Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
A For the 2015 calendar year, or tax year beginning 01-01-2015 , and ending 12-31-2015
BCheck if applicable:
CName of organization
KAISER FOUNDATION HOSPITALS
 
% SVP CC AND CAO
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
ONE KAISER PLAZA 15L
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
OAKLAND, CA94612
D Employer identification number

94-1105628
E Telephone number

G Gross receipts $ 34,612,956,981
F Name and address of principal officer:
Bernard J Tyson
ONE KAISER PLAZA 15L
OAKLAND,CA94612
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.kp.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1948
M State of legal domicile: CA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: to provide high-quality, affordable health care services to improve the health of our members and the communities we serve.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 16
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 14
5 Total number of individuals employed in calendar year 2015 (Part V, line 2a) ...... 5 68,656
6 Total number of volunteers (estimate if necessary) ............. 6 9,522
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a -9,430,618
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 124,049,341 129,052,546
9 Program service revenue (Part VIII, line 2g) ......... 19,263,269,123 21,069,505,713
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 1,298,634,050 1,289,506,426
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 110,596,500 101,096,097
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 20,796,549,014 22,589,160,782
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 86,042,471 51,024,853
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 7,495,394,650 7,915,102,701
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 10,494,409,899 12,211,010,026
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 18,075,847,020 20,177,137,580
19 Revenue less expenses. Subtract line 18 from line 12....... 2,720,701,994 2,412,023,202
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 42,837,008,991 43,991,189,809
21 Total liabilities (Part X, line 26)............. 26,427,878,874 24,717,068,061
22 Net assets or fund balances. Subtract line 21 from line 20..... 16,409,130,117 19,274,121,748
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 (2015)
Form 990 (2015)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 17,091,695,614 including grants of $ 21,360,020 ) (Revenue $ 19,714,998,647 )
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.
4b (Code:   ) (Expenses $ 166,951,538 including grants of $ 0 ) (Revenue $ 2,589,613 )
Charity Care (Medical Financial Assistance and Charitable Health Coverage) Kaiser Foundation Hospitals (KFH) provides charity care to low-income vulnerable patients through the Medical Financial Assistance (MFA) and Charitable Health Coverage (CHC) Programs. KFH offers financial assistance through the MFA program to help families and individuals with a demonstrated financial need pay for all or part of the cost of emergency or medically necessary care provided in Kaiser Permanente facilities and/or by Kaiser Permanente providers. In 2015, this program assisted approximately 154,000 qualifying applicants, including more than 27,000 patients who were not covered by a product offered by Kaiser Foundation Health Plan, Inc. The CHC programs offer regular Kaiser Foundation Health Plan membership at minimal cost to low income families who are not eligible for other public or privately sponsored coverage. Nearly 75,000 patients were receiving access to comprehensive health care through these programs at the end of 2015.
4c (Code:   ) (Expenses $ 1,831,056,083 including grants of $ 0 ) (Revenue $ 1,212,472,314 )
Medicaid and Other Government Sponsored Programs Kaiser Foundation Hospitals (KFH) is committed to improving medical care for beneficiaries of Medicaid and other government sponsored programs, not only for Kaiser Foundation Health Plan, Inc. members, but also within the communities we serve. At the end of 2015, over 559,000 individuals were receiving access to inpatient and emergency care at KFHs facilities under Medicaid managed care programs in the states of California, Hawaii, Oregon, and Washington. Approximately 159,000 more individuals were receiving treatment under the Childrens Health Insurance Program (CHIP). In addition, KFH provided health care on a fee-for-service basis for Medicaid beneficiaries who were not enrolled as Kaiser Foundation Health Plan, Inc. members.
(Code:   ) (Expenses $ 336,517,765 including grants of $ 29,664,833 ) (Revenue $ 139,445,138 )
SEE part iii, line 4a-d description
4d Other program services (Describe in Schedule O.)
(Expenses $ 336,517,765 including grants of $ 29,664,833 ) (Revenue $ 139,445,138 )
4e Total program service expensesMediumBullet19,426,221,000
Form 990 (2015)
Form 990 (2015)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II..............
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III.................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment.............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....Click to see attachment
15
Yes
 
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
20b
Yes
 
Form 990 (2015)
Form 990 (2015)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
Yes
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I ...................Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II ................Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV ........................Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II ...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I ........Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2015)
Form 990 (2015)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
2,748
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
68,656
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletBR , CI , CO , EZ , DA , GH , IN , ID , IS , KE
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2015)
Form 990 (2015)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
16
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
14
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 , GA , OR
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletSVP CC AND CAOONE KAISER PLAZA 15L   OAKLAND,CA94612 (510) 271-6385
Form 990 (2015)
Form 990 (2015)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

