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 black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 01-01-2012 , 2012, and ending 12-31-2012
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 country, and ZIP + 4
OAKLAND, CA94612
D Employer identification number

94-1105628
E Telephone number

G Gross receipts $ 24,923,206,152
F Name and address of principal officer:
GEORGE C HALVORSON
ONE KAISER PLAZA 15L
OAKLAND,CA94612
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
N/A
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1948
M State of legal domicile: CA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 15
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 12
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 67,410
6 Total number of volunteers (estimate if necessary) ............. 6 6,861
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 4,188,289
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -2,837,927
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 192,069,957 171,916,469
9 Program service revenue (Part VIII, line 2g) ......... 17,159,566,467 17,596,727,947
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 547,748,427 691,358,421
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 80,645,504 83,041,135
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 17,980,030,355 18,543,043,972
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 78,199,348 64,000,882
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) 6,922,486,670 7,264,033,133
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 9,443,226,511 9,449,254,366
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 16,443,912,529 16,777,288,381
19 Revenue less expenses. Subtract line 18 from line 12....... 1,536,117,826 1,765,755,591
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 28,948,439,297 34,987,895,012
21 Total liabilities (Part X, line 26)............. 19,765,732,734 23,544,864,032
22 Net assets or fund balances. Subtract line 21 from line 20..... 9,182,706,563 11,443,030,980
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 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question 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 $ 15,542,527,247 including grants of $ 27,405,478 ) (Revenue $ 17,227,453,978 )
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 $ 758,754,949 including grants of $ 0 ) (Revenue $ 350,324,771 )
Medicaid and Other Government Sponsored Programs Kaiser Foundation Hospitals (KFH) is committed to improving the way beneficiaries of our Medicaid and other government sponsored programs receive care, not only in our facilities, but also in the communities we serve. In 2012, KFH participated in the Medicaid and Children's Health Insurance Plan (CHIP) programs in all of the states we serve as well as state-sponsored programs in Oregon and Washington. At the end of 2012, over 232,000 individuals were receiving access to inpatient care at KFH's facilities under Kaiser Foundation Health Plan Inc.'s Medicaid managed care programs in the states of California, Hawaii, Oregon, and Washington. Approximately 203,000 individuals were receiving similar benefits under the CHIP programs.
4c (Code:   ) (Expenses $ 142,653,725 including grants of $ 0 ) (Revenue $ 0 )
Medical Research Programs Four Kaiser Permanente research organizations based in California, Hawaii, and Oregon conduct population-based studies, health services research and clinical trials to answer important health policy and public health questions. These projects are funded both internally and externally through federal and state government agencies and other nonprofit organizations such as universities and foundations. While the research conducted by Kaiser Foundation Hospitals guides our clinicians' practice patterns and further enhances the health and medical care of our patients, it also contributes to the wealth of medical knowledge shared through widely-disseminated publications and presentations.
(Code:   ) (Expenses $ 179,628,521 including grants of $ 36,595,404 ) (Revenue $ 18,949,198 )
SEE part iii, line 4a-d description
4d Other program services (Describe in Schedule O.)
(Expenses $ 179,628,521 including grants of $ 36,595,404 ) (Revenue $ 18,949,198 )
4e Total program service expensesMediumBullet16,623,564,442
Form 990 (2012)
Form 990 (2012)
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 assistance to any organization or entity located outside the United States? 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 assistance to individuals located outside the United States? 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 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States 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 and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
Yes
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........ 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
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? 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
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
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 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
2,698
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
67,410
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,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletID
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
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 to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
15
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
12
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
CA , CO , DC , GA , HI , MD , OH , OR , VA , WA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletVP - NATIONAL TAX COMPLIANCEONE KAISER PLAZA 15LOAKLANDCA94612 (510) 271-6385
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question 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; Officer; Key Employee; Highest compensated employee; Former;
(1) Christine K Cassel........................................................................
Director
 4.5
.......................6.5 		X           0 203,500 0
(2) Thomas W Chapman........................................................................
Director
 3.5
.......................9.5 		X           0 214,108 17,000
(3) Daniel P Garcia........................................................................
SVP, Chief Compliance Officer
 20.0
.......................30.0 		X   X       0 1,424,272 106,893
(4) William R Graber........................................................................
Director
 2.25
.......................5.25 		X           0 240,823 0
(5) J Eugene Grigsby III........................................................................
Director
 2.5
.......................6.0 		X           0 221,000 0
(6) George C Halvorson........................................................................
Chairman and CEO
 12.0
.......................38.0 		X   X       0 9,800,351 112,560
(7) Judith Johansen........................................................................
Director
 2.1
.......................4.2 		X           0 207,146 0
(8) Kim J Kaiser........................................................................
Director
 3.25
.......................5.25 		X           0 228,500 0
(9) Philip Marineau........................................................................
Director
 2.3
.......................4.62 		X           0 225,618 0
(10) Jenny J Ming........................................................................
Director
 2.0
.......................3.1 		X           0 214,323 0
(11) Edward Y W Pei........................................................................
Director
 3.0
.......................5.0 		X           0 206,641 17,000
(12) Margaret E Porfido........................................................................
Director
 3.5
.......................6.0 		X           0 237,779 0
(13) J Neal Purcell........................................................................
Director
 3.0
.......................6.0 		X           0 251,464 0
(14) Cynthia Telles........................................................................
Director
 2.3
.......................4.8 		X           0 226,717 0
(15) Bernard J Tyson........................................................................
President & COO
 12.0
.......................38.0 		X   X       0 4,087,093 246,726
(16) Gregory A Adams........................................................................
Group President
 22.0
.......................28.0 		    X       0 1,910,063 297,803
(17) Anthony A Barrueta........................................................................
SVP, Government Relations
 25.0
.......................25.0 		    X       0 790,125 222,980
Form 990 (2012)
Form 990 (2012)
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; Officer; Key Employee; Highest compensated employee; Former;
(18) Raymond J Baxter........................................................................
SVP, CB, Research & Health Pol
 25.0
.......................25.0 		    X       0 1,476,491 104,342
(19) Benjamin K Chu........................................................................
Group & Region President SCAL
 25.0
.......................25.0 		    X       0 1,712,082 694,077
(20) Charles E Columbus........................................................................
SVP, Chief HR Officer
 25.0
.......................25.0 		    X       0 1,049,396 283,763
(21) Steven Doshay........................................................................
Senior Counsel
 15.0
.......................35.0 		    X       0 265,251 120,178
(22) Philip Fasano........................................................................
EVP & CIO
 25.0
.......................25.0 		    X       0 3,007,519 543,983
(23) Jerry C Fleming........................................................................
SVP, Health Reform Implement.
 20.0
.......................30.0 		    X       0 961,141 202,373
(24) Diane E Gage Lofgren........................................................................
SVP, Brand Mgmt & Comm.
 25.0
.......................25.0 		    X       0 998,363 224,674
(25) Sandra A Golze........................................................................
VP, Regional Counsel - NCAL
 25.0
.......................25.0 		    X       0 436,676 139,160
(26) Mitchell J Goodstein........................................................................
SVP, Actuarial, U/W & Pricing
 1.0
.......................49.0 		    X       0 1,159,922 119,925
(27) Kimberly K Horn........................................................................
Region President - MAS
 10.0
.......................40.0 		    X       0 112,249 119,076
(28) Marilyn Kawamura........................................................................
Region President - MAS
 10.0
.......................40.0 		    X       0 913,029 159,370
(29) Patricia Kennedy-Scott........................................................................
Region President - Ohio
 5.0
.......................45.0 		    X       0 790,401 125,642
(30) Kerry Kohnen........................................................................
Region President - Georgia
 10.0
.......................40.0 		    X       0 650,751 192,226
(31) Kathryn Lancaster........................................................................
EVP & CFO
 12.0
.......................38.0 		    X       0 2,779,989 235,528
(32) Janet A Liang........................................................................
Region President - Hawaii
 25.0
.......................25.0 		    X       0 1,025,741 220,968
(33) Donna Lynne........................................................................
Group & Region President CO
 18.0
.......................32.0 		    X       0 1,109,779 461,663
(34) Andrew R McCulloch........................................................................
Region President - Northwest
 25.0
.......................25.0 		    X       0 1,204,444 381,328
(35) Judith M Mears........................................................................
VP & Asst Gen Counsel
 3.0
.......................47.0 		    X       0 215,959 375,016
(36) Thomas R Meier........................................................................
SVP, Corporate Treasurer
 17.0
.......................33.0 		    X       0 816,082 125,506
(37) Indrajit Obeysekere........................................................................
Senior Counsel
 25.0
.......................25.0 		    X       0 337,218 144,166
(38) Donald H Orndoff........................................................................
SVP, NFS
 15.0
.......................35.0 		    X       0 766,341 179,878
(39) Frank P Richardson........................................................................
VP, Regional Counsel - HI
 25.0
.......................25.0 		    X       0 288,580 98,656
(40) Rochelle M Roth........................................................................
Exec Dir, Health Plan QCSO
 15.0
.......................35.0 		    X       0 245,044 103,178
(41) Jacqueline Sellers........................................................................
Senior Counsel
 25.0
.......................25.0 		    X       0 258,916 127,497
(42) Arthur M Southam........................................................................
EVP, Health Plan Operations
 5.0
.......................45.0 		    X       0 3,350,376 119,108
(43) Deborah Stokes........................................................................
SVP, CC & CAO
 14.4
.......................35.6 		    X       0 690,493 184,332
(44) Herman M Weil........................................................................
SVP, Federal & State Programs
 10.0
.......................40.0 		    X       0 801,393 224,344
(45) Jed Weissberg........................................................................
SVP, Quality & Care Delivery
 25.0
.......................25.0 		    X       0 1,283,103 548,424
(46) John Yamamoto........................................................................
VP, Regional Counsel - SCAL
 20.0
.......................30.0 		    X       0 736,634 161,441
(47) Carlos Zaragoza........................................................................
VP, Practice Leader - Labor
 25.0
.......................25.0 		    X       0 495,186 159,920
(48) Victoria B Zatkin........................................................................
VP, Off of Brd & Corp Gov Svcs
 14.0
.......................36.0 		    X       0 339,271 192,592
(49) Mark S Zemelman........................................................................
SVP, Gen Counsel & Secretary
 16.0
.......................34.0 		    X       0 1,019,066 181,919
(50) Mary Ann Barnes........................................................................
SVP, Exec Dir - San Diego
 30.0
.......................20.0 		      X     0 576,612 214,677
(51) Christopher L Boyd........................................................................
SVP, Area Mgr - Santa Clara
 30.0
.......................20.0 		      X     0 545,632 120,512
(52) Michael O Brady........................................................................
SVP, Infrastructure Mgmt Group
 30.0
.......................20.0 		      X     0 897,903 172,466
(53) Virginia C Campbell........................................................................
SVP & Area Mgr - Diablo
 30.0
.......................20.0 		      X     0 575,774 140,632
(54) William B Caswell........................................................................
SVP, Operations
 30.0
.......................20.0 		      X     0 795,353 173,900
(55) Greg K Christian........................................................................
Exec Dir - Fontana
 30.0
.......................20.0 		      X     0 518,957 112,334
(56) Mark E Costa........................................................................
Exec Dir - Los Angeles
 30.0
.......................20.0 		      X     0 660,349 144,740
(57) Richard D Daniels........................................................................
SVP, Shared Services
 30.0
.......................20.0 		      X     0 1,333,193 136,451
(58) Elizabeth Jane Finley........................................................................
SVP & Exec Dir - Downey
 30.0
.......................20.0 		      X     0 557,702 224,683
(59) Edward S Glavis........................................................................
SVP & Area Mgr - Roseville
 30.0
.......................20.0 		      X     0 597,924 172,156
(60) Gerald A McCall........................................................................
SVP Operations
 30.0
.......................20.0 		      X     0 861,176 205,632
(61) Colleen M McKeown........................................................................
SVP & Area Mgr - Diablo
 30.0
.......................20.0 		      X     0 530,090 206,745
(62) Julie Miller-Phipps........................................................................
SVP & Exec Dir - Orange
 30.0
.......................20.0 		      X     0 564,018 200,995
(63) Nathaniel L Oubre........................................................................
SVP & Area Mgr - East Bay
 30.0
.......................20.0 		      X     0 727,000 152,206
(64) Vita M Willett........................................................................
Exec Dir - Riverside
 30.0
.......................20.0 		      X     0 629,700 229,934
(65) Judith L Coffey........................................................................
SVP & Area Mgr - Marin/Sonoma
 30.0
.......................20.0 		      X     0 507,080 101,864
(66) Jeffrey A Collins........................................................................
SVP & Area Manager - Fresno
 30.0
.......................20.0 		      X     0 478,196 113,650
(67) Corwin Harper........................................................................
SVP & Area Mgr- Central Valley
 30.0
.......................20.0 		      X     0 464,690 129,521
(68) Christine Robisch........................................................................
SVP & Area Manager - SF
 30.0
.......................20.0 		      X     0 492,906 180,958
(69) Max Villalobos........................................................................
SVP & Area Mgr - Napa/Solano
 30.0
.......................20.0 		      X     0 508,558 183,871
(70) Diane Comer........................................................................
SVP, Bus. Info Officer - HP
 30.0
.......................20.0 		        X   0 697,230 122,185
(71) Henry Neidermeier........................................................................
VP, Technology SOX &Compliance
 30.0
.......................20.0 		        X   0 613,915 110,570
(72) Chadwick H Nestman........................................................................
VP, Chief Architect
 30.0
.......................20.0 		        X   0 643,843 98,180
(73) GC Paul........................................................................
VP, Bus. Info Officer - Pharm.
 30.0
.......................20.0 		        X   0 664,442 109,720
(74) Kathleen Marie Scheirman........................................................................
SVP, Bus. Info Officer - Corp
 30.0
.......................20.0 		        X   0 687,828 126,334
(75) Steven R Zatkin........................................................................
Former Gen Counsel & Secretary
 0.0
.......................0.0 		          X 0 323,501 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 0 68,439,981 12,160,131
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet22,121
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
HENSEL PHELPS CONSTRUCTION, 18850 VON KARMAN AVE 100IRVINECA92612 CONSTRUCTION SVC 89,955,578
PEACEHEALTH SOUTHWEST MEDICAL, 400 NE MOTHER JOSEPH PLVANCOUVERWA98664 MEDICAL SERVICES 40,915,185
SALEM HOSPITAL, 890 OAK ST SESALEMOR97301 MEDICAL SERVICES 34,093,383
PROVIDENCE HEALTH SERVICES - OREG, PO BOX 3395PORTLANDOR97208 MEDICAL SERVICES 43,894,560
OREGON HEALTH SCIENCE UNIVERSITY, 3181 SW SAM JACKSON PARK RDPORTLANDOR97201 MEDICAL SERVICES 27,670,236
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet295
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e 140,427,531
f All other contributions, gifts, grants, and
similar amounts not included above1f 		31,488,938
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 171,916,469
Program Service Revenue Business Code
2a HOSPITAL SERV REV 900099 15,458,389,854 15,458,389,854    
b NON-PLAN & IND REV 900099 389,846,426 389,846,426    
c OTHR PRGM SERV REV 900099 1,693,852,000 1,689,296,765 4,555,235  
d MEDICARE PAYMENTS 900099 54,639,667 54,639,667    
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 17,596,727,947
Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 423,511,091     423,511,091
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 1,387,905  
b Less: rental expenses    
c Rental income or (loss) 1,387,905 0
d Net rental income or (loss).......MediumBullet 1,387,905     1,387,905
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 6,633,280,864 14,728,646
b Less: cost or other basis and sales expenses 6,368,157,684 12,004,496
c Gain or (loss) 265,123,180 2,724,150
d Net gain or (loss)..........MediumBullet 267,847,330     267,847,330
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 19,618,789     19,618,789
b PARKING GARAGES 812930 9,043,591   213,611 8,829,980
c KP ONCALL 900099 43,512,653   2,053,898 41,458,755
d All other revenue .... 9,478,197   -2,634,455 12,112,652
e Total. Add lines 11a–11d ...... MediumBullet 81,653,230
12 Total revenue. See Instructions......MediumBullet 18,543,043,972 17,592,172,712 4,188,289 774,766,502
Form 990 (2012)
Form 990 (2012)
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 to any question in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 63,417,958 63,417,958
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 535,750 535,750
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 47,174 47,174
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 4,775,361,342 4,731,623,144 43,738,198 0
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 743,925,982 737,100,461 6,825,521  
9 Other employee benefits ....... 1,375,814,505 1,363,191,407 12,623,098  
10 Payroll taxes ........... 368,931,304 365,546,359 3,384,945  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 48,470   48,470  
c Accounting ........... 4,595,368   4,595,368  
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 50,050,083   50,050,083  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 0      
12 Advertising and promotion .... 3,729,544   3,729,544  
13 Office expenses ....... 1,810,653,203 1,794,040,460 16,612,743  
14 Information technology ...... 0      
15 Royalties .. 0      
16 Occupancy ........... 201,049,467 199,204,838 1,844,629  
17 Travel ............ 17,585,049 17,423,706 161,343  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 12,325,465 12,212,379 113,086  
20 Interest ........... 185,795,474 184,090,801 1,704,673  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 754,131,522 747,212,365 6,919,157  
23 Insurance .............. 72,898,454 72,229,611 668,843  
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 2,529,938,003 2,529,938,003    
b PURCHASED MEDICAL SERVICES 2,821,219,003 2,821,219,003    
c PURCHASED NON-MEDICAL SVC 421,627,758 421,627,758    
d BAD DEBT EXPENSE 125,144,021 125,144,021    
e All other expenses 438,463,482 437,759,244 704,238  
25 Total functional expenses. Add lines 1 through 24e 16,777,288,381 16,623,564,442 153,723,939 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 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 84,285,675 1 101,456,711
2 Savings and temporary cash investments ......... 0 2 0
3 Pledges and grants receivable, net ........... 0 3 0
4 Accounts receivable, net ............. 322,831,094 4 337,377,555
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 ............. 315,851,331 7 649,381,984
8 Inventories for sale or use .............. 417,934,461 8 511,792,852
9 Prepaid expenses and deferred charges .......... 121,769,695 9 328,683,183
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 27,528,928,322
b Less: accumulated depreciation ..... 10b 11,521,283,196 14,442,527,981 10c 16,007,645,126
11 Investments—publicly traded securities .......... 10,594,862,345 11 12,712,673,942
12 Investments—other securities. See Part IV, line 11 ..... 2,265,720,383 12 3,574,439,806
13 Investments—program-related. See Part IV, line 11 ..... 0 13 0
14 Intangible assets ............... 1,800,000 14 600,000
15 Other assets. See Part IV, line 11 ........... 380,856,332 15 763,843,853
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 28,948,439,297 16 34,987,895,012
Liabilities 17 Accounts payable and accrued expenses ......... 2,522,746,649 17 2,764,489,521
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 11,781 19 15,128
20 Tax-exempt bond liabilities ............. 5,697,624,165 20 7,218,204,551
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.................... 11,545,350,139 25 13,562,154,832
26 Total liabilities. Add lines 17 through 25......... 19,765,732,734 26 23,544,864,032
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 ..... -19,013,528 31 69,911,557
32 Retained earnings, endowment, accumulated income, or other funds 9,201,720,091 32 11,373,119,423
33 Total net assets or fund balances ........... 9,182,706,563 33 11,443,030,980
34 Total liabilities and net assets/fund balances ........ 28,948,439,297 34 34,987,895,012
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
18,543,043,972
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
16,777,288,381
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
1,765,755,591
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
9,182,706,563
5
Net unrealized gains (losses) on investments ...............
5
502,628,494
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
-8,059,668
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
11,443,030,980
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question 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 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


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

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number

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

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
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) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
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) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2012

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.
OMB No. 1545-0047
2012
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 Part I, line 2 of its Form 990-PF, 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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 2
Name of organization
KAISER FOUNDATION HOSPITALS
  		Employer identification number

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

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED


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

     
 
   

$  


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

     
 
   

$  


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

     
 
   

$  


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

     
 
   

$  


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

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 4
Name of organization
KAISER FOUNDATION HOSPITALS
  		Employer identification number

94-1105628
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number

94-1105628
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. 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 .................   891,845,600 891,845,600
b Buildings ................   17,452,279,628 7,250,722,246 10,201,557,382
c Leasehold improvements ............   187,062,745 144,812,307 42,250,438
d Equipment ................   2,580,310,366 1,872,806,662 707,503,704
e Other .................   6,417,429,983 2,252,941,981 4,164,488,002
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 16,007,645,126
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. 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 		2,632,127,144 F

(B) PRIVATE EQUITY FUNDS 		942,312,662 F







Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 3,574,439,806
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (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. 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. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
DUE TO RELATED ENTITIES 3,571,430,641
RESERVE FOR WORKERS COMP RISKS 341,975,546
RESERVE FOR PROF/PUBLIC LIAB 200,420,988
RESERVE FOR SELF-INS RISK AUTO 200,000
POST RETIREMENT LIABILITIES 8,434,225,052
OTHER LONG-TERM LIABILITIES 385,572,521
OTHER CURRENT LIABILITIES 532,346,639
BROKER PAYABLES 95,983,445

Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 13,562,154,832
2. Fin 48 (ASC 740) Footnote. 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) 2012

Schedule D (Form 990) 2012
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
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
Complete this part to 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.
Identifier 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) 2012

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2012
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 the grants or
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 grant funds 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   44,907,000
East Asia and the Pacific     Investments   423,080,000
Europe (Including Iceland and Greenland)     Investments   421,183,000
Middle East and North Africa     Investments   6,170,000
South Asia     Investments   1,450,000
Russia and the Newly Independent States     Investments   1,551,000
Sub-Saharan Africa     Investments   5,180,000
Central America and the Caribbean     Investments   3,788,649,000
           
           
           
           
           
           
           
           
           
3a Sub-total .....     4,692,170,000
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     4,692,170,000
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount of
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
Europe (Including Iceland and Greenland) Var Fed projects 47,174        
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ....MediumBullet
 
3
Enter total number of other organizations or entities .......................MediumBullet
1
Schedule F (Form 990) 2012
Schedule F (Form 990) 2012Page 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) 2012
Schedule F (Form 990) 2012
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 organizationmay be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................
Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
Page 5
Part V
Supplemental Information
Complete this part to 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).
Identifier ReturnReference Explanation
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2012
Additional Data


Software ID:  
Software Version:  



SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number

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

4

Yes

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

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) .. 		    236,908,842 22,049,941 214,858,901 1.290 %
b Medicaid (from Worksheet 3,
column a) .... 		    567,186,908 230,785,713 336,401,195 2.020 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		    191,568,043 119,539,058 72,028,985 0.430 %
d Total Financial Assistance
and Means-Tested
Government Programs . 		    995,663,793 372,374,712 623,289,081 3.740 %
Other Benefits
     41,305,345   41,305,345 0.250 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    102,285,487 18,949,198 83,336,289 0.500 %
g Subsidized health services
(from Worksheet 6) .. 		           
h Research (from Worksheet 7)     141,628,128 32,546,133 109,081,995 0.660 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		    36,528,941   36,528,941 0.220 %
j Total. Other Benefits ..     321,747,901 51,495,331 270,252,570 1.630 %
k Total. Add lines 7d and 7j .     1,317,411,694 423,870,043 893,541,651 5.370 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
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 9 858 186,000 2,250 183,750  
2 Economic development 2 1,110 25,000 1,820 23,180  
3 Community support 138 3,876 1,562,389 3,861 1,558,528 0.010 %
4 Environmental improvements 3 145 65,600 200 65,400  
5 Leadership development and training for community members 2 650 15,000 1,362 13,638  
6 Coalition building 5 554 263,600 1,500 262,100  
7 Community health improvement advocacy 25 2,057 986,000 7,798 978,202 0.010 %
8 Workforce development 4 945 30,500 4,190 26,310  
9 Other 16 898 144,416 2,620 141,796  
10 Total 204 11,093 3,278,505 25,601 3,252,904 0.020 %
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
80,706,249
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
265,680,560
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
270,211,562
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-4,531,002
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) 2012
Schedule H (Form 990) 2012
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?37
Name, address, and primary website address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 KAISER FDN HOSPITAL - LOS ANGELES
4867 SUNSET BLVD
LOS ANGELES,CA90027
LICENSE # 9300077 		X X   X   X X     A
2 KAISER FOUNDATION HOSPITAL- SAN DIEGO
4647 ZION AVE
SAN DIEGO,CA92120
LICENSE # 0800062 		X X   X   X X     A
3 KAISER FDN HOSPITAL - SANTA CLARA
700 LAWRENCE EXPRESSWAY
SANTA CLARA,CA95051
LICENSE # 070000661 		X X   X   X X     A
4 KAISER FOUNDATION HOSPITAL - DOWNEY
9333 IMPERIAL HIGHWAY
DOWNEY,CA90242
LICENSE # 930000078 		X X   X   X X     A
5 KAISER FDN HOSP - SUNNYSIDE MED CTR
10180 SOUTHEAST SUNNYSIDE RD
CLACKAMAS,OR97105
LICENSE # 1073 		X X   X     X     B
6 KAISER FOUNDATION HOSPITAL - HONOLULU
3288 MOANALUA RD
HONOLULU,HI96819
LICENSE # OHCA 31-H 		X X   X     X     C
7 KAISER FOUNDATION HOSPITAL - FONTANA
9961 SIERRA AVE
FONTANA,CA92335
LICENSE # 240000159 		X X   X   X X     A
8 KAISER FOUNDATION HOSPITAL - OAKLAND
280 W MACARTHUR BLVD
OAKLAND,CA94611
LICENSE # 140000052 		X X   X   X X     A
9 KAISER FOUNDATION HOSPITAL- ROSEVILLE
1600 EUREKA RD
ROSEVILLE,CA95661
LICENSE # 550001681 		X X   X   X X     A
10 KAISER FDN HOSPITAL - WALNUT CREEK
1425 S MAIN ST
WALNUT CREEK,CA94596
LICENSE # 140000290 		X X   X   X X     A
11 KAISER FDN HOSPITAL - SAN FRANCISCO
2425 GEARY BLVD
SAN FRANCISCO,CA94115
LICENSE # 220000188 		X X   X   X X     A
12 KAISER FOUNDATION HOSPITAL - VALLEJO
975 SERENO DR
VALLEJO,CA94589
LICENSE # 110000026 		X X   X   X X     A
13 KAISER FDN HOSPITAL - HARBOR CITY
25825 S VERMONT AVE
HARBOR CITY,CA90710
LICENSE # 9300079 		X X   X   X X     A
14 KAISER FOUNDATION HOSPITAL- RIVERSIDE
10800 MAGNOLIA AVE
RIVERSIDE,CA92505
LICENSE # 2500327 		X X   X   X X     A
15 KAISER FOUNDATION HOSPITAL - ANAHEIM
441 N LAKEVIEW AVE
ANAHEIM,CA92807
LICENSE # 0600091 		X X   X   X X     A
16 KAISER FDN HOSPITAL - SACRAMENTO
2025 MORSE AVE
SACRAMENTO,CA95825
LICENSE # 030000052 		X X   X   X X     A
17 KAISER FDN HOSPITAL - W LOS ANGELES
6041 CADILLAC AVE
W LOS ANGELES,CA90034
LICENSE # 9300081 		X X   X   X X     A
18 KAISER FOUNDATION HOSPITAL - SAN JOSE
250 HOSPITAL PARKWAY
SAN JOSE,CA95119
LICENSE # 070000117 		X X   X   X X     A
19 KAISER FDN HOSPITAL - BALDWIN PARK
1011 BALDWIN PARK BLVD
BALDWIN PARK,CA91706
LICENSE # 9300920 		X X   X     X     A
20 KAISER FDN HOSPITAL - WOODLAND HILLS
5601 DE SOTO AVE
WOODLAND HILLS,CA91367
LICENSE # 9300358 		X X   X   X X     A
21 KAISER FDN HOSPITAL - PANORAMA CITY
13652 CANTARA ST
PANORAMA CITY,CA91402
LICENSE # 9300080 		X X   X   X X     A
22 KAISER FDN HOSPITAL- SOUTH SACRAMENTO
6600 BRUCEVILLE RD
SOUTH SACRAMENTO,CA95823
LICENSE # 030000228 		X X   X   X X     A
23 KAISER FOUNDATION HOSPITAL - IRVINE
6640 ALTON PARKWAY
IRVINE,CA92618
LICENSE # 0600091 		X X   X   X X     A
24 KAISER FOUNDATION HOSPITAL - ONTARIO
2295 S VINEYARD AVE
ONTARIO,CA91761
LICENSE # 240000159 		X X   X     X     A
25 KAISER FOUNDATION HOSPITAL - HAYWARD
27400 HESPERIAN BLVD
HAYWARD,CA94545
LICENSE # 140000053 		X X   X   X X     A
26 KAISER FDN HOSPITAL - REDWOOD CITY
1150 VETERANS BLVD
REDWOOD CITY,CA94063
LICENSE # 220000021 		X X   X   X X     A
27 KAISER FDN HOSPITAL - SANTA ROSA
401 BICENTENNIAL WAY
SANTA ROSA,CA95403
LICENSE # 110000213 		X X   X   X X     A
28 KAISER FOUNDATION HOSPITAL - ANTIOCH
4501 SAND CREEK RD
ANTIOCH,CA94531
LICENSE # 550000614 		X X   X   X X     A
29 KAISER FOUNDATION HOSPITAL - FRESNO
7300 N FRESNO ST
FRESNO,CA93720
LICENSE # 040000384 		X X   X   X X     A
30 KAISER FDN HOSP - SOUTH SAN FRANCISCO
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO,CA94080
LICENSE # 220000022 		X X   X   X X     A
31 KAISER FDN HOSPITAL - SAN RAFAEL
99 MONTECILLO RD
SAN RAFAEL,CA94903
LICENSE # 110000357 		X X   X   X X     A
32 KAISER FOUNDATION HOSPITAL - FREMONT
39400 PASEO PADRE PARKWAY
FREMONT,CA94538
LICENSE # 140000053 		X X   X   X X     A
33 KAISER FOUNDATION HOSPITAL - MODESTO
4601 DALE RD
MODESTO,CA95356
LICENSE # 030000393 		X X   X     X     A
34 KAISER FOUNDATION HOSPITAL- VACAVILLE
1 QUALITY DR
VACAVILLE,CA95688
LICENSE # 550001207 		X X   X   X X     A
35 KAISER FDN HOSPITAL - MORENO VALLEY
27300 IRIS AVE
MORENO VALLEY,CA92555
LICENSE # 550000810 		X X   X     X     A
36 KAISER FOUNDATION HOSPITAL - MANTECA
1777 W YOSEMITE AVE
MANTECA,CA95336
LICENSE # 030000393 		X X   X     X     A
37 KAISER FOUNDATION HOSPITAL - RICHMOND
901 NEVIN ST
RICHMOND,CA94804
LICENSE # 140000052 		X X   X   X X     A
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
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)
A
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)  
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1    
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20  
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3    
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4    
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5    
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7    
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 350.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
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)
B
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)  
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1    
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20  
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3    
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4    
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5    
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7    
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
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)
C
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)  
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1    
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20  
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3    
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4    
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5    
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7    
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?9
Name and address Type of Facility (describe)
1 BROOKSIDE RESIDENTIAL TREATMENT CENTER
10180 SOUTHEAST SUNNYSIDE RD
CLACKAMAS,OR97015 		IMPATIENT MENTAL HEALTH SERVICES
2 KAISER PERMANENTE POST ACUTE CARE CENTER
1440 168TH AVE
SAN LEANDRO,CA94578 		SKILLED NURSING
3 INTERSTATE SURGICAL CENTER
3500 N INTERSTATE AVE
PORTLAND,OR97227 		AMBULATORY SURGERY
4 SUNNYBROOK SURGICAL CENTER
10180 SOUTHEAST SUNNYSIDE RD
CLACKAMAS,OR97015 		AMBULATORY SURGERY
5 SKYLINE SURGICAL CENTER
5135 SKYLINE ROAD SOUTH
SALEM,OR97306 		AMBULATORY SURGERY
6 CENTER FOR HEALTH RESEARCH
3800 N INTERSTATE AVE
PORTLAND,OR97227 		RESEARCH CENTER
7 MENTAL HEALTH CENTER
765 W COLLEGE ST
LOS ANGELES,CA90012 		MENTAL HEALTH
8 CHEMICAL DEPENDENCY PROGRAM
17046 MARYGOLD AVE
FONTANA,CA92335 		CHEMICAL DEPENDENCY PROGRAM
9 SANTA CLARA PHF
3840 HOMESTEAD RD
SANTA CLARA,CA95051 		MENTAL HEALTH
10
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments 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.
8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
Identifier ReturnReference 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/H's commercial business lines. In order to calculate the percentages reported in column (f) bad debt was excluded from total expenses. Bad debt of $125,144,021 was excluded from total expenses of $16,777,288,381 reported in part IX, line 25, column (a)
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. DHMO and HDHP 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 2010.
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 owns and operates 37 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 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. Kaiser Permanente members are representative of the various ages and income groups as well as the social, ethnic, and culture distinction of each community located within KFH service areas. ncal scal Hawaii nw Total population in area (mil) 11.6 21.6 1.3 2.2 Average family income $98,459 $85,050 $90,072 $78,278 % below fpl 14 16 11 14 % w/o public or private health ins 14 21 8 16 (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)
other information   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's general community benefits are: Emergency departments - KFH operates full-time emergency departments in each of its 37 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 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.
affiliated health care system   Kaiser Foundation Hospitals (KFH) and Kaiser Foundation Health Plan, Inc. (KFHP), with its five 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.; Kaiser Foundation Health Plan of the Northwest; and Kaiser Foundation Health Plan of Ohio, 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 37 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. KAISER PERMANENTE'S COMMITMENT TO THE COMMUNITY Through the Kaiser Permanente mission, the organization contributes to the health of the communities in two related ways. First, Kaiser Permanente strives for excellence in serving its 8.9 million members through market-leading performance in quality, service and affordability. By doing so, Kaiser Permanente provides a discipline in the marketplace by demonstrating meaningful value and affordability, and generating resources to reinvest in the community's health. Second, Kaiser Permanente directly invests in improvements to community health by working to increase access for the underserved, disseminating care improvements, altering the social determinants of health, educating healthcare workers and consumers, and informing public policy. This latter approach, which Kaiser Permanente calls the Direct Community Benefit Investment (DCBI), is fundamental to being a nonprofit organization. It embodies the organization's commitment to improve the health of communities beyond services to Health Plan members. It is more than traditional corporate citizenship or corporate philanthropy. It is an intentional, planned, budgeted, measurable, accountable creation for better health in our communities. It is done in collaboration with, not in isolation from, the community. DCBI serves to fulfill Kaiser Permanente's social purpose, justify its tax-exempt status, and differentiate it from other health care organizations. This tradition of community benefit dates from the earliest days of the Program, when charitable care to non-employees, and later, nonmembers, was initiated. That heritage has continued through the years in Kaiser Permanente's early participation in publicly financed programs such as Medicaid and Medicare, establishment of residency training and medical research programs, and later, in the development of the Educational Theatre, Safety Net Partnerships, Community Health Initiatives and Charitable Coverage Programs. The KFHP/H 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.
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.
Kaiser Sunnyside Medical Center   Part V, line 22: Until an individual has been qualified as FAP, the gross charge is applicable.
Kaiser Permanente - Hawaii   Part V, Line 20D The maximum amount that could be charged are based upon the current fee schedule for non Kaiser member patients. For the majority of our charges, the amount is based on the medicare fee schedule. FAP is offered for a period of one year, with the option to re-apply. FAP is not limited to a dollar amounts.
Schedule H (Form 990) 2012
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
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number
94-1105628
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) 100 Black Men of the Bay Area
1638 12th St
Oakland,CA94607 		94-3065997 501(c)(3) 69,100       Youth Movement
(2) 100 Mile Club
815 W Sixth St 105
Corona,CA92882 		20-8425786 501(c)(3) 15,000       100 Mile School Prog
(3) 2B Successful Youth
1500 Oliver Rd K 167
Fairfield,CA94534 		26-3309863 501(c)(3) 10,000       The STEMulate Prog
(4) A More Excellent Way Health Improvement Org
215 Lighthouse Dr
Vallejo,CA94590 		14-2011697 501(c)(3) 15,000       Breastfeeding Prog
(5) A Safe Place
2864 Telegraph Ave
Oakland,CA94609 		94-2491881 501(c)(3) 15,000       Domestic Violence
(6) ABC Unified School District
16700 Norwalk Blvd
Cerritos,CA90703 		95-2380644 Government 12,000       Responsive ABC Youth
(7) Acacia Adult Day Services
11391 Acacia Parkway
Garden Grove,CA92840 		95-3509323 501(c)(3) 7,500       Acacia Wellness Prog
(8) Adolescent Counseling Services
1717 Embarcadero Rd
Palo Alto,CA94303 		53-0192551 501(c)(3) 7,500       Adolescent Counselin
(9) Afford Foundation
2821 Rio Linda Dr
Bakersfield,CA93305 		33-0480237 501(c)(3) 6,000       The Garden Project
(10) Agricultural Institute of Marin
76 San Pablo Ave
San Rafael,CA94903 		86-1156712 501(c)(3) 15,000       MarketMatch
(11) AIDS Project Los Angeles Inc
611 S Kingsley Dr
Los Angeles,CA90005 		95-3842506 501(c)(3) 25,463       APLA Mobile Dental
(12) AIDS Research Alliance of America
1400 South Grand Ave
Los Angeles,CA90015 		95-4264845 501(c)(3) 10,000       World AIDS Day
(13) AIDS Services Center Inc
65 N Raymond Ave
Pasadena,CA91103 		95-4165358 501(c)(3) 15,000       HIV AIDS Prevention
(14) AIDS Services Foundation of Orange County
17982 Skypark Cir
Irvine,CA92614 		33-0126481 501(c)(3) 20,000       HIV Medical Case
(15) Alameda County Deputy Sheriff Association
16378 E 14th St
San Leandro,CA94578 		83-0410537 501(c)(3) 20,000       Prescribe to Thrive
(16) Alameda County Health Care Foundation
2001 Broadway M
Oakland,CA94612 		94-3103136 501(c)(3) 18,950       raise fund hlth care
(17) Alameda County Library Foundation
2450 Stevenson Blvd
Fremont,CA94538 		94-3243339 501(c)(3) 10,000       My Neighbor Kitchen
(18) Alameda County Public Health Dept
1000 Broadway 500
Oakland,CA94607 		94-6000501 Government 152,000       Resource Guide Event
(19) Alameda Family Services
2325 Clement Ave
Alameda,CA94501 		23-7088243 501(c)(3) 15,000       DreamCatcher
(20) Alameda Health Consortium
101 Callan Ave
San Leandro,CA94577 		51-0189590 501(c)(3) 80,000       2013 Consortia Core
(21) Albertina Kerr Centers Foundation Inc
424 NE 22nd Ave
Portland,OR97232 		93-1297104 501(c)(3) 15,000       Crisis Psychiatric
(22) Alexandria House
426 South Alexandria
Los Angeles,CA90020 		95-4809755 501(c)(3) 12,000       Mental Health Srvs
(23) Alliance for Housing and Healing
825 Colorado Blvd
Los Angeles,CA90041 		95-4147364 501(c)(3) 37,500       Low Income HIV AIDS
(24) Al-Shifa Clinic Inc
2034 B Mallory St
San Bernardino,CA92407 		33-0855769 501(c)(3) 18,750       Mobile Med Clinic
(25) Alternatives in Action
3666 Grand Ave A
Oakland,CA94610 		94-3210413 501(c)(3) 15,000       McClymonds School
(26) Alternatives to Domestic Violence
4351 Latham St 202
Riverside,CA92501 		95-3212844 501(c)(3) 25,000       Military Families
(27) Alum Rock Counseling Center
777 North 1st St
San Jose,CA95112 		23-7367637 501(c)(3) 25,000       Ocala Mid Sch Mentor
(28) Alum Rock Union Elementary School District
2930 Gay Ave
San Jose,CA95127 		77-0016360 Government 30,000       Ocala Mid School
(29) Always Knocking Inc
7741 Amherst St
Sacramento,CA95832 		26-4635991 501(c)(3) 20,000       Youth Gang Violence
(30) Alzheimers Assoc of RiversideSan Bern Cnty
4221 Wilshire Blvd
Los Angeles,CA90010 		95-3718119 501(c)(3) 10,000       Savvy Caregiver Prog
(31) Alzheimers DisRelated Disorder Assoc Inc
17771 Cowan Ave
Irvine,CA92614 		95-3702013 501(c)(3) 14,150       Alzheimers Assoc
(32) Alzheimers Disease and Related Disorders
1060 La Avenida St
Mountain View,CA94043 		94-2897949 501(c)(3) 20,000       Community Ambassador
(33) Ambrose Recreation and Park District
3105 Willow Pass Rd
Bay Point,CA94565 		94-1622656 Government 9,500       Preschool Recreation
(34) American Cancer Society Inc
50 Hill St 200
Pasadena,CA91106 		94-1170350 501(c)(3) 8,000       Distinguished Gala
(35) American Diabetes Association
5060 Shoreham Dr
San Diego,CA92122 		13-1623888 501(c)(3) 18,895       ADAs diabetes
(36) American Heart Association
2007 O St
Sacramento,CA95811 		13-5613797 501(c)(3) 202,220       Get To Goal:Fitness
(37) American Lung Association in California
202 Fashion Lane 219
Tustin,CA92780 		94-0362650 501(c)(3) 27,500       Pediatric Asthma
(38) American National Red Cross
3131 N Vancouver Ave
Portland,OR97228 		53-0196605 501(c)(3) 27,500       Disaster Relief
(39) American Public Health Association Inc
800 I St NW
Washington,DC20001 		13-1628688 501(c)(3) 16,350       Conference Support
(40) American Red Cross Bay Area
85 Second St
San Francisco,CA94105 		94-3045430 501(c)(3) 36,000       CPR Saturday
(41) Antelope Valley College Foundation
3041 West Ave K
Lancaster,CA93536 		95-4398700 501(c)(3) 17,000       Mental Hlth Counsel
(42) Antelope Valley Community Clinic
45104 10th St West
Lancaster,CA93534 		26-0574826 501(c)(3) 24,000       Project Support
(43) Antelope Valley Domestic Violence Council
1150 West Ave I
Lancaster,CA93539 		95-3582588 501(c)(3) 18,000       Project Support
(44) Antelope Valley Partners for Health
45104 10TH St West
Lancaster,CA93534 		47-0957404 501(c)(3) 162,814       Project Support
(45) Arden Manor Recreation & Park District
1415 Rushden Dr
Sacramento,CA95864 		94-6000529 Government 40,000       Thomas Edison
(46) Area Agency On Aging Serving Napa & Solano
400 Contra Costa St
Vallejo,CA94590 		94-2742309 501(c)(3) 20,000       Latino Outreach Napa
(47) Ark of Refuge Inc
1271 Washington Ave
San Leandro,CA94577 		32-0095516 501(c)(3) 15,000       Alameda Cty HIV Srvs
(48) Arts and Cultural Foundation Of Antioch
301 West 10th St
Antioch,CA94509 		68-0479175 501(c)(3) 10,000       Get Fit Antioch
(49) Ascencia
437 Fernando Court
Glendale,CA91204 		20-4233822 501(c)(3) 10,000       Project Support
(50) Ashland Free Community Clinic
50 E Lewelling
San Lorenzo,CA94580 		68-0554276 501(c)(3) 15,000       STRATEGIC GRANT
(51) Asian American Drug Abuse Program Inc
5318 S Crenshaw Blvd
Los Angeles,CA90043 		95-2848695 501(c)(3) 7,308       Ladies Invincible
(52) Asian American Edu & Cultural Res Cntr
1115 South E St
San Bernardino,CA92408 		33-0749876 501(c)(3) 20,000       Senior Wellness Prog
(53) Asian American-Pacific Isla in Philanthropy
211 Sutter St
San Francisco,CA94108 		94-3150064 501(c)(3) 10,000       DL Operating Support
(54) Asian Americans for Community Involvement
2400 Moorpark Ave 300
San Jose,CA95128 		94-2292491 501(c)(3) 32,000       Community Hlth Forum
(55) Asian Health Services
818 Webster St
Oakland,CA94607 		94-2235908 501(c)(3) 18,000       Annual Gala
(56) Asian Pac American Legal Cntr of SOCAL Inc
1145 Wilshire Blvd
Los Angeles,CA90017 		95-3854152 501(c)(3) 209,350       Anniversary Dinner
(57) Asian Pacific American Public Affairs Assoc
4000 Truxl Rd 3
Sacramento,CA95834 		55-0849384 501(c)(3) 9,520       State Capitol Intern
(58) Asian Pacific Health Care Venture Inc
4216 Fountain Ave
Los Angeles,CA90029 		95-4177752 501(c)(3) 10,000       APHCV
(59) Asian Pacific Youth Leadership Project
5904 13th St
Sacramento,CA95822 		94-3167910 501(c)(3) 7,880       Fundraising Dinner
(60) Asian Resources
5709 Stockton Blvd
Sacramento,CA95824 		94-2658135 501(c)(3) 26,820       Lunar New Year
(61) Aspiranet
400 Oyster Pt Blvd
San Francisco,CA94080 		94-2442955 501(c)(3) 18,000       Responsive
(62) Assistance League of Redlands
700 E Redland U 290
Redlands,CA92373 		95-2131653 501(c)(3) 9,000       Dental Clinic
(63) Assistance League of San Bernardino
580 West 6th St
San Bernardino,CA92410 		95-6065105 501(c)(3) 9,000       Operating Support
(64) Axis Community Health
4361 Railroad Ave
Pleasanton,CA94566 		94-2232394 501(c)(3) 40,150       40th Anniversary
(65) Azusa Pacific University
901 E Alosta Ave
Azusa,CA91702 		95-1744369 501(c)(3) 7,500       Project Support
(66) Baldwin Park Unified School District
4640 Maine Ave
Baldwin Park,CA91706 		95-6000213 Government 28,500       Project Support
(67) Bartz-Altadonna Community Health Center
44758 Elm Ave
Lancaster,CA93534 		27-3261289 501(c)(3) 15,000       Project Support
(68) Bay Area Bicycle Coalition
34244 Siward Dr
Fremont,CA94555 		94-3023347 501(c)(3) 35,000       Bike to Work Day
(69) Bay Area Community Resources
171 Carlos Dr
San Rafael,CA94903 		94-2346815 501(c)(3) 25,000       Marin Smoke Free
(70) Bay Area Community Services
1814 Franklin St
Oakland,CA94612 		94-1708069 501(c)(3) 48,200       Aging in Place
(71) Bay Area Council Foundation
201 California St
San Francisco,CA94111 		20-1826827 501(c)(3) 80,000       Regional Wellness
(72) Bay Area Legal Aid
1735 Telegraph Ave
Oakland,CA94612 		94-1631316 501(c)(3) 20,000       Domestic Violence
(73) Bay Area Partnership for Children and Youth
1611 Telegraph Ave
Oakland,CA94612 		04-3653529 501(c)(3) 90,000       Summer Learning
(74) Bay Area Womens Sports Initiative
1922 The Alameda 100
San Jose,CA95126 		55-0897084 501(c)(3) 56,000       Spring 2012 BAWSI
(75) Being Adept
16 Treetop Way
Kentfield,CA94904 		27-2578491 501(c)(3) 10,000       Youth Substnce Abuse
(76) Being Alive People with AIDS Act Coalition
7531 St Monica Blvd
W Hollywood,CA90046 		95-4137742 501(c)(3) 5,250       Project Support
(77) Being Alive-San Diego
4070 Centre St
San Diego,CA92103 		33-0439092 501(c)(3) 10,000       Project Support
(78) Benicia Community Action Council
480 Military East
Benicia,CA94510 		68-0294153 501(c)(3) 8,000       Senior Home Meals
(79) Benicia Education Foundation
PO Box 1611
Benicia,CA94510 		68-0173278 501(c)(3) 9,900       Stand Up Speak Out
(80) Benicia Unified School District
350 East K St
Benicia,CA94510 		30-0385724 Government 20,000       BUSD Nutrition Edu
(81) Berkeley Community Health Project
2339 Durant Ave
Berkeley,CA94704 		94-1697002 501(c)(3) 10,000       DL Operating Support
(82) Bethel African Methodist Episcopal Church
855 South F St
Oxnard,CA93030 		95-2670416 501(c)(3) 5,794       HIV AIDS Community
(83) Bienestar Human Services Inc
5326 E Beverly Blvd
Los Angeles,CA90022 		95-4505737 501(c)(3) 27,500       Case Management
(84) Bienvenidos Childrens Center
316 West 2nd St
Los Angeles,CA90012 		95-4042883 501(c)(3) 12,000       Project HEART
(85) Big Brothers Big Sisters of the Bay Area
649 Mission St
San Francisco,CA94105 		23-7108045 501(c)(3) 60,000       Comm Based Mentor
(86) Big Brothers Big Sisters Of the North Bay
190 Camino Oruga D
Napa,CA94558 		94-2502278 501(c)(3) 20,000       Operation Mentoring
(87) Bike Happy Foundation
7676 N Palm Ave 104
Fresno,CA93711 		27-2506295 501(c)(3) 6,000       Bike to Work Day
(88) Bikes Belong Foundation
207 Canyon Blvd 202
Boulder,CO80302 		20-4306888 501(c)(3) 200,000       Project Support
(89) Black Women For Wellness
4340 11th Ave
Los Angeles,CA90008 		95-4624707 501(c)(3) 15,500       Project Support
(90) Borrego Community Health Foundation
4343 Yaqui Pass Rd
Borego Springs,CA92004 		33-0440021 501(c)(3) 20,000       Project Support
(91) Boys & Girls Club of Fontana
7723 Almeria Ave
Fontana,CA92336 		33-0443344 501(c)(3) 7,500       Healthy Habits
(92) Boys & Girls Club of Hollywood
850 N Cahuenga Blvd
Hollywood,CA90038 		95-1775142 501(c)(3) 7,500       Assisting Youth
(93) Boys & Girls Club of Redlands
1251 Clay St
Redlands,CA92374 		95-6187083 501(c)(3) 24,539       Triple Play
(94) Boys & Girls Club of Southwest County
28790 Pujol St
Temecula,CA92590 		33-0475756 501(c)(3) 10,000       Triple Play
(95) Boys & Girls Club of Tracy Inc
753 W Lowell Ave
Tracy,CA95376 		68-0028682 501(c)(3) 20,000       Youth disabilities
(96) Boys & Girls Club of Whittier Inc
7905 S Greenleaf Ave
Whittier,CA90602 		95-6151763 501(c)(3) 15,000       Healthy Lifestyles
(97) Boys & Girls Clubs North San Mateo County
201 West Orange Ave
San Francisco,CA94080 		94-1497000 501(c)(3) 36,000       Youth of the Year
(98) Boys & Girls Clubs of Kern County
801 Niles St
Bakersifeld,CA93305 		95-2462246 501(c)(3) 20,000       Healthy Habits
(99) Boys & Girls Clubs of San Francisco
55 Hawthorne St
San Francisco,CA94105 		94-1156608 501(c)(3) 20,000       Power Play Expansion
(100) Boys and Girls Club of Greater Sacramento
5212 Lemon Hill Ave
Sacramento,CA95824 		68-0338324 501(c)(3) 30,000       2012 Broke Ball
(101) Boys and Girls Club of the Coastside
600 Church St
Half Moon Bay,CA94019 		94-3193725 501(c)(3) 7,500       Healthy Eating
(102) Boys and Girls Clubs of Anaheim Inc
311 East Broadway
Anaheim,CA92805 		33-0356284 501(c)(3) 15,000       Motel Outreach
(103) Boys and Girls Clubs of Carson
1950 E 220th St 102
Carson,CA90810 		33-0475452 501(c)(3) 12,500       BGCC Teen Programs
(104) Boys Club of San Gabriel Valley
2740 Mountain View Rd
El Monte,CA91732 		95-2307624 501(c)(3) 7,500       Project Support
(105) Boys&Girls Club Salem Marion Polk Counties
1395 Summer St NE
Salem,OR97301 		93-0581470 501(c)(3) 9,800       Youth Development
(106) Braille Institute of America
741 N Vermont Ave
Los Angeles,CA90029 		95-1641426 501(c)(3) 10,000       Project Support
(107) Breaking Barriers
2210 21st St
Sacramento,CA95818 		68-0456738 501(c)(3) 9,966       Hand to Hand Project
(108) Breast Cancer Emergency Fund
12 Grace St
San Francisco,CA94103 		20-3203899 501(c)(3) 14,000       Breast Cancer
(109) Breathe Calif of Sacramento-Emigrant Trails
909 12th St 100
Sacramento,CA95814 		94-1641240 501(c)(3) 25,345       Parent Asthma Class
(110) Breathe California of the Bay Area
1469 Park Ave
San Jose,CA95126 		94-1156307 501(c)(3) 25,000       Lets Get Moving
(111) Brighter Beginnings
2648 International Blvd
Oakland,CA94601 		94-2949749 501(c)(3) 50,000       Bright Start
(112) Bth International
3738 Amaryllis Dr
San Diego,CA92106 		27-4387102 501(c)(3) 10,000       DL Operating Support
(113) Buddhist Tzu Chi Medical Foundation
1000 S Garfield Ave
Alhambra,CA91801 		95-4457939 501(c)(3) 60,000       Tzu Chi Med Outreach
(114) Building A Generation
932 W Cypress St
Redlands,CA92373 		54-2104001 501(c)(3) 10,000       Mental Health Proj
(115) Cabrillo Economic Development Corporation
702 County Square Dr
Ventura,CA93003 		95-3681521 501(c)(3) 20,000       Operating Support
(116) California Association of Food Banks
1624 Franklin St
Oakland,CA94612 		68-0392816 501(c)(3) 84,750       One Vision
(117) California Black Womens Health Project
101 North La Brea Ave
Inglewood,CA90301 		95-4702923 501(c)(3) 15,000       Engage Black women
(118) California Cntr For Public Health Advocacy
1947 Galileo St
Davis,CA95617 		95-4723901 501(c)(3) 125,000       Healthy Eating
(119) California Family Health Council Inc
3600 Wilshire Blvd
Los Angeles,CA90010 		95-2564024 501(c)(3) 230,000       Core Operating
(120) California Food Policy Advocates
436 14th St 1220
Oakland,CA94612 		94-3163142 501(c)(3) 225,000       Project Support
(121) California Hospital Medical Cntr Foundation
1401 S Grand Ave
Los Angeles,CA90015 		95-4000909 501(c)(3) 10,000       Youth Fitness Prog
(122) California Instit Nursing and Health Care
663 13th St 300
Oakland,CA94612 		82-0570413 501(c)(3) 125,000       Collaborative Model
(123) California Pan-Ethnic Health Network
1221 Preservation Pk Way
Oakland,CA94612 		94-3306223 501(c)(3) 9,250       Conference Support
(124) California Parenting Institute
3650 Standish Ave
Santa Rosa,CA95407 		94-2541640 501(c)(3) 11,500       For A Child
(125) California Primary Care Association
1231 I St 400
Sacramento,CA95814 		94-3215565 501(c)(3) 170,250       Conference Support
(126) California Public Health Association
555 12th St 10th Floor
Oakland,CA94607 		94-3111992 501(c)(3) 10,000       Oper Capacity Build
(127) California School Health Centers Assoc
1203 Preservation Pk Way
Oakland,CA94612 		94-3201896 501(c)(3) 54,700       Wellness Works Event
(128) California State Univ Northridge Foundation
18111 Nordhoff St
Northridge,CA91330 		95-6196006 501(c)(3) 28,500       Faculty Enhancement
(129) California Teaching Fellows Foundation
1177 E Shaw 101
Fresno,CA93710 		20-0359353 501(c)(3) 70,000       Workforce Develop
(130) Calistoga Family Center Inc
1500 Cedar St
Calistoga,CA94515 		80-0023012 501(c)(3) 10,000       CFC Student Assist
(131) Camarena Health
344 E Sixth St
Madera,CA93637 		94-2503904 501(c)(3) 35,000       Scholarship Fund
(132) Cardea Center for Health and Human Services
614 Grand Ave 400
Oakland,CA94610 		93-1220473 501(c)(3) 7,000       Teen Sexual Health
(133) CAREGIVERS Volunteers Assisting the Elderly
1765 Goodyear Ave 205
Ventura,CA93010 		77-0081692 501(c)(3) 20,000       Operating Support
(134) CASA of Los Angeles
201 Centre Plaza Dr
Monterey Park,CA91754 		95-3890446 501(c)(3) 17,000       Foster Youth
(135) CASA of Solano County
600 Union Ave 204
Fairfield,CA94533 		20-2551209 501(c)(3) 10,000       Male Advocate
(136) Cascade Aids Project Inc
208 SW Fifth Ave 800
Portland,OR97204 		93-0903383 501(c)(3) 9,500       Kids Connection
(137) Catholic Charities of Diocese of Santa Rosa
987 Airway Court
Santa Rosa,CA95403 		94-2479393 501(c)(3) 18,500       Efforts to Outcomes
(138) Catholic Charities of t Diocese of Stockton
400 12th St 4
Modesto,CA95354 		94-1629114 501(c)(3) 39,982       Childrens Health
(139) Cause Communications
12304 St Monica Blvd
Los Angeles,CA90025 		95-4774537 501(c)(3) 500,000       Obesity Campaign
(140) Center for Community Health and Well Being
1900 T St
Sacramento,CA95811 		68-0248303 501(c)(3) 15,000       Birthing Proj Clinic
(141) Center for Community Solutions
4508 Mission Bay Dr
San Diego,CA92109 		95-6379598 501(c)(3) 15,000       Healthy Relationship
(142) Center for Domestic Peace
734 A St
San Rafael,CA94901 		94-2415856 501(c)(3) 10,550       Celebration Mothers
(143) Center for Human Development
391 Taylor Blvd
Pleasant Hill,CA94523 		94-2520840 501(c)(3) 33,000       Youth Nutrition
(144) Center for Individual and Family Counseling
5445 Laurel Canyon Bl
N Hollywood,CA91607 		51-0204566 501(c)(3) 9,300       Project Support
(145) Centinela Youth Services Inc
11539 Hawthorne Blvd
Hawthorne,CA90250 		95-3821576 501(c)(3) 17,500       Low-income families
(146) Central City Concern
232 NW Sixth Ave
Portland,OR97209 		93-0728816 501(c)(3) 140,000       Recuperative Care
(147) Central City Lutheran Mission
1354 North G St
San Bernardino,CA92405 		33-0634580 501(c)(3) 12,495       Mental Health Prog
(148) Central Unified School District
4605 N Polk
Fresno,CA93722 		77-0559747 Government 12,000       Emergency Training
(149) Central Valley Health Network
1987 N Gateway 101
Fresno,CA93727 		68-0429643 501(c)(3) 80,000       2013 Consortia
(150) Centro de Salud La Comunidad De San Ysidro
4004 Beyer Blvd
San Ysidro,CA92173 		95-2801772 501(c)(3) 20,000       Peer Health Edu
(151) Century Center Economic Opportunity
5021 Lennox
Lennox,CA90304 		95-3512392 501(c)(3) 6,000       Healthy Minds Homes
(152) Ceres Community Project
330 South Main St
Sebastopol,CA95472 		26-2250997 501(c)(3) 15,000       Healing Meal Healthy
(153) Cesar Chavez Foundation
316 West 2nd St
Los Angeles,CA90012 		95-2466747 501(c)(3) 9,150       Cesar Chavez Legacy
(154) Challengers Boys & Girls Club
5029 S Vermont Ave
Los Angeles,CA90037 		95-2637167 501(c)(3) 7,500       Dental Clinic
(155) Charles Drew Univ of Medicine & Science
1731 East 120th St
Los Angeles,CA90059 		95-6151774 501(c)(3) 256,750       Scholarship Fund
(156) Child & Family Center
21545 Centre Pt Pwy
Santa Clarita,CA91350 		95-3941342 501(c)(3) 12,000       School Mental Health
(157) Child Abuse Council of Sacramento
4700 Roseville Rd
N Highlands,CA95660 		94-2833431 501(c)(3) 32,300       Inspirations 2012
(158) Child Care Resource Center Inc
20001 Prairie St
Chatsworth,CA91311 		95-3081695 501(c)(3) 12,155       Healthy children
(159) Children Families First Commission Ventura
2580 E Main St 203
Ventura,CA93003 		77-0525458 Government 20,000       Healthy Breastfeedng
(160) Children Now
1404 Franklin St
Oakland,CA94612 		94-3059243 501(c)(3) 75,000       Operating Support
(161) Childrens Community Resources
971 11th Ave
Longview,WA98632 		91-2011059 501(c)(3) 9,000       Pediatrician
(162) Childrens Defense Fund
2201 Broadway 815
Oakland,CA94612 		52-0895622 501(c)(3) 20,000       Children Action Team
(163) Childrens Dental Foundation
455 E Columbia St
Long Beach,CA90806 		95-2111124 501(c)(3) 36,500       Catalina Clinic
(164) Childrens Health Initiative Napa County
2160 Jefferson St 110
Napa,CA94559 		25-1924934 501(c)(3) 20,000       Affordable Health
(165) Childrens Hospital & Research Center Oak
747 52nd St
Oakland,CA94609 		94-0382330 501(c)(3) 5,007,500       Pediatric Asthma 12
(166) Childrens Network of Solano County
2320 Courage Dr
Fairfield,CA94533 		68-0014506 501(c)(3) 75,000       Solano Resource
(167) Childrens Service Fund
9680 Citrus Ave
Fontana,CA92334 		33-0035918 501(c)(3) 10,000       Childrens Service
(168) CHIME Charter Middle School
22280 Devonshire St
Chatsworth,CA91311 		95-4309518 501(c)(3) 12,500       Charters Primary
(169) Chinatown Service Center
767 North Hills St
Los Angeles,CA90012 		95-2918844 501(c)(3) 16,865       Gala/Silent Auction
(170) Christian Counseling Service of East Valley
51 West Olive Ave
Redlands,CA92373 		33-0063237 501(c)(3) 10,000       Young Adult Support
(171) Christian Outreach Appeal
515 E 3rd St
Long Beach,CA90802 		33-0008271 501(c)(3) 10,000       Increasing Nutrition
(172) Christies Place
2440 Third Ave
San Diego,CA92101 		91-1878632 501(c)(3) 25,000       CHANGE for Women
(173) Citrus Heights Womens Center
6060 Sunrise Vista Dr
Citrus Hts,CA95610 		68-0457704 501(c)(3) 10,000       Youth Violence
(174) City Corps of the Central Coast
77 North California St
Ventura,CA93001 		26-0621080 501(c)(3) 10,000       Plenty for Families
(175) City of Baldwin Park
14403 E Pacific Ave
Baldwin Park,CA91706 		95-6005574 Government 10,000       PRIDE Platoon
(176) City of Chula Vista
276 Fourth Ave
Chula Vista,CA91911 		95-6000690 Government 55,000       Learn to Swim Prog
(177) City of Damascus
19920 SE Hwy 212
Damascus,OR97089 		20-1886926 Government 47,500       Edible Community
(178) City of Folsom Parks & Recreation
50 Natoma St
Folsom,CA95630 		94-6000334 Government 9,994       Folsom STARS
(179) City of Fremont
3300 Capitol Ave Bldg B
Fremont,CA94538 		94-6027361 Government 16,050       Seniors Night Out
(180) City of Inglewood
One Manchester Blvd
Inglewood,CA90301 		95-6000728 Government 10,000       Hawthorne Sr Center
(181) City of Livermore
1052 S Livermore Ave
Livermore,CA94568 		94-6000359 Government 10,000       Cooking Together
(182) City of Long Beach
333 West Ocean Blvd
Long Beach,CA90802 		95-6000733 Government 15,000       Neighborhood Service
(183) City of Montclair
5111 Benito St
Montclair,CA91763 		95-6005731 Government 15,000       Coverage Program
(184) City of Novato
75 Rowland Way 200
Novato,CA94945 		94-6050061 Government 10,000       SPARK Afterschool
(185) City of Portland Oregon
1120 SW 5th Ave
Portland,OR97204 		93-6002236 Government 200,000       Operating Support
(186) City of Rancho Cucamonga
10500 Civic Ctr
Rancho Cucamonga,CA91730 		95-3213002 Government 10,000       Sustainable Healthy
(187) City of Riverside
3900 Main St
Riverside,CA92522 		95-6000769 Government 55,000       Operation Splash
(188) City of San Bernardino
1350 South E St
San Bernardino,CA92408 		95-6000772 Government 48,000       Operation Splash
(189) City of San Fernando
117 Macneil St
San Fernando,CA91340 		95-6000779 Government 13,100       Healthy San Fernando
(190) City of Selma
1710 Tucker St
Selma,CA93662 		94-6000431 Government 10,000       Sports Activity Camp
(191) City of Whittier
13230 Penn St
Whittier,CA90602 		95-6000812 Government 7,500       Trail Fitness
(192) Clackamas County
2051 Kaen Rd 367
Oregon City,OR97045 		93-6002286 Government 75,000       Operating Support
(193) Clark County Food Bank
6502 NE 47th Ave
Vancouver,WA98661 		91-1307564 501(c)(3) 20,000       Vol Food Repack Prog
(194) Clark County Public Health
PO Box 9825
Vancouver,WA98666 		91-6001299 Government 60,000       Promoting Healthy
(195) Clinica Sierra Vista
1430 Truxtun Ave
Bakersfield,CA93302 		95-2707101 501(c)(3) 50,000       HIV Rapid Testing
(196) Clinicas de Salud Del Pueblo
1166 K St
Brawley,CA92227 		95-2657324 501(c)(3) 25,000       ACCESS Project
(197) Clovis Unified School District
1450 HERNDON
CLOVIS,CA93611 		94-2840774 Government 7,500       Childrens Health
(198) Coachella Valley Volunteers in Medicine
81 880 Dr Carreon Blvd
Indio,CA92201 		26-3312826 501(c)(3) 75,000       operating support
(199) Coalition for Elders Independence Inc
510 17th St 4th Floor
Oakland,CA94612 		94-3123446 501(c)(3) 78,950       20th Anniversary
(200) Coalition Humane Immigrant Rights of LA
2533 W Third St
Los Angeles,CA90057 		95-4421521 501(c)(3) 21,600       Gala Celebration
(201) Coalition of OC Community Clinics
17701 Cowan Ave 220
Irvine,CA92614 		95-2900725 501(c)(3) 180,000       Health Literacy
(202) Coastal Health Alliance
65 Third St
Pt Reyes Station,CA94956 		68-0172541 501(c)(3) 10,000       Bilingual Nutrition
(203) Coastside Adult Day Health Center
645 Correas St
Half Moon Bay,CA94019 		94-2935784 501(c)(3) 10,600       medical supplies
(204) COLA Department of Recreation and Parks
221 Figueroa St
Los Angeles,CA90012 		95-6000735 Government 265,000       Project Support
(205) Colective Roots Garden Project
1785 Woodland Av
East Palo Alto,CA94303 		71-0901459 501(c)(3) 10,500       fresh nutritious
(206) Common Ground Westside HIV Community
2012 Lincoln Blvd
Santa Monica,CA90405 		95-4460765 501(c)(3) 7,500       HIV Care Services
(207) CommuniCare Health Centers
2051 John Jones Rd
Davis,CA95616 		94-2188574 501(c)(3) 43,323       Client Benefits
(208) Community Action Organization
1001 SW Baseline St
Hillsboro,OR97123 		93-0554941 501(c)(3) 25,000       Open Doors Prenatal
(209) Community Action Partnership of Kern
300 19th St
Bakersfield,CA93301 		95-2402760 501(c)(3) 25,000       Teen Pregnancy Prev
(210) Community Action Partnership of Sonoma Cnty
1300 N Dutton Ave
Santa Rosa,CA95401 		94-1648949 501(c)(3) 15,000       Give Kids Smile Day
(211) Community Agencies for Caring Connections
16703 S Clark Ave
Bellflower,CA90706 		33-0953881 501(c)(3) 9,500       Caring Connections
(212) Community Alliance with Family Farmers Fdn
36355 Russell Blvd
Davis,CA95616 		94-2914745 501(c)(3) 40,000       Expanding Farm
(213) Community Child Care Coord Ccil Alameda Cnty
22351 City Center Dr
Hayward,CA94541 		23-7218859 501(c)(3) 39,000       Child Care Obesity
(214) Community Child Care Council of Sonoma Cnty
131 A Stony Cir 300
Santa Rosa,CA94501 		94-2274620 501(c)(3) 30,000       Lets Move Child
(215) Community Choices 2010
PO Box 87484
Vancouver,WA98687 		91-2094479 501(c)(3) 10,000       Building Resiliency
(216) Community Clinic Assoc of Los Angeles Cnty
1055 Wilshire Blvd
Los Angeles,CA90017 		95-4576023 501(c)(3) 193,324       HealthCare Symposium
(217) Community Clinic Consortium
3720 Barrett Ave
Richmond,CA94805 		20-0782029 501(c)(3) 90,000       Health Promoter Prog
(218) Community Clinics Health Network
7535 Metropolitan Dr
San Diego,CA92108 		33-0759107 501(c)(3) 665,000       Project Support
(219) Community Family Guidance Center
10929 South St
Cerritos,CA90703 		95-3083776 501(c)(3) 25,000       CFGC Parenting Prog
(220) Community Health Centers Benton and Linn
530 NW 27th St
Corvallis,OR97330 		93-6002285 Government 37,258       Oral Health
(221) Community Health Councils
3731 Stocker St
Los Angeles,CA90008 		95-4487664 501(c)(3) 316,667       Diabetes Care
(222) Community Health Improvement Partners
5095 Murphy Canyon Dr
San Diego,CA92123 		33-0496092 501(c)(3) 104,580       Childhood Obesity
(223) Community Health Partner Santa Clara County
100 N Winchester Blvd
Santa Clara,CA95050 		77-0352645 501(c)(3) 220,000       Safety Net
(224) Community Health Partners
1452 hudson St
Longview,WA98632 		91-2016542 501(c)(3) 83,000       Clinic Management
(225) Community Health Partnership
315 SW 5th Ave 202
Portland,OR97204 		93-1259522 501(c)(3) 137,032       HEAL Cities
(226) Community Health Systems Inc
22675 Alessandro Blvd
Moreno Vlly,CA92553 		33-0056551 501(c)(3) 18,750       Dental Services
(227) Community HousingWorks
1820 S Escondido Blvd
Escondido,CA92025 		33-0317950 501(c)(3) 10,000       HIV/AIDS Housing
(228) Community Initiatives
5645 Oakgrove Av
Oakland,CA94618 		94-3255070 501(c)(3) 7,000       Youth Voice
(229) Community Link Capital Region
2020 Hurley Way 420
Sacramento,CA95825 		94-1201196 501(c)(3) 100,000       Grants Program
(230) Community Matters
652 Petaluma Ave
Sebastopol,CA95472 		68-0369720 501(c)(3) 20,000       Whole School Climate
(231) Community Partners
1000 N Alameda St
Los Angeles,CA90012 		95-4302067 501(c)(3) 6,600       Greeen LA
(232) Community Partnership Families San Joaquin
4707 Kentfield Rd C
Stockton,CA95207 		68-0475602 501(c)(3) 75,000       Three Tier Family
(233) Community Pride Project
3101 1st Ave
Sacramento,CA95817 		20-0364162 501(c)(3) 31,000       Fiesta Fundraiser
(234) Community Resources Council Inc
8284 Industrial Ave
Roseville,CA95678 		94-1740316 501(c)(3) 15,000       Nutritional Food
(235) Community Resources for Independent Living
439 A St
Hayward,CA94541 		94-2598873 501(c)(3) 10,000       Healthy Living
(236) Community Service Education Research Fund
5380 Elvas Ave
Sacramento,CA95819 		23-7003581 501(c)(3) 15,000       Physicians Reach out
(237) Community Solutions for Children Families
16264 Church St 103
Morgan Hill,CA95038 		23-7351215 501(c)(3) 35,000       Healthy Communities
(238) Community Violence Solutions
2101 Van Ness St
San Pablo,CA94806 		94-2411924 501(c)(3) 15,000       Reluctant to Rescue
(239) Comprehensive Youth Services of Fresno
3795 E Shields Ave
Fresno,CA93726 		94-2219412 501(c)(3) 40,000       Student Assistance
(240) Concord Community Economic Development
2699 Monument Blvd
Concord,CA94520 		94-3370919 501(c)(3) 22,000       Monument Health Fair
(241) Conejo Free Clinic
80 E Hillcreast Dr
Thousand Oaks,CA91360 		95-3177953 501(c)(3) 10,000       HIV Testing Outreach
(242) Congregations Organizing for Renewal
22634 Second St
Hayward,CA94541 		94-3282881 501(c)(3) 65,000       Healthy Living
(243) Congress of Calif Seniors Edu Research Fund
4300 Bermuda Ave
Oakland,CA94619 		94-2724642 501(c)(3) 15,000       End Senior Abuse
(244) Continentals of Omega Boys and Girls Club
1 Positive Place
Vallejo,CA94589 		23-7129424 501(c)(3) 15,000       Triple Play Mind Bod
(245) Continuing Development Incorporated
111 N Market St 500
San Jose,CA95113 		94-2376637 501(c)(3) 30,000       Child Care Online
(246) Contra Costa Child Care Council
1035 Detroit Ave 200
Concord,CA94518 		94-2383037 501(c)(3) 65,400       Healthy & Active
(247) Contra Costa County
597 Center Ave 125
Martinez,CA94553 		94-6000509 Government 81,000       World Breastfeeding
(248) Contra Costa Crisis Center
PO BOX 3364
Walnut Creek,CA94598 		94-1747227 501(c)(3) 55,000       Sponsor Help Hope
(249) Contra Costa InterFaith Sponsor Committee
684 Juliga Woods St
Richmond,CA94804 		68-0361176 501(c)(3) 19,335       Community Health
(250) Contra Costa Reg Med Cntr and Health Cnts
2500 Alhambra Ave
Martinez,CA94533 		94-6000509 Government 45,000       OERU Project Support
(251) Contra Tiempo
4085 Tilden Ave
Culver City,CA90232 		20-5477825 501(c)(3) 7,000       TIEMPO Gala
(252) Cope Family Center
1340 Fourth St
Napa,CA94559 		94-2322399 501(c)(3) 25,000       Home Visitation Prog
(253) Copper Tower Family Medical Center
6 Tarman Dr
Cloverdale,CA95425 		68-0345901 501(c)(3) 15,000       Oral Health Primary
(254) CORA Community Overcoming Relatsion Abuse
1633 Bayshore Hwy
Burlingame,CA94010 		94-2481188 501(c)(3) 35,000       Client Crisis
(255) CORO Northern California Inc
601 Montgomery St
San Francisco,CA94111 		94-3117758 501(c)(3) 24,250       Leadership Luncheon
(256) Coro Southern California Inc
1000 N Alameda St
Los Angeles,CA90012 		95-4274561 501(c)(3) 9,388       Crystal Eagle Awards
(257) Council on Aging Services for Seniors
30 Kawana Springs Rd
Santa Rosa,CA95404 		94-6138714 501(c)(3) 9,720       Derby Day Event
(258) Council On Foundations Inc
2121 Crystal Dr
Arlington,VA22202 		13-6068327 501(c)(3) 10,000       Conference Support
(259) County of Kern
1800 Mt Vernon Ave
Bakersfield,CA93306 		95-6000925 Government 50,000       HEAL Partnership
(260) County of Santa Clara Public Health Dept
976 Lenzen Ave 2nd floor
San Jose,CA95126 		94-6000533 Government 45,000       Health assessment
(261) County of Sonoma Department of Health Srvs
490 Mendocino Ave
Santa Rosa,CA95404 		94-6000539 Government 30,000       Support for Healthy
(262) County of Yolo Health Department
137 Cottonwood St
Woodland,CA95695 		94-6000548 Government 52,000       Infant Mortality
(263) Court Appoint Special Advocates Fresno
1252 Fulton Mall
Fresno,CA93721 		77-0401361 501(c)(3) 25,000       Healthy Foster Youth
(264) Court Appointed Special Advocate
1505 E 17th St
Santa Ana,CA92705 		33-0069334 501(c)(3) 44,000       Celebration Children
(265) Court Appointed Special Advocate Assoc
660 13th St 300
Oakland,CA94612 		68-0163010 501(c)(3) 80,000       CASA Netwrk Wellness
(266) Covenant House California
1325 N Western Ave
Hollywood,CA90027 		13-3391210 501(c)(3) 12,000       Homeless Youth
(267) Cowlitz Family Health Center
1057 12th Ave
Longview,WA98632 		91-0896241 501(c)(3) 75,000       Diabetic Care
(268) CSULA University Auxiliary Services
5151 State University Dr
LA,CA90032 		95-4016653 501(c)(3) 18,790       Health Policy Summit
(269) Daly City Peninsula Partnership Collaborati
111 Lake Merced Blvd
Daly City,CA94015 		06-1734338 501(c)(3) 29,000       Healthy Aging
(270) Desarrollo Familiar
205 39th St
Richmond,CA94805 		94-2751073 501(c)(3) 20,000       Proyecto Bienestar
(271) Desert AIDS Project
1695 N Sunrise Wy
Palm Springs,CA92262 		33-0068583 501(c)(3) 25,000       HIV Specialty Dental
(272) Desert Recreation District
45 305 Oasis St
Indio,CA92201 		33-0076473 Government 50,000       Operation Splash
(273) Desert Samaritans for Seniors
75015 Merle Dr
Palm Desert,CA92211 		33-0762300 501(c)(3) 21,000       At Risk Sr Support
(274) Diversityinc Foundation
324 Nassau St
Princeton,NJ08540 		20-4664985 501(c)(3) 19,999       fin disadvantage
(275) Dixon Family Services
155 North Second St
Dixon,CA95620 		68-0041829 501(c)(3) 20,000       Mental Health
(276) Doctors Medical Center Foundation
730 McHenry Ave
Modesto,CA95350 		51-0140385 501(c)(3) 49,917       Preventing diabetes
(277) Downey Unified School District
13220 Bellflower Blvd
Downey,CA90242 		95-6006586 Government 25,000       Healthy Successful
(278) Early Childhood Mental Health Program
4101 Macdonald Ave
Richmond,CA94805 		94-2883469 501(c)(3) 15,000       Los Buenos Padres
(279) East Bay Agency for Children
303 Van Buren Ave
Oakland,CA94610 		94-1358309 501(c)(3) 72,380       Road to the Future
(280) East Bay Bicycle Coalition
2208 Shattuck Ave
Berkeley,CA94704 		94-2585652 501(c)(3) 12,000       Bicycle Safety
(281) East County Faith Child Welfare Redesign
4549 Delta Fair Blvd
Antioch,CA94509 		20-8682635 501(c)(3) 10,000       Kitchen Starter Kits
(282) East County Kids N Motion
3444 Chandler Cir
Bay Point,CA94565 		41-2207708 501(c)(3) 6,000       East County Kids
(283) East County Midnight Basketball League Prog
4464 Lone Tree Way 1076
Antioch,CA94531 		68-0459427 501(c)(3) 6,000       Build Healthier NY
(284) East Los Angeles Womens Center
1255 S Atlantic Blvd
Los Angeles,CA90022 		51-0204577 501(c)(3) 10,000       ELA Womens Center
(285) East Oakland Youth Development Center
8200 International Blvd
Oakland,CA94621 		23-7334590 501(c)(3) 10,000       Health Awareness
(286) East San Gabriel Valley Coalition Homeless
1345 Turnbull Cyn
Hacienda Hts,CA91745 		95-4508436 501(c)(3) 15,000       Assistance Homeless
(287) East Valley Community Health Center Inc
420 S Glendora Ave
West Covina,CA91790 		23-7068586 501(c)(3) 27,500       Oral Health Care
(288) Easter Seals Tri-Counties California
10730 Henderson Rd
Ventura,CA93004 		77-0294977 501(c)(3) 20,000       Hope Transport Proj
(289) Ecotrust
721 NW Ninth Ave 200
Portland,OR97209 		93-1050144 501(c)(3) 59,805       Healthy Food
(290) Eden I&R
570 B St
Hayward,CA94541 		94-2339050 501(c)(3) 50,000       2012 NCAL 211 Grants
(291) Eden Youth & Family Center
680 West Tennyson Rd
Hayward,CA94544 		94-2442586 501(c)(3) 50,000       Strategic grant:race
(292) El Centrito Family Learning Centers
450 South K St
Oxnard,CA93030 		31-1652255 501(c)(3) 20,000       Padres Edu Proj
(293) El Centro de Accion Social
37 E Del Mar Blvd
Pasadena,CA91105 		51-0192257 501(c)(3) 7,050       Annual Fundraiser
(294) El Centro de Libertad
500 Allerton St
Redwood City,CA94062 		94-3189174 501(c)(3) 15,000       Coastside Youth
(295) El Centro Del Pueblo
1157 Lemoyne St
Los Angeles,CA90026 		95-3187780 501(c)(3) 12,000       Network Community
(296) El Concilio of San Mateo County
1419 Burlingame Ave
Burlingame,CA94010 		94-2772110 501(c)(3) 20,000       Nuest Canto de Salud
(297) El Monte Emergency Res Assoc
10900 Mulhall St
El Monte,CA91731 		95-6097318 501(c)(3) 7,500       Healthy Families
(298) El Nido Family Centers
10200 Sepulveda Blvd
Mission Hill,CA91345 		95-3186429 501(c)(3) 19,440       Champions Families
(299) El Proyecto del Barrio
20800 Sherman Way
Winnetka,CA91306 		95-2662606 501(c)(3) 5,300       HIV Prevent Testing
(300) El Sol Neighborhood Educational Center
1717 West 5th St
San Bernardino,CA92401 		33-0552297 501(c)(3) 24,800       Salud Program
(301) El Viento Foundation
Golden W College
Huntington Beach,CA92647 		33-0905269 501(c)(3) 10,000       Establish Healthy
(302) ElderHelp of San Diego
4069 30th St
San Diego,CA92104 		95-2880426 501(c)(3) 12,000       Concierge Club
(303) Elevating Soulciety
22304 City Center Dr
Hayward,CA94541 		80-0184767 501(c)(3) 17,400       Empower Master
(304) Elk Grove Food Bank Services
9820 Dino Dr 140
Elk Grove,CA95624 		38-3664737 501(c)(3) 15,000       Mobile Pantry
(305) Elk Grove Unified School District
6300 Ehrhardt Ave
Sacramento,CA95823 		94-6002501 Government 57,032       Health Fitness Expo
(306) Emanuel Childrens Hospital Foundation
PO Box 4484
Portland,OR97208 		93-1314469 501(c)(3) 10,000       DL Operating Support
(307) Enrich LA
2173 Cedarhurst Dr
Los Angeles,CA90027 		27-2797687 501(c)(3) 14,000       Home Economics
(308) Environmental Health Coalition
2727 Hoover Ave
National City,CA91950 		95-3798792 501(c)(3) 12,500       Project Support
(309) Esperanza Community Housing Corporation
2337 S Figueroa St
Los Angeles,CA90007 		95-4230345 501(c)(3) 27,350       Dancing Under Stars
(310) Esperanza Youth and Family Center Inc
1536 Seventh St
Coachella,CA92236 		33-0594902 501(c)(3) 15,000       Coachella Youth
(311) Essential Health Clinic
266 West Main St MS68
Hillsboro,OR97123 		38-3672046 501(c)(3) 20,000       Urgent Care Program
(312) Exceed Enterprises
5285 SE Mallard Way
Milwaukie,OR97222 		23-7017274 501(c)(3) 20,000       Work Assessment
(313) Exceptional Parents Unlimited
4440 N First St
Fresno,CA93726 		77-0263702 501(c)(3) 32,500       Gentle Start
(314) Face to Face Sonoma County AIDS
873 Second St
Santa Rosa,CA95404 		68-0052664 501(c)(3) 10,900       Art for Life Event
(315) Facing History and Ourselves
16 Hurd Rd
Brookline,MA24445 		04-2761636 501(c)(3) 7,500       benefit raise funds
(316) Fairfield Police Activities League Inc
250 Travis Blvd
Fairfield,CA94533 		26-1184406 Government 20,000       Biggest Winner
(317) Faith In Action
3303 Whitemarsh Ln
Fairfield,CA94534 		68-0431992 501(c)(3) 15,000       Ride with Pride Prog
(318) Family Health Care Centers of Greater LA
6501 S Garfield Ave
Bell Gardens,CA90201 		95-1641454 501(c)(3) 35,000       Health Care Services
(319) Family Health Centers of San Diego Inc
823 Gateway Ctr Wy
San Diego,CA92102 		95-2833205 501(c)(3) 45,000       Primary Care Medical
(320) Family Service Agency of San Bernardino
1669 North E St
San Bernardino,CA92405 		95-1641436 501(c)(3) 10,000       Education Support
(321) Family Service Agency of San Francisco
1010 Gough St
San Francisco,CA94109 		94-1156530 501(c)(3) 20,000       Healthy Families
(322) Family Service Association of Redlands
612 Lawton St
Redlands,CA92374 		95-1655614 501(c)(3) 10,000       Healhy Kids Families
(323) Family Services of the Desert Inc
14080 Palm Dr
Desert Hot Springs,CA92240 		95-2549152 501(c)(3) 24,042       Domestic Violence
(324) Family Violence Law Center
470 27th St
Oakland,CA94612 		94-2527939 501(c)(3) 17,050       Stand With Youth
(325) Filipino Advocates for Justice
310 8th St 306
Oakland,CA94607 		94-2218907 501(c)(3) 51,552       Strategic grant:Race
(326) First Place for Youth
426 17th St
Oakland,CA94612 		94-3341034 501(c)(3) 40,000       Healthy Transit Proj
(327) Flood Bakersfield Ministries
3509 Union Ave
Bakersfield,CA93305 		26-2780103 501(c)(3) 25,000       Medical Social Work
(328) Folsom Cordova Unified School District
1965 Birkmont
Rancho Cordova,CA95742 		94-6002505 Government 16,000       Grow Together Family
(329) Food Bank of Contra Costa and Solano
4010 Nelson Ave
Concord,CA94520 		94-2418054 501(c)(3) 55,500       Farm 2 Kids
(330) Food Bank of Yolo County
1244 Fortna Ave
Woodland,CA95776 		23-7111782 501(c)(3) 7,000       Yolo Food Connect
(331) FOOD Inc
3403 East Central Ave
Fresno,CA93725 		77-0320851 501(c)(3) 50,000       Access to Healthy
(332) Foothill AIDS Project
233 W Harrison Ave
Claremont,CA91711 		33-0341665 501(c)(3) 22,031       People Living w/ HIV
(333) Foothill Family Shelter
1501 W Ninth St
Upland,CA91786 		33-0341818 501(c)(3) 10,000       Bright Futures
(334) Foothill Unity Center
415 West Chestnut Ave
Monrovia,CA91016 		95-4310817 501(c)(3) 19,500       Golden Plate Gala
(335) Foundation Center
312 Sutter St
San Francisco,CA94108 		13-1837418 501(c)(3) 10,000       Library Learning Ctr
(336) Foundation for Central Schools
4605 N Polk Ave
Fresno,CA93722 		56-2316616 501(c)(3) 7,500       Found Senior Scholar
(337) Foundation for Students Rising Above
PO Box 29174
San Francisco,CA94129 		81-0615887 501(c)(3) 20,000       College to Career
(338) Free Clinic of Southwest Washington
4100 Plomondon St
Vancouver,WA98661 		91-1707542 501(c)(3) 66,000       Oral Health
(339) Fresh Approach
5060 Commercial Cir
Concord,CA94520 		26-2438206 501(c)(3) 50,000       Healthy Food
(340) Fresno Center for New Americans
4879 E Kings Canyon Rd
Fresno,CA93727 		77-0280265 501(c)(3) 50,000       Chronic Illnesses
(341) Fresno Metropolitan Ministry
4270 N Blackstone Ave
Fresno,CA93726 		94-2181848 501(c)(3) 29,986       School Health
(342) Fresno Unified School District
2309 Tulare St
Fresno,CA93721 		94-6002206 Government 140,000       Men Women Alliance
(343) Friends For Youth
1741 Broadway
Redwood City,CA94402 		94-2961034 501(c)(3) 8,000       At Risk to Low Risk
(344) Friends of Children with Special Needs
2300 Peralta Blvd
Fremont,CA94536 		77-0446853 501(c)(3) 15,750       Share Our Dream Gala
(345) Friends of Expo Center
3980 Bill Robertson Ln
LA,CA90037 		95-4713734 501(c)(3) 8,000       Place At Risk Youth
(346) Friends of Loma Vista Farms
150 Rainier Ave
Vallejo,CA94589 		32-0109022 501(c)(3) 9,750       Just Food Annual
(347) Friends of the Los Angeles Free Clinic
8405 Beverly Blvd
Los Angeles,CA90048 		95-3433824 501(c)(3) 13,500       Event Dinner Gala
(348) Friends of the Veterans Memorial Snr Cntr
1455 Madison Ave
Redwood City,CA94061 		94-2977907 501(c)(3) 9,000       Adaptive Physical
(349) Friends of Zenger Farm
11741 SE Foster Rd
Portland,OR97266 		93-1269630 501(c)(3) 37,840       Accepting SNAP Funds
(350) Gardner Family Health Network
160 E Virginia St
San Jose,CA95112 		94-1743078 501(c)(3) 60,000       2012 Connect People
(351) Gary Center
341 Hillcrest St
La Habra,CA90631 		95-2752846 501(c)(3) 75,000       Psychiatric Outreach
(352) GAY & LESBIAN VICTORY INSTITUTE
1133 15th St
Washington,DC20005 		52-1835268 501(c)(3) 14,610       LGBT Leadership Conf
(353) Gay and Lesbian Services Cntr Orange Cnty
1605 N Spurgeon St
Santa Ana,CA92701 		95-2934041 501(c)(3) 10,000       HIV Counseling Test
(354) Generations Community Wellness Centers
1250 Oakmead Parkway
Sunnyvale,CA94085 		20-0737711 501(c)(3) 44,000       The Great Sugar Dump
(355) Gifts to Share Inc
915 I St New City Hall
Sacramento,CA95814 		94-2985546 501(c)(3) 25,000       WayUp Sacramento
(356) Gildas Club of the Desert
67625 E Palm Cyn Dr
Cathedral Cty,CA92234 		33-0911108 501(c)(3) 10,000       Cancer Support
(357) Girl Scouts of Northern California
1310 S Bascom Ave
San Jose,CA95129 		94-1551410 501(c)(3) 32,500       Got Choices Solano
(358) Girls Incorporated of Alameda County
13666 East 14th St
San Leandro,CA94578 		94-1558073 501(c)(3) 20,000       South County Abusive
(359) Give Every Child A Chance
610 Commerce Court
Manteca,CA95336 		68-0399384 501(c)(3) 40,000       Start Health
(360) Glendale Community Free Health Clinic
134 N Kenwood St
Glendale,CA91206 		87-0732681 501(c)(3) 12,000       basic health care
(361) Glendale Healthy Kids
223 N Jackson St 107
Glendale,CA91206 		95-4487466 501(c)(3) 10,000       Fit and Ready
(362) Golden Rule Services
4433 Florin Rd
Sacramento,CA95823 		68-0476030 501(c)(3) 20,000       African American STD
(363) Golden Valley Health Centers
737 Childs
Merced,CA95340 		94-2196086 501(c)(3) 93,845       2012-13 OERU
(364) Grantmakers In Health
1100 Connecticut Ave
Washington,DC20036 		13-3206571 501(c)(3) 10,000       Operating Support
(365) Grupo Fremont VIP
4766 Serra Ave
Fremont,CA94538 		27-3956489 501(c)(3) 15,000       HIV services
(366) Guide Dogs for the Blind
32901 SE Kelso Rd
Boring,OR97009 		94-1196195 501(c)(3) 20,000       Guide Dog Mobility
(367) H Street Clinic
1329 North H St
San Bernardino,CA92405 		20-8191393 501(c)(3) 18,750       Vulnerable Patients
(368) Hamburger Home
7120 Franklin Ave
Los Angeles,CA90046 		95-1693616 501(c)(3) 10,000       Aviva High School
(369) Happy Hollow Corporation
1300 Senter Rd
San Jose,CA95112 		23-7219471 501(c)(3) 50,000       Eat Like a Lemur
(370) Harbor Area Gang Alternatives
2555 Industry Way
Lynwood,CA90262 		33-0322451 501(c)(3) 25,000       My Gangfree Life
(371) Harbor Free Clinic Inc
593 W 6th St
San Pedro,CA90731 		23-7103245 501(c)(3) 20,000       Intake Specialist
(372) Harm Reduction Services
4001 12th Ave
Sacramento,CA95817 		68-0300656 501(c)(3) 16,366       Homeless Youth
(373) Hawthorne School District
14120 S Hawthorne Blvd
Hawthorne,CA90250 		95-6001545 Government 15,000       Low Income Schools
(374) Hayward Unified School District
24411 Amador St
Hayward,CA94540 		94-1693499 Government 50,000       High School Culinary
(375) HC2 The Healthy Community Consortium
200 Douglas St
Petaluma,CA94952 		68-0475211 501(c)(3) 15,000       Underage A TO D use
(376) Health Department of San Mateo County
225 37th Ave
San Mateo,CA94403 		94-6000532 Government 10,000       SMART Team General
(377) Health Edu Council Populations At Risk
3950 Industrial Blvd
W Sacramento,CA95691 		68-0249296 501(c)(3) 54,000       Dont Buy the Lie
(378) Health Initiatives for Youth Inc
1550 Market St
San Francisco,CA94102 		94-3162876 501(c)(3) 38,000       Transgender Youth
(379) Health Research Association Inc
1640 Marengo St
Los Angeles,CA90033 		95-1683862 501(c)(3) 75,000       Quality Improvements
(380) Healthcare Foundation of North Central Cali
1215 K St 730
Sacramento,CA95814 		86-1174825 501(c)(3) 114,384       health Disparity
(381) Healthy Aging Association
121 Downey Ave 102
Modesto,CA95354 		77-0546574 501(c)(3) 42,118       Young at Heart Edu
(382) Herald Christian Health Center
923 S San Gabriel Blvd
S Gabriel,CA91776 		20-3492620 501(c)(3) 7,500       Passport to Health
(383) Herald International Inc
39155 Liberty St
Fremont,CA94538 		26-1431045 501(c)(3) 16,500       Life Rebuilding
(384) Hispanas Organiz Political Equality Calif
634 South Spring St
Los Angeles,CA90014 		95-4718409 501(c)(3) 13,850       Latinas Action Day
(385) Hollywood Community Housing Corporation
5020 St Monica Blvd
Los Angeles,CA90029 		95-4198215 501(c)(3) 10,000       Group Therapy
(386) Hollywood Sunset Free Clinic
3324 Sunset Blvd
Los Angeles,CA90026 		23-7074488 501(c)(3) 9,500       Health Care
(387) Home Start
5005 Texas St
San Diego,CA92108 		95-3138268 501(c)(3) 15,000       Healthcare Outreach
(388) Homeboy Industries
130 W Bruno St
Los Angeles,CA90012 		95-4800735 501(c)(3) 8,800       Lo Maximo Awards
(389) Homeless Health Care Los Angeles
2330 Beverly Blvd
Los Angeles,CA90057 		95-4074970 501(c)(3) 79,900       Plato de Oro Dinner
(390) Hospice of Napa Valley
414 S Jefferson St
Napa,CA94559 		68-0393144 501(c)(3) 20,000       Latino Bilingual Svc
(391) Hospital De La Familia Foundation
601 Sonoma St
Richmond,CA94805 		94-2452906 501(c)(3) 10,000       DL Operating Support
(392) House of Ruth
PO Box 459
Claremont,CA91711 		95-3276033 501(c)(3) 10,000       Child Abuse Treat
(393) Hughson Family Resource Center Inc
2413 3rd St
Hughson,CA95326 		87-0729778 501(c)(3) 64,600       Backpack drive
(394) Human Options
5540 Trabuco Rd 100
Irvine,CA92620 		95-3667817 501(c)(3) 18,500       Victims Domestic
(395) Hunger Action Los Angeles
961 S Mariposa 205
Los Angeles,CA90006 		20-5142259 501(c)(3) 29,020       General support
(396) Hurtt Family Health Clinic
One Hope Dr
Tustin,CA92782 		33-0906866 501(c)(3) 12,500       Prescription Assist
(397) Imperial Beach Community Clinic
949 Palm Ave
Imperial Beach,CA91932 		23-7209592 501(c)(3) 30,000       Outreach Enrollment
(398) Indian Health Council
50100 Golsh Rd
Valley Center,CA92061 		95-2506788 501(c)(3) 10,000       Dental Access Care
(399) Info Line of San Diego County
5251 Viewridge Court
San Diego,CA92123 		33-1029843 501(c)(3) 30,000       Connections Luncheon
(400) Inland Behavioral and Health Services Inc
1963 North E St
San Bernardino,CA92405 		95-3246624 501(c)(3) 15,000       Power Over Weight
(401) Inland Empire United Way
9644 Hermosa Ave
Rancho Cucamonga,CA91730 		33-0502676 501(c)(3) 20,000       Support Kids Pack
(402) Inland Valley Council of Churches
1753 N Park Ave
Pomona,CA91768 		95-2674837 501(c)(3) 11,000       Project Support
(403) INMED Partnerships for Children Inc
409 East Palmer St
Compton,CA90221 		52-1482339 501(c)(3) 25,120       Teen Pregnancy STD
(404) Inside the Outdoors Foundation
200 Kalmus Dr
Costa Mesa,CA92628 		33-0373014 501(c)(3) 15,000       Hands-on K12 Student
(405) Institute for Healthcare Improvement
20 University Rd
Cambridge,MA02138 		38-3017223 501(c)(3) 47,500       Safe Net Fellowship
(406) Instituto Familiar De La Raza
2919 Mission St
San Francisco,CA94110 		94-2523608 501(c)(3) 20,000       Peace Dialogues
(407) Insure the Uninsured Project
2444 Wilshire Blvd
Santa Monica,CA90403 		27-4159194 501(c)(3) 17,922       Statewide Conference
(408) Interfaith Council of Solano County
724 Ohio St
Fairfield,CA94533 		68-0440432 501(c)(3) 16,500       Holiday Donation
(409) International Rescue Committee
5348 University Ave
San Diego,CA92105 		13-5660870 501(c)(3) 79,000       Community Garden
(410) Interval House
6615 E Pac Coast Hwy
Long Beach,CA90803 		95-3389113 501(c)(3) 10,000       Victims Domestic
(411) Janus Youth Programs
707 NE Couch St
Portland,OR97232 		23-7345990 501(c)(3) 20,000       Operating Support
(412) Jefferson Union High School District
2780 Junipero Serra Blv
Daly City,CA94015 		94-3083772 Government 31,043       Spring for Youth
(413) Jewish Community Free Clinic
490 City Center Dr
Rohnert Park,CA94928 		94-3386103 501(c)(3) 15,000       General Operating
(414) Jewish Family & Childrens Srvs of East Bay
1855 Olympic Blvd
Walnut Creek,CA94596 		94-3250304 501(c)(3) 16,605       Art of Living Gala
(415) Jewish Family and Childrens Services
600 Fifth Ave
San Rafael,CA94901 		94-1156528 501(c)(3) 10,000       Med Ill/Disabled
(416) Jewish Family Service of the Desert
801 E Tahquitz Cyn
Palm Springs,CA92262 		33-0613083 501(c)(3) 25,000       Support Kids First
(417) John F Kennedy Memorial Foundation
73 555 S Gorgonio Wy
Palm Desert,CA92260 		33-0071613 501(c)(3) 20,000       Fit Healthy Family
(418) Junior Achievement of Northern California
3003 Oak Rd
Walnut Creek,CA94597 		94-1322179 501(c)(3) 64,474       Annual Golf For Kid
(419) JWCH Institute Inc
1910 West Sunset Blvd
Los Angeles,CA90026 		95-2289916 501(c)(3) 49,220       Hand Heart Gala
(420) Keaton Raphael Memorial Neuroblastoma Inc
5460 5th St
Rocklin,CA95677 		68-0406980 501(c)(3) 20,000       Family Navigator Exp
(421) Kern County Children Families Commission
2724 L St
Bakersfield,CA93301 		77-0529128 Government 39,000       Vulnerable Care Proj
(422) Kidpower Teenpower Fullpower
1706 Church St
San Francisco,CA94131 		77-0226712 501(c)(3) 20,000       Vaccine
(423) Kids Come First
1501A S Bon View Ave
Ontario,CA91761 		33-0969025 501(c)(3) 18,750       Choosing Health
(424) Kids Community Clinic of Burbank
400 W Elmwood Ave
Burbank,CA91506 		95-4791296 501(c)(3) 23,500       Casino & Bingo Bash
(425) KidsFirst
124 Main St
Roseville,CA95678 		68-0195225 501(c)(3) 28,505       Putting Kids First
(426) Kings Cyn Unified School District
675 W Manning Ave
Reedley,CA93611 		58-2103066 Government 35,000       School Health Center
(427) Korean American Family Service Center
3727 West 6th St
Los Angeles,CA90020 		95-3899329 501(c)(3) 13,000       Korean Mental Health
(428) Korean Health Education Info Research Cntr
3727 West 6th St
Los Angeles,CA90020 		95-4074660 501(c)(3) 201,687       Fundraising Dinner
(429) La Casa Community Center
203 E Mission Rd
San Gabriel,CA91776 		95-1660846 501(c)(3) 14,700       Lizarraga Founders
(430) La Clinica De La Raza
PO Box 22210
Oakland,CA94623 		94-1744108 501(c)(3) 171,468       June teenth Celeb
(431) La Maestra Family Clinic
4060 Fairmount Ave
San Diego,CA92105 		33-0473171 501(c)(3) 25,000       Primary Care Low Inc
(432) Labors Training Community Develop Alliance
4265 Fairmont Ave
San Diego,CA92105 		95-6136389 501(c)(3) 12,500       Taxi Driver Health
(433) LACER Afterschool Programs
1718 N Cherokee Ave
Hollywood,CA90028 		95-3890819 501(c)(3) 8,000       Afterschool Programs
(434) Laguna Beach Community Clinic
362 Third St
Laguna Beach,CA92651 		95-2637633 501(c)(3) 7,500       Ongoing Medical Care
(435) Larkin Street Youth Services
1728 Bancroft Ave
San Francisco,CA94124 		94-2917999 501(c)(3) 20,900       Fellas expansion
(436) LAs Best
200 N Spring St
Los Angeles,CA90012 		95-4311058 501(c)(3) 9,600       Annual Brunch
(437) Latino Cntr Prevent & Action Hlth & Welfare
450 W Fourth St
Santa Ana,CA92701 		33-0562943 501(c)(3) 20,000       Diabetes Self mgmt
(438) Latino Community Foundation
225 Bush St
San Francisco,CA94104 		81-0564400 501(c)(3) 59,685       Philanthrophy
(439) Latino Leadership Council
2945 Bell Rd 274
Auburn,CA95603 		27-0970476 501(c)(3) 35,000       CAREER En Tu Salud
(440) Leahs Pantry Inc
442 Shotwell 2
San Francisco,CA94110 		20-5512442 501(c)(3) 15,000       Food Smarts Training
(441) Legal Aid of Sonoma County
2755 Mendocino Ave
Santa Rosa,CA95409 		68-0008581 501(c)(3) 10,000       Information Tech
(442) Legal Aid Society of San Diego
110 S Euclid Ave
San Diego,CA92114 		95-1869806 501(c)(3) 55,000       Home Senior Legal
(443) Leukemia & Lymphoma Society Inc The
221 Main St
San Francisco,CA94105 		13-5644916 501(c)(3) 31,000       Training Nike Womens
(444) LifeLong Medical Care
2331 Sixth St
Berkeley,CA94712 		94-2502308 501(c)(3) 76,120       Community Walk &Fair
(445) LIFT for Teens
70 Skyview Terr
San Rafael,CA94903 		26-3584878 501(c)(3) 30,000       Marin City Moving
(446) Lift3 Support Group
1125 Missouri St
Fairfield,CA94533 		87-0723514 501(c)(3) 10,000       Continuing Conversa
(447) Lighthouse Counseling Family Resource Cntr
427 A St 400
Lincoln,CA95648 		35-2252834 501(c)(3) 31,232       Celbrty Waiter Lunch
(448) Livermore Area Recreation and Park District
4444 East Ave
Livermore,CA94550 		94-6000849 Government 15,000       Water Safety Prog
(449) Livermore Valley Joint Unified School Distr
685 E Jack London Blvd
Livermore,CA94551 		94-2175582 Government 15,000       Nosotras en Control
(450) Loaves and Fishes of Contra Costa
1985 Bonifacio St
Concord,CA94520 		68-0018077 501(c)(3) 20,000       Nutriti meals Hungry
(451) Local Government Commission
1303 J St 250
Sacramento,CA95814 		94-2791699 501(c)(3) 24,000       Safe Route To School
(452) Local Initiatives Support Corporation
369 Pine St
San Francisco,CA94104 		13-3030229 501(c)(3) 57,125       Richmond HEAL Collab
(453) Loma Linda University
24951 North Cir Dr
Loma Linda,CA92350 		95-1816009 501(c)(3) 158,257       Healthy People
(454) Long Beach Bar Foundation
3515 Linden Ave
Long Beach,CA90807 		33-0585482 501(c)(3) 10,000       SHORTSTOP Program
(455) Los Angeles Alliance for a New Economy
464 Lucas Ave
Los Angeles,CA90017 		95-4459427 501(c)(3) 8,500       Justice Award Dinner
(456) Los Angeles Brotherhood Crusade Inc
200 E Slauson Ave
Los Angeles,CA90011 		95-2543819 501(c)(3) 8,500       African Amer Award
(457) Los Angeles Child Guidance Clinic
3031 S Vermont Ave
Los Angeles,CA90007 		95-1690974 501(c)(3) 12,500       Support First Steps
(458) Los Angeles Christian Health Center
311 E Winston St
Los Angeles,CA90013 		95-4315734 501(c)(3) 13,000       Denture Smile Prog
(459) Los Angeles Community Garden Council
1843 W Silver Lake Dr
Los Angeles,CA90026 		31-1734705 501(c)(3) 12,000       obesity risk Latino
(460) Los Angeles Free Clinic Saban Free Clinic
8405 Beverly Blvd
Los Angeles,CA90048 		95-2539105 501(c)(3) 82,500       Comprehensive Dental
(461) Los Angeles Neighborhood Land Trust
315 W 9th St
Los Angeles,CA90015 		38-3687836 501(c)(3) 82,350       Fund Garden Party
(462) Los Angeles Thai Seventh-Day Adventist
1711 N Van Ness Ave
Los Angeles,CA90028 		80-0515860 501(c)(3) 10,000       DL Operating Support
(463) Los Angeles Trade Tech College Foundation
400 W Washington Blvd
Los Angeles,CA90015 		95-3813527 501(c)(3) 23,280       Fund Benefit Dinner
(464) Los Angeles Universal Preschool
888 S Figueroa St
Los Angeles,CA90017 		22-3902958 501(c)(3) 50,000       Support Fit by 5 LA
(465) Los Angeles Urban League
3450 Mount Vernon Dr
Los Angeles,CA90008 		95-1691288 501(c)(3) 13,500       Fit 4 Life Nutr Fit
(466) Lower Columbia College
PO Box 3010
Longview,WA98632 		91-0823636 Government 43,000       Baby Child Dentistry
(467) Lutheran Social Services of Southern Calif
2560 N Santiago
Orange,CA92867 		95-2225798 501(c)(3) 10,000       Behavioral Treatment
(468) Making Waves Education Program
200 24th St
Richmond,CA94804 		94-3267851 501(c)(3) 15,000       Mental Health Svcs
(469) Mamas Kitchen
3960 Home Ave
San Diego,CA92105 		33-0434246 501(c)(3) 15,000       AIDS Nutrition Prog
(470) March of Dimes Foundation
1755 Creekside Oaks Dr
Sacramento,CA95833 		13-1846366 501(c)(3) 20,000       March for Babies
(471) Marcus A Foster Educational Institute
8301 Edgewater Dr 203
Oakland,CA94621 		23-7357906 501(c)(3) 7,500       Principal for a Day
(472) Marin Community Foundation
5 Hamilton Landing 200
Novato,CA94949 		94-3007979 501(c)(3) 12,500       Healthy Marin
(473) Marin Organics
80 4th St
Pt Reyes Station,CA94956 		68-0449130 501(c)(3) 10,000       Farm Field Studies
(474) Marion County Health Department
3180 Center St NE
Salem,OR97301 		93-6002307 Government 60,000       Healthy Corner
(475) Marjaree Mason Center
1600 M St
Fresno,CA93721 		94-1156639 501(c)(3) 40,000       Victim Mental Health
(476) Martin Luther King Jr Freedom Center
333 East 8th St
Oakland,CA94606 		94-3390034 501(c)(3) 105,000       Lee & Harris Lecture
(477) MayView Community Health Center
270 Grant Ave
Palo Alto,CA94306 		94-2239648 501(c)(3) 30,000       Smoking and Tobacco
(478) Meals on Wheels of San Francisco
1375 Fairfax Ave
San Francisco,CA94124 		94-1741155 501(c)(3) 24,250       Meals On Wheels
(479) Meals On Wheels of Solano County
95 Marina Center
Suisun City,CA94585 		94-2453452 501(c)(3) 20,000       Elder Nutrition Meal
(480) Mend-Meet Each Need with Dignity
10641 N San Fernando Rd
Pacoima,CA91331 		23-7306337 501(c)(3) 32,610       MENDing Poverty Conf
(481) Mental Health America of Los Angeles
506 W Jackson St
Lancaster,CA93534 		95-1881491 501(c)(3) 7,500       Operation Healthy
(482) Mental Health Association of San Francisco
870 Market St
San Francisco,CA94102 		94-1218623 501(c)(3) 8,400       Hoarding and Clutter
(483) Mentoring in Medicine & Science Inc
810 Clay St 201
Oakland,CA94607 		26-0306309 501(c)(3) 49,956       Healthy Ambassador
(484) Mercy Foundation Bakersfield
551 Shanley Ct
Bakersfield,CA93311 		77-0201321 501(c)(3) 20,000       Success Application
(485) Mercy House Living Centers
807 N Garfield
Santa Ana,CA92703 		33-0315864 501(c)(3) 20,000       Mercy House Center
(486) Metro Community Churches of Gentle Shepherd
2200 Broadway D
Vancouver,WA98663 		91-1464147 501(c)(3) 7,600       Christmas program
(487) Mexican American Legal Defense and Ed Fund
634 S Spring St
Los Angeles,CA90014 		74-1563270 501(c)(3) 9,400       LA Awards Gala
(488) MF Place
PO Box 3867
Hollywood,CA90078 		95-4834034 501(c)(3) 10,000       Health Homeless
(489) Mid-Peninsula Boys & Girls Club
200 N Quebec St
San Mateo,CA94401 		94-1431583 501(c)(3) 20,103       Weight of the Nation
(490) Mission City Community Network Inc
15206 Parthenia St
North Hills,CA91343 		95-4226189 501(c)(3) 255,800       New Clinic and equip
(491) Mission Solano Rescue Mission Inc
740 Travis Blvd
Fairfield,CA94533 		61-1431375 501(c)(3) 10,000       Help Our Hurtin Teen
(492) Mixteco Indigena Community Organizing Proj
520 West 5th St
Oxnard,CA93030 		30-0045901 501(c)(3) 9,500       HealthCare Interpret
(493) MMC for Children and Families
155 15th St
W Sacramento,CA95691 		37-1424390 501(c)(3) 110,000       Building Better Hlth
(494) MOMS Orange County
1128 W Santa Ana Blvd
Santa Ana,CA92703 		33-0518078 501(c)(3) 28,000       Fund Baby Olympics
(495) Montgomery County Business Roundtable Edu
6010 Executive Blvd
Rockville,MD20852 		41-2047342 501(c)(3) 25,000       Natl Advisory Board
(496) Monument Community Partnership
1760 Clayton Rd
Concord,CA94520 		68-0476982 501(c)(3) 20,000       Healthy Community
(497) Monument Crisis Center
2350 Monument Blvd
Concord,CA94520 		41-2111171 501(c)(3) 30,000       Monumental Nutrition
(498) Mount Diablo Unified School District
1266 San Carlos Ave A6
Concord,CA94518 		68-0091157 Government 14,000       Teen Garden Corps
(499) Mountain Health & Community Services
31115 Hwy 94
Campo,CA91906 		33-0164420 501(c)(3) 30,000       Build Primary Care
(500) MOVE International
5555 California Ave
Bakersfield,CA93309 		94-3227458 501(c)(3) 10,000       MOVE Toileting Care
(501) Mt Hood Community College
10100 NE Prescott
Portland,OR97220 		93-0546890 Government 49,113       Farm to Head Start
(502) Mulnomah County Oregon
426 SW Stark St
Portland,OR97204 		93-6002309 Government 50,000       Chronic Disease Mgmt
(503) Mutual Assistance Network Del Paso Heights
811 Grand Ave
Sacramento,CA95838 		68-0332694 501(c)(3) 15,000       Johnston Community
(504) My Sisters House
3053 Freeport Blvd
Sacramento,CA95818 		68-0464114 501(c)(3) 22,500       Stop! In the Name of
(505) My Three Squares
3150 18th St
San Francisco,CA94110 		45-3059509 501(c)(3) 13,500       Three Squares Brunch
(506) NAMI-Orange County
1810 E 17th St
Santa Ana,CA92705 		95-3726369 501(c)(3) 10,000       DL Operating Support
(507) Napa Emergency Womens Services
1141 Pear Tree Ln 220
Napa,CA94558 		94-2745889 501(c)(3) 10,000       Domestic Violence
(508) National Academy Of Sciences
500 Fifth St
Washington,DC20001 		53-0196932 501(c)(3) 20,000       Global Violence Prev
(509) National Council on Crime & Delinquency
1970 Broadway
Oakland,CA94612 		13-1624111 501(c)(3) 210,000       Warriors for Peace
(510) Native American Rehabilitation Association
1776 SW Madison
Portland,OR97207 		23-7098400 501(c)(3) 75,000       Diabetes Care
(511) Natl Assembly on School Based Health Care
1010 Vermont Ave
Washington,DC20005 		54-1752058 501(c)(3) 534,346       School Health
(512) Natomas Crossroads Church
1101 National Dr
Sacramento,CA95834 		26-3625632 501(c)(3) 20,000       Natomas Crossroads
(513) NatureBridge
28 Geary St
San Francisco,CA94108 		94-2145930 501(c)(3) 9,250       gala to raise funds
(514) NCB Capital Impact
1333 Broadway 602
Oakland,CA94612 		52-1290127 501(c)(3) 200,000       FreshWorks Fund
(515) Neighborhood Healthcare
425 North Date St
Escondido,CA92025 		95-2796316 501(c)(3) 41,294       Health Wellness Prog
(516) Neighborhood House
7780 SW Capitol Hwy
Portland,OR97215 		93-0386875 501(c)(3) 20,000       Neighbor House
(517) Neighborhood Legal Services of LA Cnty
1102 E Chevy Chase Dr
Glendale,CA91205 		95-2408642 501(c)(3) 100,000       Med Legal Partner
(518) New Day Dental Clinic
1201 SE Tech Center Dr
Vancouver,WA98683 		27-0475673 501(c)(3) 16,000       MLK Dental Service
(519) New Horizons Caregivers Group
3120 S Hacienda Blvd
Hacienda Hts,CA91745 		75-3132090 501(c)(3) 9,950       FIESTA Program
(520) Newport Sports Collection Foundation
100 Newport Ctr Dr
Newport Beach,CA92660 		33-0579344 501(c)(3) 20,000       Kids Youth Outreach
(521) Next Door Solutions to Domestic Violence
234 East Gish Rd
San Jose,CA95112 		94-2420708 501(c)(3) 35,500       Heal Families Pilot
(522) Niroga Institute
111 Fairmount Ave
Oakland,CA94611 		20-2620278 501(c)(3) 15,000       Closing Achieve Gap
(523) Nonprofit Resource Center
1331 Garden Hwy
Sacramento,CA95833 		68-0173440 501(c)(3) 10,000       Give Local Now
(524) North by Northeast Community Health Center
3030 NE MLK
Portland,OR97212 		72-1618287 501(c)(3) 73,575       Expanding Capacity
(525) North County Community Services
1557 C Grand Ave
San Marcos,CA92078 		23-7071474 501(c)(3) 12,500       North County Garden
(526) North County Health Project
150 Valpreda Rd
San Marcos,CA92069 		95-2847102 501(c)(3) 35,000       patients diabetes
(527) North East Medical Services
1520 Stockton St
San Francisco,CA94133 		94-1722562 501(c)(3) 60,000       Connecting People
(528) North of Market Senior Srvs Curry Snr Cntr
333 Turk St
San Francisco,CA94102 		23-7362588 501(c)(3) 71,220       Curry Senior Center
(529) North of the River Recreation and Park Dist
405 Galaxy Ave
Bakersfield,CA93308 		95-3156985 Government 30,000       Operation Splash
(530) North Roseville Recreat Edu & Creative Cntr
313 High St
Roseville,CA95678 		68-0377167 501(c)(3) 10,000       AfterSchool and Teen
(531) Northeast Valley Health Corporation
1172 N Maclay Ave
San Fernando,CA91340 		23-7120632 501(c)(3) 36,500       Seniors Disabilities
(532) Northern California Center for Well Being
365 B Tesconi Cir
Santa Rosa,CA95401 		93-1144835 501(c)(3) 22,680       Skate A Thon
(533) Northwest Health Foundation Fund II
221 NW Second Ave
Portland,OR97209 		93-1293344 501(c)(3) 25,000       Safety Primary Care
(534) Novato Unified School District
1015 7th St
Novato,CA94945 		68-0112169 Government 20,000       Culinary Train
(535) Novato Youth Center
680 Wilson Ave
Novato,CA94947 		94-1735064 501(c)(3) 15,000       Healthy Novato Promo
(536) Oak Grove Institute Foundation Inc
24275 Jefferson Ave
Murrieta,CA92562 		33-0470446 501(c)(3) 25,000       LIFESAVE & Behavior
(537) Oak View Renewal Partnership
Oak View Elementary
Huntgtn Beach,CA92647 		61-1495237 501(c)(3) 15,000       Healthy Living
(538) Oakland Military Institute College Prep Aca
3877 Lusk St
Oakland,CA94608 		91-2073068 501(c)(3) 20,000       Luncheon fundraiser
(539) Oakland School for the Arts
530 18th St
Oakland,CA94612 		68-0463892 501(c)(3) 34,500       Gala support School
(540) Oakland Unified School District
4521 Webster St
Oakland,CA94609 		94-6000358 Government 10,000       Project Root Cause
(541) Odd Fellow Rebekah Childrens Home of Calif
290 IOOF Ave
Gilroy,CA95020 		94-1167402 501(c)(3) 28,000       School Violence
(542) Off The Front
7676 North Palm
Fresno,CA93711 		27-2022802 501(c)(3) 35,000       Off The Front Prog
(543) Okizu Foundation
16 Digital Dr 130
Novato,CA94949 		68-0291178 501(c)(3) 14,700       Evening Under Stars
(544) On Lok Day Services
1333 Bush St
San Francisco,CA94109 		94-3101292 501(c)(3) 15,000       Falls Prevent Maint
(545) On The Move
780 Lincoln Ave
Napa,CA94558 		75-3149095 501(c)(3) 61,000       Healthy Communities
(546) Ontario-Montclair School District
950 West D St
Ontario,CA91762 		95-6002267 Government 7,500       Child Access
(547) Open Heart Kitchen
4743 East Ave
Livermore,CA94550 		94-3396038 501(c)(3) 20,000       Weekend Box Lunch
(548) Open PATHS Counseling Center
5731 Slauson Ave
Culver City,CA90230 		95-3221061 501(c)(3) 7,000       Mental Health Srvs
(549) Operation Safe House
9685 Hayes St
Riverside,CA92503 		33-0326090 501(c)(3) 20,000       Anti Human Traffic
(550) Orange County Department of Education
200 Kalmus Dr
Costa Mesa,CA92628 		95-6000943 Government 15,000       Move More Eat Healthy
(551) Orange County Great Park Corporation
1 Civic Center Plaza
Irvine,CA92606 		20-1766377 501(c)(3) 50,000       Gt Park Thrive Trail
(552) Orangewood Childrens Foundation
1575 E 17th St
Santa Ana,CA92705 		95-3616628 501(c)(3) 20,000       Foster Youth Learn
(553) Ordinary Women
26861 Trabuco Rd
Mission Viejo,CA92691 		04-3813690 501(c)(3) 10,000       DL Operating Support
(554) Oregon Department of Public Health
800 NE Oregon St
Portland,OR97232 		93-6001752 Government 60,000       Healthier Food
(555) Oregon Food Bank Inc
PO Box 55370
Portland,OR97238 		93-0785786 501(c)(3) 6,500       MLK Day of Service
(556) Oregon Health & Science University
3181 SW Sam Jackson Park
Portland,OR97239 		93-1176109 Government 379,187       Operating Support
(557) Oregon Health and Science University Fdn
1121 SW Salmon St
Portland,OR97205 		23-7083114 501(c)(3) 136,889       Operating Support
(558) Oregon Health Authority
800 NE Oregon St
Portland,OR97232 		27-3327978 Government 136,320       Operating Support
(559) Oregon Partnership
5100 SW Macadam Ave
Portland,OR97239 		93-0725294 501(c)(3) 9,000       Teaching Prevention
(560) Oregon Primary Care Association
110 SW Yamhill St 300
Portland,OR97204 		93-0877986 501(c)(3) 294,966       Operating Support
(561) Outside In
1132 SW 13th Ave
Portland,OR97205 		93-0567549 501(c)(3) 16,000       Operating Support
(562) Pacific Clinics
800 S Santa Anita Ave
Arcadia,CA91006 		95-1644034 501(c)(3) 7,500       Homeless Connect Day
(563) Pacoima Beautiful
11243 Glenoaks Blvd
Pacoima,CA91331 		95-4770745 501(c)(3) 15,600       Safer Homes
(564) Palomar Family Counseling Service
1002 E Grand Ave
Escondido,CA92025 		33-0629248 501(c)(3) 10,000       Forward on Friday
(565) Para Los Ninos
500 Lucas Ave
Los Angeles,CA90017 		95-3443276 501(c)(3) 9,480       El Gran BailedeCinco
(566) Parks Recreations & Community Partner Dep
501 Poli St
Ventura,CA93002 		95-6000807 Government 30,000       Operation Splash
(567) Partners In Care Foundation Inc
732 Mott St
San Fernando,CA91340 		95-3954057 501(c)(3) 8,700       Vision Care Leader
(568) Pasadena Foothill Valley YWCA
1200 N Fair Oaks Ave
Pasadena,CA91103 		95-1644059 501(c)(3) 9,881       Women Racial Justice
(569) Pasadena Senior Center
85 E Holly St
Pasadena,CA91103 		95-2085393 501(c)(3) 24,000       Fundraiser Zest
(570) Pasadena Youth Center
805 N Madison Ave
Pasadena,CA91104 		15-4819333 501(c)(3) 19,670       Adelante Mujer Ltina
(571) Passion Society
3447 Investment Blvd
Hayward,CA94545 		80-0105838 501(c)(3) 15,000       Youth For Peace
(572) Path of Life Ministries
6216 Brockton 211
Riverside,CA92506 		33-0724945 501(c)(3) 25,000       Health Care Clinic
(573) Pathways 2020
PO Box 2853
Longview,WA98632 		91-1954815 501(c)(3) 12,000       Kelso Gardens
(574) Pathways Volunteer Hospice
3701 Michaelson St
Lakewood,CA90712 		33-0241726 501(c)(3) 20,000       Access Healthcare
(575) Peace Over Violence
1015 Wilshire Blvd
Los Angeles,CA90017 		51-0179305 501(c)(3) 8,000       Humanitarian Dinner
(576) Pediatric Dental Initiative of North Coast
1380 19th Hole Dr
Windsor,CA95492 		34-2012430 501(c)(3) 20,820       Make Kids Smile
(577) Peninsula Assoc Retarded Children & Adults
800 Airport Blvd
Burlingame,CA94010 		94-1650851 501(c)(3) 10,000       Parca Wellness Prog
(578) Peninsula Conflict Resolution Center
1660 So Amphlett Blvd
San Mateo,CA94402 		77-0144000 501(c)(3) 10,000       Strengthen Schools
(579) Peninsula Family Service
24 2nd Ave
San Mateo,CA94401 		94-1186169 501(c)(3) 15,600       repair refrigerator
(580) Peninsula Jewish Community Center
800 Foster City Blvd
Foster City,CA94404 		94-3227262 501(c)(3) 20,000       Get Up & Go
(581) Penny Lane Centers
15305 Rayen St
North Hills,CA91343 		95-2633765 501(c)(3) 11,400       Prevent Mental Hlth
(582) People Assisting the Homeless
340 North Madison Ave
Los Angeles,CA90004 		95-3950196 501(c)(3) 17,000       Housing Prog
(583) People Reaching Out
5299 Auburn Blvd
Sacramento,CA95841 		94-2795430 501(c)(3) 36,000       Family Fun Day Event
(584) Petaluma Bounty
210 Fourth St
Petaluma,CA94952 		26-3208708 501(c)(3) 10,500       Bounty Plant Sale
(585) Petaluma Health Center
1179 North McDowell
Petaluma,CA94954 		68-0437840 501(c)(3) 60,000       Connecting People
(586) Petaluma People Services Center
1500 Petaluma Blvd
Petaluma,CA94952 		94-2271299 501(c)(3) 17,125       Farmers Market
(587) Placer Community Foundation
219 Maple St
Auburn,CA95604 		20-1485011 501(c)(3) 7,700       Support of Retreat
(588) PLACER WOMENS CENTER INC
700 Sunrise Ave N
Roseville,CA95661 		94-2578871 501(c)(3) 29,500       Survivors Run Event
(589) Planned Parenthood Los Angeles
400 West 30th St
Los Angeles,CA90007 		95-2408623 501(c)(3) 20,500       Health Services
(590) Planned Parenthood Mar Monte Sacramento
201 29th St A
Sacramento,CA95816 		94-1583439 501(c)(3) 91,152       Youth STI Epidemic
(591) Planned Parenthood of the Pacific Southwest
1075 Camino del Rio S
San Diego,CA92108 		95-6111785 501(c)(3) 30,000       Ultrasound Machines
(592) Planned Parenthood Santa BarbVent San Luis
518 Garden St
Santa Barbara,CA93101 		95-2319356 501(c)(3) 10,000       HIV/AIDS Prevention
(593) Planned Parenthood Shasta Diablo
2185 Pacheco St
Concord,CA94520 		94-1575233 501(c)(3) 40,000       Youth Peer Education
(594) Playworks Education Energized
1507 NW 23rd Ave A
Portland,OR97210 		94-3251867 501(c)(3) 246,880       Operating Support
(595) Point Break Resources
1102 North School St
Stockton,CA95205 		94-1708137 501(c)(3) 45,247       Reducing School Viol
(596) Portland Habitat for Humanity
1478 NE Killingsworth
Portland,OR97211 		93-0801200 501(c)(3) 15,000       Operating Support
(597) Portland Public Schools
501 N Dixon St
Portland,OR97227 		93-6000830 Government 100,300       ViDA Collaborative
(598) Positive Resource Center
785 Market St
San Francisco,CA94103 		94-3078431 501(c)(3) 20,000       Employment Services
(599) Powerhouse Ministries
311 Market St
Folsom,CA95630 		68-0020855 501(c)(3) 15,000       Health Links Project
(600) Prescott Joseph Center Community Enhance
920 Peralta St
Oakland,CA94607 		94-3248535 501(c)(3) 15,000       N Cal Breathmobile
(601) Pretend City The Childrens Museum of OC
29 Hubble
Irvine,CA92618 		33-0761254 501(c)(3) 30,000       Strive to Thrive
(602) Project Access Now
PO Box 10953
Portland,OR97296 		20-8928388 501(c)(3) 97,000       Project Access NOW
(603) Project Amiga
2001 Tyler Ave
South El Monte,CA91733 		95-4410599 501(c)(3) 12,500       Youth Adult Job
(604) Project Angel Food
922 Vine St
Los Angeles,CA90038 		95-4115863 501(c)(3) 33,000       Deliver Meal Disable
(605) Project Sister Family Services
363 South Park Ave
Pomona,CA91769 		23-7116161 501(c)(3) 15,000       counseling programs
(606) Public Health Institute
555 12th St
Oakland,CA94607 		94-1646278 501(c)(3) 77,500       Schools HIV STI Prev
(607) Public Health Solutions
40 Worth St
New York,NY10003 		13-5669201 501(c)(3) 10,000       Operating Support
(608) Queen of the Valley Medical Center
3448 Villa Lane
Napa,CA94558 		94-1243669 501(c)(3) 20,000       Healthy for Life
(609) Quest Center for Intergrative Health
2901 E Burnside St
Portland,OR97214 		93-1121778 501(c)(3) 15,000       Mental Low Income
(610) Quinn Community Outreach Corporation
25400 Alessandro
Moreno Valley,CA92553 		33-0637525 501(c)(3) 18,975       Esperanza y Vida
(611) Rails-toTrails Conservancy
2121 Ward Court
Washington,DC20037 		52-1437006 501(c)(3) 7,500       SGV Trails Challenge
(612) Rape Trauma Services
1860 El Camino Real
Burlingame,CA94010 		94-3215045 501(c)(3) 10,000       Rape Relation Abuse
(613) Reach Out West End Inc
1126 W Foothill Blvd
Upland,CA91786 		95-2642747 501(c)(3) 25,000       Healthy Jurupa Vally
(614) Reading and Beyond
4670 E Butler Ave
Fresno,CA93702 		77-0508471 501(c)(3) 57,500       Summer Academy
(615) Rector Wardens Vestry Church Our Saviour
4368 Santa Anita Ave
El Monte,CA91731 		95-1765149 501(c)(3) 12,500       Healthy Life skills
(616) Redwood Community Health Coalition
1310 Redwood Way 135
Petaluma,CA94954 		94-3220029 501(c)(3) 100,000       Train Healthy Kids
(617) Redwood Empire Food Bank
3320 Industrial Dr
Santa Rosa,CA95403 		68-0121855 501(c)(3) 27,250       Empty Bowl fundraise
(618) Regents Of The Univ of Cal At Berkeley
121 North Gate Hall
Berkeley,CA94720 		94-6002123 501(c)(3) 42,000       Project Support
(619) Regents of the University of California
3333 California St
San Francisco,CA94143 		94-3067788 501(c)(3) 40,000       Prep Student Health
(620) Regents of the University of California
1850 Research Park Dr
Davis,CA95618 		94-6036494 Government 37,700       Childhood Obesity
(621) Regents Universityof California Los Angeles
650 Charles E Young
Los Angeles,CA90095 		95-6006143 501(c)(3) 15,000       Health Care Homeless
(622) Regional Parks Foundation
PO Box 21074
Oakland,CA94605 		23-7011877 501(c)(3) 130,000       Embrace Life Thrive
(623) Remote Area Medical California
950 Reserve Dr 120
Roseville,CA95678 		45-2408171 501(c)(3) 24,000       Free Health Care
(624) Rescue Mission Alliance
315 North St
Oxnard,CA93030 		23-7278002 501(c)(3) 20,000       Valley County Collab
(625) Restaurant Opportunities Cntr Los Angeles
1730 W Olympic
Los Angeles,CA90015 		01-0939141 501(c)(3) 15,000       Support ROC MD
(626) Revision International
1536 Wynkoop St 600
Denver,CO80219 		26-1204343 501(c)(3) 10,000       DL Operating Support
(627) RFK Institute of Community Family Medicine
544 N Avalon 309
Wilmington,CA90744 		33-0531975 501(c)(3) 10,000       Health Outreach
(628) Richmond Community Foundation
1014 Florida Ave 200
Richmond,CA94804 		94-3337754 501(c)(3) 24,833       Summit Children
(629) River City Community Services
1800 28th St
Sacramento,CA95816 		91-1851398 501(c)(3) 10,000       general operations
(630) Riverside Area Rape Crisis Center
1845 Chicago Ave
Riverside,CA92507 		95-3245057 501(c)(3) 15,000       Child Abuse Prevent
(631) Riverside Community College District Fdn
4800 Magnolia Ave
Riverside,CA92506 		95-2993847 501(c)(3) 25,000       Clinic Underwriting
(632) Riverside Community Health Foundation
4445 A Magnolia Ave
Riverside,CA92501 		23-7276444 501(c)(3) 15,000       Citywide Campaign
(633) Roberts Family Development Center
770 Darina Ave
Sacramento,CA95815 		68-0470557 501(c)(3) 22,200       RFDC Steinberg
(634) Roseville Home Start Inc
410 Riverside Ave
Roseville,CA95678 		91-1657990 501(c)(3) 10,000       Families NonViolence
(635) RotaCare Bay Area
815 Pollard Rd
Los Gatos,CA95032 		77-0328723 501(c)(3) 109,500       RotaCare Seton Med
(636) Rubicon Programs
2500 Bissell Ave
Richmond,CA94804 		94-2301550 501(c)(3) 17,400       Healthcare Integrati
(637) SAC Health System
1454 E Second St
San Bernardino,CA92408 		33-0664371 501(c)(3) 50,000       Oral Health Care
(638) Sacramento Area Congregations Together
2510 J St 200
Sacramento,CA95816 		94-3146791 501(c)(3) 27,700       Toast to ACT 2012
(639) Sacramento Childrens Home
2750 Sutterville Rd
Sacramento,CA95820 		94-1156588 501(c)(3) 18,500       Crisis Nursery Prog
(640) Sacramento City Unified School District
5735 47th Ave
Sacramento,CA95824 		94-6002491 Government 53,000       School Readines Fair
(641) Sacramento County Department of HH&S
7001 East Pkwy
Sacramento,CA95823 		94-6000529 Government 55,000       LowIncome School Flu
(642) Sacramento Covered
1331 Garden Hwy
Sacramento,CA95833 		94-2985546 501(c)(3) 65,000       Health Coverage
(643) Sacramento District Dental Foundation
915 28th St
Sacramento,CA95816 		23-7067087 501(c)(3) 20,000       Smiles for Kids
(644) Sacramento Employment & Training Agency
925 Del Paso Blvd
Sacramento,CA95815 		81-0640257 Government 35,000       Safe Community
(645) Sacramento Loaves and Fishes
1321 No C St
Sacramento,CA95612 		68-0189897 501(c)(3) 10,000       Genesis Mental Hlth
(646) Sacramento Native American Health Center
2020 J St
Sacramento,CA95811 		20-4287737 501(c)(3) 135,000       Full Circle Chronic
(647) Sacramento Neighborhood Housing Services
2400 Alhambra Blvd
Sacramento,CA95817 		68-0118032 501(c)(3) 20,000       Oak Park Farmers Mkt
(648) Safe Alternatives for Everyone
28910 Pujol St
Temecula,CA92590 		91-1962947 501(c)(3) 20,163       Domestic Violence
(649) Safe Alternatives to Violent Environments
1900 Mowry Ave
Fremont,CA94538 		94-2520559 501(c)(3) 19,370       Breakfast Eye Opener
(650) Salem Free Medical Clinic
1300 Broadway St NE
Salem,OR97301 		20-3549992 501(c)(3) 35,000       Diabetes Specialty
(651) Salem Schools Foundation
PO Box 993
Salem,OR97308 		93-0831467 501(c)(3) 20,000       Operating Support
(652) Salvation Army
625 I St
Modesto,CA95354 		94-1156347 501(c)(3) 99,668       Salvation Army
(653) Samaritan Counseling Center
1126 Foothill Blvd
Upland,CA91786 		95-3160005 501(c)(3) 10,000       Samaritan Fund
(654) Samaritan House
4031 Pacific Blvd
San Mateo,CA94403 		23-7416272 501(c)(3) 30,500       residents at shelter
(655) Samuel Dixon Family Health Center Inc
25115 Ave Stanford
Valencia,CA91355 		95-4278726 501(c)(3) 7,500       Rubber Ducky Festval
(656) San Antonio Community Hospital Dental Ctr
8593 Archibald Ave
R Cucamonga,CA91730 		95-6140562 501(c)(3) 9,000       Expand dental
(657) San Bernardino County Sexual Assault Serv
444 Arrowhead Ave
San Bernardino,CA92401 		95-3543081 501(c)(3) 15,000       Supportive Services
(658) San Diego American Indian Health Center
2602 First Ave
San Diego,CA92103 		95-3397369 501(c)(3) 20,000       Ameri Indians Alaska
(659) San Diego Black Health Associates
5275 Market St C
San Diego,CA92114 		33-0573601 501(c)(3) 10,000       Mens Health
(660) San Diego County Medical Society Foundation
5575 Ruffin Rd 250
San Diego,CA92123 		95-2568714 501(c)(3) 35,000       Saturday Surgery Day
(661) San Diego Family Care
6973 Linda Vista Rd
San Diego,CA92111 		95-2700856 501(c)(3) 20,000       Uninsure Underinsure
(662) San Diego Youth Services
3255 Wing St
San Diego,CA92110 		95-2648050 501(c)(3) 15,000       Project Support PEEP
(663) San Fernando Valley Commun Mental Hlth Cntr
6842 Van Nuys Blvd
Van Nuys,CA91405 		95-6194487 501(c)(3) 20,000       Mental Hlth Homeless
(664) San Francisco AIDS Foundation
1035 Market St
San Francisco,CA94103 		94-2927405 501(c)(3) 10,000       AIDS Walk SF
(665) San Francisco AIDS Fund
12 Grace St
San Francisco,CA94013 		94-2922039 501(c)(3) 20,000       People with HIV AIDS
(666) San Francisco Community Clinic Consortium
1550 Bryant St
San Francisco,CA94103 		94-2897258 501(c)(3) 88,500       Community Clinic
(667) San Francisco Parks Trust
451 Hayes St
San Francisco,CA94102 		23-7131784 501(c)(3) 65,000       Garden-Based Edu
(668) San Francisco Public Health Foundation
1450 Sutter St
San Francisco,CA94109 		94-3117093 501(c)(3) 25,000       Homeless Connect
(669) San Francisco School Alliance Foundation
114 Sansome St
San Francisco,CA94104 		94-3222869 501(c)(3) 23,000       SF Beacon
(670) San Francisco Study Center
944 Market St
San Francisco,CA94102 		94-2168838 501(c)(3) 26,667       Men of Year Awards
(671) San Francisco Suicide Prevention Inc
PO Box 191350
San Francisco,CA94119 		94-1581618 501(c)(3) 9,250       crisis service prog
(672) San Gabriel Unified School District
408 Jumipero Serra Dr
San Gabriel,CA91776 		95-6000777 Government 10,000       All Aboard Counsel
(673) San Gabriel Valley Conservation & Service
3629 Cypress
El Monte,CA91731 		27-0030016 501(c)(3) 7,500       EarthWorks Farm
(674) San Joaquin County Office of Education
2901 Arch Airport Rd
Stockton,CA95213 		68-0006282 Government 75,000       Exercise Across Cal
(675) San Joaquin County Public Health Services
1601 E Hazelton Ave
Stockton,CA95201 		94-6000531 Government 50,000       Managing Diabetes
(676) San Jose Childrens Discovery Museum
180 Woz Way
San Jose,CA95110 		94-2870828 501(c)(3) 45,000       Mariachi Family Day
(677) San Leandro Public Library Foundation
300 Estudillo Ave
San Leandro,CA94577 		94-3180326 501(c)(3) 15,000       Prev Child Obesity
(678) San Mateo County Sheriffs Activities Leagu
400 County Center
Redwood City,CA94063 		45-0617342 501(c)(3) 10,000       SAL Healthy Kids
(679) San Mateo Police Activities League
200 Franklin Pkwy
San Mateo,CA94403 		31-1593896 501(c)(3) 9,500       Targeted Programs
(680) Santa Clara County Office of Education
1290 Ridder Park Dr
San Jose,CA95131 		77-0272168 Government 55,000       Bullying Prevention
(681) Santa Clara Family Health Foundation
210 E Hacienda Ave
Campbell,CA95008 		77-0545774 501(c)(3) 49,730       Childrens Health
(682) Santa Clarita Valley Boys and Girls Club
24909 Newhall Ave
Newhall,CA91321 		95-2572622 501(c)(3) 10,000       Fitness Nutrition
(683) Santa Rosa Memorial Hospital
1165 Montgomery Dr
Santa Rosa,CA95405 		94-1231005 501(c)(3) 30,000       Community Benefit
(684) Science and Technology Education Partners
PO Box 21100
Riverside,CA92516 		33-0928247 501(c)(3) 7,000       STEP Program
(685) Second Harvest Food Bank San Joa & Stan Cty
704 E Industrial Park Dr
Manteca,CA95337 		68-0376587 501(c)(3) 10,000       Food 4 Thought
(686) Second Harvest Food Bnk S Clara San Mat Cty
750 Curtner Ave
San Jose,CA95125 		94-2614101 501(c)(3) 71,299       Hunger Forum
(687) Senior Support of the Tri Valley
5353 Sunol Blvd
Pleasanton,CA94596 		20-3225569 501(c)(3) 10,000       Healthy Lifestyles
(688) Seniors First
11566 D Ave
Auburn,CA95603 		68-0430154 501(c)(3) 40,000       Resource Guide
(689) Serotonin Surge Charities
824 Falcon Ave
Davis,CA95616 		68-0411254 501(c)(3) 100,000       Spring Break 2013
(690) Shanti Orange County
23461 S Pointe Dr
Laguna Hills,CA92653 		33-0236592 501(c)(3) 10,000       HIV Edu Prevent Prog
(691) Sharefest Community Development Inc
3480 Torrance Blvd
Torrance,CA90503 		20-5651596 501(c)(3) 15,000       Annual Workday
(692) Shelter Inc of Contra Costa County
1815 Arnold Dr
Martinez,CA94553 		68-0117241 501(c)(3) 16,000       Hike for Shelter
(693) Shelter Network of San Mateo County
1450 Chapin Ave
Burlingame,CA94010 		77-0160469 501(c)(3) 33,000       ARCH Project
(694) Shelter Partnership Inc
523 West 6th St
Los Angeles,CA90014 		95-3976214 501(c)(3) 6,500       Annual Fund Dinner
(695) Sierra Vista Childrens Center
100 Poplar Ave
Modesto,CA95354 		94-2158023 501(c)(3) 50,000       Mental Health Svcs
(696) Soil Born Farm Urban Agriculture Project
PO Box 661175
Sacramento,CA95866 		20-0774693 501(c)(3) 7,500       Outdoor Classroom
(697) Solano Coalition for Better Health
360 Campus Lane
Fairfield Ca,CA94534 		94-3189914 501(c)(3) 28,000       Transitional Care
(698) Solano Community College Education Fdn
4000 Suisun Valley Rd
Fairfield,CA94534 		94-2985548 501(c)(3) 15,000       Positive Alternative
(699) Solano County Health and Social Srvs Dept
2201 Courage Dr
Fairfield,CA94533 		94-6000538 Government 20,000       HIV Mobile Testing
(700) Somos Mayfair
370 B S King Rd
San Jose,CA95116 		77-0499813 501(c)(3) 13,000       Gracias a la Vida
(701) Sonoma County Adult & Youth Development
PO Box 7078
Cotati,CA94931 		94-2812489 501(c)(3) 15,000       Healthy Families
(702) Sosmentor
23622 Calabasas Rd
Calabasas,CA91302 		95-4722980 501(c)(3) 12,500       Shape-up 2012
(703) South Asian Network
18173 South Pioneer
Artesia,CA90701 		33-0608166 501(c)(3) 8,250       Annual Fund Gala
(704) South Bay Center Counseling & Human Develop
360 N Sepulveda Blvd
El Segundo,CA90245 		23-7360521 501(c)(3) 10,000       Juvenile Justice
(705) South Bay Childrens Health Center Assoc
410 S Camino Real
Redondo Beach,CA90277 		95-6003956 501(c)(3) 17,000       Dental Svc Uninsured
(706) South Bay Community Services
430 F St
Chula Vista,CA91910 		95-2693142 501(c)(3) 15,000       domestic violence
(707) South Bay Family Healthcare Center
23430 Hawthorne
Torrance,CA90505 		23-7049937 501(c)(3) 29,150       SBFHC Patient
(708) South Central Family Health Center
4425 S Central Ave
Los Angeles,CA90011 		95-3877793 501(c)(3) 33,500       Fitness Program
(709) South County Community Health Center
1798 A Bay Rd
East Palo Alto,CA94303 		94-3372130 501(c)(3) 81,400       Family Health Center
(710) South San Francisco Friends of The Library
840 W Orange
S San Francisco,CA94080 		74-3116201 501(c)(3) 9,000       Learning Wheels
(711) South San Francisco High Schools
400 B St
S San Francisco,CA94080 		94-3083861 Government 29,000       Be the Warrior
(712) South West Community Health Center
7754 SW Capitol Hwy
Portland,OR97219 		74-3050497 501(c)(3) 61,206       Diabetic Outcomes
(713) Southside Coalition Community Health Cntr
3655 S Grand Ave
Los Angeles,CA90007 		20-8892311 501(c)(3) 150,000       Specialty Care Acces
(714) Southwest Community Health Center
3569 Round Barn Cir
Santa Rosa,CA95403 		68-0365296 501(c)(3) 20,000       Pediatrics Care
(715) Special Olympics Northern California
3480 Buskirk Ave
Pleasant Hill,CA94523 		68-0363121 501(c)(3) 50,000       Schools Partner
(716) Special Olympics Southern California
6730 E Carson
Long Beach,CA90248 		95-4538450 501(c)(3) 17,000       Special Olympics
(717) Special Service for Groups Inc
605 W Olympic Blvd
Los Angeles,CA90015 		95-1716914 501(c)(3) 33,500       Compassion in Action
(718) Spectrum Community Services
2621 Barrington Court
Hayward,CA94545 		94-1748275 501(c)(3) 15,000       Cardiovascular Hlth
(719) Spiritt Family Services
13135 Barton Rd
Santa Fe Springs,CA90605 		95-2852683 501(c)(3) 10,000       Family focused
(720) St Annes Maternity Home
155 N Occidental
Los Angeles,CA90026 		95-1691306 501(c)(3) 10,000       Project PREP
(721) St Francis Center of Redwood City
151 Buckingham Ave
Redwood City,CA94063 		94-3052056 501(c)(3) 9,000       Whole Healthy Happy
(722) St Helena Family Center
1440 Spring St
St Helena,CA94574 		68-0362076 501(c)(3) 20,000       Latino Teen Mentor
(723) St Helena Unified School District
465 Main St
St Helena,CA94574 		68-0314470 Government 15,000       Student Assist Prog
(724) St John of God Health Care Services
13333 Palmdale Rd
Victorville,CA92392 		95-3806996 501(c)(3) 20,000       Food Distribution
(725) St Johns Shelter for Women and Children
4410 Power Inn Rd
Sacramento,CA95826 		68-0132934 501(c)(3) 20,000       Mental Health Prog
(726) St Johns Well Child and Family Center Inc
808 W 58th St
Los Angeles,CA90037 		95-4067758 501(c)(3) 52,388       Diabetes Education
(727) St Marys Interfaith Community Services
545 W Sonora St
Stockton,CA95203 		94-2687280 501(c)(3) 47,500       Pediatric Clinic
(728) St Monica Catholic Church
1700 Buford Hwy
Duluth,GA30097 		58-2115357 501(c)(3) 10,000       DL Operating Support
(729) St Vincent de Paul of Contra Costa County
2210 Gladstone Dr
Pittsburg,CA94565 		94-1448577 501(c)(3) 30,000       RotaCare Free Clinic
(730) St Vincent de Paul Village
3350 E St
San Diego,CA92102 		33-0492302 501(c)(3) 50,000       Mental Hlth Reflect
(731) St Vincent Medical Center
2131 W Third St
Los Angeles,CA90057 		91-2154438 501(c)(3)   10,000 book low income bldg proj Multicultural Health
(732) Stand for Families Free of Violence
1410 Danzig Plaza
Concord,CA94520 		94-2476576 501(c)(3) 15,000       Youth Education
(733) Stanford University
1265 Welch Rd
Stanford,CA94305 		94-1156365 501(c)(3) 23,000       HealthCare Uninsured
(734) StarVista
610 Elm St
San Carlos,CA94070 		94-3094966 501(c)(3) 16,500       Starting Line
(735) Step Up on Second Street Inc
1328 Second St
Santa Monica,CA90401 		95-4109386 501(c)(3)   10,000 cost new children books Hollywood Outreach
(736) Stepping Stones Growth Center Retardation
311 Mac Arthur Blvd
San Leandro,CA94577 		94-6069868 501(c)(3) 18,000       Evy Stp Counts
(737) Stiles Hall
2400 Bancroft Way
Berkeley,CA94704 		94-1156636 501(c)(3) 75,000       Health Disparities
(738) Stop the Violence Movement Inc
1016 S Owens St
Bakersfield,CA93307 		74-3172044 501(c)(3) 20,000       Farmers Mrkt Garden
(739) Store to Door
PO Box 4665
Portland,OR97208 		94-3105555 501(c)(3) 7,000       Grocery for Seniors
(740) Street Level Health Project
2501 International Blvd
Oakland,CA94601 		56-2324355 501(c)(3) 16,990       Immigrant Spirit
(741) Students Run America
5252 Crebs Ave
Tarzana,CA91356 		95-4430502 501(c)(3) 24,000       Training Marathon
(742) Sunday Friends Foundation
730 3 Story Rd
San Jose,CA95122 		77-0518937 501(c)(3) 20,000       Build Develop Assets
(743) Sunnyvale Community Services
725 Kifer Rd
Sunnyvale,CA94086 		94-1713897 501(c)(3) 35,000       Fresh from the Farm
(744) Sunset District Community Development
3918 Judah St
San Francisco,CA94122 		93-1004117 501(c)(3) 20,000       Juvenile Delinquency
(745) Sunshine Division Inc
687 N Thompson St
Portland,OR97227 		93-0429354 501(c)(3) 12,000       Saturday Mission
(746) Susan G Komen Breast Cancer Foundation
3191 A Airport Loop Dr
Costa Mesa,CA92626 		33-0487943 501(c)(3) 33,500       Annual Pink Tie Ball
(747) Sutter Medical Center of Santa Rosa
3325 Chanate Rd
Santa Rosa,CA95404 		68-0374805 501(c)(3) 16,250       Catwalk for a Cure
(748) Tarzana Treatment Center Inc
18646 Oxnard St
Tarzana,CA91356 		94-2219349 501(c)(3) 13,000       Uninsured Underserve
(749) Teen Talk Sexuality Education
120 James Ave
Redwood City,CA94062 		94-3227947 501(c)(3) 15,000       Prevent Teen Pregncy
(750) Terrance TK Kelly Youth Foundation
PO Box 1006
Richmond,CA94802 		20-1772303 501(c)(3) 12,500       Youth Found Dinner
(751) The Asian and Pacific Islander Wellness Ctr
730 Polk St
San Francisco,CA94109 		94-3096109 501(c)(3) 22,200       Asian & Pac Islander
(752) The Black Voice Foundation
1590 N Waterman
San Bernardino,CA92404 		33-0470176 501(c)(3) 15,000       Obesity Prevention
(753) The California Conference Equality Justice
444 W Ocean Blvd
Long Beach,CA90802 		54-2178438 501(c)(3) 22,000       Talking Class Prog
(754) The California Health Care SafetyNet Instit
70 Washington St
Oakland,CA94607 		94-2970752 501(c)(3) 158,775       Conference Support
(755) The Catalyst Foundation
44758 Elm Ave
Lancaster,CA93534 		77-0357456 501(c)(3) 12,000       Outreach HIV Testing
(756) The Cerritos College Foundation
11110 Alondra Blvd
Norwalk,CA90650 		95-3387108 501(c)(3) 20,000       Health Educator
(757) The Childrens Clinic Serving Child Families
2790 Atlantic Ave
Long Beach,CA90806 		95-1643332 501(c)(3) 15,000       TCC Patient Enroll
(758) The Community Foundation
3700 Sixth St
Riverside,CA92501 		33-0748536 501(c)(3) 90,000       Consortia Core
(759) The Davis Street Community Center Incorp
3081 Teagarden St
San Leandro,CA94577 		94-3121699 501(c)(3) 11,200       STAND UP for DAVIS
(760) The Effort
1820 J St
Sacramento,CA95811 		94-1713704 501(c)(3) 138,000       Interim Care Project
(761) The Eli Home
1175 N East St
Anaheim,CA92805 		33-0189254 501(c)(3) 10,000       Hthly Eating Living
(762) The Foodbank of Southern California
1444 San Francisco Ave
Long Beach,CA90813 		95-3557056 501(c)(3) 10,000       Healthy Choices
(763) The Foundation FCOE Inc
1111 Van Ness Ave
Fresno,CA93721 		80-0381096 501(c)(3) 41,500       Pentathlon Iron Chef
(764) The Foundation for Edu & Employ Res Develop
438 South A St
Oxnard,CA93030 		30-0223314 501(c)(3) 9,500       Aquatic Comfort
(765) The Gathering Inn
201 Berkeley Ave
Roseville,CA95678 		84-1657746 501(c)(3) 55,250       Community Health
(766) The Girl Scout Council of Orange County
9500 Toledo Way
Irvine,CA92628 		95-2023244 501(c)(3) 10,000       Healthy Low Inc Girl
(767) The Illumination Foundation
2691 Richter Ave
Irvine,CA92606 		71-1047686 501(c)(3) 24,440       Med Outreach Care
(768) The Institute for Food & Development Policy
398 60th St
Oakland,CA94618 		13-2838167 501(c)(3) 15,000       Oakland Food Policy
(769) The Leaven
2397 Heath Dr
Fairfield,CA94533 		26-3653717 501(c)(3) 30,500       Healthy Lifestyles
(770) The Link to Children
1904 Franklin St
Oakland,CA94612 		94-2224033 501(c)(3) 17,100       Benefit Concert
(771) The Oregon Community Foundation
1221 SW Yamhill St
Portland,OR97205 		23-7315673 501(c)(3) 600,000       Behavior Health Svc
(772) The Raise Foundation
1920 East Warner
Santa Ana,CA92705 		33-0240178 501(c)(3) 60,000       Capacity Building
(773) The Regents of the University of California
1855 Folsom St
San Francisco,CA94103 		94-6036493 501(c)(3) 80,000       Medicine Post
(774) The Sheriffs Community Impact Program
2350 Northrop Ave
Sacramento,CA95825 		27-3457087 501(c)(3) 10,000       Youth Outreach Prog
(775) The Trust For Public Land
101 Montgomery St
San Francisco,CA94102 		23-7222333 501(c)(3) 20,000       Community Garden
(776) The Tucker Maxon Oral School
2860 SE Holgate Blvd
Portland,OR97202 		93-0391592 501(c)(3) 15,000       child hearing loss
(777) The Vacaville Neighborhood Boys & GirlsClub
100 Holly Lane
Vacaville,CA95688 		13-4223488 501(c)(3) 20,000       Triple Play
(778) The Wallace Medical Concern
124 NE 181st St
Portland,OR97230 		93-0853709 501(c)(3) 116,000       MLK Day of Service
(779) The Wall-Las Memorias Project
930 Colorado Blvd
Los Angeles,CA90041 		95-4468225 501(c)(3) 10,000       Latinos Faith
(780) The Wellness Community Valley Ventura Inc
530 Hampshire Rd
Westlake Village,CA91361 		77-0205691 501(c)(3) 20,000       Latino Outreach
(781) The Womens Center of San Joaquin
620 N San Joaquin St
Stockton,CA95202 		94-2341360 501(c)(3) 40,000       Domestic Violence
(782) The Womens Foundation of California
340 Pine St
San Francisco,CA94104 		94-2752421 501(c)(3) 6,250       Momentum Awards
(783) THINK Together
2100 E Fourth St
Santa Ana,CA92705 		33-0781751 501(c)(3) 30,000       Together Healthy
(784) Tiburcio Vasquez Health Center
33255 Ninth St
Union City,CA94587 		23-7118361 501(c)(3) 95,000       Power Walk and Dance
(785) Tides Center
1014 Torney Ave
San Francisco,CA94129 		94-3213100 501(c)(3) 218,975       Teen Yong Adult Hlth
(786) Tiger Woods Learning Center Foundation
One Tiger Woods Way
Anaheim,CA92801 		20-0677815 501(c)(3) 10,000       Nutrition Fitness
(787) Toberman Neighborhood Center Inc
131 N Grand
San Pedro,CA90731 		95-1643387 501(c)(3) 10,000       Gang Intervention
(788) Touro University California
1310 Club Dr
Vallejo,CA94592 		13-3838740 501(c)(3) 22,800       Family Community
(789) TransFormCA
436 14th St
Oakland,CA94612 		72-1521579 501(c)(3) 60,000       Healthy & Equitable
(790) Transportation for a Livable City
995 Market St
San Francisco,CA94103 		94-3350190 501(c)(3) 15,000       Streets Livable City
(791) Tri-City Health Center
39465 Paseo Padre
Fremont,CA94538 		23-7255435 501(c)(3) 144,840       Mowry Clinic Grand
(792) Tuolumne River Trust
1022 14th St
Modesto,CA95354 		94-2834151 501(c)(3) 20,000       Get up N Go Kids
(793) Ujima Family Recovery Services
1801 Church Lane
San Pablo,CA94806 		68-0127450 501(c)(3) 15,000       Ujima West Perinatal
(794) Union of Pan Asian Communities
1031 25th St
San Diego,CA92102 		23-7279074 501(c)(3) 15,000       Refugee Youth Mentor
(795) United Health Centers of the San Joa Valley
650 Zediker Ave
Parlier,CA93648 		94-1732538 501(c)(3) 110,000       Group Diabetes Edu
(796) United Seniors of Oakland and Alameda Cnty
7200 Bancroft Ave
Oakland,CA94605 		94-3092404 501(c)(3) 7,097       Healthy Living Fest
(797) United States Veterans Initiative
800 W 6th St
Los Angeles,CA90017 		95-4382752 501(c)(3) 35,000       Homeless Veterans
(798) United Way of Fresno County
4949 E Kings Canyon Rd
Fresno,CA93727 		94-1156514 501(c)(3) 50,000       NCAL 211 Grants Prog
(799) United Way of the Bay Area
221 Main St
San Francisco,CA94105 		94-1312348 501(c)(3) 55,000       Opportunity Conf
(800) United Way of the Inland Valleys
6215 River Crest
Riverside,CA92507 		95-1742174 501(c)(3) 20,000       Youth Financial
(801) United Way of the Stanislaus Area
422 McHenry Ave
Modesto,CA95354 		94-1212129 501(c)(3) 116,000       Focus Groups Health
(802) United Way of the Wine Country
418 B St 400
Santa Rosa,CA95401 		94-1669646 501(c)(3) 50,000       NCAL 211 Grants Prog
(803) United Way of Ventura County
4001 Mission Oaks
Camarillo,CA93012 		95-1945833 501(c)(3) 20,000       Oral Health
(804) United Way Silicon Valley
1400 Parkmoor Ave
San Jose,CA95126 		94-1450153 501(c)(3) 60,000       Community Assessment
(805) United Ways Of California
1107 S Fair Oaks Ave
S Pasadena,CA91030 		94-1646369 501(c)(3) 93,000       Business & Sustain
(806) Universal Health Foundation
2020 East 1st St
Los Angeles,CA90033 		91-2167533 501(c)(3) 10,000       Primary Care
(807) University Muslim Medical Association
711 W Florence Ave
Los Angeles,CA90044 		95-4666712 501(c)(3) 157,000       Adult Care Svcs
(808) University of the Pacific Pac Special Care
3601 Pacific Ave
Stockton,CA95211 		94-1156266 501(c)(3) 83,414       Healthy Children
(809) Urban Tilth
401 First St
Richmond,CA94801 		20-4124161 501(c)(3) 15,000       So Shall We Reap
(810) URDC Human Srvs Corp Bill Moore Clinic
1460 N Lake Ave
Pasadena,CA91114 		95-4410426 501(c)(3) 12,000       Disease Management
(811) Vacaville Public Education Foundation
3442 Browns Valley Rd
Vacaville,CA95688 		61-1568727 501(c)(3) 25,000       Choose well be well
(812) Vallejo City Unified School District
665 Walnut Ave
Vallejo,CA94592 		68-0111380 Government 32,000       Anti-Bullying
(813) Valley Care Community Consortium Inc
7515 Van Nuys Blvd
Van Nuys,CA91405 		20-5569606 501(c)(3) 163,900       Community Awards
(814) Valley Community Clinic
6801 Coldwater Cyn
N Hollywood,CA91605 		23-7050082 501(c)(3) 17,000       Dental Clinic Adults
(815) Valley Family Center
302 S Brand Blvd
San Fernando,CA91340 		95-4105054 501(c)(3) 10,000       Culturaly Competent
(816) VCCool
345 W Center St
Ventura,CA93001 		26-2180702 501(c)(3) 7,500       Helping Bicyclists
(817) Veggielution
647 S King Rd
San Jose,CA95116 		27-2021333 501(c)(3) 20,000       Healthy food access
(818) Venice Family Clinic
604 Rose Ave
Venice,CA90291 		95-2769432 501(c)(3) 14,000       Health Insurance
(819) Ventura College Foundation
4667 Telegraph Rd
Ventura,CA93003 		77-0037747 501(c)(3) 20,000       KP Nursing Promise
(820) VIP Community Mental Health Center
1721 Griffin Ave
Los Angeles,CA90031 		30-0017808 501(c)(3) 10,000       Victims Child Abuse
(821) Virginia Garcia Memorial Foundation
PO Box 486
Cornelius,OR97113 		91-2077840 501(c)(3) 125,000       Diabetes Nurse Care
(822) Vision Action Network
3700 SW Murray Blvd
Beaverton,OR97005 		93-1317190 501(c)(3) 10,000       Chronic Homeless
(823) Vision Y Compromiso
1000 N Alameda St
Los Angeles,CA90012 		32-0071651 501(c)(3) 70,000       Promotoras & CHWs
(824) Vista Community Clinic
1000 Vale Terrace
Vista,CA92084 		95-2815615 501(c)(3) 35,000       Med Care Underserved
(825) Vista Hill Foundation
8910 Clairemont Mesa Blvd
S Diego,CA92123 		95-1944230 501(c)(3) 10,000       Dual Diagnosis Prog
(826) VMC Foundation
2400 Moorpark
San Jose,CA95128 		77-0187890 501(c)(3) 10,000       Turning Wheels Kids
(827) Volunteer Center of Greater Orange County
1901 East Fourth St
Santa Ana,CA92705 		95-2021700 501(c)(3) 42,500       Cooking Up Change
(828) Watts Willowbrook Boys & Girls Club
1339 E 120th St
Los Angeles,CA90059 		95-1945829 501(c)(3) 9,500       Triple Play Game
(829) WEAVE Incorporated
1900 K St
Sacramento,CA95811 		94-2493158 501(c)(3) 71,020       Feast for WEAVE
(830) Wellness Works Community Health Center
540 W Broadway
Glendale,CA91204 		95-4554824 501(c)(3) 10,000       Expansion Vet Prog
(831) West Contra Costa Public Education Fund
217C W Richmond Ave
Richmond,CA94801 		68-0005307 501(c)(3) 15,000       Family Literacy
(832) West County Community Services
477 Petaluma Ave
Sebastopol,CA95472 		94-2277740 501(c)(3) 28,000       Schools Early Riser
(833) West Marin Senior Services
11435 State Hwy
Pt Reyes Station,CA94956 		51-0192320 501(c)(3) 10,000       Mgm Rural Seniors
(834) West Oakland Health Council Inc
700 Adeline St
Oakland,CA94607 		94-1667294 501(c)(3) 15,000       Breastfeeding Support
(835) Westminster Free Clinic
5560 Napoleon Ave
Oak Park,CA91377 		77-0563241 501(c)(3) 9,500       EARLY ACCESS CARE
(836) Westside Family Health Center
1711 Ocean Park Blvd
Santa Monica,CA90405 		95-2931931 501(c)(3) 16,000       Proj Support LEAP
(837) Westside Neighborhood Clinic
2125 Santa Fe Ave
Long Beach,CA90810 		95-2973364 501(c)(3) 10,000       Primary Care
(838) Whiteside Manor
2743 Orange St
Riverside,CA92501 		23-7126416 501(c)(3) 25,000       Housing Dually
(839) Whittier Rio Hondo AIDS Project
9200 Colima Rd 104
Whittier,CA90605 		95-4438637 501(c)(3) 15,000       Mental Health
(840) Wilmington Community Free Clinic
1009 N Avalon Blvd
Wilmington,CA90744 		95-3137803 501(c)(3) 20,000       Diabetes Prevention
(841) Wise & Healthy Aging
1527 Fourth St
Santa Monica,CA90401 		95-2788014 501(c)(3) 7,000       Benefits Enrollment
(842) Women At Work
3871 E Colorado Blvd
Pasadena,CA91107 		95-3411403 501(c)(3) 14,680       Women of Wild West
(843) Women Organized to Respond to LT Disease
449 15th St 300
Oakland,CA94612 		94-3177103 501(c)(3) 17,500       Still We Rise
(844) Women Organizing Resources Knowledge
795 N Ave 50
Los Angeles,CA90042 		95-4680440 501(c)(3) 10,000       Targeted Nutrition
(845) Womens Breast Cancer Resource Center
27645 Jefferson Ave
Temecula,CA92590 		33-0951216 501(c)(3) 25,000       Diagnostic Breast
(846) Womens Empowerment
1400 North C St
Sacramento,CA95811 		03-0520643 501(c)(3) 11,171       11th Annual Gala
(847) Womens Initiative For Self Employment
519 17th St 110
Oakland,CA94612 		94-3081525 501(c)(3) 59,250       fund self-employment
(848) Worksite Wellness LA
5955 S Western Ave
Los Angeles,CA90047 		55-0802354 501(c)(3) 28,500       Support Proj Access
(849) World Institute on Disability
3075 Adeline St
Berkeley,CA94703 		94-2911623 501(c)(3) 80,000       Disability Peer led
(850) Wright Institute
2728 Durant Ave
Berkeley,CA94704 		94-1674865 501(c)(3) 15,000       H S Collaboration
(851) YMCA of Greater Long Beach
525 E 7th St
Long Beach,CA90813 		95-1643396 501(c)(3) 7,000       Salsa Sabor Y Salud
(852) YMCA of Greater Whittier
12510 E Hadley St
Whittier,CA90601 		95-1684795 501(c)(3) 150,000       HEAL Partner Grant
(853) YMCA Of Metropolitan Los Angeles
1127 N Avalon Blvd
Wilmington,CA90744 		95-1644052 501(c)(3) 108,852       Salsa Sabor Y Salud
(854) YMCA of Silicon Valley
1922 The Alameda
San Jose,CA95126 		94-1156318 501(c)(3) 76,600       2012 Asset Champions
(855) YMCA of the East Bay
2330 Broadway
Oakland,CA94612 		94-1156317 501(c)(3) 35,500       Healthy Kids Day
(856) Yolo County Childrens Alliance
600 A St
Davis,CA95616 		68-0526185 501(c)(3) 46,320       Celebrity Fashion
(857) Yolo Family Service Agency
455 First St
Woodland,CA95695 		94-1452884 501(c)(3) 15,000       Counseling children
(858) Young & Healthy
1905 Lincoln Ave
Pasadena,CA91103 		95-4527969 501(c)(3) 8,700       Night Mystery
(859) Young Mens Christian Assoc of San Fran
50 California St
San Francisco,CA94111 		94-0997140 501(c)(3) 52,200       YMCA of SF
(860) Youth Action Project
600 N Arrowhead
San Bernardino,CA92401 		42-1574359 501(c)(3) 10,000       Young Workers
(861) Youth and Family Services
1017 Tennessee St
Vallejo,CA94590 		94-2793548 501(c)(3) 20,000       Learn Live Healthy
(862) Youth Radio
1701 Broadway
Oakland,CA94612 		94-3180825 501(c)(3) 90,000       Boss of Me
(863) Youth Speak Collective
11243 Glenoaks Blvd 11
Pacoima,CA91331 		27-0126980 501(c)(3) 7,000       Project Youth Green
(864) YWCA of Salem
1255 Broadway St NE 110
Salem,OR97301 		93-0386985 501(c)(3) 9,000       Homeless Family Safe
(865) YWCA of San Diego County
1012 C St
San Diego,CA92101 		95-1661119 501(c)(3) 7,500       Prevent Domestic
(866) YWCA of Silicon Valley
375 S Third St
San Jose,CA95112 		94-1186196 501(c)(3) 10,000       Week W/O Violence
(867) YWCA San Gabriel Valley
943 North Grand Ave
Covina,CA91724 		95-1641967 501(c)(3) 10,000       Healthy Teens Prog
(868) Santa Clara University
500 El Camino Real
Santa Clara,CA95053 		94-1156617 501(c)(3) 80,000       MSIS Program
(869) National Library of Medicine
8600 Rockville Pike
Bethesda,MD20894 		52-1417780 501(c)(3) 175,000       CMT evaluation
(870) Kaiser Foundation Health Plan Of Colorado
10350 E Dakota Ave
Denver,CO80231 		84-0591617 501(c)(3) 13,289,571       various projects
(871) Kaiser Foundation Health Plan Of Georgia
3495 Piedmont Rd NE
Atlanta,GA30305 		58-1592076 501(c)(3) 4,009,958       various projects
(872) Kaiser Foundation Health Plan Of Ohio
1001 Lakeside Ave 1200
Cleveland,OH44114 		34-0922268 501(c)(3) 6,000       various projects
(873) KFHP of The Mid Atlantic States Inc
1 Kaiser Plaza 15L
Oakland,CA94612 		52-0954463 501(c)(3) 313,647       various projects
(874) Boston University
85 E Newton St
Boston,MA02118 		04-2103547 501(c)(3) 19,707       Var Fed projects
(875) Brandeis University
415 South St
Waltham,MA02454 		04-2103552 501(c)(3) 15,715       Var Fed projects
(876) Cancer Prevention Institute Of California
2201 Walnut Ave
Fremont,CA94538 		23-7427232 501(c)(3) 72,712       Var Fed projects
(877) Fred Hutchingson Cancer Center
1100 Fairview Ave N
Seattle,WA98109 		23-7156071 501(c)(3) 8,234       Var Fed projects
(878) Geisinger Clinic
100 N Academy Ave
Danville,PA17822 		23-6291113 501(c)(3) 76,569       Var Fed projects
(879) Georgetown University
2121 Wisconsin Ave
Washington,DC20007 		53-0196603 501(c)(3) 56,027       Var Fed projects
(880) Group Health Cooperative
1730 Minor Ave
Seattle,WA98101 		91-0511770 501(c)(3) 56,069       Var Fed projects
(881) Harvard Pilgrim Health Care
PO Box 3672
Boston,MA02241 		04-2452600 501(c)(3) 352,567       Var Fed projects
(882) Health Partners Research
PO Box 1524
Minneapolis,MN55440 		41-1670163 501(c)(3) 99,786       Var Fed projects
(883) Health Research Inc
PO Box 2966
Buffalo,NY14240 		14-1402155 501(c)(3) 350,830       Var Fed projects
(884) Henry Ford Health System
1 Ford Pl 5C69
Detroit,MI48202 		38-1357020 501(c)(3) 119,349       Var Fed projects
(885) Lovelace Clinic Foundation
2309 Renard Pl SE
Albuquerque,NM87106 		85-0392796 501(c)(3) 13,225       Var Fed projects
(886) Marshfield Clinic Research
1000 N Oak Ave 1R3
Marshfield,WI54449 		39-0452970 501(c)(3) 308,138       Var Fed projects
(887) Massachusetts General Hospital
50 Staniford St
Boston,MA02114 		04-2697983 501(c)(3) 282,741       Var Fed projects
(888) Mclean University
115 Mill St
Belmont,MA02478 		04-2697981 501(c)(3) 27,141       Var Fed projects
(889) Memorial Sloan-Kettering Cancer Center
633 3rd Ave 3rd Fl
New York,NY10065 		13-1624182 501(c)(3) 39,464       Var Fed projects
(890) Northwestern University
633 Clark St
Evanston,IL60208 		36-2167818 501(c)(3) 97,559       Var Fed projects
(891) President And Fellows Of Harvard College
6400 Perkins Rd
Baton Rouge,LA70808 		72-1304948 501(c)(3) 34,926       Var Fed projects
(892) Scott And White Memorial
5701 Airport Rd
Temple,TX76502 		74-1166904 501(c)(3) 76,522       Var Fed projects
(893) Sequoia Foundation
2166 Avenida de la Playa
La Jolla,CA92037 		33-0100208 501(c)(3) 13,217       Var Fed projects
(894) Stanford University
1215 Welch Rd Bldg
Stanford,CA94305 		94-1156365 501(c)(3) 396,788       Var Fed projects
(895) The Regents Of The University Of Michigan
3003 S State St
Ann Arbor,MI48109 		38-6006309 501(c)(3) 42,122       Var Fed projects
(896) Univ Of Mass Med School
333 South St
Shrewsbury,MA01545 		04-3167352 501(c)(3) 131,366       Var Fed projects
(897) Univeristy Of California - Davis
PO Box 989062
W Sacramento,CA95798 		94-6036494 501(c)(3) 579,448       Var Fed projects
(898) University Of Alabama Birmingham
1530 3rd Ave S
Birmingham,AL35294 		63-0649108 501(c)(3) 40,590       Var Fed projects
(899) University Of California - Berkeley
21985 Hearst Ave
Berkeley,CA94720 		94-6002123 501(c)(3) 83,945       Var Fed projects
(900) University Of California - Irvine
5171 California Ave 150
Irvine,CA92697 		95-2226406 501(c)(3) 140,069       Var Fed projects
(901) University Of California - San Francisco
Box 0897
San Francisco,CA94143 		94-6036493 501(c)(3) 2,766,074       Var Fed projects
(902) University Of California - Santa Cruz
1156 High St
Santa Cruz,CA95064 		94-1539563 501(c)(3) 36,378       Var Fed projects
(903) University Of Chicago
6030 S Ellis Ave ED-114
Chicago,IL60637 		36-2177139 501(c)(3) 120,464       Var Fed projects
(904) University Of Colorado Denver
13001 E 17th Pl MS F28
Aurora,CO80045 		84-1179794 501(c)(3) 14,673       Var Fed projects
(905) University Of Hawaii
2530 Dole St Sakamarki
Honolulu,HI96822 		99-6000354 501(c)(3) 165,580       Var Fed projects
(906) University Of Massachusetts Worcester
55 Lake Ave N S1-855E
Worcester,MA01655 		04-3167352 501(c)(3) 511,555       Var Fed projects
(907) University Of North Carolina
104 Airport Dr
Chapel Hills,NC27599 		56-6001393 501(c)(3) 11,703       Var Fed projects
(908) University Of Pennsylvania
3451 Walnut St
Philadelphia,PA19104 		23-1352685 501(c)(3) 30,585       Var Fed projects
(909) University Of Utah
75 South 2000 East
Salt Lake City,UT84112 		23-7112869 501(c)(3) 318,511       Var Fed projects
(910) Universtiy Of Minnesota
200 Oak St SE 450
Minneapolis,MN55455 		41-6007513 501(c)(3) 107,025       Var Fed projects
(911) Utah State University
1415 Old Main Hill
Logan,UT84322 		87-0276385 501(c)(3) 50,027       Var Fed projects
(912) Zero Breast Cancer
4340 Redwood Hwy
San Rafael,CA94903 		68-0386016 501(c)(3) 109,679       Var Fed projects
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
912
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2012

Schedule I (Form 990) 2012
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) Scholarships 242 535,750      












Part IV
Supplemental Information.
Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Identifier Return Reference Explanation
SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANTS Grantees are required to submit a final report that describes progress toward goals, impact to date, as well as financial accounting for how funds were used.
Schedule I (Form 990) 2012


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, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2012
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 officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)Gregory A AdamsGroup President (i)
(ii)		 0
645,713 		0
1,012,443 		0
251,907 		0
278,755 		0
19,048 		0
2,207,866 		0
227,742
(2)Mary Ann BarnesSVP, Exec Dir - San Diego (i)
(ii)		 0
361,264 		0
194,398 		0
20,950 		0
197,964 		0
16,713 		0
791,289 		0
0
(3)Anthony A BarruetaSVP, Government Relations (i)
(ii)		 0
404,853 		0
364,378 		0
20,894 		0
207,336 		0
15,644 		0
1,013,105 		0
576
(4)Raymond J BaxterSVP, CB, Research & Health Pol (i)
(ii)		 0
537,907 		0
889,977 		0
48,607 		0
80,577 		0
23,765 		0
1,580,833 		0
0
(5)Christopher L BoydSVP, Area Mgr - Santa Clara (i)
(ii)		 0
361,988 		0
164,439 		0
19,205 		0
107,282 		0
13,230 		0
666,144 		0
0
(6)Michael O BradySVP, Infrastructure Mgmt Group (i)
(ii)		 0
357,178 		0
506,650 		0
34,075 		0
118,679 		0
53,787 		0
1,070,369 		0
0
(7)Virginia C CampbellSVP & Area Mgr - Diablo (i)
(ii)		 0
363,316 		0
189,114 		0
23,344 		0
119,841 		0
20,791 		0
716,406 		0
0
(8)Christine K CasselDirector (i)
(ii)		 0
203,500 		0
0 		0
0 		0
0 		0
0 		0
203,500 		0
0
(9)William B CaswellSVP, Operations (i)
(ii)		 0
410,847 		0
347,492 		0
37,014 		0
154,031 		0
19,869 		0
969,253 		0
0
(10)Thomas W ChapmanDirector (i)
(ii)		 0
214,108 		0
0 		0
0 		0
17,000 		0
0 		0
231,108 		0
0
(11)Greg K ChristianExec Dir - Fontana (i)
(ii)		 0
329,788 		0
171,942 		0
17,227 		0
92,619 		0
19,715 		0
631,291 		0
0
(12)Benjamin K ChuGroup & Region President SCAL (i)
(ii)		 0
646,954 		0
1,038,264 		0
26,864 		0
673,934 		0
20,143 		0
2,406,159 		0
0
(13)Charles E ColumbusSVP, Chief HR Officer (i)
(ii)		 0
485,248 		0
523,508 		0
40,640 		0
259,100 		0
24,663 		0
1,333,159 		0
0
(14)Diane ComerSVP, Bus. Info Officer - HP (i)
(ii)		 0
324,243 		0
337,239 		0
35,748 		0
100,596 		0
21,589 		0
819,415 		0
0
(15)Mark E CostaExec Dir - Los Angeles (i)
(ii)		 0
332,463 		0
212,655 		0
115,231 		0
123,846 		0
20,894 		0
805,089 		0
25,147
(16)Richard D DanielsSVP, Shared Services (i)
(ii)		 0
491,009 		0
667,342 		0
174,842 		0
113,082 		0
23,369 		0
1,469,644 		0
0
(17)Steven DoshaySenior Counsel (i)
(ii)		 0
189,463 		0
70,028 		0
5,760 		0
105,515 		0
14,663 		0
385,429 		0
0
(18)Philip FasanoEVP & CIO (i)
(ii)		 0
732,657 		0
1,446,946 		0
827,916 		0
525,092 		0
18,891 		0
3,551,502 		0
157,605
(19)Elizabeth Jane FinleySVP & Exec Dir - Downey (i)
(ii)		 0
312,428 		0
205,238 		0
40,036 		0
208,338 		0
16,345 		0
782,385 		0
0
(20)Jerry C FlemingSVP, Health Reform Implement. (i)
(ii)		 0
211,295 		0
594,761 		0
155,085 		0
184,848 		0
17,525 		0
1,163,514 		0
88,179
(21)Diane E Gage LofgrenSVP, Brand Mgmt & Comm. (i)
(ii)		 0
437,258 		0
522,828 		0
38,277 		0
200,469 		0
24,205 		0
1,223,037 		0
0
(22)Daniel P GarciaSVP, Chief Compliance Officer (i)
(ii)		 0
577,139 		0
815,322 		0
31,811 		0
78,965 		0
27,928 		0
1,531,165 		0
0
(23)Edward S GlavisSVP & Area Mgr - Roseville (i)
(ii)		 0
320,337 		0
192,561 		0
85,026 		0
156,001 		0
16,155 		0
770,080 		0
47,243
(24)Sandra A GolzeVP, Regional Counsel - NCAL (i)
(ii)		 0
254,880 		0
164,602 		0
17,194 		0
119,286 		0
19,874 		0
575,836 		0
0
(25)Mitchell J GoodsteinSVP, Actuarial, U/W & Pricing (i)
(ii)		 0
421,107 		0
591,973 		0
146,842 		0
101,890 		0
18,035 		0
1,279,847 		0
104,677
(26)William R GraberDirector (i)
(ii)		 0
240,823 		0
0 		0
0 		0
0 		0
0 		0
240,823 		0
0
(27)J Eugene Grigsby IIIDirector (i)
(ii)		 0
221,000 		0
0 		0
0 		0
0 		0
0 		0
221,000 		0
0
(28)George C HalvorsonChairman and CEO (i)
(ii)		 0
1,242,168 		0
6,949,670 		0
1,608,513 		0
80,547 		0
32,013 		0
9,912,911 		0
1,500,000
(29)Kimberly K HornRegion President - MAS (i)
(ii)		 0
96,154 		0
0 		0
16,095 		0
117,530 		0
1,546 		0
231,325 		0
0
(30)Judith JohansenDirector (i)
(ii)		 0
207,146 		0
0 		0
0 		0
0 		0
0 		0
207,146 		0
0
(31)Kim J KaiserDirector (i)
(ii)		 0
228,500 		0
0 		0
0 		0
0 		0
0 		0
228,500 		0
0
(32)Marilyn KawamuraRegion President - MAS (i)
(ii)		 0
320,565 		0
406,594 		0
185,870 		0
144,819 		0
14,551 		0
1,072,399 		0
145,043
(33)Patricia Kennedy-ScottRegion President - Ohio (i)
(ii)		 0
366,181 		0
384,563 		0
39,657 		0
105,748 		0
19,894 		0
916,043 		0
0
(34)Kerry KohnenRegion President - Georgia (i)
(ii)		 0
384,355 		0
202,438 		0
63,958 		0
173,696 		0
18,530 		0
842,977 		0
0
(35)Kathryn LancasterEVP & CFO (i)
(ii)		 0
650,287 		0
1,297,450 		0
832,252 		0
221,210 		0
14,318 		0
3,015,517 		0
261,310
(36)Janet A LiangRegion President - Hawaii (i)
(ii)		 0
390,035 		0
353,614 		0
282,092 		0
201,152 		0
19,816 		0
1,246,709 		0
72,308
(37)Donna LynneGroup & Region President CO (i)
(ii)		 0
491,921 		0
577,175 		0
40,683 		0
445,950 		0
15,713 		0
1,571,442 		0
0
(38)Philip MarineauDirector (i)
(ii)		 0
225,618 		0
0 		0
0 		0
0 		0
0 		0
225,618 		0
0
(39)Gerald A McCallSVP Operations (i)
(ii)		 0
427,416 		0
347,492 		0
86,268 		0
183,926 		0
21,706 		0
1,066,808 		0
64,185
(40)Andrew R McCullochRegion President - Northwest (i)
(ii)		 0
396,395 		0
475,033 		0
333,016 		0
356,110 		0
25,218 		0
1,585,772 		0
73,393
(41)Colleen M McKeownSVP & Area Mgr - Diablo (i)
(ii)		 0
330,382 		0
180,927 		0
18,781 		0
191,056 		0
15,689 		0
736,835 		0
0
(42)Judith M MearsVP & Asst Gen Counsel (i)
(ii)		 0
46,704 		0
157,939 		0
11,316 		0
371,577 		0
3,439 		0
590,975 		0
1,498
(43)Thomas R MeierSVP, Corporate Treasurer (i)
(ii)		 0
318,951 		0
459,975 		0
37,156 		0
98,090 		0
27,416 		0
941,588 		0
1,075
(44)Julie Miller-PhippsSVP & Exec Dir - Orange (i)
(ii)		 0
347,092 		0
198,100 		0
18,826 		0
186,384 		0
14,611 		0
765,013 		0
0
(45)Jenny J MingDirector (i)
(ii)		 0
214,323 		0
0 		0
0 		0
0 		0
0 		0
214,323 		0
0
(46)Henry NeidermeierVP, Technology SOX &Compliance (i)
(ii)		 0
84,875 		0
220,532 		0
308,508 		0
91,720 		0
18,850 		0
724,485 		0
48,662
(47)Chadwick H NestmanVP, Chief Architect (i)
(ii)		 0
268,303 		0
249,527 		0
126,013 		0
69,591 		0
28,589 		0
742,023 		0
0
(48)Indrajit ObeysekereSenior Counsel (i)
(ii)		 0
227,698 		0
105,161 		0
4,359 		0
131,071 		0
13,095 		0
481,384 		0
0
(49)Donald H OrndoffSVP, NFS (i)
(ii)		 0
390,840 		0
352,750 		0
22,751 		0
156,068 		0
23,810 		0
946,219 		0
0
(50)Nathaniel L OubreSVP & Area Mgr - East Bay (i)
(ii)		 0
361,252 		0
188,882 		0
176,866 		0
133,038 		0
19,168 		0
879,206 		0
49,009
(51)GC PaulVP, Bus. Info Officer - Pharm. (i)
(ii)		 0
179,604 		0
180,885 		0
303,953 		0
95,086 		0
14,634 		0
774,162 		0
0
(52)Edward Y W PeiDirector (i)
(ii)		 0
206,641 		0
0 		0
0 		0
17,000 		0
0 		0
223,641 		0
0
(53)Margaret E PorfidoDirector (i)
(ii)		 0
237,779 		0
0 		0
0 		0
0 		0
0 		0
237,779 		0
0
(54)J Neal PurcellDirector (i)
(ii)		 0
251,464 		0
0 		0
0 		0
0 		0
0 		0
251,464 		0
0
(55)Frank P RichardsonVP, Regional Counsel - HI (i)
(ii)		 0
200,603 		0
82,228 		0
5,749 		0
78,991 		0
19,665 		0
387,236 		0
0
(56)Rochelle M RothExec Dir, Health Plan QCSO (i)
(ii)		 0
167,060 		0
32,120 		0
45,864 		0
89,409 		0
13,769 		0
348,222 		0
0
(57)Kathleen Marie ScheirmanSVP, Bus. Info Officer - Corp (i)
(ii)		 0
377,408 		0
284,027 		0
26,393 		0
109,790 		0
16,544 		0
814,162 		0
0
(58)Jacqueline SellersSenior Counsel (i)
(ii)		 0
185,120 		0
68,246 		0
5,550 		0
117,488 		0
10,009 		0
386,413 		0
0
(59)Arthur M SouthamEVP, Health Plan Operations (i)
(ii)		 0
755,588 		0
1,530,102 		0
1,064,686 		0
97,089 		0
22,019 		0
3,469,484 		0
333,769
(60)Deborah StokesSVP, CC & CAO (i)
(ii)		 0
347,253 		0
278,496 		0
64,744 		0
167,539 		0
16,793 		0
874,825 		0
43,578
(61)Cynthia TellesDirector (i)
(ii)		 0
226,717 		0
0 		0
0 		0
0 		0
0 		0
226,717 		0
0
(62)Bernard J TysonPresident & COO (i)
(ii)		 0
932,699 		0
2,087,352 		0
1,067,042 		0
221,647 		0
25,079 		0
4,333,819 		0
449,238
(63)Herman M WeilSVP, Federal & State Programs (i)
(ii)		 0
338,586 		0
417,173 		0
45,634 		0
198,022 		0
26,322 		0
1,025,737 		0
0
(64)Jed WeissbergSVP, Quality & Care Delivery (i)
(ii)		 0
503,305 		0
754,088 		0
25,710 		0
528,690 		0
19,734 		0
1,831,527 		0
0
(65)Vita M WillettExec Dir - Riverside (i)
(ii)		 0
331,555 		0
193,762 		0
104,383 		0
215,219 		0
14,715 		0
859,634 		0
25,471
(66)John YamamotoVP, Regional Counsel - SCAL (i)
(ii)		 0
299,604 		0
254,759 		0
182,271 		0
110,382 		0
51,059 		0
898,075 		0
52,820
(67)Carlos ZaragozaVP, Practice Leader - Labor (i)
(ii)		 0
270,050 		0
198,858 		0
26,278 		0
138,999 		0
20,921 		0
655,106 		0
0
(68)Steven R ZatkinFormer Gen Counsel & Secretary (i)
(ii)		 0
0 		0
288,225 		0
35,276 		0
0 		0
0 		0
323,501 		0
16,632
(69)Victoria B ZatkinVP, Off of Brd & Corp Gov Svcs (i)
(ii)		 0
196,294 		0
106,133 		0
36,844 		0
189,027 		0
3,565 		0
531,863 		0
3,175
(70)Mark S ZemelmanSVP, Gen Counsel & Secretary (i)
(ii)		 0
465,119 		0
387,152 		0
166,795 		0
159,780 		0
22,139 		0
1,200,985 		0
126,344
(71)Judith L CoffeySVP & Area Mgr - Marin/Sonoma (i)
(ii)		 0
300,599 		0
186,109 		0
20,372 		0
84,523 		0
17,341 		0
608,944 		0
0
(72)Jeffrey A CollinsSVP & Area Manager - Fresno (i)
(ii)		 0
319,098 		0
139,353 		0
19,745 		0
103,932 		0
9,718 		0
591,846 		0
0
(73)Corwin HarperSVP & Area Mgr- Central Valley (i)
(ii)		 0
280,794 		0
157,271 		0
26,625 		0
108,522 		0
20,999 		0
594,211 		0
0
(74)Christine RobischSVP & Area Manager - SF (i)
(ii)		 0
301,214 		0
174,723 		0
16,969 		0
170,382 		0
10,576 		0
673,864 		0
0
(75)Max VillalobosSVP & Area Mgr - Napa/Solano (i)
(ii)		 0
332,061 		0
156,267 		0
20,230 		0
163,490 		0
20,381 		0
692,429 		0
0
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to 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.
Identifier 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 GC Paul $ 218,925 Henry Neidermeier $ 231,098 Listed persons participated in arrangements entitling them to severance benefits in the event of termination by the organization without cause or due to job elimination. Depending on position level, tenure, and termination reason, severance benefits payable under these arrangements provide for pay and health benefits continuation plus payment of accrued obligations. In addition, for some of the listed persons, severance benefits payable include prorated incentive awards for performance periods not yet ended. None of the listed persons participated in arrangements entitling them to change-of-control payments.
SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS Gregory Adams 227,113 Anthony Barrueta 576 Mark Costa 96,632 Philip Fasano 529,695 Jerry Fleming 124,920 Edward Glavis 47,244 Mitchell Goodstein 104,677 George Halvorson 1,500,000 Marilyn Kawamura 145,043 Kathryn Lancaster 790,314 Janet Liang 261,257 Gerald McCall 64,184 Andrew McCulloch 293,100 Judith Mears 1,498 Thomas Meier 1,075 Henry Neidermeier 48,662 Nathaniel Oubre 159,348 Arthur Southam 1,021,889 Deborah Stokes 43,578 Bernard Tyson 1,036,741 Vita Willett 85,718 John Yamamoto 165,861 Steven Zatkin 16,632 Victoria Zatkin 3,175 Mark Zemelman 126,344 Some of the listed persons participated in nonqualified supplemental retirement plans. Under these plans, the organization makes annual contributions to accounts held in the name of individual participants. Contributions vary by position level and pay, and vest over time based on age and/or service. Participant accounts are credited with actual investment returns from up to four mutual funds and/or with a fixed rate of interest or a combination thereof. Unvested amounts are subject to risk of forfeiture.
Schedule J, Part I, Line 7   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 II   Steven Zatkin - General Counsel to 6/30/10; Consultant 3/4/11 to Present. Bernard Tyson - Board of Directors effective 12/06/2012. J Neil Purcell - Board of Directors to 12/31/2012.
Schedule J (Form 990) 2012

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number
94-1105628
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		52-1598225 130911RW2 08-06-2003 213,060,000 PAR REFUNDING CHFFA 83,85,93 SER C   X   X   X
B CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130911WF3 03-30-2004 1,600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
C CALIFORNIA STATEWIDE CMNTY DEV AUTH
  		68-0164610 1309112G4 06-08-2006 916,299,000 FINANCE HEALTH CARE FACILITIES   X   X   X
D CALIFORNIA HEALTH FACILITIES FINANCING AUTH
  		52-1643828 13033FK74 06-08-2006 600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
CALIFORNIA STAEWIDE COMNTYS DEV AUTH
  		68-0164610 1309116M7 02-01-2007 476,113,486 PREM/DISC REFUNDING 01A,02D,04F&G   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795SZ1 05-01-2008 500,000,000 PAR REFUNDING 04A-D ARS BONDS& 04H   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795D38 06-03-2009 1,638,437,048 FINANCE HEALTH CARE FACILITIES   X   X   X
CALIFORNIA STATEWIDE CMNTY DEV AUTH
  		68-0164610 130911LD0 06-03-2009 99,996,058 REOFFERING CSCDA (PREMIUM)   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795TP2 06-03-2009 149,996,162 REOFFERING CSCDA (PREMIUM)   X   X   X
CALIFORNIA HEALTH FACILITIES FINANCING AUTH
  		52-1643828 13033LML8 05-03-2011 204,545,000 PAR REFUNDING 01A,B,C KHAC BONDS   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 1307955G8 04-18-2012 1,007,791,119 FINANCE HEALTH CARE FACILITIES   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 213,060,000 1,639,844,037 954,024,896 602,245,616
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 88,159,219 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 0 6,375,000 0 0
8 Credit enhancement from proceeds . . . . . . . . . . . 0 10,073,543 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 0 1,535,236,275 954,024,896 602,245,616
11 Other spent proceeds . . . . . . . . . . . . . . 213,060,000 0 0 0
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2009 2009 2009 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X     X   X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
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% 0.00000% 0.00000% 0.00000%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.00000% 0.00000% 0.00000% 0.00000%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . . 0.00000% 0.00000% 0.00000% 0.00000%
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
  X   X   X   X
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X      
b Exception to rebate? . . . . . . . . X   X   X   X  
c No rebate due? . . . . . . . . . .
X   X   X   X  
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X   X     X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . . . .                
e Was a hedge terminated? . . . . . . .                
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
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
1 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. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
PART I 0 2003 CSCDA The 2003 bonds refunded were bonds issued from October 1983, November 1985, and May 1993. 2006 CSCDA / CHFFA 2006 CSCDA / CHFFA Variable and 2006 CSCDA / CHFFA Fixed have multiple Issuers and therefore multiple EIN numbers. The EIN number reported matched the reported cusip. PART II, LINE 3 Difference between total proceeds (Part II line 3) and issue price (Part I) is due to interest earned on the construction fund. Part III, Line 9 and Part V While the organization has answered "no" to the questions in Part III, Line 9 and Part V, the organization (1) does have written procedures in place focused on ensuring compliance with the private use limits, and (2) intends to establish written procedures on these other matters mentioned in Part III, Line 9 and Part V in 2014. 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) 2012

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number
94-1105628
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		52-1598225 130911RW2 08-06-2003 213,060,000 PAR REFUNDING CHFFA 83,85,93 SER C   X   X   X
B CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130911WF3 03-30-2004 1,600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
C CALIFORNIA STATEWIDE CMNTY DEV AUTH
  		68-0164610 1309112G4 06-08-2006 916,299,000 FINANCE HEALTH CARE FACILITIES   X   X   X
D CALIFORNIA HEALTH FACILITIES FINANCING AUTH
  		52-1643828 13033FK74 06-08-2006 600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
CALIFORNIA STAEWIDE COMNTYS DEV AUTH
  		68-0164610 1309116M7 02-01-2007 476,113,486 PREM/DISC REFUNDING 01A,02D,04F&G   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795SZ1 05-01-2008 500,000,000 PAR REFUNDING 04A-D ARS BONDS& 04H   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795D38 06-03-2009 1,638,437,048 FINANCE HEALTH CARE FACILITIES   X   X   X
CALIFORNIA STATEWIDE CMNTY DEV AUTH
  		68-0164610 130911LD0 06-03-2009 99,996,058 REOFFERING CSCDA (PREMIUM)   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795TP2 06-03-2009 149,996,162 REOFFERING CSCDA (PREMIUM)   X   X   X
CALIFORNIA HEALTH FACILITIES FINANCING AUTH
  		52-1643828 13033LML8 05-03-2011 204,545,000 PAR REFUNDING 01A,B,C KHAC BONDS   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 1307955G8 04-18-2012 1,007,791,119 FINANCE HEALTH CARE FACILITIES   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 213,060,000 1,639,844,037 954,024,896 602,245,616
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 88,159,219 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 0 6,375,000 0 0
8 Credit enhancement from proceeds . . . . . . . . . . . 0 10,073,543 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 0 1,535,236,275 954,024,896 602,245,616
11 Other spent proceeds . . . . . . . . . . . . . . 213,060,000 0 0 0
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2009 2009 2009 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X     X   X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
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% 0.00000% 0.00000% 0.00000%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.00000% 0.00000% 0.00000% 0.00000%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . . 0.00000% 0.00000% 0.00000% 0.00000%
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
  X   X   X   X
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X      
b Exception to rebate? . . . . . . . . X   X   X   X  
c No rebate due? . . . . . . . . . .
X   X   X   X  
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X   X     X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . . . .                
e Was a hedge terminated? . . . . . . .                
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
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
1 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. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
PART I 0 2003 CSCDA The 2003 bonds refunded were bonds issued from October 1983, November 1985, and May 1993. 2006 CSCDA / CHFFA 2006 CSCDA / CHFFA Variable and 2006 CSCDA / CHFFA Fixed have multiple Issuers and therefore multiple EIN numbers. The EIN number reported matched the reported cusip. PART II, LINE 3 Difference between total proceeds (Part II line 3) and issue price (Part I) is due to interest earned on the construction fund. Part III, Line 9 and Part V While the organization has answered "no" to the questions in Part III, Line 9 and Part V, the organization (1) does have written procedures in place focused on ensuring compliance with the private use limits, and (2) intends to establish written procedures on these other matters mentioned in Part III, Line 9 and Part V in 2014. 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) 2012

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number
94-1105628
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		52-1598225 130911RW2 08-06-2003 213,060,000 PAR REFUNDING CHFFA 83,85,93 SER C   X   X   X
B CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130911WF3 03-30-2004 1,600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
C CALIFORNIA STATEWIDE CMNTY DEV AUTH
  		68-0164610 1309112G4 06-08-2006 916,299,000 FINANCE HEALTH CARE FACILITIES   X   X   X
D CALIFORNIA HEALTH FACILITIES FINANCING AUTH
  		52-1643828 13033FK74 06-08-2006 600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
CALIFORNIA STAEWIDE COMNTYS DEV AUTH
  		68-0164610 1309116M7 02-01-2007 476,113,486 PREM/DISC REFUNDING 01A,02D,04F&G   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795SZ1 05-01-2008 500,000,000 PAR REFUNDING 04A-D ARS BONDS& 04H   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795D38 06-03-2009 1,638,437,048 FINANCE HEALTH CARE FACILITIES   X   X   X
CALIFORNIA STATEWIDE CMNTY DEV AUTH
  		68-0164610 130911LD0 06-03-2009 99,996,058 REOFFERING CSCDA (PREMIUM)   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795TP2 06-03-2009 149,996,162 REOFFERING CSCDA (PREMIUM)   X   X   X
CALIFORNIA HEALTH FACILITIES FINANCING AUTH
  		52-1643828 13033LML8 05-03-2011 204,545,000 PAR REFUNDING 01A,B,C KHAC BONDS   X   X   X
CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 1307955G8 04-18-2012 1,007,791,119 FINANCE HEALTH CARE FACILITIES   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 213,060,000 1,639,844,037 954,024,896 602,245,616
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 88,159,219 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 0 6,375,000 0 0
8 Credit enhancement from proceeds . . . . . . . . . . . 0 10,073,543 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 0 1,535,236,275 954,024,896 602,245,616
11 Other spent proceeds . . . . . . . . . . . . . . 213,060,000 0 0 0
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2009 2009 2009 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X     X   X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
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% 0.00000% 0.00000% 0.00000%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.00000% 0.00000% 0.00000% 0.00000%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . . 0.00000% 0.00000% 0.00000% 0.00000%
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
  X   X   X   X
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X      
b Exception to rebate? . . . . . . . . X   X   X   X  
c No rebate due? . . . . . . . . . .
X   X   X   X  
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X   X     X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . . . .                
e Was a hedge terminated? . . . . . . .                
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
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
1 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. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
PART I 0 2003 CSCDA The 2003 bonds refunded were bonds issued from October 1983, November 1985, and May 1993. 2006 CSCDA / CHFFA 2006 CSCDA / CHFFA Variable and 2006 CSCDA / CHFFA Fixed have multiple Issuers and therefore multiple EIN numbers. The EIN number reported matched the reported cusip. PART II, LINE 3 Difference between total proceeds (Part II line 3) and issue price (Part I) is due to interest earned on the construction fund. Part III, Line 9 and Part V While the organization has answered "no" to the questions in Part III, Line 9 and Part V, the organization (1) does have written procedures in place focused on ensuring compliance with the private use limits, and (2) intends to establish written procedures on these other matters mentioned in Part III, Line 9 and Part V in 2014. 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) 2012

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. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
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) and section 501(c)(4) 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 Benefitting 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) 2012
Schedule L (Form 990 or 990-EZ) 2012
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) TOP TIER CONSULTING BROTHER OF OFFICER 1,521,034 CONSULTING SERVICES   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

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

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number

94-1105628
Identifier Return Reference Explanation
Form 990, Heading, Item B, Amended Return   Part VII and Schedule J of the return have been amended to reflect updated compensation information regarding certain deferred compensation calculations. Schedule L has been amended to reflect an update to Schedule L, Part IV. PART I, LINE 19 REVENUE LESS EXPENSE DISCLOSURE CURRENT YEAR REVENUE LESS EXPENSES $ 1,765,755,591 OTTI (NOTE 1) (229,813,471) BOOK GAIN ON SALE OF INVESTMENTS 784,845,925 TAX GAIN ON SALE OF INVESTMENTS (265,123,180) OTHER PASSTHROUGH INCOME 3,638,875 KP ONCALL, LLC (423,281) KPV, LLC - SERIES A (983,688) NXT CAPITAL (9,504,877) UNAUDITED STANDALONE GAAP REVENUE LESS EXPENSES $ 2,048,391,894 NOTE 1: OTHER THAN TEMPORARY IMPAIRMENT OF INVESTMENT RECOGNIZED FOR FINANCIAL STATEMENT PURPOSES, WHICH WILL BE TAX REPORTED WHEN REALIZED
PART V, LINE 4B   Kaiser Foundation Hospitals' foreign investments are held in a U.S. third party custodian bank. Kaiser Foundation Hospitals personnel cannot directly access the foreign investments.
PART VI, LINE 4 Changes to governing documents The Articles of Incorporation of the Corporation were amended in 2012 as described below: Articles Three and Six of the Articles of Incorporation of the Corporation were amended to: (a) set forth a broad statement of the corporation's primary purposes that reflects current case law; (b) revise the nondiscrimination language to be consistent with current legal standards; and (c) expressly state that the corporation is prohibited from engaging in activities not permitted by Section 501(c)(3) of the Internal Revenue Code and to specifically state that the corporation shall not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office; and the articles were fully restated to incorporate into one document all of the provisions of the articles, as amended. Amended and Restated Articles of Incorporation of the Corporation were filed August 1, 2012; and Article Six was further amended, with minor technical amendments to the irrevocable dedication and dissolution clauses, to comply with California law requirements, and the articles were fully restated. Amended and Restated Articles of Incorporation of the Corporation were filed November 5, 2012. The Bylaws of the Corporation were amended in 2012 as described below: On June 27, 2012, Article A, Purposes, of the Bylaws of the Corporation was amended to: (a) set forth a broad statement of the corporation's primary purposes that reflects current case law; (b) expressly state that the corporation is prohibited from engaging in activities not permitted by Section 501(c)(3) of the Internal Revenue Code and to specifically state that the corporation shall not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office; and (c) make other minor/non-substantive edits; and On September 20, 2012, Article E, Committees, Section E-8 Finance Committee was amended to provide management with additional land purchase authority; and On October 19, 2012, minor technical amendments were made to Article A, Purposes to conform the Bylaws with corresponding changes to the irrevocable dedication and dissolution clauses in Article Six of the Amended and Restated Articles of Incorporation of the Corporation to comply with California law requirements; and On December 6, 2012, Article C, Directors and Article D, Officers were amended to provide for up to fifteen directors and up to three inside directors, and the possibility of the Chairman of the Board and the Chief Executive Officer not being the same person.
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. Compensation reporting details are presented to the compensation committee of the board for review. 4. The complete tax return is reviewed and signed by a Pricewaterhousecoopers LLP tax advisor. 5. The complete tax return is reviewed and signed by an officer or a member of management designated by an officer. 6. A copy of the return is provided to each board member prior to filing.
PART VI, LINE 12C Compliance Enforcement A. Regularly and Consistently Monitors Compliance with the Conflicts of Interest Policy - Kaiser Permanente regularly monitors compliance with the Conflicts of Interest Policy in 3 key ways: 1. The Kaiser Permanente Compliance Hotline is available to all employees and vendors to report actual or potential conflicts of interest. All calls are answered by a third party and provided to Kaiser Permanente's National Compliance Office for review and appropriate action. Employees can report anonymously. Retaliation is prohibited. Reports of actual or potential Conflicts of Interest are generated and investigations are conducted as required and information is tracked and trended to determine if additional guidance is required to avoid or manage conflicts of interest. Compliance Hotline Reports are provided for review and action to the Kaiser Foundation Health Plan/Hospitals Boards of Directors annually. 2. The National Compliance Office and Internal Audit Services annually review the directors', officers', key employees', and executives' Annual Conflicts of Interest Questionnaire disclosures and provide direction on any investigations required. Investigations are documented, tracked and trended to determine if additional controls or education is required. In addition, Conflicts of Interest Questionnaire reports are provided for review and action to the Kaiser Foundation Health Plan/Hospitals Boards of Directors annually; and 3. Annually, as a component of the external audit, KPMG reviews the Annual Conflicts of Interest Questionnaires process completed by Directors, Officers, Key Employees, and Executives, and actions taken as a result of the disclosures. The results of the annual audit, including any findings in this area are presented to the Kaiser Foundation Health Plan/Hospitals Audit and Compliance Committee. B. Regularly and Consistently Enforces Compliance with the Conflicts of Interest Policy - To ensure consistency in the enforcement of the policy Kaiser Permanente uses the following steps as a general guideline: 1. Represented employees are subject to any corrective/disciplinary action provisions described in specific regional/national collective bargaining agreements and/or organizational policies and practices. 2. Kaiser Permanente informs employees of the National Human Resources Policy No. 14. Corrective/Disciplinary Action Policy during new employee orientation and in annual compliance training. 3. In the event that it is necessary to discipline any employee because of, but not limited to, failure to comply with applicable legal/regulatory requirements, Kaiser Permanente policies and procedures, or the Principles of Responsibility, or for unsatisfactory performance or misconduct, coaching/counseling and/or corrective/disciplinary action may include, but is not limited to: - Oral discussion and/or warning by the employee's immediate supervisor or higher level manager to correct the problem; - Written notice, with or without final warning; - Paid or unpaid suspension, with or without final warning; - Termination of employment.
PART VI, LINE 15 Compensation Determination The executive compensation program is designed to recruit, retain and motivate qualified senior management personnel. Senior management personnel have a significant impact on the strategic and policy direction and results of the organization. Therefore, the executive compensation program is, to a significant degree, performance-based. The compensation program is reviewed annually by the Compensation Committee of the Board of Directors which evaluates and approves prior to payment all programs and payments to CEO, Executive Director and top management officials (executives). Base pay for executive positions is established at a level comparable to the relevant market. In addition, other components of the compensation program bear 'at-risk' features designed to focus on strategically important performance goals and to assist in attracting and retaining top performers. The executive compensation program is targeted at the median of the comparable external market in which the organization competes for executive leadership. Evaluation of comparable pay data is performed by an Independent Compensation, Benefit & Human Resource Consulting firm. The compensation program focuses on objectives in the areas of quality of member care and service, financial soundness, and the community and social mission of the organization.
PART VI, LINE 18   Available on GuideStar.org website
PART VI, LINE 19 Public Inspection Copy Governing documents - are available as provided to the California Secretary of State on state agency website or upon request. Conflict of Interest is available on KP website under vendor Principles of Responsibility or upon request. Financial Statements are on file with the state regulatory agency. Combined data is published for Kaiser Foundation Health Plan Inc. and subsidiaries and Kaiser Foundation Hospitals and Subsidiaries with audit opinion by KPMG. To request copies contact: Vice President - NATIONAL tax compliance 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 $ 88,925,085 Change in Interregional Transfer 335,655,254 Change in Partnership Capital <42,029,149> Restricted Grants - CO <180,509,423> Change in Other Comprehensive Income <502,842,013> Other passthrough income 3,638,875 KP OnCall book income 458,882 KP OnCall tax income <423,281> KPV-A book income <349,706> KPV-A tax income <983,688> NXT Capital book income 9,995,100 NXT Capital tax income <9,504,878> Gain/Loss on sale of inv. - Book 784,845,925 Gain/Loss on sale of inv. - Tax <265,123,180> OTTI Losses <229,813,471> _________________ TOTAL <$ 8,059,668>
PART III, LINE 4a-4d 2012 COMMUNITY BENEFIT REPORT KAISER FOUNDATION HOSPITALS LEGAL AFFILIATION WITH KAISER FOUNDATION HEALTH PLAN KAISER FOUNDATION HEALTH PLAN, INC. (KFHP) AND KAISER FOUNDATION HOSPITALS (KFH) 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. 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 THROUGH KAISER FOUNDATION HOSPITAL'S MISSION, THE ORGANIZATION CONTRIBUTES TO THE HEALTH OF COMMUNITIES IT SERVES. KFH STRIVES FOR EXCELLENCE IN SERVING ITS PATIENTS THROUGH MARKET-LEADING PERFORMANCE IN QUALITY AND SERVICE. AN APPROACH WHICH KAISER FOUNDATION HOSPITALS CALLS DIRECT COMMUNITY BENEFIT INVESTMENT (DCBI) IS FUNDAMENTAL TO BEING A NONPROFIT ORGANIZATION. IT EMBODIES THE ORGANIZATION'S COMMITMENT TO IMPROVE THE HEALTH OF COMMUNITIES BEYOND SERVICES TO KFH PATIENTS. IT IS AN INTENTIONAL, PLANNED, BUDGETED, MEASURABLE, ACCOUNTABLE CREATION FOR BETTER HEALTH IN OUR COMMUNITIES. 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. IN 2007, THE BOARD OF DIRECTORS OF KAISER FOUNDATION HEALTH PLAN AND KAISER FOUNDATION HOSPITALS REFINED THE FOCUS OF THE ORGANIZATIONS' COMMUNITY BENEFIT PROGRAMS AND ESTABLISHED THE FOLLOWING FOUR PRIORITY AREAS WHICH HAVE COME TO BE KNOWN AS "STREAMS OF WORK": - CARE AND COVERAGE FOR LOW-INCOME PEOPLE - CREATES AND SUPPORTS PROGRAMS THAT LOWER THE FINANCIAL BARRIERS FOR THE UNDER- AND UNINSURED. - COMMUNITY HEALTH INITIATIVES - SEEKS TO MEASURABLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. DESIGNS, DELIVERS, AND SUSTAINS LONG-TERM PROGRAMS THAT ENGAGE COMMUNITIES IN WORK TO IMPROVE CONDITIONS IN THEIR NEIGHBORHOODS. - SAFETY NET PARTNERSHIPS - BUILDS PARTNERSHIPS WITH COMMUNITY CLINICS, LOCAL HEALTH DEPARTMENTS, AND PUBLIC HOSPITALS. PROVIDES FUNDING, TECHNICAL ASSISTANCE, DISSEMINATION OF CARE MANAGEMENT AND QUALITY IMPROVEMENTS TECHNOLOGY TO HELP IMPROVE CARE AND EXPAND TREATMENT CAPACITY FOR VULNERABLE POPULATIONS. - DEVELOPING AND DISSEMINATING KNOWLEDGE - IMPROVES HEALTH CARE BY SHARING OUR KNOWLEDGE - EDUCATING PRACTITIONERS, ADVANCING RESEARCH, EMPOWERING CONSUMERS AND INFORMING POLICYMAKERS ABOUT EVIDENCE BASED CARE AND HEALTH. THE FOLLOWING ARE DETAILS OF COMMUNITY BENEFIT ACTIVITIES PROVIDED BY KAISER FOUNDATION HOSPITALS IN 2012, KAISER FOUNDATION HOSPITALS EXPENDED $927 MILLION (AT COST, NET OF $391 MILLION OF RELATED REVENUES) TO SUPPORT COMMUNITY BENEFIT ACTIVITIES. THE FOLLOWING SUMMARIZES MANY OF THE SIGNATURE COMMUNITY BENEFIT PROGRAMS AND SERVICES GROUPED ACCORDING TO THE NATIONAL STREAMS OF WORK. CARE AND COVERAGE FOR LOW-INCOME PEOPLE IN 2012, KAISER FOUNDATION HOSPITALS INVESTED APPROXIMATELY $623 MILLION (AT COST, NET OF $372 MILLION OF RELATED REVENUES) TO ADDRESS THE FINANCING AND DELIVERY OF HEALTH CARE FOR POPULATIONS THAT ARE VULNERABLE DUE TO SOCIO-ECONOMIC STATUS, ILLNESS, ETHNICITY, AGE, OR OTHER FACTORS. PROGRAM BENEFICIARIES (UNDER- AND UNINSURED) RECEIVED FREE OR DISCOUNTED CARE IN A KFH FACILITY. CHARITABLE CARE (MEDICAL FINANCIAL ASSISTANCE AND CHARITABLE HEALTH COVERAGE PROGRAMS) KAISER FOUNDATION HOSPITALS PROVIDES CHARITY CARE TO LOW-INCOME VULNERABLE POPULATIONS THROUGH THE MEDICAL FINANCIAL ASSISTANCE (MFA) AND CHARITABLE HEALTH COVERAGE (CHC) PROGRAMS. IN 2012, KFH SPENT APPROXIMATELY $215 MILLION (AT COST, NET OF $22 MILLION OF RELATED REVENUES) ON UNDER- AND UNINSURED PATIENTS TREATED IN KFH FACILITIES LOCATED IN CALIFORNIA, HAWAII, OREGON AND WASHINGTON. MEDICAL FINANCIAL ASSISTANCE (MFA) PROGRAM KFH CONTRIBUTED APPROXIMATELY $158 MILLION AT NET COST TO ASSIST PATIENTS WITH LIMITED OR NO RESOURCES TO PAY FOR CARE PROVIDED IN KAISER FOUNDATION HOSPITALS' FACILITIES. THE MFA PROGRAM STRIVES TO ASSIST FAMILIES AND INDIVIDUALS WHO ARE UNABLE TO MEET ALL OR PART OF THE COST OF MEDICAL CARE ON AN IMMEDIATE AND NONRECURRING BASIS. THE PROGRAM IS DESIGNED TO ASSIST AS MANY PATIENTS AS REASONABLY POSSIBLE AND IS GENERALLY AVAILABLE TO PEOPLE IN GREATEST FINANCIAL NEED, INCLUDING THOSE EXPERIENCING UNUSUAL OR UNFORTUNATE CIRCUMSTANCES. THE MFA PROGRAM'S ELIGIBILITY CRITERIA ALLOWS MOST PATIENTS FALLING BELOW 350% OF THE FEDERAL POVERTY GUIDELINES (FPG) TO RECEIVE FULL WRITE OFF OF BILLED CHARGES. UNINSURED PATIENTS WHO DO NOT QUALIFY FOR MFA BUT MAKE LESS THAN 400% OF FPG WILL RECEIVE UP TO A 70% DISCOUNT ON CHARGES. ADDITIONALLY, ANY PATIENT EXPERIENCING FINANCIAL HARDSHIP DUE TO UNREASONABLE MEDICAL EXPENSES RELATIVE TO THEIR INCOME MAY QUALIFY FOR THE PROGRAM UNDER "SPECIAL CIRCUMSTANCES". IN 2012, THE PROGRAM WAS OPEN TO MORE THAN 161,000 QUALIFYING APPLICANTS. IN OREGON AND WASHINGTON, THE MFA PROGRAM COVERS FULL OR PARTIAL EXPENSES FOR DENTAL SERVICES IF APPLICANTS MEET QUALIFYING GUIDELINES. CHARITABLE HEALTH COVERAGE PROGRAM CHARITABLE HEALTH COVERAGE (CHC) IS A UNIQUE APPROACH TO CARING FOR LOW-INCOME UNINSURED PERSONS IN THE COMMUNITY. ELIGIBLE PARTICIPANTS RECEIVE A REGULAR KAISER FOUNDATION HEALTH PLAN MEMBERSHIP CARD AND ACCESS TO THE FULL RANGE OF SERVICES AND PROVIDERS IN KAISER FOUNDATION HOSPITAL FACILITIES - A MUCH BETTER ALTERNATIVE TO A COSTLY EMERGENCY ROOM VISIT OR HOSPITALIZATION. SINCE INCEPTION IN THE EARLY 1980S, CHC PROGRAMS HAVE MADE A REAL DIFFERENCE IN THE LIVES OF LOW-INCOME PEOPLE WHO MIGHT OTHERWISE HAVE NO OTHER SOURCE OF CARE. IN 2012, MORE THAN 86,000 LOW-INCOME ADULTS AND CHILDREN WHO WERE NOT ELIGIBLE FOR OTHER PUBLIC OR PRIVATELY SPONSORED COVERAGE RECEIVED HEALTH CARE COVERAGE THROUGH ONE OF KAISER PERMANENTE'S CHARITABLE HEALTH COVERAGE PROGRAMS IN CALIFORNIA, HAWAII, OREGON AND WASHINGTON. KFH CONTRIBUTED APPROXIMATELY $57 MILLION AT NET COST TO PROVIDE SUBSIDIZED CARE TO THESE UNDERSERVED POPULATIONS IN 2012.
PARTICIPATION IN MEDICAID AND OTHER GOVERNMENT-SPONSORED PROGRAMS   IN 2012, KAISER FOUNDATION HOSPITALS PROVIDED COVERAGE AND SERVICES VALUED AT $408 MILLION (AT COST, NET OF $350 MILLION OF RELATED REVENUES) FOR LOW-INCOME INDIVIDUALS PARTICIPATING IN GOVERNMENT-SPONSORED PROGRAMS IN CALIFORNIA, HAWAII, OREGON AND WASHINGTON. HIGHLIGHTS OF THE GOVERNMENT-SPONSORED HEALTH CARE COVERAGE PROGRAMS SUPPORTED BY KFH IN CALIFORNIA INCLUDE: - MEDI-CAL - KFH PROVIDED ACCESS TO INPATIENT CARE FOR APPROXIMATELY 200,000 MEDI-CAL (MEDICAID) MANAGED CARE MEMBERS IN NORTHERN AND SOUTHERN CALIFORNIA THROUGH VARIOUS LOCAL AND STATE GOVERNMENT ENTITIES. - MEDI-CAL FEE-FOR-SERVICE - KFH IN CALIFORNIA PROVIDED SUBSIDIZED CARE TO APPROXIMATELY 68,800 MEDI-CAL FEE-FOR-SERVICE PATIENTS WHO WERE NOT ENROLLED AS MEMBERS OF KAISER FOUNDATION HEALTH PLAN. THIS REPRESENTED APPROXIMATELY $98 MILLION AT NET COST OF INPATIENT SERVICES PROVIDED BY KFH. - HEALTHY FAMILIES - KFH PROVIDED ACCESS TO INPATIENT CARE FOR APPROXIMATELY 196,000 CALIFORNIA CHILDREN UNDER THIS FEDERAL- AND STATE-FUNDED INSURANCE PROGRAM THAT PROVIDES LOW- AND MODERATE-INCOME FAMILIES WITH HEALTH INSURANCE FOR THEIR CHILDREN UNDER 19 YEARS OF AGE. THE PROGRAM PROVIDES COMPREHENSIVE HEALTH BENEFITS, INCLUDING DENTAL AND VISION CARE. TO QUALIFY, FAMILIES MUST HAVE A TOTAL INCOME BETWEEN 100% AND 250% OF THE FEDERAL POVERTY GUIDELINES AND THE CHILDREN MUST BE INELIGIBLE FOR MEDI-CAL COVERAGE. - HEALTHY SAN FRANCISCO - OVER 2,800 MEMBERS WERE PARTICIPATING IN THE HEALTHY SAN FRANCISCO PROGRAM AT THE END OF 2012. 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. WHILE THIS PROGRAM IS NOT AN INSURANCE PLAN, IT DOES PROVIDE ACCESS TO PRIMARY CARE, PREVENTIVE SERVICES, AND HOSPITALIZATION WITHIN THE CITY AND COUNTY OF SAN FRANCISCO. HIGHLIGHTS OF THE GOVERNMENT-SPONSORED HEALTH CARE COVERAGE PROGRAMS SUPPORTED BY KFH IN HAWAII INCLUDE: - QUEST & MEDICAID FEE-FOR-SERVICE - QUEST IS A MEDICAID MANAGED CARE PROGRAM RUN BY HAWAII'S DEPARTMENT OF HUMAN SERVICES. THE STATE ADMINISTERS THE QUEST PROGRAM AND PAYS KAISER FOUNDATION HEALTH PLAN TO PROVIDE COVERAGE OF MEDICAL AND MENTAL HEALTH SERVICES. KFH PROVIDES ACCESS TO OUR HEALTH CARE FACILITIES UNDER THE QUEST PROGRAM ON THE ISLANDS OF OAHU AND MAUI. IN 2012, KFH CARED FOR OVER 20,000 INDIVIDUALS ENROLLED IN QUEST AND EXPENDED APPROXIMATELY $9.5 MILLION AT NET COST ON SUBSIDIZED MEDICAL CARE SERVICES. THE HAWAII REGION ALSO CONTRIBUTED AN ADDITIONAL $6.9 MILLION AT NET COST TOWARDS SUBSIDIZED CARE FOR MEDICAID FEE-FOR-SERVICE PATIENTS. - CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) - THIS GOVERNMENT PROGRAM PROVIDES HEALTH INSURANCE COVERAGE TO CHILDREN WITH FAMILY INCOME UP TO TWICE THE FEDERAL POVERTY GUIDELINE FOR HAWAII UNDER TITLE XXI OF THE SOCIAL SECURITY ACT. CHIP IS ONE OF SEVERAL AID CATEGORIES UNDER THE QUEST PROGRAM. MORE THAN 4,100 CHILDREN ENROLLED IN THIS PROGRAM WERE CARED FOR AT KFH FACILITIES IN HAWAII AT A TOTAL EXPENSE OF $695 THOUSAND (AT COST, NET OF $929 THOUSAND OF RELATED REVENUES) FOR 2012. HIGHLIGHTS OF THE GOVERNMENT-SPONSORED HEALTH CARE COVERAGE PROGRAMS SUPPORTED BY KFH IN OREGON AND WASHINGTON INCLUDE: - OREGON HEALTH PLAN - KAISER FOUNDATION HOSPITALS PROVIDES MEDICAL CARE TO INDIVIDUALS PARTICIPATING IN THE OREGON HEALTH PLAN PLUS PROGRAM. MEMBERSHIP IN THIS PROGRAM IS ADMINISTERED BY KAISER FOUNDATION HEALTH PLAN WHICH RECEIVES MONTHLY CAPITATION PREMIUMS FROM THE DIVISION OF MEDICAL ASSISTANCE PROGRAM (DMAP). MEMBERS ARE ENROLLED BASED UPON ELIGIBILITY CRITERIA FOR QUALIFIED PARTICIPANTS WHO RESIDE IN CLACKAMAS, MULTNOMAH, AND POLK/MARION COUNTIES. - HEALTHY OPTIONS - HEALTHY OPTIONS IS A MEDICAID PROGRAM FOR LOW INCOME INDIVIDUALS THAT MEET ELIGIBILITY REQUIREMENTS FOR MEDICAID. IT IS A STATE PROGRAM MANAGED BY THE WASHINGTON STATE HEALTH CARE AUTHORITY (HCA). KAISER FOUNDATION HOSPTIALS PROVIDES SERVICES AT OUR FACILITIES TO ELIGIBLE PARTICIPANTS WHO RESIDE IN EITHER CLARK OR COWLITZ COUNTIES THROUGH A SUBCONTRACT WITH MOLINA HEALTHCARE. - MEDICAID FEE-FOR-SERVICE - KFH PROVIDED $2.4 MILLION OF SUBSIDIZED CARE TO MEDICAID FEE-FOR-SERVICE PATIENTS LIVING IN THE STATES OF OREGON AND WASHINGTON IN 2012. - OREGON AND WASHINGTON MEDICAL INSURANCE POOLS - THESE PROGRAMS PROVIDE COVERAGE TO INDIVIDUALS WHO DO NOT HAVE ACCESS TO INDIVIDUAL INSURANCE DUE TO PRE-EXISTING CONDITIONS THAT DISQUALIFY THEM FROM PARTICIPATING IN OTHER GROUP PLANS. LEGISLATION ALLOWS THE STATES TO SPREAD A PORTION OF THE EXPENSES FOR ENROLLEES ACROSS THE POOLS OF INDIVIDUALS WHO ARE INSURED WHOLLY OR IN PART BY ALL HEALTH INSURERS, RE-INSURERS, AND STOP-LOSS CARRIERS LICENSED IN THESE STATES. GRANTS AND DONATIONS FOR CARE AND COVERAGE IN 2012, KFH DONATED APPROXIMATELY $3.1 MILLION TO NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS IN CALIFORNIA TO HELP LOW-INCOME FAMILIES AND UNINSURED CHILDREN NAVIGATE THE ENROLLMENT AND RECERTIFICATION PROCESSES FOR PUBLIC AND PRIVATE PROGRAMS AND IMPROVE THEIR ABILITY TO ACCESS NEEDED MEDICAL CARE. THE FOLLOWING IS AN EXAMPLE OF A CHARITABLE CONTRIBUTION AWARDED UNDER THIS PROGRAM: - THE COALITION FOR ELDERS' INDEPENDENCE (CEI), WHICH SERVES FRAIL, LOW-INCOME SENIORS, RECEIVED A CONTRIBUTION FROM KFH TO ENHANCE THE ORGANIZATION'S ABILITY TO ELECTRONICALLY COLLECT AND USE DATA TO IMPROVE HEALTH OUTCOMES AND OPERATIONAL EFFICIENCIES. CEI HAD USED A RUDIMENTARY PROCESS THAT RELIED ON PAPER RECORDS AND SPREADSHEETS. GRANT FUNDS WILL HELP CEI DEVELOP AND IMPLEMENT A TECHNOLOGY INFRASTRUCTURE, AND BUILD THE NECESSARY STAFF AND LEADERSHIP CAPACITY FOR MAKING DATA-DRIVEN DECISIONS AND ADVANCING A QUALITY IMPROVEMENT ENVIRONMENT. BY INCREASING CEI'S ABILITY TO COLLECT AND USE DATA, THE GRANT SUPPORTS THE ORGANIZATION'S ABILITY TO RESPOND TO AND REMAIN VIABLE UNDER HEALTH CARE REFORM. COMMUNITY HEALTH INITIATIVES IN 2012, KFH EXPENDED APPROXIMATELY $11.0 MILLION TO SUPPORT WORK ASSOCIATED WITH THE COMMUNITY HEALTH INTITIATIVES STREAM OF WORK. THE FOLLOWING ARE EXAMPLES OF PROGRAMS AND SERVICES FUNDED DURING THE YEAR: HEALTH EATING ACTIVE LIVING (HEAL) PROGRAMS THE HEAL INITIATIVE COMBATS OBESITY BY PROMOTING PLACE-BASED HEALTHY EATING AND ACTIVE LIVING PROGRAMS AND INTERVENTIONS IN THE COMMUNITY. THE PROGRAM SUPPORTS COMMUNITY HEALTH COALITIONS EFFECTING MEDICAL, ENVIRONMENTAL, AND COMMUNITY-LEVEL CHANGES SUCH AS EMPOWERING RESIDENTS TO EAT HEALTHY FOODS, CHANGING PHYSICAL AND SOCIAL ENVIRONMENTS TO PROMOTE PHYSICAL ACTIVITY, AND SUPPORTING POLICY CHANGES TO REDUCE RACIAL AND ETHNIC HEALTH DISPARITIES, PARTICULARLY THOSE RELATED TO POOR NUTRITION AND INACTIVITY. COMMUNITY HEALTH EDUCATION AND PREVENTION PROGRAMS IN CALIFORNIA, HAWAII, OREGON, AND WASHINGTON, KFH PROVIDED A VARIETY OF ACTIVITIES AND PROGRAMS TO ASSIST HEALTH CARE CONSUMERS IN MANAGING THEIR HEALTH AND WELL-BEING. TYPES OF PROGRAMS OFFERED INCLUDE ASTHMA MANAGEMENT IN CHILDREN, BREASTFEEDING, HIV PREVENTION, BETTER NUTRITION, LIFESTYLE IMPROVEMENT, AND COPING WITH CHRONIC DISEASES. MANY OF THE ACTIVITIES AND RESOURCES PROVIDED UNDER THE COMMUNITY HEALTH PROGRAMS ARE PROVIDED IN PARTNERSHIP WITH COMMUNITY GROUPS, COMMUNITY CLINICS, LIBRARIES, NONPROFIT ORGANIZATIONS, CABLE TELEVISION CHANNELS, AND SCHOOLS. OVER 200 DIFFERENT TOPICS ARE ADDRESSED IN HEALTH EDUCATION AND ELECTRONIC MATERIALS PRODUCED AND DISTRIBUTED BY KAISER PERMANENTE. GRANTS AND DONATIONS FOR COMMUNITY HEALTH INITIATIVES THE WORLD INSTITUTE ON DISABILITY (WID) IS A PUBLIC POLICY CENTER FORMED BY AND FOR PERSONS WITH DISABILITIES. THIS ORGANIZATION RECEIVED A CONTRIBUTION FROM KFH IN NORTHERN CALIFORNIA TO SUPPORT ITS DISABILITY PEER-LED FITNESS PROJECT. THE PROJECT WAS DESIGNED TO ENGAGE DISABLED INDIVIDUALS, SERVICE PROVIDERS, FAMILY MEMBERS AND ADVOCATES IN ENJOYABLE, FULLY-INTEGRATED FITNESS AND NUTRITION EDUCATION ACTIVITIES, WHILE ACTIVELY CHALLENGING THE SOCIAL ISOLATION OF PEOPLE WITH DISABILITIES. WID WILL COLLABORATE WITH PARTNER DISABILITY AGENCIES AND UNIVERSITIES TO PROVIDE PEER-LED FITNESS AND NUTRITION EDUCATION ACTIVITIES FOR DISABLED PEOPLE IN DIVERSE COMMUNITIES. THESE EFFORTS AIM TO BOOST PARTICIPANTS' FITNESS LEVEL, HEALTH KNOWLEDGE, SELF-CONFIDENCE, AND INDEPENDENCE, BUT ALSO TO INCREASE THE PEER EDUCATORS' LEADERSHIP SKILLS AND MENTORING ABILITY. THIS ONE-YEAR GRANT IS AN EXAMPLE OF CONTRIBUTIONS AWARDED TO REINFORCE KAISER PERMANENTE'S COMMITMENT TO TOTAL HEALTH AND TOWARDS REDUCING HEALTH DISPARITIES IN THE COMMUNITIES WE SERVE.
SAFETY NET PARTNERSHIPS   IN 2012, KFH CONTRIBUTED APPROXIMATELY $15.3 MILLION TO SUPPORT SAFETY NET PARTNERSHIPS. THROUGH CONTRACTUAL ARRANGEMENTS WITH SAFETY NET PARTNERS, LOCAL COMMUNITIES RECEIVED SPECIALTY AND DENTAL CARE IN OUR NORTHWEST REGION AT OUR FACILITIES. THE FOLLOWING DESCRIBES THREE OF THESE SPECIAL COMMUNITY PARTNERSHIPS: - THE COMMUNITY SURGERY PROGRAM COLLABORATES WITH PROJECT ACCESS NOW IN MATCHING NEEDY PATIENTS WITH KFH HOSPITALS, NURSES, AND MEDICAL TECHNICIANS. BY PROVIDING ACCESS TO SPECIALTY CARE, COMMUNITY SURGERY DAYS HELP TO PREVENT MEDICAL EMERGENCIES, ALLEVIATE BURDENS ON CLINICS AND EMERGENCY ROOMS WHEN MEDICAL CONDITIONS PERSIST UNTREATED, AND ENABLE PATENTS TO BE TREATED FOR THE ROOT CAUSES OF THEIR SYMPTOMS. ALL PATIENTS ARE UNINSURED, LOW-INCOME, AND UNABLE TO QUALIFY FOR OTHER PUBLIC ASSISTANCE FOR SPECIALTY MEDICAL TREATMENT. - THROUGH A SPECIAL CONTRACT WITH MULTNOMAH COUNTY, THE DENTAL CARE PROGRAM PROVIDES URGENT DENTAL CARE SERVICES TO UNINSURED RESIDENTS OF MULTNOMAH, CLACKAMAS, AND WASHINGTON COUNTIES. - THROUGH AN AGREEMENT BETWEEN THE DENTAL CARE PROGRAM AND THE SALEM-KEIZER SCHOOL DISTRICT, KFH'S DENTAL PROGRAM PROVIDES URGENT DENTAL CARE SERVICES TO UNINSURED SCHOOL CHILDREN EACH MONTH SCHOOL IS IN SESSION AT EACH OF OUR TWO SALEM-AREA DENTAL OFFICES. GRANTS AND DONATIONS FOR SAFETY NET PARTNERSHIPS THE FOLLOWING ARE TWO EXAMPLES OF THE COMMUNITY ORGANIZATIONS SUPPORTED BY GRANTS AWARDED THROUGH THE SAFETY NET PARTNERSHIP STREAM OF WORK: - GROWING HEALTHY COMMUNITIES INITIATIVES ARE HIV/AIDS GRANTS THAT SUPPORT COMMUNITY AGENCIES THROUGHOUT NORTHERN CALIFORNIA WHICH SERVE THE HEALTH NEEDS OF PEOPLE LIVING WITH HIV/AIDS. THE FUNDING CATEGORIES FOR THESE GRANTS INCLUDE PREVENTION AWARENESS AND/OR TREATMENT OF INDIVIDUALS WITH HUMAN IMMUNODEFICIENCY VIRUS. - REDWOOD COMMUNITY HEALTH COALITION (RCHC) IS A NETWORK OF 16 COMMUNITY CLINICS AND HEALTH CENTERS (CCHC) THAT OFFER CULTURALLY AND LINGUISTICALLY SENSITIVE, COST-EFFECTIVE HEALTH CARE SERVICES FOR LOW-INCOME, MEDICALLY UNDERSERVED POPULATIONS IN MARIN, NAPA, SONOMA, AND YOLO COUNTIES. THIS ORGANIZATION RECEIVED A CONTRIBUTION FROM KFH TO HELP REDUCE COSTS AND TO IMPROVE HEALTH OUTCOMES, QUALITY, AND THE PATIENT EXPERIENCE. RCHC WILL WORK COLLABORATIVELY WITH THE CCHC TO EXPAND ENROLLMENT OF AND ACCESS TO CARE FOR NEWLY INSURED INDIVIDUALS, SUPPORT PRACTICE INNOVATIONS AND CONDUCT ANALYSIS AND IMPLEMENTATION OF EVOLVING PAYMENT REFORM AND CONTRACTING MODELS. THE GRANT ALLOWS RCHC TO ACHIEVE THE STRATEGIC GOALS AND OBJECTIVES THAT SUPPORT THE SAFETY NET, BENEFITING ALL 16 CCHC MEMBERS AND THE NEARLY 200,000 PATIENTS THEY SERVE. DEVELOPING AND DISSEMINATING KNOWLEDGE KAISER FOUNDATION HOSPITALS SPENT $250.1 MILLION IN 2012 TO SUPPORT PROGRAMS AND SERVICES ASSOCIATED WITH THE DEVELOPMENT AND DISSEMINATION OF KNOWLEDGE. MEDICAL RESEARCH FOR MORE THAN 60 YEARS, RESEARCHERS FUNDED BY KFH HAVE PROVEN TO BE PIVOTAL IN IMPROVING HEALTH CARE. THESE SERVICES BENEFITBOTH OUR PATIENTS AND THE BROADER COMMUNITIES SERVED. THE RESEARCHERS MAKE IMPORTANT CONTRIBUTIONS TO BOTH CLINICAL MEDICINE AND TO THE UNDERSTANDING OF THE CAUSE AND PREVENTION OF DISEASE. THE MULTI-PRONGED APPROACH TO ADDRESSING BOTH INDIVIDUAL AND POPULATION HEALTH LEVERAGES THE SKILLS AND EXPERIENCE OF AN EXCEPTIONAL GROUP OF RESEARCHERS. THE COMPREHENSIVE NATURE OF THE ELECTRONIC MEDICAL RECORD SYSTEM AND THE HEALTH DATA OF 9 MILLION KAISER FOUNDATION HEALTH PLAN MEMBERS PRODUCES A RESEARCH PROGRAM THAT'S BOTH BROAD AND DEEP. KFH SPENT $142.3 MILLION ON MEDICAL RESEARCH PROJECTS IN 2012, INCLUDING APPROXIMATELY $119.5 IN PROJECTS SPONSORED BY GOVERNMENT AGENCIES AND OTHER NONPROFIT ORGANIZATIONS. IN CALIFORNIA, KAISER PERMANENTE OPERATES THREE RESEARCH DEPARTMENTS: THE DIVISION OF RESEARCH (DOR) IN NORTHERN CALIFORNIA, ESTABLISHED IN 1961; DEPARTMENT OF RESEARCH & EVALUATION (R&E) IN SOUTHERN CALIFORNIA, ESTABLISHED IN THE EARLY 1980S: AND KAISER FOUNDATION RESEARCH INSTITUTE (KFRI). TWO NURSING RESEARCH UNITS FOR KFH IN CALIFORNIA ALSO ENGAGE IN STUDIES ON NURSING PRACTICES, PATIENT CARE, AND PATIENT OUTCOMES TO IMPROVE CLINICAL PRACTICES. THE CENTER FOR HEALTH RESEARCH (CHR) IS THE PRIMARY RESEARCH DEPARTMENT FOR KFH IN OREGON AND WASHINGTON. THE CENTER FOR HEALTH RESEARCH HAWAII (CHRH) IS A FORMAL SUBDIVISION OF CHR IN THE NORTHWEST. SOUTHERN CALIFORNIA DEPARTMENT OF RESEARCH AND EVALUATION: THE FOLLOWING TWO STUDIES EXEMPLIFY THE ACCOMPLISHMENTS OF THE DEPARTMENT OF RESEARCH AND EVALUATION IN 2012: - SUBJECT: IMPACT OF BREAST CANCER SUBTYPES AND TREATMENT ON SURVIVAL: AN ANALYSIS SPANNING TWO DECADES. - SYNOPSIS: WOMEN WITH THE MOST COMMON AND LEAST AGGRESSIVE SUBTYPE OF BREAST CANCER WERE STILL AT RISK OF DEATH FROM THE DISEASE MORE THAN 10 YEARS AFTER DIAGNOSIS, ACCORDING TO A STUDY PUBLISHED IN THE JOURNAL CANCER EPIDEMIOLOGY, BIOMARKERS & PREVENTION. THIS 21-YEAR STUDY INCLUDED NEARLY 1,000 WOMEN FROM KAISER PERMANENTE SOUTHERN CALIFORNIA AND FOUND THAT MOLECULAR SUBTYPES OF BREAST CANCER WERE IMPORTANT INDEPENDENT PREDICTORS OF BREAST CANCER MORTALITY. - SUBJECT: THE HEALTHY OPTIONS FOR NUTRITION ENVIRONMENTS IN SCHOOLS (HEALTHY ONES) GROUP RANDOMIZED TRIAL: USING IMPLEMENTATION MODELS TO CHANGE NUTRITION POLICY AND ENVIRONMENTS IN LOW INCOME SCHOOLS. - SYNOPSIS: PROGRAMS TO PROMOTE HEALTHY EATING CAN SUBSTANTIALLY REDUCE THE AMOUNT OF UNHEALTHY FOODS AND BEVERAGES ON SCHOOL GROUNDS. THIS PROGRAM IS SUCCESSFUL WITH A FOCUS ON A SCHOOL'S SPECIFIC NEEDS INVOLVING TEACHERS, PARENTS, STAFF AND ADMINISTRATORS, ACCORDING TO A SOUTHERN CALIFORNIA STUDY. THE STUDY WAS PUBLISHED IN BIOMED CENTRAL'S OPEN ACCESS JOURNAL INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY. NORTHERN CALIFORNIA DIVISION OF RESEARCH: NORTHERN CALIFORNIA'S DIVISION OF RESEARCH (DOR) IS A NATIONALLY RESPECTED RESEARCH GROUP THAT DOES STUDIES TO ENHANCE HEALTH CARE DELIVERY AND THE UNDERSTANDING OF WHAT CAUSES HEALTH AND DISEASE. THE GROUP IS MORE THAN 50 YEARS OLD AND HAS MORE THAN 50 FULL-TIME MD AND PHD RESEARCH SCIENTISTS AND 500 STAFF MEMBERS. IT ATTRACTS APPROXIMATELY $90 MILLION IN FUNDING EACH YEAR. THE WORK IS SPONSORED BY THE NATIONAL INSTITUTES OF HEALTH, CENTERS FOR DISEASE CONTROL AND PREVENTION, AND OTHER FEDERAL FUNDERS AS WELL AS FOUNDATIONS, AND INTERNAL SOURCES. EXAMPLES OF RESEARCH PERFORMED IN 2012 INCLUDE: - VACCINES: RECENT STUDIES HAVE FOUND THAT THE EFFECTIVENESS OF WHOOPING COUGH VACCINE WANES IN ELEMENTARY SCHOOL-AGED CHILDREN (NEW ENGLAND JOURNAL OF MEDICINE 2012) AND THAT HUMAN PAPILLOMAVIRUS VACCINE IS ASSOCIATED WITH FAINTING AND SKIN INFECTIONS BUT NOT WITH MORE SERIOUS ADVERSE EVENTS (ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE 2012). - AUTISM: AN ONGOING AUTISM RESEARCH PROGRAM IS CONDUCTING GROUNDBREAKING STUDIES OF THE CAUSES OF AUTISM. THE DOR IS DEVELOPING A LARGE NATIONAL REGISTRY OF FAMILIES WITH AUTISM AND RECENTLY STARTED A STUDY OF 6,000 CHILDREN LOOKING AT GENETIC AND ENVIRONMENTAL LINKS TO AUTISM AND DEVELOPMENTAL DISABILITIES. THIS IS A PROGRAM THAT WILL ALSO BE EVALUATING THE USE AND EFFECTS OF STATE-MANDATED DEVELOPMENTAL SERVICES FOR CHILDREN WITH AUTISM. - GENES, ENVIRONMENT, AND HEALTH: A BIOBANK IS UNDER DEVELOPMENT FOR GENOMIC RESEARCH ON ALL TYPES OF DISEASES. MORE THAN 200,000 PATIENTS IN CALIFORNIA HAVE CONTRIBUTED GENETIC INFORMATION (BLOOD OR SALIVA) WHICH IS LINKED TO THEIR HEALTH RECORDS AND SURVEY DATA. STRICT PROCEDURES ENSURE PRIVACY OVER THIS INFORMATION. RESEARCHERS AT THE DIVISION OF RESEARCH AND THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO HAVE GENOTYPED THE DNA OF MORE THAN 100,000 PATIENTS. THIS RESOURCE WILL ENABLE RESEARCHERS TO STUDY THE GENETIC, ENVIRONMENTAL, AND BEHAVIORAL CAUSES OF ALL TYPES OF DISEASE AND PROBLEMS, SUCH AS HIGH CHOLESTEROL AND HEART DISEASE OR ALZHEIMER'S DISEASE. THE PROGRAM WILL ALSO PAVE THE WAY FOR PERSONALIZED MEDICINE BY IDENTIFYING GENES THAT DETERMINE HOW PEOPLE RESPOND TO MEDICATIONS. - HEALTH CARE DELIVERY TO HIGH-RISK POPULATIONS: RESEARCHERS ARE EVALUATING THE REASONS FOR RACIAL, ETHNIC, AND SOCIOECONOMIC DISPARITIES IN HEALTH AND HEALTH CARE, AS WELL AS WAYS THE HEALTH CARE SYSTEM CAN BEST ASSIST HIGH-RISK PATIENTS. FOR EXAMPLE, DOR RESEARCHERS HAVE INITIATED A MAJOR EVALUATION OF A REGION-WIDE PROGRAM INVOLVING MEDICAL CARE COORDINATION WHICH IS DESIGNED TO PROVIDE COMPREHENSIVE CARE TO LOW-INCOME PATIENTS WITH COMPLEX CHRONIC CONDITIONS. RESEARCHERS ARE ALSO STUDYING THE EFFECTS OF DISCONTINUITIES IN MEDICAL INSURANCE ON PATIENTS IN AN EFFORT TO PREDICT THE EFFECTS OF THE AFFORDABLE CARE ACT AND HOW TO BEST MANAGE NEW PATIENTS WHO WILL BE SERVED UNDER ITS PROVISIONS.
NORTHWEST CENTER FOR HEALTH RESEARCH:   THE CENTER FOR HEALTH RESEARCH WAS ABLE TO CONDUCT SEVERAL COMMUNITY-BASED STUDIES IN 2012 AS A RESULT OF COMMUNITY BENEFIT FUNDING. THE FOLLOWING ARE A FEW EXAMPLES OF THE WORK PERFORMED IN 2012. - A STUDY DESIGNED TO INCREASE COLORECTAL CANCER SCREENING RATES AMONG LATINOS AND UNDERSERVED POPULATIONS. - A SURVEY AROUND PATIENT PRIORITIES AMONG LATINOS. - TISSUE SPECIMENS FROM SALEM AND LONGVIEW ADDED TO THE NW BIOBANK, AN IMPORTANT RESOURCE FOR RESEARCHERS. - FURTHER DEVELOPMENT OF THE PREDICTIVE ANALYTICS UNIT, WHICH IS HELPING NEPHROLOGISTS IDENTIFY AND TREAT PATIENTS WITH KIDNEY DISEASE WHO ARE HIGH RISK FOR RENAL FAILURE. - COMPLETION OF A MENTAL HEALTH NEEDS ASSESSMENT AMONG COMMUNITY CLINICS. - PROCESSING OF SAMPLES FOR A COMMUNITY-BASED STUDY ON THE LINK BETWEEN TAKING VITAMIN D AND ALLEVIATING THE SYMPTOMS OF MENOPAUSE. HAWAII CENTER FOR HEALTH RESEARCH: THE FOLLOWING ARE EXAMPLES OF ACCOMPLISHMENTS RECOGNIZED AS A RESULT OF COMMUNITY BENEFIT FUNDING EXTENDED TO THE CENTER FOR HEALTH RESEARCH IN HAWAII - RESEARCH ON WAYS TO IMPROVE DIABETES CARE AMONG HAWAII'S MINORITY POPULATIONS. THE CENTER FOR HEALTH RESEARCH DEVELOPED AND CONTINUES TO WORK ON THE HAWAII DIABETES DATA NETWORK, A COLLABORATIVE, STATEWIDE DIABETES DATABASE TO SUPPORT RESEARCH AND QUALITY IMPROVEMENT. - RESEARCH INTO HOW HEALTH INFORMATION TECHNOLOGY CAN CHANGE ACCESS TO CARE AND HEALTH OUTCOMES FOR CHILDREN WITH CHRONIC DISEASE. PREVIOUS RESEARCH FOUND THAT FAMILIES WHO FOLLOWED A WELL-CHILD CARE VISIT SCHEDULE WERE LESS LIKELY TO BE HOSPITALIZED OR GO TO THE EMERGENCY ROOM. - INVESTIGATION INTO THE DIFFERENCES BETWEEN HOW AFRICAN-AMERICAN AND WHITE PATIENTS WITH DIABETES RESPONDED TO HEALTH PLAN COVERAGE CHANGES DESIGNED TO ENCOURAGE BLOOD GLUCOSE SELF-MONITORING. THIS WORK WAS CONDUCTED IN CONJUNCTION WITH THE DEPARTMENT OF POPULATION MEDICINE AT THE HARVARD MEDICAL SCHOOL AND HARVARD PILGRIM HEALTH CARE INSTITUTE. HEALTH SCIENCES AND MEDICAL LIBRARIES KFH ACTIVELY SUPPORTS MEDICAL LIBRARIES, AND OTHER HEALTH RESOURCE AND INFORMATION DISSEMINATION SERVICES. THESE PROGRAMS GIVE MEDICAL STAFF AND THE GREATER PROFESSIONAL COMMUNITY ACCESS TO HEALTH-RELATED RESEARCH CONDUCTED WITHIN AND OUTSIDE OF KAISER PERMANENTE. MEDICAL LIBRARIES PARTICIPATED IN AN INTER-LOAN SYSTEM WITH OTHER COMMUNITY HOSPITALS, SUPPORTED STUDENTS IN TRAINING AND EDUCATION PROGRAMS TO CONDUCT LITERATURE SEARCHES, AND CONDUCTED SEARCHES FOR COMMUNITY CLINICS AND OTHER COMMUNITY-BASED ORGANIZATIONS ON ADVANCES IN MEDICAL TREATMENT, CLINICAL PROTOCOLS AND NEW DEVELOPMENT ON SPECIFIC HEALTH ISSUES. DURING 2012, HEALTH SCIENCES AND MEDICAL LIBRARIES IN CALIFORNIA, HAWAII, OREGON AND WASHINGTON COMPLETED THOUSANDS OF REQUESTS FOR GENERAL KNOWLEDGE AND LITERATURE SEARCHES FOR RESEARCH PURPOSES. EDUCATIONAL THEATRE PROGRAMS (ETP) EDUCATIONAL THEATRE PROGRAMS USE LIVE THEATRE, MUSIC, COMEDY, AND DRAMA TO INSPIRE CHILDREN, TEENS, AND ADULTS TO MAKE HEALTHIER CHOICES AND BETTER DECISIONS ABOUT THEIR WELL-BEING. THESE EDUCATIONAL PROGRAMS WERE DEVELOPED WITH THE ADVICE OF TEACHERS, PARENTS, STUDENTS, HEALTH EDUCATORS, MEDICAL PROFESSIONALS, AND PROFESSIONAL THEATRE ARTISTS. ALL PERFORMANCES ARE DELIVERED BY PROFESSIONAL ACTORS WHO ARE ALSO TRAINED AS PEER HEALTH EDUCATORS, AND PERFORMED FREE OF CHARGE FOR THE COMMUNITY. ETP ALSO PROVIDES SCHOOLS AND ORGANIZATIONS WITH SUPPLEMENTARY EDUCATIONAL MATERIALS, SUCH AS WORKBOOKS, PARENT AND TEACHER GUIDES, AND STUDENT WALLET CARDS TO REINFORCE THE MESSAGES PRESENTED ON STAGE. KFH IN CALIFORNIA AND THE NORTHWEST SPENT $10.7 MILLION TO PROVIDE MORE THAN 643,000 CHILDREN AND ADULTS THE OPPORTUNITY TO VIEW OR PARTICIPATE IN ONE OF THE MORE THAN 3,500 PERFORMANCES, WORKSHOPS, AND OTHER EDUCATIONAL INTERACTIONS OFFERED DURING 2012. SELF SUFFICIENCY PROGRAMS KFH PROVIDED COMMUNITY-BASED PROGRAMS AND SERVICES TO LOW-INCOME RESIDENTS AND STUDENTS THROUGH LEARNING CENTERS AND YOUTH EMPLOYMENT PROGRAMS. IN 2012, KFH SPENT $6.3 MILLION TO SUPPORT THE FOLLOWING PROGRAMS. LEARNING CENTERS - THE WATTS COUNSELING AND LEARNING CENTER (WCLC) PROVIDES DISADVANTAGED CHILDREN AND THEIR FAMILIES IN SOUTHERN CALIFORNIA WITH A VARIETY OF COUNSELING, EDUCATION, AND SOCIAL SERVICES. WCLC PROVIDES MENTAL HEALTH AND COUNSELING SERVICES, ASSISTANCE TO CHILDREN WITH LEARNING DISABILITIES, AND PRE-EMPLOYMENT TRAINING TO HIGH SCHOOL YOUTH. IT ALSO OPERATES A STATE-LICENSED PRESCHOOL PROGRAM, A SUMMER DAY CAMP, AND "KIDS CAN COPE" SUPPORT GROUPS FOR CHILDREN DEALING WITH SIBLINGS OR PARENTS FIGHTING CANCER. - EDUCATIONAL OUTREACH PROGRAM (EOP) PROVIDES EDUCATION AND SUPPORT SERVICES TO PRIMARILY LATINO YOUTH, AGES 10 TO 14, IN THE SAN GABRIEL VALLEY, EAST OF DOWNTOWN LOS ANGELES. THE FOCUS OF EOP IS TO PROVIDE DROPOUT PREVENTION PROGRAMS IN A COMMUNITY SETTING. CURRENTLY, EOP PROVIDES NINE DIFFERENT PROGRAMS BOTH IN ENGLISH AND SPANISH TO CHILDREN AND PARENTS DURING AFTER-SCHOOL HOURS AND ON SATURDAYS. HEALTH PROFESSIONAL EDUCATION KFH SPENT APPROXIMATELY $83.3 MILLION TO PROVIDE CONTINUING MEDICAL EDUCATION TO HEALTHCARE PROFESSIONALS AFFILIATED WITH COLLEGES AND UNIVERSITIES AND OTHER HEALTH CARE PROVIDERS.
GRADUATE MEDICAL EDUCATION   KAISER FOUNDATION HOSPITALS PROVIDES TRAINING AND EDUCATION FOR MEDICAL RESIDENTS AND INTERNS IN THE INTEREST OF EDUCATING THE NEXT GENERATION OF PHYSICIANS. THE NATIONALLY ACCLAIMED PROGRAM ATTRACTS SOME OF THE TOP MEDICAL SCHOOL GRADUATES IN THE UNITED STATES AND SERVES AS A NATIONAL MODEL BY EXPOSING FUTURE HEALTH CARE PROVIDERS TO AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. RESIDENTS ARE OFFERED THE OPPORTUNITY TO SERVE A LARGE, CULTURALLY DIVERSE PATIENT BASE IN A SETTING WITH SOPHISTICATED TECHNOLOGY AND INFORMATION SYSTEMS, ESTABLISHED CLINICAL GUIDELINES AND AN EMPHASIS ON PREVENTIVE AND PRIMARY CARE. KFH CONTRIBUTED $61.8 MILLION TO EDUCATE APPROXIMATELY 650 INDEPENDENT AND MORE THAN 1,600 AFFILIATED INTERNS AND RESIDENTS IN CALIFORNIA, HAWAII, OREGON, AND WASHINGTON. THE MAJORITY OF MEDICAL RESIDENTS ARE STUDYING WITHIN THE PRIMARY CARE MEDICINE AREAS OF FAMILY PRACTICE, INTERNAL MEDICINE, OB/GYN, PEDIATRICS, PREVENTIVE MEDICINE, AND PSYCHIATRY. AS PART OF THEIR TRAINING, THE INDEPENDENT RESIDENTS HAVE ROTATIONS AT SCHOOL-BASED HEALTH CENTERS, COMMUNITY CLINICS, AND HOMELESS SHELTERS. THESE AMBULATORY SETTINGS PROVIDE PRIMARY MEDICAL CARE SERVICES TO LOW-INCOME CHILDREN AND ADOLESCENTS, THE HOMELESS, AND OTHER VULNERABLE POPULATIONS. COMMUNITY ROTATIONS GIVE RESIDENTS EXPERIENCE IN SETTINGS THAT SERVE UNINSURED CLIENTS, GIVING THEM A BETTER UNDERSTANDING OF THE BARRIERS TO HEALTH CARE AND THE AVAILABILITY OF RESOURCES. NURSE PRACTITIONER AND OTHER NON-PHYSICIAN TRAINING PROGRAMS DURING 2012, KFH SUPPORTED MORE THAN 3,200 STUDENTS PURSUING A CAREER IN THE ALLIED HEALTH CARE FIELD AND SPENT $21.5 MILLION ON TRAINING AND EDUCATION PROGRAMS FOR NURSE PRACTITIONERS, NURSES, RADIOLOGY AND SONOGRAPHY TECHNICIANS, PHYSICAL THERAPISTS, POST-GRADUATE PSYCHOLOGY AND SOCIAL WORK STUDENTS, PHARMACISTS, AND OTHER NON-PHYSICIAN HEALTH PROFESSIONALS. THE FOLLOWING ARE DESCRIPTIONS OF A FEW TRAINING PROGRAMS OFFERED IN 2012. - IN THE NORTHWEST, KFH PROVIDES UNCOMPENSATED ON-SITE CLINICAL TRAINING FOR STUDENTS FROM 19 COMMUNITY INSTITUTIONS WHO ARE PURSUING CAREERS IN THE HEALTH CARE FIELD. THE GRADUATE MEDICAL EDUCATION DEPARTMENT PROVIDES ADMINISTRATIVE SUPPORT FOR THE NURSE PRACTITIONER, PHYSICIAN ASSISTANT, ALLOPATHIC MEDICINE, MIDWIFERY, OPTOMETRY, PODIATRY, NURSE ANESTHETIST AND BEHAVIORAL HEALTH PROGRAMS. - THE KAISER PERMANENTE SCHOOL OF ALLIED HEALTH SCIENCES (KPSAHS), LOCATED IN RICHMOND, CALIFORNIA, WAS ORIGINALLY ESTABLISHED IN 1989 AS A RADIOLOGY PROGRAM IN RESPONSE TO THE SEVERE SHORTAGE OF RADIOLOGY TECHNOLOGISTS. DUE TO THE CONTINUED NATIONAL SHORTAGE OF MEDICAL IMAGING AND THERAPY WORKFORCE, KPSAHS EXPANDED THE SCHOOL TO INCLUDE 18-MONTH PROGRAMS IN SONOGRAPHY, NUCLEAR MEDICINE AND RADIATION THERAPY. IN ADDITION, THE SCHOOL PROVIDES COURSES IN ANATOMY AND PHYSIOLOGY AND ADVANCED/BASIC PHLEBOTOMY. - THROUGH THE PHARMACIST RESIDENCY PROGRAMS IN CALIFORNIA, LICENSED PHARMACISTS GAIN ADDITIONAL EXPERIENCE AND TRAINING IN THE PROVISION OF PHARMACEUTICAL CARE AND ADMINISTRATIVE PHARMACY SERVICES IN AN INTEGRATED MANAGED CARE ORGANIZATION DURING A ONE- OR TWO-YEAR POSTGRADUATE EDUCATION AND TRAINING PROGRAM. THESE PROGRAMS ENABLE RESIDENTS TO IMPROVE THEIR CLINICAL KNOWLEDGE AND SKILLS WHILE ENHANCING CONTINUITY OF PATIENT CARE IN A WIDE RANGE OF AMBULATORY, INTERMEDIATE AND HOSPITAL SETTINGS. - THE BOARD OF REGISTERED NURSES (BRN) WORK STUDY PROGRAM GIVES NURSING STUDENTS VALUABLE DIRECT CLINICAL EXPERIENCE BEFORE GRADUATION, ALLOWING THEM TO ENTER THE WORKPLACE WITH ADDITIONAL CONFIDENCE AND COMPETENCE. THIS PROGRAM HELPS EDUCATE THE FUTURE NURSING WORKFORCE AND ENABLES STUDENTS TO ASSUME A NURSING ROLE MORE RAPIDLY AND SAFELY. EACH PARTNERING NURSING PROGRAM OFFERS A BRN-APPROVED COURSE AND DEVELOPS AN AGREEMENT WITH A KAISER PERMANENTE FACILITY TO OFFER WORK STUDY INTERNSHIPS. INTERNS WORK UNDER THE DIRECT SUPERVISION OF A KAISER PERMANENTE STAFF NURSE AND RECEIVE SUPPORT AND DIRECTION FROM A FACULTY MEMBER FROM THE NURSING PROGRAM. - THE DELORAS JONES NURSING SCHOLARSHIP PROGRAM PROVIDES FINANCIAL ASSISTANCE FOR STUDENTS ENROLLED IN ANY CALIFORNIA NURSING PROGRAM TO ENCOURAGE AND SUPPORT THEM TO BECOME REGISTERED NURSES OR TO PURSUE ADVANCED NURSING DEGREES. SCHOLARSHIPS ARE AWARDED IN THE CATEGORIES OF UNDERREPRESENTED MINORITIES, ACADEMIC EXCELLENCE, NURSING AS A SECOND CAREER AND PURSUIT OF GRADUATE NURSING DEGREE. GRANTS AND DONATIONS FOR KNWOLEDGE DISSEMINATION KFH AWARDED APPROXIMATELY $7.2 MILLION IN CHARITABLE CONTRIBUTIONS TO NONPROFIT ORGANIZATIONS IN CALIFORNIA, HAWAII, OREGON, AND WASHINGTON FOR THE DISSEMINATION OF EVIDENCE-BASED STUDIES. THE PURPOSE OF THESE CONTRIBUTIONS IS TO INFORM THE COMMUNITY ABOUT HEALTH CARE PUBLIC POLICY AND PROVIDE INFORMATION FOR INDIVIDUALS SEEKING A CAREER AS A HEALTH CARE PROVIDER OR PROFESSIONAL. BELOW IS AN EXAMPLE OF THE TYPE OF COMMUNITY ORGANIZATIONS SUPPORTED BY THESE GRANTS: - THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO (UCSF) SCHOOL OF MEDICINE CONSISTS OF FOUR NATIONALLY TOP-RANKED PROFESSIONAL SCHOOLS (DENTISTRY, MEDICINE, NURSING, AND PHARMACY) AND A GRADUATE SCHOOL THAT PRODUCES PHD CANDIDATES IN THE BASIC SCIENCES. THE SCHOOL OF MEDICINE POST BACCALAUREATE PROGRAM WAS ESTABLISHED TO HELP CALIFORNIA RESIDENTS FROM UNDERSERVED COMMUNITIES AND DISADVANTAGED BACKGROUNDS IMPROVE THEIR PERSONAL AND ACADEMIC PROFILES TO GAIN ADMISSION TO MEDICAL SCHOOL. A GRANT MADE BY KFH WILL SUPPORT INCREASING THE PROGRAM SIZE FROM 8 TO 12 PARTICIPANTS. THIS SUPPORT INCLUDES SUMMER HOUSING FOR PARTICIPANTS, MCAT (MEDICAL COLLEGE ADMISSION TEST) PREPARATION SUPPORT, HEALTH CARE AND STIPENDS FOR THE PROGRAM'S SUMMER COMPONENT, AND MENTORING FOR THE ACADEMIC YEAR. SCHOLARSHIP SUPPORT WILL HELP STUDENTS PAY COURSE ENROLLMENT FEES DURING THE ACADEMIC YEAR. BY EXPANDING THE POOL OF QUALIFIED STUDENTS OF COLOR FROM DISADVANTAGED, UNDERSERVED, AND UNDERREPRESENTED BACKGROUNDS WHO COMPETE SUCCESSFULLY FOR ADMISSION TO MEDICAL SCHOOL, THE POST BACCALAUREATE PROGRAM SUPPORTS KAISER PERMANENTE'S GOAL OF INCREASING DIVERSITY AMONG HEALTH CARE PROFESSIONALS. OTHER COMMUNITY BENEFIT INVESTMENTS IN 2012, KAISER FOUNDATION HOSPITALS SPENT APPROXIMATELY $26.9 MILLION TO SUPPORT COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS BEYOND THE NATIONAL STREAMS OF WORK. THESE INVESTMENTS INCLUDED ADMINISTRATIVE COSTS SUCH AS THE LABOR AND NON-LABOR EXPENSES NECESSARY FOR CONTINUING OPERATIONS OF THE ORGANIZATION'S COMMUNITY BENEFIT PROGRAMS. THE FOLLOWING IS AN EXAMPLE OF A PROGRAM FUNDED IN THIS AREA. TUMOR BOARD AND CANCER REGISTRY KFH SPENT $1.7 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.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

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" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
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" to 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 43,512,653 16,631,604 NA
 
(2) KAISER PERMANENTE VENTURES LLC SERIES A
ONE KAISER PLAZA 15L
OAKLAND,CA94612
27-2252521 		INVESTMENTS CA 1,051,569 38,207,889 NA
 
(3) NXT CAPITAL SENIOR LOAN FUND LLC
ONE KAISER PLAZA 15L
OAKLAND,CA94612
37-1651297 		LOANS CA 12,065,503 222,695,482 NA
 






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


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


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

 		(f)
Direct controlling
entity

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

ONE KAISER PLAZA 15L

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

ONE KAISER PLAZA 15L

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

ONE KAISER PLAZA 15L

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

ONE KAISER PLAZA 15L

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

ONE KAISER PLAZA 15L

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

ONE KAISER PLAZA 15L

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

ONE KAISER PLAZA 15L

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

ONE KAISER PLAZA 15L

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

ONE KAISER PLAZA 15L

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

ONE KAISER PLAZA 15L

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

ONE KAISER PLAZA 15L

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

ONE KAISER PLAZA 15L

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

ONE KAISER PLAZA 15L

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

ONE KAISER PLAZA 15L

OAKLAND,CA94612
31-1779500 		FINANCING CA 501(c)(3) 11 - III-NF KFH
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



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

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




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



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

ONE KAISER PLAZA 15L
OAKLAND,CA94612
20-3924985 		CARE MANAGEMENT CA NA
  		                 












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

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

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

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

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

ONE KAISER PLAZA 15L
OAKLAND,CA94612
03-0329760 		INSURANCE VT NA
  		C CORP       Yes  




Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to 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
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
Yes
 
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) KAISER FOUNDATION HEALTH PLAN INC

 A 31,686,152 PER AGREEMENT
(2) KAISER FOUNDATION HEALTH PLAN OF GEORGIA

 A 13,847,433 PER AGREEMENT
(3) KAISER FOUNDATION HEALTH PLAN OF THE MAS

 A 6,371,301 PER AGREEMENT
(4) KAISER FOUNDATION HEALTH PLAN OF OHIO

 A 9,311,918 PER AGREEMENT
(5) LOKAHI ASSURANCE LTD

 A 29,626,367 PER AGREEMENT
(6) KAISER FOUNDATION HEALTH PLAN OF GEORGIA

 B 59,286 PER AGREEMENT
(7) KAISER FOUNDATION HEALTH PLAN OF COLORADO

 D 520,352,279 PER AGREEMENT
(8) KAISER FOUNDATION HEALTH PLAN OF GEORGIA

 D 110,000,000 PER AGREEMENT
(9) KAISER FOUNDATION HEALTH PLAN OF THE MAS

 D 83,000,000 PER AGREEMENT
(10) KAISER FOUNDATION HEALTH PLAN OF OHIO

 D 111,000,000 PER AGREEMENT
(11) LOKAHI ASSURANCE LTD

 D 29,836,817 PER AGREEMENT
(12) KAISER FOUNDATION HEALTH PLAN INC

 H 98,659 PER AGREEMENT
(13) KAISER HOSPITAL ASSET MANAGEMENT

 H 9,663,166 PER AGREEMENT
(14) KAISER FOUNDATION HEALTH PLAN OF THE NW

 I 2,409,532 PER AGREEMENT
(15) KAISER FOUNDATION HEALTH PLAN INC

 K 553,049 PER AGREEMENT
(16) KAISER HOSPITAL ASSET MANAGEMENT

 K 180,106,241 PER AGREEMENT
(17) KAISER FOUNDATION HEALTH PLAN INC

 L 7,424,285,090 PER AGREEMENT
(18) KAISER FOUNDATION HEALTH PLAN OF COLORADO

 L 140,974,802 PER AGREEMENT
(19) KAISER FOUNDATION HEALTH PLAN OF GEORGIA

 L 263,933,242 PER AGREEMENT
(20) KAISER FOUNDATION HEALTH PLAN OF THE MAS

 L 556,454,571 PER AGREEMENT
(21) KAISER FOUNDATION HEALTH PLAN OF THE NW

 L 807,548,855 PER AGREEMENT
(22) KAISER FOUNDATION HEALTH PLAN OF OHIO

 L 174,319,109 PER AGREEMENT
(23) LOKAHI ASSURANCE LTD

 L 607,400 PER AGREEMENT
(24) ORDWAY INDEMNITY

 L 95,320 PER AGREEMENT
(25) KAISER FOUNDATION HEALTH PLAN INC

 M 5,013,902,357 PER AGREEMENT
(26) KAISER FOUNDATION HEALTH PLAN OF COLORADO

 M 1,272,474,151 PER AGREEMENT
(27) KAISER FOUNDATION HEALTH PLAN OF THE MAS

 M 3,147,342 PER AGREEMENT
(28) KAISER FOUNDATION HEALTH PLAN OF OHIO

 M 33,528,942 PER AGREEMENT
(29) LOKAHI ASSURANCE LTD

 M 369,349,675 PER AGREEMENT
(30) OAK TREE ASSURANCE LTD

 M 54,000 PER AGREEMENT
(31) ORDWAY INDEMNITY

 M 1,252,650 PER AGREEMENT
(32) KAISER FOUNDATION HEALTH PLAN INC

 O 20,670,532 PER AGREEMENT
(33) KAISER FOUNDATION HEALTH PLAN INC

 P 14,545,252,778 PER AGREEMENT
(34) KAISER FOUNDATION HEALTH PLAN OF COLORADO

 P 24,174,740 PER AGREEMENT
(35) KAISER FOUNDATION HEALTH PLAN OF GEORGIA

 P 3,044,045 PER AGREEMENT
(36) KAISER FOUNDATION HEALTH PLAN OF THE MAS

 P 243,796,833 PER AGREEMENT
(37) KAISER FOUNDATION HEALTH PLAN OF THE NW

 P 348,699,588 PER AGREEMENT
(38) KAISER FOUNDATION HEALTH PLAN OF OHIO

 P 30,405,649 PER AGREEMENT
(39) KAISER PERMANENTE INSURANCE COMPANY

 P 12,963,647 PER AGREEMENT
(40) OAK TREE ASSURANCE LTD

 P 155,528 PER AGREEMENT
(41) KAISER FOUNDATION HEALTH PLAN INC

 Q 13,737,975,598 PER AGREEMENT
(42) KAISER FOUNDATION HEALTH PLAN OF COLORADO

 Q 3,429,484 PER AGREEMENT
(43) KAISER FOUNDATION HEALTH PLAN OF GEORGIA

 Q 105,152,177 PER AGREEMENT
(44) KAISER FOUNDATION HEALTH PLAN OF THE MAS

 Q 19,255,378 PER AGREEMENT
(45) KAISER FOUNDATION HEALTH PLAN OF THE NW

 Q 877,124,092 PER AGREEMENT
(46) KAISER FOUNDATION HEALTH PLAN OF OHIO

 Q 103,698,821 PER AGREEMENT
(47) KAISER PERMANENTE INSURANCE COMPANY

 Q 2,640,698 PER AGREEMENT
(48) LOKAHI ASSURANCE LTD

 Q 447,381,560 PER AGREEMENT
(49) OAK TREE ASSURANCE LTD

 Q 136,708 PER AGREEMENT
(50) KAISER FOUNDATION HEALTH PLAN INC

 R 76,116,261,582 PER AGREEMENT
(51) KAISER FOUNDATION HEALTH PLAN OF COLORADO

 R 180,492,431 PER AGREEMENT
(52) KAISER FOUNDATION HEALTH PLAN OF THE MAS

 R 1,334,746,204 PER AGREEMENT
(53) KAISER FOUNDATION HEALTH PLAN OF THE NW

 R 724,857,244 PER AGREEMENT
(54) KAISER FOUNDATION HEALTH PLAN OF OHIO

 R 12,000,000 PER AGREEMENT
(55) KAISER HOSPITAL ASSET MANAGEMENT

 R 2,517,079 PER AGREEMENT
(56) KAISER PERMANENTE INSURANCE COMPANY

 R 3,445,102 PER AGREEMENT
(57) LOKAHI ASSURANCE LTD

 R 60,640,607 PER AGREEMENT
(58) KAISER FOUNDATION HEALTH PLAN INC

 S 46,237,149,557 PER AGREEMENT
(59) KAISER FOUNDATION HEALTH PLAN OF COLORADO

 S 180,363,602 PER AGREEMENT
(60) KAISER FOUNDATION HEALTH PLAN OF GEORGIA

 S 193,059,108 PER AGREEMENT
(61) KAISER FOUNDATION HEALTH PLAN OF THE MAS

 S 2,095,644,348 PER AGREEMENT
(62) KAISER FOUNDATION HEALTH PLAN OF THE NW

 S 2,086,411,631 PER AGREEMENT
(63) KAISER FOUNDATION HEALTH PLAN OF OHIO

 S 10,000,000 PER AGREEMENT
(64) KAISER HOSPITAL ASSET MANAGEMENT

 S 8,723,775 PER AGREEMENT
(65) LOKAHI ASSURANCE LTD

 S 68,792,876 PER AGREEMENT
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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 section 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) 2012
Schedule R (Form 990) 2012
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation

Additional Data


Software ID:  
Software Version: