLAN OF THE MAS inc

 M 3,063,151 PER AGREEMENT
(37) KAISER FOUNDATION HEALTH PLAN OF THE NW

 M 82,934,013 PER AGREEMENT
(38) KAISER PERMANENTE INSURANCE COMPANY

 M 16,205,174 PER AGREEMENT
(39) LOKAHI ASSURANCE LTD

 M 84,756,334 PER AGREEMENT
(40) KAISER FOUNDATION HEALTH PLAN INC

 N 16,325,095 PER AGREEMENT
(41) KAISER FOUNDATION HEALTH PLAN INC

 O 117,968 PER AGREEMENT
(42) KAISER FOUNDATION HEALTH PLAN INC

 P 19,446,594,764 PER AGREEMENT
(43) KAISER FOUNDATION HEALTH PLAN OF COLORADO

 P 6,205,355 PER AGREEMENT
(44) KAISER FOUNDATION HEALTH PLAN OF GEORGIA inc

 P 1,381,138 PER AGREEMENT
(45) KAISER FOUNDATION HEALTH PLAN OF THE MAS inc

 P 1,660,460 PER AGREEMENT
(46) KAISER FOUNDATION HEALTH PLAN OF THE NW

 P 240,380,818 PER AGREEMENT
(47) LOKAHI ASSURANCE LTD

 P 148,901 PER AGREEMENT
(48) KAISER FOUNDATION HEALTH PLAN INC

 Q 4,041,538,232 PER AGREEMENT
(49) KAISER FOUNDATION HEALTH PLAN OF COLORADO

 Q 8,517,331 PER AGREEMENT
(50) KAISER FOUNDATION HEALTH PLAN OF GEORGIA inc

 Q 7,648,035 PER AGREEMENT
(51) KAISER FOUNDATION HEALTH PLAN OF THE MAS inc

 Q 263,860,725 PER AGREEMENT
(52) KAISER FOUNDATION HEALTH PLAN OF THE NW

 Q 1,439,957,575 PER AGREEMENT
(53) CAMP BOWIE SERVICE CENTER

 Q 50,772,910 PER AGREEMENT
(54) KAISER PROPERTIES SERVICES INC

 Q 192,322 PER AGREEMENT
(55) KAISER PERMANENTE INSURANCE COMPANY

 Q 1,612,425 PER AGREEMENT
(56) LOKAHI ASSURANCE LTD

 Q 91,007,766 PER AGREEMENT
(57) KAISER FOUNDATION HEALTH PLAN INC

 R 7,317,709,338 PER AGREEMENT
(58) LOKAHI ASSURANCE LTD

 R 6,210,800 PER AGREEMENT
(59) KAISER HOSPITAL ASSET MANAGEMENT inc

 R 118,262,762 PER AGREEMENT
(60) KAISER FOUNDATION HEALTH PLAN INC

 S 195,912 PER AGREEMENT
(61) LOKAHI ASSURANCE LTD

 S 2,854,000 PER AGREEMENT
(62) KAISER HOSPITAL ASSET MANAGEMENT inc

 S 35,291,066 PER AGREEMENT
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
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) 2014
Schedule R (Form 990) 2014
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2014
Additional Data


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