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

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

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

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Regina M Benjamin MD......................................................................
Director
 3.0
.................
8.0 		X           0 111,068 0
(2) Thomas W Chapman EdD......................................................................
Director
 3.5
.................
11.5 		X           0 227,466 18,000
(3) Jeffrey E Epstein......................................................................
Director
 3.0
.................
4.5 		X           0 214,672 0
(4) Daniel Garcia......................................................................
SVP, Chief Compliance Officer
 21.0
.................
29.0 		X   X       0 1,530,525 100,746
(5) William R Graber......................................................................
Director
 2.5
.................
5.0 		X           0 255,742 0
(6) J Eugene Grigsby III PhD......................................................................
Director
 2.5
.................
5.5 		X           0 226,900 0
(7) Leslie S Heisz......................................................................
Director
 2.0
.................
6.0 		X           0 214,281 0
(8) David Hoffmeister......................................................................
Director
 3.0
.................
4.25 		X           0 205,066 0
(9) Judith Johansen......................................................................
Director
 3.0
.................
5.5 		X           0 242,558 0
(10) Kim J Kaiser......................................................................
Director
 2.5
.................
5.0 		X           0 226,996 0
(11) Philip A Marineau......................................................................
Director
 2.3
.................
4.14 		X           0 226,213 0
(12) Edward Y W Pei......................................................................
Director
 3.0
.................
4.0 		X           0 230,964 18,000
(13) Margaret E Porfido......................................................................
Director
 2.0
.................
4.5 		X           0 255,935 0
(14) Richard Shannon......................................................................
Director
 2.0
.................
3.5 		X           0 226,500 0
(15) Cynthia A Telles PhD......................................................................
Director
 3.0
.................
4.5 		X           0 251,566 0
(16) Bernard Tyson......................................................................
Chairman & CEO
 12.0
.................
38.0 		X   X       0 5,863,794 176,229
(17) Gregory Adams......................................................................
EVP, GP & Region Pres NCAL
 22.0
.................
28.0 		    X       0 2,244,288 316,731
Form 990 (2015)
Form 990 (2015)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Mary Ann Barnes........................................................................
Region President - Hawaii
 50.0
.......................0.0 		    X       0 739,672 63,702
(19) Anthony Barrueta........................................................................
SVP, Government Relations
 25.0
.......................25.0 		    X       0 1,016,202 219,058
(20) Raymond Baxter........................................................................
SVP, CB Research & Hlth Policy
 25.0
.......................25.0 		    X       0 1,577,088 97,582
(21) Vanessa Benavides........................................................................
SVP, Chief Comp & Priv Officer
 10.0
.......................40.0 		    X       0 415,215 46,532
(22) Charles Bevilacqua........................................................................
SVP,KFHP Products, Svc & Admin
 0.0
.......................50.0 		    X       0 1,107,087 197,251
(23) Maryann Bodayle........................................................................
assistant secretary
 22.0
.......................28.0 		    X       0 168,202 19,335
(24) Benjamin Chu........................................................................
EVP,GP & Region President SCAL
 25.0
.......................25.0 		    X       0 5,976,647 87,719
(25) Charles Columbus........................................................................
SVP, Chief HR Officer
 25.0
.......................25.0 		    X       0 2,018,941 317,682
(26) Patrick Courneya........................................................................
EVP, CMO
 25.0
.......................25.0 		    X       0 704,618 332,552
(27) Richard Daniels........................................................................
EVP, CIO
 2.0
.......................48.0 		    X       0 1,503,771 262,056
(28) Sandra Golze........................................................................
assistant secretary, ncal
 25.0
.......................25.0 		    X       0 518,038 117,965
(29) Kimberly Horn........................................................................
Region President - MAS
 0.0
.......................50.0 		    X       0 1,059,278 450,958
(30) Kerry Kohnen........................................................................
Region President - Georgia
 10.0
.......................40.0 		    X       0 1,213,999 61,503
(31) Kathryn Lancaster........................................................................
EVP & CFO
 14.0
.......................36.0 		    X       0 2,591,094 217,751
(32) Donna Lynne........................................................................
EVP, GP & Region Pres - CO
 18.0
.......................32.0 		    X       0 1,560,663 965,782
(33) Andrew McCulloch........................................................................
Region President - Northwest
 25.0
.......................25.0 		    X       0 1,168,149 438,831
(34) Thomas Meier........................................................................
SVP, Corporate Treasurer
 17.0
.......................33.0 		    X       0 1,016,347 73,599
(35) Julie Miller-Phipps........................................................................
Region President - GA
 0.0
.......................50.0 		    X       0 891,046 59,596
(36) Donald Orndoff........................................................................
SVP, NFS
 15.0
.......................35.0 		    X       0 1,197,707 190,253
(37) Wade Overgaard........................................................................
SVP, Health Plan Ops - CA
 1.0
.......................49.0 		    X       0 1,134,730 75,692
(38) Frank Richardson........................................................................
assistant secretary, hawaii
 25.0
.......................25.0 		    X       0 360,882 69,858
(39) Rochelle Roth........................................................................
assistant secretary
 10.0
.......................40.0 		    X       0 287,101 56,050
(40) Jacqueline Sellers........................................................................
assistant secretary
 25.0
.......................25.0 		    X       0 277,974 50,096
(41) Arthur Southam........................................................................
EVP, Health Plan Operations
 5.0
.......................45.0 		    X       0 2,839,616 98,493
(42) Deborah Stokes........................................................................
SVP, Controller & CAO
 16.5
.......................33.5 		    X       0 862,251 64,249
(43) Paul Swenson........................................................................
SVP & Chief Strategy Officer
 0.0
.......................50.0 		    X       0 1,160,660 207,619
(44) Cesar Villalpando........................................................................
SVP, Enterprise Shared Svcs
 25.0
.......................25.0 		    X       0 1,102,703 178,347
(45) Nancy Wollen........................................................................
SVP, Chief Operating Officer
 0.0
.......................50.0 		    X       0 588,139 133,772
(46) Carlos Zaragoza........................................................................
assistant secretary, scal
 25.0
.......................25.0 		    X       0 546,602 103,191
(47) Victoria Zatkin........................................................................
VP, Off of Brd & Corp Gov Svcs
 14.0
.......................36.0 		    X       0 457,349 83,732
(48) Mark Zemelman........................................................................
SVP, General Counsel & Secy
 20.0
.......................30.0 		    X       0 1,599,287 159,419
(49) Derrick Billings........................................................................
SVP, Hosp & Area Ops - NCAL
 50.0
.......................0.0 		      X     0 989,289 298,933
(50) Odette Bolano........................................................................
SVP & Area Manager - East Bay
 50.0
.......................0.0 		      X     0 562,603 232,025
(51) Christopher Boyd........................................................................
SVP & Area Mgr - Santa Clara
 50.0
.......................0.0 		      X     0 726,621 127,691
(52) Michael Brady........................................................................
SVP, Infrastructure Mgmt Group
 50.0
.......................0.0 		      X     0 659,907 32,054
(53) William Caswell........................................................................
SVP, Operations
 50.0
.......................0.0 		      X     0 866,657 157,836
(54) Greg Christian........................................................................
SVP, Area Manager - Fontana
 50.0
.......................0.0 		      X     0 572,158 115,933
(55) Judith Coffey........................................................................
SVP & Area Mgr - Marin/Sonoma
 50.0
.......................0.0 		      X     0 580,401 77,615
(56) Jeffrey Collins........................................................................
SVP & Area Manager - Roseville
 50.0
.......................0.0 		      X     0 707,925 117,335
(57) Mark Costa........................................................................
SVP, Area Mgr - Orange County
 50.0
.......................0.0 		      X     0 651,541 133,404
(58) Elizabeth Finley........................................................................
SVP, Area Manager - San Diego
 50.0
.......................0.0 		      X     0 892,244 61,567
(59) Deborah Friberg........................................................................
SVP, Area Mgr - Central Valley
 50.0
.......................0.0 		      X     0 476,514 57,491
(60) Corwin Harper........................................................................
SVP & Area Mgr - Napa/Solano
 50.0
.......................0.0 		      X     0 557,934 121,680
(61) Janet Liang........................................................................
SVP & COO - NCAL
 25.0
.......................25.0 		      X     0 1,754,988 167,286
(62) Gerald McCall........................................................................
SVP Operations
 50.0
.......................0.0 		      X     0 953,563 69,587
(63) Colleen McKeown........................................................................
SVP & Area Mgr - Diablo
 50.0
.......................0.0 		      X     0 578,573 193,143
(64) Christine Robisch........................................................................
SVP, CAO - NCAL
 50.0
.......................0.0 		      X     0 588,104 119,669
(65) Nirav Shah........................................................................
SVP, COO Clinical Operations
 50.0
.......................0.0 		      X     0 673,613 89,015
(66) Max Villalobos........................................................................
COO - North County
 50.0
.......................0.0 		      X     0 612,706 77,847
(67) George DiSalvo........................................................................
SVP-CFO, SCAL
 20.0
.......................30.0 		      X     0 1,139,487 226,458
(68) Michael Rowe........................................................................
SVP, CFO - NCAL
 20.0
.......................30.0 		      X     0 1,452,698 176,327
(69) Claudio F Abreu........................................................................
SVP, Regional IT Operations
 50.0
.......................0.0 		        X   0 1,093,878 158,773
(70) Lisa L Caplan........................................................................
SVP, Bus Info Off - Care Del
 50.0
.......................0.0 		        X   0 796,930 170,201
(71) Diane Comer........................................................................
SVP, Buss Info Officer - KFHP
 50.0
.......................0.0 		        X   0 889,537 184,405
(72) Angela Yee Fong........................................................................
Staff Charge Nurse IV
 50.0
.......................0.0 		        X   0 750,670 56,974
(73) Kathleen Marie Scheirman........................................................................
SVP, Application Svcs Group
 50.0
.......................0.0 		        X   0 1,078,362 194,850
(74) Erin Downing........................................................................
Special Assistant to the Board
 0.0
.......................50.0 		          X 0 134,369 17,572
(75) Jerry C Fleming........................................................................
SVP, Health Reform Implementat
 12.0
.......................18.0 		          X 0 709,814 315,216
(76) Diane Gage-Lofgren........................................................................
SVP, Brand Mgmt & Comm
 0.0
.......................0.0 		          X 0 346,833 22,892
(77) Mitchell Goodstein........................................................................
SVP, Actuarial, U/W & Pricing
 0.0
.......................0.0 		          X 0 621,696 0
(78) Marilyn Kawamura........................................................................
Region President - MAS
 0.0
.......................0.0 		          X 0 100,855 0
(79) Patricia Kennedy-Scott........................................................................
Region President - Ohio
 0.0
.......................0.0 		          X 0 157,724 23,404
(80) Jed Weissberg........................................................................
SVP, Quality & Care Del Excel
 0.0
.......................0.0 		          X 0 378,198 -24,803
(81) Steven Zatkin........................................................................
SVP, General Counsel & Secy
 0.0
.......................0.0 		          X 0 261,259 0
(82) Frank Beirne........................................................................
SVP & Area Mgr - San Mateo
 50.0
.......................0.0 		          X 0 508,748 -70,211
(83) Virginia Campbell........................................................................
SVP & Area Mgr - Diablo
 0.0
.......................0.0 		          X 0 121,493 32,374
(84) Thomas Hanenburg........................................................................
SVP & Area Mgr - GSAA
 50.0
.......................0.0 		          X 0 561,507 118,951
(85) Nathaniel Oubre........................................................................
VP, CA MediCal, CHIP & CHC
 50.0
.......................0.0 		          X 0 573,324 67,143
(86) Sandra Small........................................................................
SVP, Hospital & Area Ops
 0.0
.......................0.0 		          X 0 330,573 0
(87) Vita Willett........................................................................
SVP, Area Manager - Riverside
 50.0
.......................0.0 		          X 0 633,223 118,895
(88) Edward Glavis........................................................................
SVP & Area Mgr - Roseville
 50.0
.......................0.0 		          X 0 397,654 3,724
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 0 76,859,765 10,173,187
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet27,093
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
BARTECH GROUP INC,
27777 FRANKLIN RD SUITE 300
SOUTHFIELD,MI48034 		WORKFORCE MANAGEMENT 302,240,847
WORLD WIDE TECHNOLOGY INC,
60 WELDON PKWY
MARYLAND HEIGHTS,MO63043 		IT data mgmt svcs 123,768,272
UCSF MEDICAL CENTER,
PO BOX 39000 DEPT 3-9157
SAN FRANCISCO,CA94137 		MEDICAL SERVICES 121,145,977
BLACKSTONE CONSULTING INC,
11726 SAN VICENTE BLVD SUITE 550
LOS ANGELES,CA90049 		CONSULTANCY SVCS 100,799,638
HENSEL PHELPS CONSTRUCTION CO,
18850 VON KARMAN AVE SUITE 100
IRVINE,CA92612 		CONSTRUCTION SVCS 100,173,930
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet410
Form 990 (2015)
Form 990 (2015)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 104,786
e Government grants (contributions)1e 85,730,465
f All other contributions, gifts, grants, and similar amounts not included above1f 43,217,295
g Noncash contributions included in lines 1a-1f:$  
h Total.Add lines 1a-1f.......MediumBullet 129,052,546
Program Service RevenueAmt Business Code
2a HOSPITAL SERV REV 622110 18,343,646,864 18,343,646,864    
b NON-PLAN & IND REV 622110 424,337,189 424,337,189    
c OTHR PRGM SERV REV 622110 2,212,034,201 2,209,274,887 2,759,314  
d MEDICARE PAYMENTS 622110 89,487,459 89,487,459    
e
f All other program service revenue.        
g Total.Add lines 2a–2f.....MediumBullet 21,069,505,713
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ..........MediumBullet 777,564,134   -14,485,033 792,049,167
4 Income from investment of tax-exempt bond proceedsMediumBullet 0      
5 Royalties...........MediumBullet 0      
(ii) Personal (i) Real
6a Gross rents   2,169,290
b Less: rental expenses    
c Rental income or (loss) 0 2,169,290
d Net rental income or (loss)......MediumBullet 2,169,290     2,169,290
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 7,057,229 12,528,681,262
b Less: cost or other basis and sales expenses 34,904,284 11,988,891,915
c Gain or (loss) -27,847,055 539,789,347
d Net gain or (loss).....MediumBullet 511,942,292     511,942,292
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      
Business Code Miscellaneous Revenue
11a CAFETERIA 722310 19,995,668     19,995,668
b PARKING GARAGES 812930 10,368,049   279,855 10,088,194
c KP ONCALL 622110 43,540,145   15,246 43,524,899
d All other revenue .... 25,022,945   2,000,000 23,022,945
e Total. Add lines 11a–11d ...... MediumBullet 98,926,807
12 Total revenue. See Instructions......MediumBullet 22,589,160,782 21,066,746,399 -9,430,618 1,402,792,455
Form 990 (2015)
Form 990 (2015)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 49,726,650 49,726,650
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 1,115,500 1,115,500
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 182,703 182,703
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) .... 473,100 450,144 22,956  
7 Other salaries and wages 5,392,268,787 5,130,618,826 261,649,961  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 958,578,741 912,065,464 46,513,277  
9 Other employee benefits ....... 1,193,373,263 1,135,467,012 57,906,251  
10 Payroll taxes ........... 370,408,810 352,435,401 17,973,409  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 536,220   536,220  
c Accounting ........... 4,251,963   4,251,963  
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 83,907,902   83,907,902  
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 .... 3,429,433   3,429,433  
13 Office expenses ....... 2,133,134,541 2,029,628,096 103,506,445  
14 Information technology ...... 486,625,768 463,013,144 23,612,624  
15 Royalties .. 0      
16 Occupancy ........... 265,944,128 253,039,677 12,904,451  
17 Travel ............ 16,458,283 15,659,675 798,608  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 12,299,889 11,703,059 596,830  
20 Interest ........... 381,034,762 362,545,748 18,489,014  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 938,205,461 892,680,760 45,524,701  
23 Insurance ... 68,657,855 65,326,358 3,331,497  
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 2,889,960,736 2,889,960,736    
b PURCHASED MEDICAL SERVICES 3,567,190,987 3,567,190,987    
c PURCHASED NON-MEDICAL SVC 457,057,530 434,879,651 22,177,879  
d EMPLOYEE DEVELOPMENT 5,349,135 5,089,578 259,557  
e All other expenses 896,965,433 853,441,831 43,523,602  
25 Total functional expenses. Add lines 1 through 24e 20,177,137,580 19,426,221,000 750,916,580 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 (2015)
Form 990 (2015)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 73,883,134 1 46,368,584
2 Savings and temporary cash investments ......... 0 2 0
3 Pledges and grants receivable, net ...... 0 3 0
4 Accounts receivable, net ............. 333,250,704 4 552,569,179
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 .... 278,961,365 7 2,377,644,432
8 Inventories for sale or use ........ 488,939,104 8 482,564,328
9 Prepaid expenses and deferred charges ...... 223,828,854 9 383,779,393
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 32,315,781,371
b Less: accumulated depreciation 10b 15,138,990,306 17,119,878,704 10c 17,176,791,065
11 Investments—publicly traded securities . 18,363,951,477 11 15,636,401,919
12 Investments—other securities. See Part IV, line 11 ..... 4,912,501,313 12 6,240,562,228
13 Investments—program-related. See Part IV, line 11 .. 0 13 0
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 1,041,814,336 15 1,094,508,681
16 Total assets. Add lines 1 through 15 (must equal line 34)... 42,837,008,991 16 43,991,189,809
Liabilities 17 Accounts payable and accrued expenses ..... 3,410,387,618 17 3,028,076,389
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 2,941,770 19 2,678,507
20 Tax-exempt bond liabilities ......... 6,948,848,641 20 6,820,311,357
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 16,065,700,845 25 14,866,001,808
26 Total liabilities. Add lines 17 through 25.. 26,427,878,874 26 24,717,068,061
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 ... 65,587,702 31 51,598,437
32 Retained earnings, endowment, accumulated income, or other funds 16,343,542,415 32 19,222,523,311
33 Total net assets or fund balances ........... 16,409,130,117 33 19,274,121,748
34 Total liabilities and net assets/fund balances ........ 42,837,008,991 34 43,991,189,809
Form 990 (2015)
Form 990 (2015)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
22,589,160,782
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
20,177,137,580
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
2,412,023,202
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
16,409,130,117
5
Net unrealized gains (losses) on investments ...............
5
-508,005,325
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
960,973,754
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
19,274,121,748
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2015)
Form 990 (2015)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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
6
7
8
9
10
11
a
b
c
d
e
f
Enter the number of supported organizations ..............  

g
Provide the following information about the supported organization(s).
(i)Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total      

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
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) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (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) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10.  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
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) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (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) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    

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

Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity		  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions		  
9 Distributable amount for 2015 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  

Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2015 		(iii)
Distributable
Amount for 2015
1 Distributable amount for 2015 from Section C, line
6 		 
2 Underdistributions, if any, for years prior to 2015
(reasonable cause required--see instructions)		  
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......  
e From 2014.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2015 distributable amount  
i Carryover from 2010 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2015 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2015 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2015, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)		  
6 Remaining underdistributions for 2015. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)		  
7 Excess distributions carryover to 2016. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a
b
c Excess from 2013.......  
d From 2014.......  
e From 2015.......  
Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2015


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number

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





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2
Name of organization
KAISER FOUNDATION HOSPITALS
  		Employer identification number
94-1105628
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 

   
 
 
  ,    

$ RESTRICTED


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

   
 
 

$  


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

   
 
 

$  


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

   
 
 

$  


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

   
 
 

$  


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

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
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) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Page 4
Name of organization
KAISER FOUNDATION HOSPITALS
  		Employer identification number

94-1105628
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

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," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year ....    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ....    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................
Part II
Conservation Easements. Complete if the organization answered "Yes" on 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenue included on 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) 2015

Schedule D (Form 990) 2015
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" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a)Current year (b)Prior year (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 on 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" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land ...   962,875,748 962,875,748
b Buildings   21,966,386,760 9,313,171,372 12,653,215,388
c Leasehold improvements   238,314,836 178,206,083 60,108,753
d Equipment ...   3,431,847,441 2,508,465,613 923,381,828
e Other ...   5,716,356,586 3,139,147,238 2,577,209,348
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 17,176,791,065
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c)Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) ABSOLUTE RETURN FUNDS 		2,235,526,503 F

(B) PRIVATE EQUITY FUNDS 		3,197,881,243 F

(C) RISK PARITY FUNDS 		807,154,482 F
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 6,240,562,228
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes 0
DUE TO RELATED ENTITIES 6,282,657,451
RESERVE FOR WORKERS COMP RISKS 457,894,122
RESERVE FOR PROF/PUBLIC LIAB 224,555,840
RESERVE FOR SELF-INS RISK AUTO 125,000
POST RETIREMENT LIABILITIES 6,483,137,372
OTHER LONG-TERM LIABILITIES 417,031,275
OTHER CURRENT LIABILITIES 835,655,478
BROKER PAYABLES 164,945,270
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 14,866,001,808
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  

Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D, Part X ASC 740 Footnote: The organization's financial statements do not include a footnote under ASC 740.
Schedule D (Form 990) 2015


Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.Right pointing arrow large image Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number

94-1105628
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
For grantmakers.Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total expenditures
for and investments
in region
South America     Investments   88,896,000
East Asia and the Pacific     Investments   155,899,000
Europe (Including Iceland and Greenland)     Investments   327,253,000
Middle East and North Africa     Investments   5,740,000
South Asia     Investments   4,115,000
Sub-Saharan Africa     Investments   3,432,000
Central America and the Caribbean     Investments   5,629,420,000
           
           
           
           
           
           
           
           
           
           
3a Sub-total .....     6,214,755,000
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     6,214,755,000
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015
Schedule F (Form 990) 2015
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (a)(c) Region (b)(d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
Europe (Including Iceland and Greenland) Research Grant 90,303        
North America Research Grant 26,990        
East Asia and the Pacific Research Grant 65,410        
             
             
             
             
             
             
             
             
             
             
             
             
             
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
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2015
Schedule F (Form 990) 2015Page 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) 2015
Schedule F (Form 990) 2015
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2015
Schedule F (Form 990) 2015
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
ReturnReference Explanation
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2015
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" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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
 
No
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

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

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    166,951,540 2,589,614 164,361,926 0.810 %
b Medicaid (from Worksheet 3, column a) . . . . .     1,781,308,400 1,165,164,716 616,143,684 3.050 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     49,747,683 47,307,598 2,440,085 0.010 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .     1,998,007,623 1,215,061,928 782,945,695 3.870 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     42,241,096   42,241,096 0.210 %
f Health professions education (from Worksheet 5) . . .     114,885,028 19,458,777 95,426,251 0.470 %
g Subsidized health services (from Worksheet 6) . . . .            
h Research (from Worksheet 7) .     120,860,695 91,120,247 29,740,448 0.150 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     29,664,833   29,664,833 0.150 %
j Total. Other Benefits . .     307,651,652 110,579,024 197,072,628 0.980 %
k Total. Add lines 7d and 7j .     2,305,659,275 1,325,640,952 980,018,323 4.850 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
140,053,895
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
214,695,725
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
314,010,826
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-99,315,101
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) 2015
Schedule H (Form 990) 2015
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?38
Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 KAISER FDN HOSPITAL - LOS ANGELES
4867 SUNSET BLVD
LOS ANGELES,CA90027
http://www.kp.org
9300077 		X X   X   X X      
2 KAISER FOUNDATION HOSPITAL- SAN DIEGO
4647 ZION AVE
SAN DIEGO,CA92120
http://www.kp.org
800062 		X X   X   X X      
3 KAISER FOUNDATION HOSPITAL - FONTANA
9961 SIERRA AVE
FONTANA,CA92335
http://www.kp.org
2400159 		X X   X   X X      
4 KAISER FDN HOSP - SUNNYSIDE MED CTR
10180 SOUTHEAST SUNNYSIDE RD
CLACKAMAS,OR97105
http://www.kp.org
1073 		X X   X     X      
5 KAISER FOUNDATION HOSPITAL - HONOLULU
3288 MOANALUA RD
HONOLULU,HI96819
http://www.kp.org
OHCA#31-H 		X X   X     X      
6 KAISER FDN HOSPITAL - SANTA CLARA
700 LAWRENCE EXPRESSWAY
SANTA CLARA,CA95051
http://www.kp.org
70000661 		X X   X   X X      
7 KAISER FOUNDATION HOSPITAL - OAKLAND
275 W MACARTHUR BLVD
OAKLAND,CA94611
http://www.kp.org
140000052 		X X   X   X X      
8 KAISER FOUNDATION HOSPITAL - DOWNEY
9333 IMPERIAL HIGHWAY
DOWNEY,CA90242
http://www.kp.org
930000078 		X X   X   X X      
9 KAISER FOUNDATION HOSPITAL- ROSEVILLE
1600 EUREKA RD
ROSEVILLE,CA95661
http://www.kp.org
30000052 		X X   X   X X      
10 KAISER FOUNDATION HOSPITAL - ANAHEIM
441 N LAKEVIEW AVE
ANAHEIM,CA92807
http://www.kp.org
600091 		X X   X   X X      
11 KAISER FDN HOSPITAL - WALNUT CREEK
1425 S MAIN ST
WALNUT CREEK,CA94596
http://www.kp.org
140000290 		X X   X   X X      
12 KAISER FOUNDATION HOSPITAL - VALLEJO
975 SERENO DR
VALLEJO,CA94589
http://www.kp.org
110000026 		X X   X   X X      
13 KAISER FDN HOSPITAL - SAN FRANCISCO
2425 GEARY BLVD
SAN FRANCISCO,CA94115
http://www.kp.org
220000188 		X X   X   X X      
14 KAISER FDN HOSPITAL- SOUTH SACRAMENTO
6600 BRUCEVILLE RD
SOUTH SACRAMENTO,CA95823
http://www.kp.org
30000228 		X X   X   X X      
15 KAISER FOUNDATION HOSPITAL- RIVERSIDE
10800 MAGNOLIA AVE
RIVERSIDE,CA92505
http://www.kp.org
2500327 		X X   X   X X      
16 KAISER FDN HOSPITAL - SACRAMENTO
2025 MORSE AVE
SACRAMENTO,CA95825
http://www.kp.org
30000052 		X X   X   X X      
17 KAISER FDN HOSPITAL - HARBOR CITY
25825 S VERMONT AVE
HARBOR CITY,CA90710
http://www.kp.org
9300079 		X X   X   X X      
18 KAISER FOUNDATION HOSPITAL - IRVINE
6640 ALTON PARKWAY
IRVINE,CA92618
http://www.kp.org
600091 		X X   X   X X      
19 KAISER FDN HOSPITAL - WOODLAND HILLS
5601 DE SOTO AVE
WOODLAND HILLS,CA91367
http://www.kp.org
9300358 		X X   X   X X      
20 KAISER FOUNDATION HOSPITAL - SAN JOSE
250 HOSPITAL PARKWAY
SAN JOSE,CA95119
http://www.kp.org
70000117 		X X   X   X X      
21 KAISER FDN HOSPITAL - BALDWIN PARK
1011 BALDWIN PARK BLVD
BALDWIN PARK,CA91706
http://www.kp.org
9300920 		X X   X   X X      
22 KAISER FDN HOSPITAL - W LOS ANGELES
6041 CADILLAC AVE
LOS ANGELES,CA90034
http://www.kp.org
9300081 		X X   X   X X      
23 KAISER FOUNDATION HOSPITAL - ONTARIO
2295 S VINEYARD AVE
ONTARIO,CA91761
http://www.kp.org
240000159 		X X   X     X      
24 KAISER FDN HOSPITAL - SAN LEANDRO
2500 MERCED ST
SAN LEANDRO,CA94577
http://www.kp.org
550002678 		X X   X   X X      
25 KAISER FDN HOSPITAL - SANTA ROSA
401 BICENTENNIAL WAY
SANTA ROSA,CA95403
http://www.kp.org
110000213 		X X   X   X X      
26 KAISER FDN HOSPITAL - REDWOOD CITY
1100 VETERANS BLVD
REDWOOD CITY,CA94063
http://www.kp.org
220000021 		X X   X   X X      
27 KAISER FDN HOSPITAL - PANORAMA CITY
13652 CANTARA ST
PANORAMA CITY,CA91402
http://www.kp.org
9300080 		X X   X   X X      
28 KAISER FOUNDATION HOSPITAL - MODESTO
4601 DALE RD
MODESTO,CA95356
http://www.kp.org
030000393 		X X   X     X      
29 KAISER WESTSIDE MEDICAL CENTER
2875 NW STUCKI ROAD
HILLSBORO,OR97124
http://www.kp.org
14-1472 		X X   X     X      
30 KAISER FOUNDATION HOSPITAL - FRESNO
7300 N FRESNO ST
FRESNO,CA93720
http://www.kp.org
040000384 		X X   X   X X      
31 KAISER FOUNDATION HOSPITAL - ANTIOCH
4501 SAND CREEK RD
ANTIOCH,CA94531
http://www.kp.org
550000614 		X X   X   X X      
32 KAISER FOUNDATION HOSPITAL- VACAVILLE
1 QUALITY DR
VACAVILLE,CA95688
http://www.kp.org
550001207 		X X   X   X X      
33 KAISER FDN HOSP - SOUTH SAN FRANCISCO
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO,CA94080
http://www.kp.org
220000022 		X X   X   X X      
34 KAISER FDN HOSPITAL - SAN RAFAEL
99 MONTECILLO RD
SAN RAFAEL,CA94903
http://www.kp.org
110000357 		X X   X   X X      
35 KAISER FOUNDATION HOSPITAL - FREMONT
39400 PASEO PADRE PARKWAY
FREMONT,CA94538
http://www.kp.org
140000053 		X X   X   X X      
36 KAISER FDN HOSPITAL - MORENO VALLEY
27300 IRIS AVE
MORENO VALLEY,CA92555
http://www.kp.org
550000810 		X X   X   X X      
37 KAISER FOUNDATION HOSPITAL - RICHMOND
901 NEVIN ST
RICHMOND,CA94801
http://www.kp.org
140000052 		X X   X   X X      
38 KAISER FOUNDATION HOSPITAL - MANTECA
1777 W YOSEMITE AVE
MANTECA,CA95336
http://www.kp.org
030000393 		X X   X     X      
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - ANTIOCH
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		31
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTP://WWW.KP.ORG/CHNA
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - ANTIOCH
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/ncal
b
http://www.kp.org/mfa/ncal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - ANTIOCH
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - FRESNO
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		30
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - FRESNO
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/ncal
b
http://www.kp.org/mfa/ncal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - FRESNO
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - ANAHEIM
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		10
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - ANAHEIM
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/scal
b
http://www.kp.org/mfa/scal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - ANAHEIM
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - BALDWIN PARK
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		21
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - BALDWIN PARK
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/scal
b
http://www.kp.org/mfa/scal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - BALDWIN PARK
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - DOWNEY
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		8
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - DOWNEY
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/scal
b
http://www.kp.org/mfa/scal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - DOWNEY
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - FONTANA
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		3
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - FONTANA
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/scal
b
http://www.kp.org/mfa/scal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - FONTANA
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - IRVINE
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		18
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - IRVINE
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/scal
b
http://www.kp.org/mfa/scal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - IRVINE
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - LOS ANGELES
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - LOS ANGELES
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/scal
b
http://www.kp.org/mfa/scal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - LOS ANGELES
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - MANTECA
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		38
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - MANTECA
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/ncal
b
http://www.kp.org/mfa/ncal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - MANTECA
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - MORENO VALLEY
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		36
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - MORENO VALLEY
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/scal
b
http://www.kp.org/mfa/scal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - MORENO VALLEY
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - ONTARIO
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		23
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - ONTARIO
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/scal
b
http://www.kp.org/mfa/scal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - ONTARIO
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - PANORAMA CITY
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		27
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - PANORAMA CITY
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/scal
b
http://www.kp.org/mfa/scal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - PANORAMA CITY
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - REDWOOD CITY
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		26
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - REDWOOD CITY
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/ncal
b
http://www.kp.org/mfa/ncal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - REDWOOD CITY
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - RIVERSIDE
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		15
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - RIVERSIDE
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/scal
b
http://www.kp.org/mfa/scal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - RIVERSIDE
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - ROSEVILLE
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		9
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - ROSEVILLE
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/ncal
b
http://www.kp.org/mfa/ncal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - ROSEVILLE
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - SACRAMENTO
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		16
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - SACRAMENTO
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/ncal
b
http://www.kp.org/mfa/ncal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - SACRAMENTO
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - SAN DIEGO
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		2
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - SAN DIEGO
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/scal
b
http://www.kp.org/mfa/scal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - SAN DIEGO
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - SAN FRANCISCO
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		13
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - SAN FRANCISCO
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/ncal
b
http://www.kp.org/mfa/ncal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - SAN FRANCISCO
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - SAN JOSE
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		20
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - SAN JOSE
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/ncal
b
http://www.kp.org/mfa/ncal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - SAN JOSE
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - SAN RAFAEL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		34
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - SAN RAFAEL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/ncal
b
http://www.kp.org/mfa/ncal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - SAN RAFAEL
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - SANTA CLARA
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		6
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - SANTA CLARA
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/ncal
b
http://www.kp.org/mfa/ncal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - SANTA CLARA
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - SANTA ROSA
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		25
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - SANTA ROSA
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/ncal
b
http://www.kp.org/mfa/ncal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - SANTA ROSA
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - SOUTH BAY
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		17
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - SOUTH BAY
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/scal
b
http://www.kp.org/mfa/scal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - SOUTH BAY
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - SOUTH SACRAMENTO
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		14
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - SOUTH SACRAMENTO
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/ncal
b
http://www.kp.org/mfa/ncal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - SOUTH SACRAMENTO
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - SOUTH SAN FRANCISCO
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		33
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - SOUTH SAN FRANCISCO
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/ncal
b
http://www.kp.org/mfa/ncal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - SOUTH SAN FRANCISCO
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - VACAVILLE
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		32
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - VACAVILLE
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/ncal
b
http://www.kp.org/mfa/ncal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - VACAVILLE
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - VALLEJO
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		12
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - VALLEJO
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/ncal
b
http://www.kp.org/mfa/ncal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - VALLEJO
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - WALNUT CREEK
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		11
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - WALNUT CREEK
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/ncal
b
http://www.kp.org/mfa/ncal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - WALNUT CREEK
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - WEST LOS ANGELES
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		22
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - WEST LOS ANGELES
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/scal
b
http://www.kp.org/mfa/scal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - WEST LOS ANGELES
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - WOODLAND HILLS
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		19
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - WOODLAND HILLS
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/scal
b
http://www.kp.org/mfa/scal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - WOODLAND HILLS
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - FREMONT
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		35
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - FREMONT
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/ncal
b
http://www.kp.org/mfa/ncal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - FREMONT
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - MODESTO
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		28
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - MODESTO
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/ncal
b
http://www.kp.org/mfa/ncal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - MODESTO
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - OAKLAND
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		7
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - OAKLAND
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/ncal
b
http://www.kp.org/mfa/ncal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - OAKLAND
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - RICHMOND
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		37
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - RICHMOND
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/ncal
b
http://www.kp.org/mfa/ncal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - RICHMOND
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - SUNNYSIDE Medical Center
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		4
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - SUNNYSIDE Medical Center
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
kp.org/mfa/nw
b
kp.org/mfa/nw
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - SUNNYSIDE Medical Center
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KAISER WESTSIDE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		29
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KAISER WESTSIDE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
kp.org/mfa/nw
b
kp.org/mfa/nw
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KAISER WESTSIDE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - HONOLULU
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		5
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.kp.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - HONOLULU
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
www.kp.org/mfa/hawaii
b
www.kp.org/mfa/hawaii
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - HONOLULU
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
KFH - SAN LEANDRO
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		24
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1 Yes  
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTP://WWW.KP.ORG/CHNA
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
KFH - SAN LEANDRO
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.kp.org/mfa/ncal
b
http://www.kp.org/mfa/ncal
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

KFH - SAN LEANDRO
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 7
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
KFH - LOS ANGELES EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. LINE 6A: KFH-Baldwin Park, KFH-West Los Angeles, Citrus Valley Medical Center. Line 6b: 211 Los Angeles County; A Window Between Worlds; AIDS Project Los Angeles; Alexandria House; Alliance for Housing and Healing; Alzheimer's Association, California Southland Chapter; American Heart Association; Angelus Plaza; Ascencia; Asian Pacific Health Care Venture; Aviva Family and Children's Services; Bienvenidos Children's Center, Inc.; Boys and Girls Club of Hollywood; Boys and Girls Club of Pasadena; California Children's Medical Services; CASA of Los Angeles; Center for Oral Health; Center for the Pacific Asian Family; Children's Hospital Los Angeles; Chinatown Service Center; CoachArt; Coalition for Humane Immigrant Rights of Los Angeles; Community Clinic Association of Los Angeles County; Community Health Alliance of Pasadena; Community Health Councils, Inc.; CONTRA-TIEMPO; Covenant House California-Los Angeles; Didi Hirsh Mental Health Services; Early Identification and Intervention Collaborative for Los Angeles County; East Los Angeles Women's Center; Eisner Pediatric and Family Medical Center; El Centro del Pueblo; Esperanza Community Housing Corporation (Promotoras); Familia Unida Living with Multiple Sclerosis; Filipino American Service Group Inc. (FASGI); Gay Lesbian Elder Housing; Hamburger Home, dba Aviva Family and Children's Services; Hathaway-Sycamores Child and Family Services; Healthy City; HEAR Center; Heart of Los Angeles Youth, Inc. (HOLA); Hollywood Community Housing Corporation; Hollywood Sunset Free Clinic; Hollywood Wilshire YMCA; JWCH Institute, Inc.; Kids' Community Clinic of Burbank; Korean American Family Service Center; Korean Health Education Information & Research Center; LA Conservation Corps; LACER After-School Programs; Latino Diabetes Association; LAUSD/Student Health and Human Services; Living Advantage; Los Angeles Child Guidance Clinic; Los Angeles County Department of Health Services; Los Angeles County Department of Mental Health (DMH); Los Angeles County Department of Public Health, Maternal, Child and Adolescent Health Programs; Los Angeles County Emergency Medical Services (EMS); Los Angeles Neighborhood Land Trust; Los Angeles Unified School District (LAUSD); Los Angeles Youth Network; Maternal and Child Health Access; P F Bresee Foundation; Pacific Clinics; Planned Parenthood Los Angeles; PROTOTYPES Centers for Innovation in Health, Mental Health and Social Services; Proyecto Pastoral at Dolores Mission; Socrates Opportunity Scholarship Foundation; SOS Mentor Shape Up; St. Anne's; St. Francis Medical Center; Saint John's Well Child and Family Center, Inc.; St. Vincent Medical Center; The Harmony Project; The Laurel Foundation; The Village Family Services; The Wall-Las Memorias Project; UMMA (University Muslim Medical Association) Community Clinic; University of Southern California (USC) and USC School of Dentistry; USC Troy Camp; VIP Community Mental Health Center, Inc.; Worksite Wellness LA; YMCA-Weingart East Los Angeles. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The remaining prioritized health needs for Los Angeles will not be addressed by KFH-Los Angeles because, using a set of criteria, they were not ranked as highly (in terms of high need and high feasibility) as were access to care, prevention of youth obesity/overweight and diabetes, prevention and management of cardiovascular disease and mental health. KFH-Los Angeles has particular resources and capacity to dedicate to the chosen priority areas and related health needs. In addition, there are other community partners/stakeholders who are currently addressing the needs below. The needs that will not be addressed are: Allergies, Alzheimer's disease, Arthritis, Asthma, Breast cancer, cancer (in general Cervical cancer, Colorectal cancer), Disability, Hepatitis, HIV/AIDS, Infant mortality, Intentional injury, Oral health, Unintentional injury. Though not selected as a priority need in the Implementation Strategy process, some of the above noted needs will be indirectly addressed through enhancing access to health care. KFH-Los Angeles will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - SAN DIEGO EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: Palomar Health, Rady Childrens Hospital San Diego, Scripps Health, Sharp HealthCare, Tri-City Medical Center, and UC San Diego Medical Center. Line 6b: Institute for Public Health at San Diego State University; Healthy City; Hospital Association of San Diego and Imperial Counties (HASD&IC): East Side Collaborative, Family Health Centers of San Diego Community Core Group and San Ysidro Health Center. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The remaining prioritized health needs for San Diego will not be addressed by KFH-San Diego because, using a set of criteria, they were not ranked as highly as Access to Care, Diabetes (Type 2), Mental and Behavioral Health and Obesity. KFH-San Diego has particular resources and capacity to dedicate to the chosen priority areas and related health needs. The needs that will not be addressed are: 1. Unintentional Injury; 2. High Risk Pregnancy; 3. Asthma; 4. Dementia & Alzheimers Disease; 5. Breast Cancer; 6. Acute Respiratory Infections/Pneumonia; 7. Back Pain; 8. Colorectal Cancer; 9. Lung Cancer; 10. Prostate Cancer; 11. Skin Cancer. Cervical Cancer, Chlamydia and HIV, were added for KFH San Diegos consideration of possible indicators to include in their intervention/implementation process. These issues were not selected either, due to the reasons stated above. Though not selected as a priority need in the Implementation Strategy process, some of the above noted needs will be indirectly addressed through enhancing access to health care. KFH-San Diego will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - SANTA CLARA EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: El Camino Hospital; Kaiser Permanente San Jose; Lucile Packard Children's Hospital at Stanford; O'Connor Hospital; Saint Louise Regional Hospital; Stanford Hospital and Clinics. line 6b: Hospital Council of Northern & Southern California, Santa Clara County Public Health Department, and United Way Silicon Valley. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The following health needs will not be addressed by KFH Santa Clara. Rationale for why they won't be addressed is also provided. A. Birth outcomes: Magnitude of the problem is small since overall indicators meet targets. African- Americans are a small percentage of the population, and the Santa Clara County Public Health Department has an effective, existing Black Infant Health Program addressing this need. B. Cancers: The spectrum of the problem is so broad that Community Benefit investments could not impact it. Kaiser Permanente already has significant investment in research around this health need. Santa Clara County Public Health Department has an initiative to reduce smoking rates that could prevent lung cancer. C. Cardiovascular disease, heart disease, stroke: Explanation why not chosen: The ability to make an impact with limited Community Benefit funds is low. KFH is already addressing this need through Public Affairs sponsorships. There is the potential to affect this need with obesity prevention efforts (one of the chosen needs). D. Alzheimer's disease: No prevention opportunity/promising approaches exist. Need more data on the population affected. E. Diabetes: Type 2 (majority of cases) can be addressed through same strategies as obesity (which is a chosen need). F. Oral/dental health: Not many internal assets (resources nor expertise). Needs to be addressed at a systems-level, including increasing numbers of dentists who accept Denti-Cal. Specific, effective approaches could be incorporated under Access to Care (which is a chosen need). G. Respiratory conditions: Need is not as great as others. Currently being addressed by health care systems directly. H. Sexually Transmitted Diseases, including HIV-AIDS: County as a whole meeting targets. The Santa Clara County Public Health Department addresses this issue; they have a specific new campaign underway. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH SANTA CLARA will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - FONTANA EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: KFH-Ontario. line 6b: Academy for Grassroots Organizations; Asian American Resource Center; Assistance League of Redlands; Assistance League of San Bernardino; Barstow Desert Sanctuary; Bloomington Community Health Center; Boys and Girls Clubs of Redlands; Building A Generation; Catholic Charities, San Bernardino County; Childrens Fund; City of Fontana, Community Services Department; City of San Bernardino, Parks, Recreation, and Community Services Department; City of Victorville; Colton Joint Unified School District; Community Action Partnership of San Bernardino County; Community Clinic Association of San Bernardino County; Community Health Action Network; Community Hospital of San Bernardino; County of San Bernardino Department of Behavioral Health; County of San Bernardino Department of Public Health; County of San Bernardino Economic Development Agency; Crest Forest Senior Citizens' Club Inc.; Desert Communities United Way; DOVES of Big Bear Valley; El Sol Neighborhood Educational Center; Family Assistance Program; Family Service Association of Redlands; Hearts and Lives; High Desert Homeless Services; Inland Behavioral and Health Services; Inland Congregations United for Change; Inland Empire United Way; Latino Health Collaborative; Loma Linda University, Institute for Community Partnerships; Lutheran Social Services; Mary's Mercy Center, Inc.; Mountain Community Boys & Girls Club; Mountain Counseling and Training, Inc.; Mountain Grants; Mountains Community Hospital Network for a Healthy California-African American Campaign; New Hope Free Clinic; New Hope Village Inc.; Our House Rim Family Services; Riverside-San Bernardino County Indian Health; San Bernardino City Police Department; San Bernardino City Unified School District; San Bernardino County Medical Association; St. Bernardine Medical Center; St. John of God Health Care Services; St. Mary Medical Center; The Lord's Table; Victor Valley Community Hospital; Victor Valley Community Services Council; Visin y Compromiso; We Win For Health Medical Clinic Inc. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The health needs that were not selected for KFH Fontana, in alphabetical order - include: 1. Asthma; 2. Cancer; 3. Community Violence; 4. Hepatitis; 5. HIV/AIDS and Other STDs; 6. Prenatal/Perinatal Health; 7. Teen Pregnancy. These health needs were not selected because they did not simultaneously meet the high need and high feasibility criteria. In other words, each of the health needs in some fashion did not demonstrate a combination of high magnitude and severity, large health disparities, a high number of Kaiser Foundation Hospital (KFH) assets, or a high ability to leverage internal and external KFH assets. It also made more sense to select health needs that impacted several other health needs and/or were the underlying causes of poor health outcomes. KFH-Fontana will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - DOWNEY EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. line 6b: Bellflower Unified School District; California Center for Public Health Advocacy; Cerritos College Student Health Services; City of South Gate Sports Center; Crystal Stairs; Downey Unified School District, TLC Family Resource Center; Family Health Care Centers of Greater Los Angeles (FHCCGLA); INMED Partnerships for Children; Kaiser Permanente Watts Counseling & Learning Center; Los Angeles County Department of Public Health SPA 7 Community Health Services; Montebello/Commerce YMCA; Norwalk La Mirada Unified School District, Health on Wheels; Pathways Volunteer Hospice; South Central Family Health Center; Whittier Rio Hondo AIDS Project (WRHAP); Worksite Wellness LA. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The health needs that Kaiser Foundation Hospital Downey does not intend to directly address are: asthma, cardiovascular disease, dental health, diabetes, and teen births. These needs were deemed to be of relatively lower need based on the defined criteria. Taking existing community resources into consideration, KFH Downey has selected to concentrate on those health needs that we can most effectively address given our areas of focus. Moreover, KFH Downey strategies addressES obesity and preventive health impact behaviors that impact cardiovascular disease and diabetes. KFH - Downey will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - ROSEVILLE EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: Sutter Health Sacramento Sierra Region; UC Davis Health System; Dignity Health; Kaiser Foundation Hospital - Sacramento and Kaiser Foundation Hospital - South Sacramento. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The following prioritized health needs, and their rationale, will not be addressed by KHF Roseville. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Roseville will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. 1. Limited and/or no access to dental care - Relatively low priority assigned to need; Lack of expertise and competencies to effectively address the need; Resource constraints; Other facilities or organizations in the community addressing the need. 2. Lack of health literacy - Relatively low priority assigned to need; Lack of identified effective interventions to address the need; Resource constraints. 3. Difficulty coping with aging issues - Relatively low priority assigned to need; Resource constraints. 4. Shifting economic status (from middle income to lower income) - Relatively low priority assigned to need; Resource constraints. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - OAKLAND EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. KFH Oakland will not address the following health needs because they were not ranked as highly as access to care, healthy eating and active living and violence prevention: Economic security; Affordable community-based mental health services; Affordable community-based substance abuse services; Asthma prevention and management; and Local specialty care for low-income populations. Specifically, asthma was determined to disproportionately impact African Americans in a specific section of Oakland, but not the broader service area. With few promising approaches and KPs limited capacity and assets to support non-KP members in a significant way, asthma prevention was not selected. Local specialty care for low-income populations was also not selected primarily due to KPs limited capacity and assets, and low severity of impact. Instead, asthma prevention and local specialty care for low-income populations will be addressed to some extent in KFH Oaklands access to care strategies. Affordable community-based mental health services was determined to be both of high magnitude and severity for the general public as it undergirds many other health needs. Ultimately, it was not selected because of KFH OAKLAND'S Limited capacity and assets to service county-wide needs. Affordable community-based substance abuse services was determined to be of high magnitude, but was also not selected due to KFH OAKLAND'S limited capacity and assets to employ current promising or existing practices to the broader county. While economic security was determined to be both severe in impact and widespread, it was determined that the needed strategies are beyond the scope of KFH OAKLAND's work, resources and assets. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Oakland will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KAISER SUNNYSIDE MED CTR EXPLANATIONS PART V, SECTION B. ********************************************************************** Line 5: Community input from across the primary and secondary service areas was incorporated into the CHNA process to identify and prioritize health needs. KPNW staff accounted for community input as part of the CHNA process in the following ways: - Identifying existing sources of primary data/community input (within 3 years prior to CHNA). - Conducting stakeholder interviews to assess local community health system capacity. - Facilitating community listening sessions and surveys. - Participating in three (3) regional collaborative groups community health assessment process. - Community input informed the CHNA process across the KPNW region, but the sources and methodology varied across the primary and secondary hospital service areas. *Stakeholder list can be provided upon request. Line 6a: KFH Sunnyside' CHNA was conducted with KFH Westside. Both KFH hospitals share the same primary service area. Line 6b: KFH Hospitals helped found and has participated in the development of Healthy Columbia Willamette, a collaborative effort including 15 area hospitals and health systems as well as four county health departments and two Coordinated Care Organizations (CCOs). Healthy Columbia Willamette was formed to support member organizations in responding to the new ACA federal requirements and to catalyze the collective efforts of health and public health leaders in the Portland metropolitan area to have coordinated and meaningful impact on the health of the region. KPNW Community Benefit staff contributes to the on-going assessment efforts of Healthy Columbia Willamette and participates in other regional groups in KFHs secondary service areas to expand Kaiser Permanentes community partnerships and improve community health in the Northwest region. Metro Area (members of Healthy Columbia Willamette collaborative): Adventist Medical Center Legacy Health System (5 hospitals) Oregon Health & Science University PeaceHealth Southwest Medical Center Providence Health (4 hospitals) Tuality Community Hospital Health Share of Oregon (CCO) Familycare (CCO) Clackamas County Public Health Division Clark County Public Health Department Multnomah County Health Department Washington County Public Health Division SW Washington Area: Peace Health St. Johns Medical Center Cowlitz County Health Department Longview School District Pathways 2020 Mid-Valley Area: Salem Hospital Marion County Health Department Polk County Health Department Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. KFH hospitals prioritized and selected five health needs to address throughout our service area. Listed below are the five selected needs followed by a high-level description of the strategies we are currently implementing. For a full description of all of KFH hospitals health improvement strategies, please refer to the Implementation Strategy report. Access to care KFH Hospitals are primarily addressing access to care through Medicaid, Medical Financial Assistance, Charitable Health Coverage, and Community Access programs, as well as through grant funding to Safety Net clinics and contracted hospitals. Nutrition and physical activity related chronic disease KFH Hospitals are primarily addressing chronic disease through regional collaborations promoting healthy eating active living (HEAL) policies and behaviors, and a healthy food access grant initiative, and by awarding grants to community organizations that promote HEAL clinical and community activities. Oral health KFH Hospitals are primarily addressing oral health through Dental Medicaid, Dental Financial Assistance, and Charitable Health Coverage programs, as well as the through participation in an oral health funders collaborative and an oral health grant initiative providing supporting local organizations that provide oral health prevention and treatment services. Mental health KFH Hospitals are primarily addressing mental health through behavioral health grants and grant initiatives that support both prevention and treatment efforts in adult and school-aged children as well as partnering with Oregon Childrens theater to deliver Kaiser Permanentes Educational Theatre Program which serves children grades K-12 with programming to support health and well-being. Maternal and infant health KFH Hospitals are primarily addressing maternal and infant health through providing perinatal care through community access programs, awarding grants to programs that improve perinatal health or provide teen pregnancy prevention, and through collaborations to support and promote breastfeeding and address the developmental origins of health and disease. The remaining prioritized health needs will not be addressed because using the criteria described previously, they were not ranked as highly as Nutrition and Physical Activity-related Chronic Disease, Maternal and Infant Health, Access to Health Care, Oral Health, and Mental Health. The region has a unique set of resources and capacity to dedicate to the five selected health needs. In addition, there are other strong community partners and networks who are currently addressing the needs below. The needs that will not be addressed are: - Economic security - Cancer - Tobacco use - Sexually transmitted disease - Injury line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. Line 13b: Special Circumstance = 10% of income spent on Medical Care in 12 month period.
KFH - HONOLULU EXPLANATIONS PART V, SECTION B. ********************************************************************** Line 5: Key Informants were chosen by the HAH Advisory Committee through a structured nomination and selection process, which followed a thorough review of the preliminary core indicator data. Key informant interviews were conducted by local consultants, Storyline Consulting. Following is a list of the key informants: - Norm Baker, Chief Operation Officer, Aloha United Way - Michael Broderick, President & CEO, YMCA of Honolulu - Jennifer Dang, State Director, Hawaii Nutrition and Physical Activity Coalition, Department of Education - Dr. David Derauf, Executive Director, Kokua Kalihi Valley Comprehensive Family Services - Loretta Fuddy, Director, Hawaii State Department of Health - Beth Giesting, Healthcare Transformation Officer, Office of the Governor - Marya Grambs, Executive Director, Mental Health America of Hawaii - Dr. Josh Green, State Senator, Executive Medical Director, Hawaii Independent Physicians Association - Robert Hirokawa, CEO, Hawaii Primary Care Association - Dr. Jim Ireland, Director, Emergency Services, City and County of Honolulu - Lola Irvin, Healthy Initiative, Tobacco Settlement Project Manager, Hawaii State Department of Health - Dr. Bliss Kaneshiro, Professor of Obstetrics/Gynecology, Director of Familly Planning, John A. Burns School of Medicine, University of Hawaii - Poka Laenui, Executive Director, Hale Na'au Pono - Leslie Lam, Executive Director, American Diabetes Association Hawaii - Bernie Ledesma, Administrator, Pearl City Nursing Home - Dr. Andy Lee, Chief of Medicine, Pali Momi Medical Center - Dee Jay Mailer, CEO Kamehameha Schools - Dr. Kenneth Nakamura, Professor and Chair of Pediatrics, John A. Burns School of Medicine, UH, Medical Director, KMCWC - Dr. Gary Okamoto, Chief Medical Officer, Aloha Care - Dr. May Okihiro, Director, Hawaii Initiative for Childhood Obesity Research and Education, John A. Burns School of Medicine, UH - Dr. Bill Osheroff, Chief Medical Officer, Hawaii Medical Service Association - Leolinda Parlin, Director, Hilopa'a Family to Family Health Information Center - Dr. Linda Rosen, Chief, Emergency Med Services and Injury Prevention Systems Branch, Hawaii State Department of Health - Emilie Smith, Administrator, CareResource Hawaii - Corrine Suzuka, Executive Director, St. Francis Home Health Care Services - JoAnn Tsark, Research Director, Papa Ola Lokahi Line 6a: - Castle Medical Center - Kahi Mohala Behavioral Health - Kahuku Medical Center - Kapiolani Medical Center for Women and Children - Kuakini Medical Center - Leahi Hospital - Pali Momi Medical Center - Rehabilitation Hospital of the Pacific - Shriners Hospitals for Children - Straub Clinic & Hospital - The Queen's Medical Center - Wahiawa General Hospital Line 6b: The Healthcare Association of Hawaii led the statewide effort. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The list below summarizes the health needs identified for the KFH Honolulu service area through the 2013 Community Health Needs Assessment process. - Exercise, Nutrition, Weight & Diabetes - Respiratory Diseases - Heart Disease & Stroke - Access to Health Services - Maternal, Fetal & Infant Health - Cancer - Substance Abuse & Lifestyle - Injury Prevention & Safety - Family Planning - Immunizations & Infectious Diseases - Mental Health & Disorders - Oral Health KFH Honolulu will monitor and evaluate the health needs listed above for the purpose of tracking the Implementation of those strategies as well as to document the anticipated impact. Plans to monitor will be tailored to each strategy and will include the collection and documentation of tracking measures, such as the number of grants made, number of dollars spent, number of people reached/served, number and role of volunteers, and volunteer hours. In addition, KFH Honolulu will require grantees to propose, track and report outcomes, including behavior and health outcomes as appropriate. For example, outcome measures for a strategy that addresses obesity/overweight by increasing access to physical activity and healthy eating options might include number of students walking or biking to school, access to fresh locally grown fruits and vegetables at schools, or number of weekly physical activity minutes referred to below. The remaining prioritized health needs for Honolulu will not be addressed by KFH Honolulu because, using the criteria described previously, they were not ranked as highly as Exercise, Nutrition, Weight and Diabetes, and Equitable Access to Health Services. KFH Honolulu has unique resources and capacity to dedicate to the two chosen health needs, and a number of the strategies developed to address the chosen health needs will impact the other health needs that were not selected in this Implementation Strategy. Additionally, many of the specific health needs identified through the CHNA can be addressed by the selected need "Equitable Access to Health Services." In addition, there are other strong community partners who are currently addressing the needs below. The needs that will not be addressed through this Implementation Strategy are: - Oral Health - Respiratory Diseases - Injury Prevention & Safety - Heart Disease and Stroke - Maternal, Fetal and Infant Health - Cancer - Family Planning - Substance Abuse and Lifestyle - Immunizations and Infectious Diseases - Mental Health and Mental Disorders While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Honolulu will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13b: FPL is not taken into consideration if an applicant's medical expenses incurred are 15% of annual income (it is requested from the applicant if FPL is over the regional threshold of 400%). LINE 13H: EXPERIAN SCREENING (FORMERLY SEARCHAMERICA) IS AN OUTSIDE VENDOR USED TO SIMPLIFY FINANCIAL SCREENING PROCESS, IMPROVE SCREENING ACCURACY AND PROVIDE MEDICAID CONVERSION STRATEGIES. THIS OUTSIDE VENDOR PROVIDES GUARANTOR DEMOGRAPHICS, HOUSEHOLD SIZE, ANNUAL INCOME AND AN FPL (FEDERAL POVERTY LEVEL THAT IS MAINTAINED BASED OFF OF CURRENT YEAR FROM U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES (FPG) FEDERAL POVERTY GUIDELINES). KP REVIEWS THE FPL PERCENTAGE AS THE PRIMARY INDICATOR OF INCOME LEVEL WHICH DETERMINES A PATIENT'S POTENTIAL ELIGIBILITY FOR HAWAII MEDICAID/QUEST AND/OR KP MEDICAL FINANCIAL ASSISTANCE PROGRAMS. line 16i: Information included in admission packets, in emergency department and in all billing statements.
KFH - WALNUT CREEK EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: John Muir Health; ValleyCare Health System Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. Although nine significant community health needs were identified through the CHNA process, the Diablo Contributions Committee made the decision to address no more than four community health needs in order to enhance the impact of our investment and effort. The Contributions Committee decided not to address the following five needs directly as they did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing KP or community assets, the existence of promising approaches or the presence of health disparities. In addition, there are other strong community partners who are currently addressing the needs below. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Walnut Creek will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. The needs that will not be addressed are: Economic Security; Affordable, Local Mental Health Services; Affordable, Local Substance Abuse Treatment Services; Local Specialty Care for Low-Income Populations; and Parenting Skills and Support. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - ANAHEIM EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: KFH-Irvine line 6b: Acacia Adult Day Services; Access California Services; American Red Cross; AIDS Services Foundation Orange County; Asian American Senior Citizens Service Center; Cal-Islanders Humanitarian Association; The Cambodian Family; Caregiver Resource Center; Children and Families Commission of Orange County; Community Action Partnership of Orange County; Council on Aging; Court Appointed Special Advocates of Orange County; Dr. Riba's Health Club; Grandmas House of Hope; Guam Communications Network; Healthy Smiles for Kids of Orange County; Hurtt Family Health Clinic; Illumination Foundation; Institute for Healthcare Advancement; Interval House; KidWorks Community Development Corporation; Korean Community Services; La Habra Community Collaborative; Latino Health Access; Lestonnac Free Clinic; Mariposa Women & Family Center; MOMS Orange County; NAMI Orange County; Oak View Renewal Partnership; OC Food Access Coalition; Orange County Affiliate of Susan G. Komen for the Cure; Orange County Asian and Pacific Islander Community Alliance; Orange County Health Care Agency; Orange County Korean American Health Information and Education Center; Pacific Islander Health Partnership; The Raise Foundation; Senior Serv; St. Jude Medical Center; Tiger Woods Learning Center; United Way of Orange County; Vietnamese American Cancer Foundation; Anaheim Family YMCA. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. Some health needs for the Anaheim service area will not be addressed by KFH-Anaheim because they demonstrated lower 'Need,'Feasibility' than the selected health needs. The selected health needs (Access to Care, Economic Instability, Mental Health, and Obesity/Overweight) demonstrate relatively higher levels of magnitude, severity, and disproportionate impact among vulnerable populations. There are strong community partners mobilizing around these issues and KFH-Anaheim has unique resources and capacity to dedicate to work focused on these health needs. the needs that will not be addressed are: 1. Asthma; 2. Breast Cancer; 3. Cardiovascular Disease; 4. Community Violence; 5. Diabetes; 6. Domestic Violence; 7. HIV/AIDS and other STDs; 8. Oral Health; 9. Prenatal Care; 10. Teen Pregnancy. Note that issues related to Substance Abuse were incorporated in the Mental Health workplan. KFH-Anaheim will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - SAN FRANCISCO EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: California Pacific Medical Center; Chinese Hospital; Saint Francis Memorial Hospital; St. Mary's Medical Center. line 6b: Anthem Blue Cross, California Pacific Medical Center, Chinese Hospital, Hospital Council of Northern and Central California, McKesson Foundation, Mount Zion Health Fund, NICOS Chinese Health Coalition, San Francisco Community Clinic Consortium, San Francisco Department of Human Services, San Francisco Department of Public Health, San Francisco Foundation, San Francisco Medical Society, San Francisco Unified School, United Way of the Bay Area. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The remaining prioritized health needs for San Francisco will not be addressed by KFH San Francisco because they were not ranked as highly as access to quality health care and services, healthy eating and physical activity, and safe and healthy living environments. These community health needs reached top priority status because they more closely matched the criterion "there are promising evidence based interventions" which includes known actions that are intended to improve that health need. The lower ranking health needs did not match that criterion or the overall criteria as well. KFH San Francisco also recognizes that there are existing efforts underway for some of the health needs not selected as priorities, or some of the strategies selected in this plan may have multiple effects that touch on the lower priorities. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH San Francisco will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. The needs that KFH San Francisco will not address are: - Behavioral health - Spread of infectious disease - Early childhood development - Seniors and persons with disabilities' access to care and services line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - VALLEJO EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: Sutter Solano Medical Center, Vallejo; North Bay Medical Center, Fairfield; La Clinica; Queen of the Valley Medical Center; St. Helena Medical Center. Line 6b: Solano County Public Health Department, Solano Coalition for Better Health, Solano County Public Health Department, Community Clinic Consortium, La Clinica de la Raza, Queen of the Valley Medical Center, St. Helena Medical Center, Napa County Public Health Department and Napa Valley Coalition of Nonprofit Agencies. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The following prioritized health needs for KFH Vallejo service area - Transportation limitations; Lack of or limited access to dental care; Limited places and social space for civic engagement; Unstable housing and homelessness; Lack of substance abuse treatment and rehabilitation; and Exposure to unclean air, environmental toxins and pesticides - will not be addressed by KFH Vallejo because, using criteria such as the severity of the problem or the ability to leverage resources, they did not rank as high as other needs. In addressing access to culturally appropriate, affordable health care services; access to affordable healthy food; lack of safe places to walk, bike, exercise, or play; and lack of employment and vocational training, KFH Vallejo has unique resources, expertise, and capacity to dedicate to the four chosen health needs. Lastly, a number of community partners have undertaken initiatives to address the needs not selected. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Vallejo will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - RIVERSIDE EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: KFH-Moreno Valley. Line 6b: Borrego Community Health Foundation; California State University, San Bernardino; Carolyn E Wylie Center; Clinicas de Salud del Pueblo Inc.; Coachella Valley Volunteers in Medicine; Community Action Partnership, Riverside County; County Executive Office, Riverside County; Desert AIDS Project; Desert Samaritans for Seniors; El Sol Neighborhood Education Center; Esperanza Youth and Family Center; FIND Food Bank; First 5 Riverside; Healthy Family Foundation; Healthy Heritage Movement; Inland Agency-The Pink Ribbon Place; Inland Empire Health Plan; Latino Health Access; Lestonnac Free Clinic; Lowe and Associates; Martha's Village and Kitchen; MFI Recovery Center; Michelle's Place, Moreno Valley Chamber of Commerce; Moreno Valley Unified School District; Murrieta Valley Unified School District; Music Changing Lives, Neighborhood Healthcare, Nonprofit Resource Center; Oak Grove Center for Education Training & the Arts; Path of Life Ministries; Project KIND; Provident Bank; Quinn Community Outreach Corp.; Regional Access Project (RAP) Foundation; Riverside Community College Dental Program; Riverside Community Health Foundation; Riverside County Department of Mental Health; Riverside County Department of Public Health; Riverside County Public Health Nursing; Riverside County Regional Medical Center; Riverside-San Bernardino County Indian; Health, Inc.; Safe Alternatives for Everyone; Southern California Permanente Medical Group (SCPMG); Southwest California Legal Council; Southwest Healthcare; St. Patrick Church; Student Run Health Clinic; The California Endowment; THINK Together; United States Veterans; United Way of the Inland Valleys; University of California, Riverside School of Medicine; Urban Community Action Project; Whiteside Manor. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The remaining prioritized health needs will not be addressed by KFH-Riverside because, using a set of criteria, they were not ranked as high as Access to Care, which includes Mental Health, Oral Health, and Service Infrastructure, Obesity and Overweight, and Diabetes, which also includes Service Infrastructure. KFH-Riverside has unique resources and capacity to dedicate to the three chosen health needs. In addition, there are other strong community partners who are currently addressing the needs below. The needs that will not be addressed are: 1. Asthma; 2. Cancer 3. Cardiovascular Disease (including hypertension, heart disease, and stroke); 4. Community Violence; 5. Economic Instability; 6. STDs and HIV. KFH-Riverside will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - SOUTH SACRAMENTO EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: Sutter Health Sacramento Sierra Region; UC Davis Health System; Dignity Health; Kaiser Foundation Hospital - Sacramento; and Kaiser Foundation Hospital - Roseville. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The following prioritized health needs for South Sacramento will not be addressed by KHF South Sacramento. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH South Sacramento will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. The justification for not addressing each need is provided below. 1. Stress of living in poverty: KP and community resource constraints; Relative lack of expertise or competencies to effectively address the need; Lack of identified effective interventions to address the need. 2. Lack of access to mental health and prevention services: Resource constraints; Other facilities or organizations in the community addressing the need. 3. Lack of alcohol/drug abuse treatment programs and prevention programs: Resource constraints; Lack of identified effective interventions to address the need. 4. Limited access to health prevention programs and screening: Relatively low priority assigned to the need; Resource constraints. 5. Lack of access to dental screenings and dental care services: Relatively low priority; Resource constraints; Other facilities or organizations in the community addressing the need; Relative lack of expertise or competencies to effectively address the need. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - IRVINE EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: KFH-Anaheim line 6b: Access California Services; AIDS Services Foundation Orange County; Alzheimers Association Orange County Chapter; Asian American Senior Citizens Service Center; Boys & Girls Club of Laguna Beach; Cal-Islanders Humanitarian Association; The Cambodian Family; Children and Families Commission of Orange County; Childrens Health Initiative of Orange County; City of San Clemente; Clinic in the Park; Council on Aging; Court Appointed Special Advocates of Orange County; Fibromyalgia and Chronic Pain Center at California State University Fullerton; Friendship Shelter; Grandmas House of Hope; Guam Communications Network; Healthy Smiles for Kids of Orange County; Help Me Grow Orange County; Human Options; Hurtt Family Health Clinic; Illumination Foundation; Irvine Public Schools Foundation; Korean Community Services; Laguna Beach Community Clinic; Latino Health Access; Lestonnac Free Clinic; Madison Park Neighborhood Association; Miracles for Families; Mission Hospital; MOMS Orange County; NAMI Orange County; Oak View Renewal Partnership; OC Food Access Coalition; Orange County Affiliate of Susan G. Komen for the Cure; Orange County Department of Education; Orange County Health Care Agency; Puente a la Salud St. Joseph Hospital; The Raise Foundation; Saddleback Memorial Medical Center; Senior Serv; Shanti Orange County; UC Irvine Community Outreach Partnership Center; UC Irvine Department of Family Medicine, Geriatrics; United Way of Orange County; Vietnamese American Cancer Foundation; Working Wardrobe. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. Some health needs for the Irvine service area will not be addressed by KFH-Irvine because they demonstrated lower 'Need,'Feasibility' than the selected health needs. The selected health needs (Access to Care, Economic Instability, Mental Health, and Obesity/Overweight) demonstrate relatively higher levels of magnitude, severity, and disproportionate impact among vulnerable populations. There are strong community partners mobilizing around these issues and KFH-Irvine has unique resources and capacity to dedicate to work focused on these health needs. The needs that will not be addressed are: 1. Asthma; 2. Breast Cancer; 3. Cardiovascular Disease; 4. Community Violence; 5. Diabetes; 6. Domestic Violence; 7. HIV/AIDS and other STDs; 8. Oral Health; 9. Prenatal Care; 10. Teen Pregnancy. Note that issues related to Substance Abuse were incorporated in the Mental Health workplan. KFH-Irvine will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - BALDWIN PARK EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: KFH-Los Angeles, KFH-West Los Angeles, Citrus Valley Medical Center. line 6b: 211 Los Angeles County; Alliance for Housing and Healing; AltaMed Health Services Corporation; American Heart Association; American Red Cross; Asian Pacific Community Fund; Asian Pacific Womens Center; Asian Youth Center; Azusa Pacific University; Baldwin Park Unified School District; Bassett Unified School District; Bike San Gabriel Valley; Boys & Girls Club of the Foothills; Boys & Girls Club of West San Gabriel Valley; Boys & Girls Club San Gabriel Valley; Buddhist Tzu Chi Free Clinic; Cal Poly Pomona, Department of Agriculture; California Center for Public Health Advocacy; California State Senate, 24th Senate District; Chinatown Service Center; Citrus Valley Health Foundation; Citrus Valley Health Partners; City of Baldwin Park; City of Covina; City of Pasadena Public Health Department; Community Health Alliance of Pasadena; Drexel Smith Consulting; Early Identification and Intervention Collaborative for Los Angeles County; East San Gabriel Valley Coalition for the Homeless;East San Gabriel Valley Regional Occupational Program and Technical Center; East Valley Community Health Center; El Monte City School District; El Monte Comprehensive Community Health Center; Ettie Lee Youth and Family Services; Foothill Family Service; Foothill Unity Center; Girl Scouts of Greater Los Angeles; Greater West Covina Business Association; Herald Christian Health Center; John Wesley Community Health Institute; La Casa de San Gabriel Community Center; Latino Diabetes Association; Lincoln Training Center; Los Angeles County Department of Mental Health; Los Angeles County Department of Public Health, Maternal, Child and Adolescent Health Programs; Los Angeles County Emergency Medical Services; Majestic Realty Corporation; Montebello Unified School District; Neighborhood Homework House; New Horizons Caregivers Group; Options; Our Saviour Center/Cleaver Family Wellness Center; Planned Parenthood of Pasadena; Pueblo que Camina; Rowland Unified School District; San Gabriel Children's Center; San Gabriel Valley Conservation Corps; San Gabriel Valley Consortium on Homelessness; San Gabriel Valley Council of Governments; San Gabriel Valley Economic Partnership; San Gabriel Valley Foundation for Dental Health; San Gabriel Valley YMCA; Service Planning Area 3 - Health Planning Group; Services Center for Independent Living; THINK Together; West Covina Unified School District; YWCA San Gabriel Valley. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. Some health needs for Baldwin Park will not be addressed by KFH-Baldwin Park because, based on a set of criteria, they were not ranked as highly as the selected health needs (access to primary care and specialty health care for mental health, vision, oral health and all cancers, obesity and chronic diseases including cardiovascular disease, diabetes and hypertension, and awareness, resources and social supports with a focus on intentional injury and alcohol and substance abuse). KFH-Baldwin Park has particular resources and capacity to dedicate to the chosen priority areas and related health needs. The needs that will not be addressed are: 1. Disability; 2. Cervical Cancer; 3. Chlamydia; 4. Asthma; 5. Alzheimers disease; 6. Unintentional injury; 7. Arthritis; 8. Chronic Obstructive Pulmonary Disease (COPD); 9. HIV/AIDS; 10. Allergies; 11. Infant Mortality. KFH-Baldwin Park will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - SACRAMENTO EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: Sutter Health Sacramento Sierra Region; UC Davis Health System; Dignity Health; Kaiser Foundation Hospital - Roseville and Kaiser Foundation Hospital - South Sacramento. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The following prioritized health needs for Sacramento will not be addressed by KFH Sacramento. The justification for not addressing each need is also provided below. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Sacramento will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. 1. Lack of dental care: Relatively low priority assigned to the need; Lack of identified expertise and competencies to effectively address the need; Resource constraints. 2. Lack of health literacy: Relatively low priority assigned to the need; Lack of identified effective interventions to address the need; Resource constraints. 3. Limited coordination of care among providers, no case management services: Resource constraints organizationally; Area provider capacity constraints. 4. Lack of housing, basic shelter: Lack of identified expertise and competencies to effectively address the need; Other facilities or organizations in the community addressing the need. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - SOUTH BAY EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6b: AIDS Project Los Angeles; Alzheimer's Association, California Southland Chapter; Beach Cities Health District; Boys & Girls Club of the South Bay; Centinela Youth Services; Centro C.H.A., Inc.; Children's Dental Health Clinic; City of Carson, Parks & Recreation Department; Hawthorne Senior Center; Long Beach Department of Health and Human Services; Los Angeles Homeless Services Authority, and South Bay Coalition for the Homeless; New Star Family Center; Office of Supervisor Don Knabe; Robert F. Kennedy Institute; South Bay Center for Counseling & Human Development; South Bay Children's Health Center; South Bay Children's Health Center Association; South Bay Family Health Care Special Services for Groups - Asian and Pacific Islander Obesity Prevention Alliance. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The health needs that Kaiser Foundation Hospital South Bay does not intend to address include HIV/AIDS and asthma. These needs were deemed to be a low need based on the defined criteria. Taking existing community resources into consideration, KFH South Bay has selected to concentrate only on those health needs that we can most effectively address given our areas of focus. KFH - South Bay will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - SAN JOSE EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: El Camino Hospital; Kaiser Permanente Santa Clara; Lucile Packard Children's Hospital at Stanford; O'Connor Hospital; Saint Louise Regional Hospital; Stanford Hospital and Clinics. line 6b: Hospital Council of Northern & Southern California, Santa Clara County Public Health Department, and United Way Silicon Valley. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The following health needs will not be addressed by KFH San Jose. Rationale for why they won't be addressed is also provided. A. Birth outcomes: Magnitude of the problem is small since overall indicators meet targets. African- Americans are a small percentage of the population, and the Santa Clara County Public Health Department has an effective, existing Black Infant Health Program addressing this need. B. Cancers: The spectrum of the problem is so broad that Community Benefit investments could not impact it. Kaiser Permanente already has significant investment in research around this health need. Santa Clara County Public Health Department has an initiative to reduce smoking rates that could prevent lung cancer. C. Cardiovascular disease, heart disease, stroke: Explanation why not chosen: The ability to make an impact with limited Community Benefit funds is low. KFH is already addressing this need through Public Affairs sponsorships. There is the potential to affect this need with obesity prevention efforts (one of the chosen needs). D. Alzheimer's disease: No prevention opportunity/promising approaches exist. Need more data on the population affected. E. Diabetes: Type 2 (majority of cases) can be addressed through same strategies as obesity (which is a chosen need). F. Oral/dental health: Not many internal assets (resources nor expertise). Needs to be addressed at a systems-level, including increasing numbers of dentists who accept Denti-Cal. Specific, effective approaches could be incorporated under Access to Care (which is a chosen need). G. Respiratory conditions: Need is not as great as others. Currently being addressed by health care systems directly. H. Sexually Transmitted Diseases, including HIV-AIDS: County as a whole meeting targets. The Santa Clara County Public Health Department addresses this issue; they have a specific new campaign underway. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH San Jose will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - WEST LOS ANGELES EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: KFH-Los Angeles, KFH-Baldwin Park, Citrus Valley Medical Center. line 6b: 211 Los Angeles County; A Place Called Home; Airport Marina Counseling Service; Alliance for Housing and Healing; AltaMed Health Services Corporation; Alzheimer's Association, California Southland Chapter; American Heart Association; American Lung Association; Asian American Drug Abuse Program; BREATHE California of Los Angeles County; California Black Women's Health Project; CANGRESS Los Angeles Community Action Network; Catholic Charities of Los Angeles, Inc.; CCEO YouthBuild; Center for Lupus Care; Centinela Youth Services; Challengers Boys & Girls Club; Charles Drew University; City of Inglewood; Community Coalition For Substance Abuse Prevention and Treatment; Community Health Councils; Connections for Children; Crenshaw Christian Center; Culver City Education Foundation; Early Identification and Intervention Collaborative for Los Angeles County; FAME Assistance Corporation; Felicia Mahood Senior Multipurpose Center; Food and Nutrition Management Systems; Foundation for Children's Dental Health; Health Services Academy High School; Healthy African American Families II; In the Meantime Men's Group; Inside Out Community Arts; Jewish Family Service of Los Angeles; John Wesley Community Health Institute; Junior Blind of America; LA City (Western) District 10 Office; LA County Department of Public Health; LA Promise; Latino Diabetes Association; LetsMove! West LA; Living Advantage, Inc.; Los Angeles County Department of Health Services; Los Angeles County Department of Mental Health; Los Angeles County Department of Public Health, Maternal, Child and Adolescent Health Programs; Los Angeles Urban League; Model Neighborhood Program; NAMI - Urban Los Angeles; National Health Foundation; Open PATHS Counseling Center; Planned Parenthood Los Angeles; Project Angel Food; Project Chicken Soup; Sickle Cell Disease Foundation of California; Southern California Counseling Center; Southside Coalition of Community Health Centers; Special Needs Network; Special Olympics Southern California; St. Francis Medical Center; St. Joseph Center; Students Run America DBA Students Run LA; The Children's Dental Center of Greater Los Angeles; The Saban Free Clinic; UCLA Center for Health Policy Research; University Muslim Medical Association Community Clinic; Venice Boys & Girls Club; Venice Family Clinic; W.A.R.P.; Watts Health Care Corporation; Weingart YMCA; Westchester Playa Village; WISE & Healthy Aging;Women's Missionary; YMCA. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The remaining health needs for West Los Angeles will not be addressed by KFH-West Los Angeles because, using the criteria described previously, they were not selected in the ISET facilitated discussion or ranked as highly in terms of high need and feasibility as were: Chronic disease prevention and management with emphasis on obesity, diabetes, and cardiovascular disease (including hypertension and cholesterol), and asthma; Access to mental health and intervention programs with emphasis on youth well-being and the prevention of alcohol and substance abuse, violence, and homelessness; and Access to health care, diagnostic and preventive services with emphasis on HIV-AIDS, chlamydia, and cancer. KFH-West Los Angeles has particular resources and capacity to dedicate to the chosen priority areas and related health needs. The needs that will not be addressed include: Oral health, Vision, Alzheimers disease, Unintentional injury, Podiatry, Allergies, Arthritis, Infant mortality. Though not selected as a priority need in the Implementation Strategy process, some of the above noted needs will be indirectly addressed through enhancing access to health care. KFH-West Los Angeles will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13H: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - WOODLAND HILLS EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. line 6b: Valley Care Community Consortium; Ventura County Community Foundation; Los Angeles County Department of Public Health; 12th District PTA; Addison Behavioral Resources; American Cancer Society; Cabrillo Economic Development Corp; California Lutheran University; California State University, Dominguez Hills; California State University, Northridge; Camarillo Health Care District; Child Care Resource Center; Coastal Alliance for a United Sustainable Economy; Conejo Valley Unified School District; Earths Wellness PTA; First 5 Ventura County; Fullbright Elementary School Parent Center; Future Leaders of America; Gold Coast Health Plan; KED Consultants; Kids + Families Together; Landon Pediatric Foundation; Lara Consulting Group, Inc.; Livingston Memorial Visiting Nurse Association; Los Angeles County Department of Health Services; Los Angeles Unified School District; Maternal, Child, and Adolescent Health; NAMI Ventura County; NEVHC WIC; Northeast Valley Health Corporation; Pacific Camps; Pepperdine University; Planned Parenthood of Santa Barbara, Ventura & San Luis Obispo Counties; Poms & Associates; Project SAFE; Providence Health and Services; Radiance Foundation; San Fernando Valley Dental Society; Santa Barbara Ventura Counties Dental Care Foundation; Senior Concerns; Tarzana Treatment Centers; The ARC of Ventura County; The Village Family Services; United Way of Ventura County; Ventura County Agency for Aging; Ventura County Health Care Agency; Ventura County Health Care Plan; Ventura County Public Health; Ventura County WIC; Ventura Unified School District; Vitamin You; Wellness and Caregiver Center of Ventura County; YMCA. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. KFH-Woodland Hills has unique resources and capacity to address many of the health needs identified in its vast service area. The IS development team went through a thoughtful and thorough process to select the needs to be addressed over the next three years using the criteria and considerations described earlier in this document. The health needs that will not be fully addressed did not score as highly based on such criteria and considerations, and are: 1. Mental Health, 2. Physical Inactivity Adult/Youth, 3. Diabetes, 4. Uninsured Population, 5. Cardiovascular Disease 6. Prenatal Care. However, it is worth noting that the strategies that will be used to address the selected health needs will also have an indirect positive effect of the health needs that were not selected. Specifically, by addressing access to care, the uninsured population, diabetes and prenatal care health needs are indirectly addressed; through obesity prevention strategies, physical inactivity, diabetes, and cardiovascular health needs are indirectly improved; and by strengthening social and emotional supports, certain mental health issues are also addressed. KFH Woodland Hills will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - PANORAMA EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. line 6a: Mission Community Hospital, Olive View UCLA Medical Center, Antelope Valley Hospital. line 6b: Antelope Valley Partners in Health (AVPH), Los Angeles County Department of Public Health, All 4 Children, Antelope Valley Community Clinic, Antelope Valley Healthcare District, Antelope Valley Hospital, Antelope Valley Partners for Health, Antelope Valley Pregnancy Counseling Center, Asian Youth Center, AV Chess House, AV Mobility Management Project, Bartz-Altadona Community Health Center, Black Infant Health, California State University, Northridge, Catalyst Foundation, Child and Family Guidance Center, Children Center of the Antelope Valley, Childrens Bureau, Church on The Way, City of San Fernando, Community Synergy for Children and Families, El Nido Family, Center, Friends of the Family, Lancaster Department of Children and Family Services, Lancaster School District, Los Angeles Community Development Commission, Los Angeles County Department of Mental Health SA 1 and SA 2, Los Angeles County Department of Public Health, Los Angeles County Office of Education, Los Angeles County Office of Education, Los Angeles County, High Desert Health System, Los Angeles County, ValleyCare Health System, Los Angeles Department of Children and Family Services, Los Angeles Unified School District, MEND, Menfolk, Mental Health America, Mid Valley Comprehensive Health Center, Mission Community Hospital, National Alliance for Mental Illness (NAMI), Neighborhood Legal Services, New Directions for Youth, Northeast Valley Health Corporation, Olive View UCLA Medical Center, Open Arms Foster Age, Palmdale School District, Partners in Care Foundation, Protective Science Dynamics, Providence Access to Care, PSD Head Start, SCAN, Tarzana Treatment Center, Two Life Styles, Valley Trauma Center, Yes 2 Kids. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The remaining prioritized health needs for Panorama City will not be addressed by KFH Panorama City because, using a set of criteria, they were not ranked as highly in terms of high need and high feasibility as were access to care, chronic disease prevention and management and obesity and overweight prevention and reduction. KFH Panorama City has particular resources and capacity to dedicate to the chosen priority areas and related health needs. The needs that will not be addressed include: Physical Environment/Transportation, Poverty Rates, Breastfeeding. Though not selected as a priority need in the Implementation Strategy process, some of the above noted needs will be indirectly addressed through enhancing access to health care. KFH-Panorama City will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - ONTARIO EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: KFH-Fontana line 6b: Bilingual Family Counseling Services; Catholic Charities, San Bernardino County; Children's Fund; City of Chino; City of Montclair; City of Ontario Planning Department; City of Pomona; Community Action Partnership of San Bernardino County; Community Clinic Association of San Bernardino County; County of San Bernardino Department of Behavioral Health; County of San Bernardino Department of Public Health; County of San Bernardino Economic Development Agency; County of San Bernardino Public Defender's Office; Foothill AIDS Project; Inland Empire Alzheimer's Association; Inland Empire United Way; Inland Valley Hope Partners; Kids Come First Community Health Center; Latino Health Collaborative; Loma Linda University, Institute for Community Partnerships; Mercy House; Montclair Medical Clinic; Network for a Healthy California-African; American Campaign; Ontario Police Department; Ontario-Montclair Unified School District Reach Out; Riverside-San Bernardino County Indian Health; San Antonio Community Hospital; San Bernardino County Medical Association; Visin y Compromiso; West End Childrens Activity Resource Coalition (WE CARe); YMCA Ontario-Montclair. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The health needs that were not selected for KFH Ontario, in alphabetical order - include: 1. Asthma; 2. Cancer; 3. Community Violence; 4. Hepatitis; 5. HIV/AIDS and Other STDs; 6. Prenatal/Perinatal Health; 7. Teen Pregnancy. These health needs were not selected because they did not simultaneously meet the high need and high feasibility criteria threshold mentioned in Section VIII. In other words, each of the health needs in some fashion did not demonstrate a combination of high magnitude and severity, large health disparities, a high number of Kaiser Foundation Hospital (KFH) assets, or a high ability to leverage internal and external KFH assets. It also made more sense to select health needs that impacted several other health needs and/or were the underlying causes of poor health outcomes. KFH-Ontario will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - MODESTO EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The following health needs for Stanislaus County were not ranked as highly as Obesity/Diabetes and Health Access and will not be addressed by KFH Modesto based on the rationale described below: Hypertension, Cancer, Asthma, Mental Health, Oral Health, Tobacco Usage; and Alcohol/Drug Use. However, a number of the strategies developed to address Obesity/Diabetes and Health Access will impact these other health needs. For example, strategies to reduce obesity and diabetes promote healthy eating and physical activity, which will also contribute to preventing hypertension/high blood pressure and some types of cancer. Strategies implemented to increase access to health services by populations suffering disparities apply broadly to all of the health needs. For example, offering culturally competent care in community health clinics has the potential to improve health outcomes in many of the health needs areas. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Modesto will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. Specific rationale for the health needs selected to address" are found below. 1. Hypertension: Not perceived as the highest priority by the community. Many of the Obesity/Diabetes strategies will address hypertension/high blood pressure prevention. 2. Cancer: There are limited opportunities to leverage existing internal and external efforts in this area. Prevention is addressed in part through KP's strategies under Obesity/Diabetes and Health Access. 3. Mental Health: KP does not have a high level of expertise or resources to leverage in this area. 4. Asthma: According to data gathered for the CHNA, the magnitude of asthma prevalence is lower than that of other priority health needs. 5. Oral Health: KP does not offer dental services and does not have oral health expertise in-house. 6. Tobacco Usage: Not perceived as a high priority by the community. The magnitude of tobacco usage is lower than other priority health needs. 7. Alcohol/Drug Abuse: Alcohol/drug abuse was ranked as a low priority health need in the CHNA multi-voting process. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - REDWOOD CITY EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: Sequoia Hospital; Lucile Packard Children's Hospital at Stanford; San Mateo Medical Center; Seton Medical Center; Stanford Hospital and Clinics; Mills-Peninsula Health Services. line 6b: San Mateo County Health Department, Health Plan of San Mateo, Hospital Consortium of San Mateo County, Peninsula Health Care District, Peninsula Library System Community Information Program, San Mateo County Human Services Agency, Silicon Valley Community Foundation. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The rationale for the following needs not addressed include: 1. Cancer: The spectrum of the problem is so broad that Community Benefit investments could not impact it. Kaiser Permanente is doing research. Smoking prevention efforts already in place could prevent lung cancer. 2. Infant Mortality: Magnitude of the problem is small, and infant mortality rates are better than those in other counties. The health need was a lower priority for the community overall. 3. Infectious Disease: This issue is of lower impact. It is also very general, and some of the diseases fluctuate, so there are fewer proven methods to address the health need. There does not appear to be a high level of organizational commitment to the issue in comparison to other issues, and the community placed this health need as a lower priority than those ultimately chosen. 4.Poor Oral/Dental Health: Not many internal assets (resources nor expertise). Needs are addressed by San Mateo County programs. Effective approaches could be incorporated under Access to Care (which is a chosen need). 5. Respiratory Conditions: The need and potential impact of KP investment not as great as other needs. The need is currently being addressed by healthcare systems directly. 6. STDs/HIV-AIDS: This issue is less of a problem in San Mateo County compared with other health needs. There does not appear to be a high level of organizational commitment to the issue in comparison to other issues, and the community placed this health need as a lower priority than those ultimately chosen. 7. Violence: Systemic issues related to mental health and substance abuse issues were of greater concern than violence as a standalone health need. Effective approaches could be incorporated under Behavioral Health (which is a chosen need). While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Redwood City will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - SANTA ROSA EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: Sutter Medical Center; Saint Joseph Health - Sonoma County. line 6b: Sonoma County Department of Health Services. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The following prioritized health needs for Santa Rosa will not be addressed by KFH Santa Rosa because, using the following criteria they were not ranked as highly as Access to Care, Healthy Eating and Physical Fitness, Mental Health and Oral Health. The criteria used were: - Magnitude/Scale of the Problem: the health need affects a large number of people within the community - Severity of Problem: the health need has serious consequences (morbidity, mortality, and/or economic burden) for those affected - Kaiser Permanente Assets: KP has relevant expertise and/or unique assets as an integrated health system to make a meaningful contribution - Existing or Promising Approaches: there are effective or promising strategies to address the need - Health Disparities: the health need disproportionately impacts the health status of one or more vulnerable population groups - Ability to Leverage: opportunity to collaborate with existing community partners working to address the need, or to build on current programs, emerging opportunities, or other assets. - Community Prioritization: the community prioritizes the health need over other health needs KFH Santa Rosa has unique resources and capacity to dedicate to the four chosen health needs. In addition, there are other strong community partners who are currently addressing the needs below. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Santa Rosa will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. The needs that will not be addressed are: 1. Access to Substance Use Disorder Services 2. Barriers to Health Aging 3. Disparities in Educational Attainment 4. Cardiovascular Disease 5. Adverse Childhood Experiences 6. Lung, Breast and Colorectal Cancer 7. Tobacco Use line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - ANTIOCH EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: INPUT WAS GATHERED THROUGH FOCUS GROUPS AND KEY INFORMANT INTERVIEWS. LINE 6A: JOHN MUIR HEALTH Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. Although ten significant community health needs were identified through the CHNA process, the Diablo Contributions Committee made the decision to address no more than four community health needs in order to enhance the impact of our investment and effort. The Contributions Committee process described above led to the decision not to address the following five needs directly as they did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing KP or community assets, the existence of promising approaches or the presence of health disparities. In addition, there are other strong community partners who are currently addressing the needs below. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Antioch will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. The needs that will not be addressed are: Local Specialty Care for Low-Income Populations; Asthma Prevention and Management; Affordable, Local Mental Health Services; Affordable, Local Substance Abuse Treatment Services; Parenting Skills and Support; and Economic Security. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - FRESNO EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: Adventist Health/Adventist Medical Center, Hanford; Adventist Medical Center, Reedley; Clovis Community Medical Center; Coalinga Regional Medical Center; Corcoran District Hospital; Community Regional Medical Center (includes Community Behavioral health Center); Children's Hospital Central California; Fresno Heart and Surgical Hospital; Kaweah Delta Medical Center; Madera Community Hospital; San Joaquin Valley Rehabilitation Hopsital; Sierra Veiw District Hospital; St Agnes Medical Center; Tulare Regional Medical Center. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. KFH Fresno is addressing all but one of the community-identified significant health needs: mental health. The magnitude and complexity of the mental health needs in the KFH Fresno Service Area require considerable coordination between the various county health departments, community clinics and health centers as well as other providers and support services. Without the collective capacity to focus on mental health services coordination in the KFH Fresno Service Area, which includes all or part of four counties, the contributions of any one organization will not make a significant positive impact and will not be sustainable. In addition, the CHNA showed inconclusive data on the nature of the need, e.g. types of services most needed, effective outreach strategies for unique populations in the community and degree of community priority. Mental health ranked low in terms of ability to make a meaningful contribution, availability of effective strategies to address the health issue, ability to leverage existing relationships and programs, and prevention opportunity. Other lower-priority community-identified health needs include: Substance abuse; Education; Tobacco use; Responsible sexual behavior; Environmental quality; Injury and violence; Immunization; Infant mortality; and Premature death. KFH Fresno did not select these needs because they did not rank highly on internal selection criteria such as KP ability to make a meaningful contribution, existing programs to leverage, community priority, severity, magnitude and strong prevention opportunity. Some of the lower-priority health needs will be addressed indirectly through the selected priority health needs. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Fresno will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KAISER WESTSIDE MED CTR EXPLANATIONS PART V, SECTION B. ********************************************************************** Line 5: Community input from across the primary and secondary service areas was incorporated into the CHNA process to identify and prioritize health needs. KPNW staff accounted for community input as part of the CHNA process in the following ways: - Identifying existing sources of primary data/community input (within 3 years prior to CHNA). - Conducting stakeholder interviews to assess local community health system capacity. - Facilitating community listening sessions and surveys. - Participating in three (3) regional collaborative groups community health assessment process. - Community input informed the CHNA process across the KPNW region, but the sources and methodology varied across the primary and secondary hospital service areas. *Stakeholder list can be provided upon request. Line 6a: KFH Westsides CHNA was conducted with KFH Sunnyside. Both KFH hospitals share the same primary service area. Line 6b: KFH Hospitals helped found and has participated in the development of Healthy Columbia Willamette, a collaborative effort including 15 area hospitals and health systems as well as four county health departments and two Coordinated Care Organizations (CCOs). Healthy Columbia Willamette was formed to support member organizations in responding to the new ACA federal requirements and to catalyze the collective efforts of health and public health leaders in the Portland metropolitan area to have coordinated and meaningful impact on the health of the region. KPNW Community Benefit staff contributes to the on-going assessment efforts of Healthy Columbia Willamette and participates in other regional groups in KFHs secondary service areas to expand Kaiser Permanentes community partnerships and improve community health in the Northwest region. Metro Area (members of Healthy Columbia Willamette collaborative): Adventist Medical Center Legacy Health System (5 hospitals) Oregon Health & Science University PeaceHealth Southwest Medical Center Providence Health (4 hospitals) Tuality Community Hospital Health Share of Oregon (CCO) Familycare (CCO) Clackamas County Public Health Division Clark County Public Health Department Multnomah County Health Department Washington County Public Health Division SW Washington Area: Peace Health St. Johns Medical Center Cowlitz County Health Department Longview School District Pathways 2020 Mid-Valley Area: Salem Hospital Marion County Health Department Polk County Health Department line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. KFH hospitals prioritized and selected five health needs to address throughout our service area. Listed below are the five selected needs followed by a high-level description of the strategies we are currently implementing. For a full description of all of KFH hospitals health improvement strategies, please refer to the Implementation Strategy report. Access to care KFH Hospitals are primarily addressing access to care through Medicaid, Medical Financial Assistance, Charitable Health Coverage, and Community Access programs, as well as through grant funding to Safety Net clinics and contracted hospitals. Nutrition and physical activity related chronic disease KFH Hospitals are primarily addressing chronic disease through regional collaborations promoting healthy eating active living (HEAL) policies and behaviors, and a healthy food access grant initiative, and by awarding grants to community organizations that promote HEAL clinical and community activities. Oral health KFH Hospitals are primarily addressing oral health through Dental Medicaid, Dental Financial Assistance, and Charitable Health Coverage programs, as well as the through participation in an oral health funders collaborative and an oral health grant initiative providing supporting local organizations that provide oral health prevention and treatment services. Mental health KFH Hospitals are primarily addressing mental health through behavioral health grants and grant initiatives that support both prevention and treatment efforts in adult and school-aged children as well as partnering with Oregon Childrens theater to deliver Kaiser Permanentes Educational Theatre Program which serves children grades K-12 with programming to support health and well-being. Maternal and infant health KFH Hospitals are primarily addressing maternal and infant health through providing perinatal care through community access programs, awarding grants to programs that improve perinatal health or provide teen pregnancy prevention, and through collaborations to support and promote breastfeeding and address the developmental origins of health and disease. The remaining prioritized health needs will not be addressed because using the criteria described previously, they were not ranked as highly as Nutrition and Physical Activity-related Chronic Disease, Maternal and Infant Health, Access to Health Care, Oral Health, and Mental Health. The region has a unique set of resources and capacity to dedicate to the five selected health needs. In addition, there are other strong community partners and networks who are currently addressing the needs below. The needs that will not be addressed are: - Economic security - Cancer - Tobacco use - Sexually transmitted disease - Injury line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. Line 13b: 10% of annual income spent on medical care.
KFH - SAN LEANDRO EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. Some of the prioritized health needs for San Leandro - Access to Education and Training Programs; Exercise/Active Living; Access to Information and Referral to Appropriate Programs - will not be addressed by KFH San Leandro because they were not ranked as high as access to behavioral health care and services, access to affordable, healthy food, ensuring safe and healthy environments and access to preventive health care services. KFH San Leandro has unique resources and capacity to dedicate to the chosen health needs. The group recognized that the needs not selected would be addressed in some of the strategies developed for the other selected health needs, as a number of them have multiple outcomes that can affect other health needs. In addition, there are a number of existing organizations spearheading community-based initiatives that are currently addressing the needs not selected. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH San Leandro will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - VACAVILLE EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: Sutter Solano Medical Center, Vallejo; North Bay Medical Center, Fairfield; La Clinica. line 6b: Solano County Public Health Department, Solano Coalition for Better Health, Solano County Public Health Department, Community Clinic Consortium, and La Clinica de la Raza. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The following prioritized health needs for KFH Vacaville service area - Transportation limitations; Lack of or limited access to dental care; Limited places and social space for civic engagement; Unstable housing and homelessness; Lack of substance abuse treatment and rehabilitation; and Exposure to unclean air, environmental toxins and pesticides - will not be addressed by KFH Vacaville because, using criteria such as the severity of the problem or the ability to leverage resources, they did not rank as high as other needs. In addressing access to culturally appropriate, affordable health care services; access to affordable healthy food; lack of safe places to walk, bike, exercise, or play; and lack of employment and vocational training, KFH Vacaville has unique resources, expertise, and capacity to dedicate to the four chosen health needs. Lastly, a number of community partners have undertaken initiatives to address the needs not selected. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Vacaville will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - SOUTH SAN FRANCISCO EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: Sequoia Hospital; Lucile Packard Children's Hospital at Stanford; San Mateo Medical Center; Seton Medical Center; Stanford Hospital and Clinics; Mills-Peninsula Health Services. line 6b: San Mateo County Health Department, Health Plan of San Mateo, Hospital Consortium of San Mateo County, Peninsula Health Care District, Peninsula Library System Community Information Program, San Mateo County Human Services Agency, Silicon Valley Community Foundation. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The following health needs will not be addressed by KFH South San Francisco. Rationale for why they won't be addressed is also provided. A. Cancer: The spectrum of the problem is so broad that Community Benefit investments could not impact it. Kaiser Permanente is doing research. Smoking prevention efforts already in place could prevent lung cancer. B. Infant Mortality: Magnitude of the problem is small, and infant mortality rates are better than those in other counties. The health need was a lower priority for the community overall. C. Infectious Diseases:This issue is of lower impact. It is also very general, and some of the diseases fluctuate, so there are fewer proven methods to address the health need. There does not appear to be a high level of organizational commitment to the issue in comparison to other issues, and the community placed this health need as a lower priority than those ultimately chosen. D. Poor Oral/Dental Health: Not many internal assets (resources nor expertise). Needs are addressed by San Mateo County programs. Effective approaches could be incorporated under Access to Care (which is a chosen need). E. Respiratory Conditions: The need and potential impact of KP investment not as great as other needs. The need is currently being addressed by healthcare systems directly. F. Sexually Transmitted Diseases, including HIV-AIDS: This issue is less of a problem in San Mateo County compared with other health needs. There does not appear to be a high level of organizational commitment to the issue in comparison to other issues, and the community placed this health need as a lower priority than those ultimately chosen. G. Violence: Systemic issues related to mental health and substance abuse issues were of greater concern than violence as a standalone health need. Effective approaches could be incorporated under Behavioral Health (which is a chosen need). While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH South San Francisco will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - SAN RAFAEL EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: Marin General Hospital; Novato Community Hospital. line 6b: Healthy Marin Partnership, Marin Health and Human Services. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. Listed below are the community-prioritized health needs for Marin County that will not be addressed by KFH San Rafael because, using the following criteria, they were not ranked as highly as Access to Care, Healthy Eating and Physical Fitness, Mental Health and Substance Abuse. The criteria used were: - Level of community concern regarding the need - Ability to leverage established, or promote/encourage new community partnerships to address the need - Build community capacity and available community expertise/resources to address the need - Ability to have a meaningful impact on community health through prevention/early intervention or contributions of Kaiser Permanente resources, staff expertise, technical assistance or in-kind support - Availability of effective or promising strategies, preferably evidence-based, that could be applied to address the need - Degree of racial/ethnic/socioeconomic status inequity in the prevalence/severity of the need - Prevalence/severity of the need KFH San Rafael has unique resources and capacity to dedicate to the four chosen health needs. In addition, the selection committee recognized there are other strong community partners who are currently addressing or are better suited to address the needs below. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH San Rafael will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. The needs that will not be addressed are: - Heart Disease - Cancer - Socioeconomic Status - Social Supports line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - FREMONT EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. Some of the prioritized health needs for Fremont - Access to Education and Training Programs; Exercise/Active Living; Access to Information and Referral to Appropriate Programs - will not be addressed by KFH Fremont because they were not ranked as high as access to behavioral health care and services, access to affordable, healthy food, ensuring safe and healthy environments and access to preventive health care services. KFH Fremont has unique resources and capacity to dedicate to the chosen health needs. The group recognized that the needs not selected would be addressed in some of the strategies developed, as a number of them have multiple outcomes. In addition, there are a number of existing organizations spearheading community-based initiatives that are currently addressing the needs not selected. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Fremont will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - MORENO VALLEY EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: KFH-Riverside line 6b: Borrego Community Health Foundation; California State University, San Bernardino; Carolyn E Wylie Center; Clinicas de Salud del Pueblo Inc.; Coachella Valley Volunteers in Medicine; Community Action Partnership, Riverside County; County Executive Office, Riverside County; Desert AIDS Project; Desert Samaritans for Seniors; El Sol Neighborhood Education Center; Esperanza Youth and Family Center; FIND Food Bank; First 5 Riverside; Healthy Family Foundation; Healthy Heritage Movement; Inland Agency-The Pink Ribbon Place; Inland Empire Health Plan; Latino Health Access; Lestonnac Free Clinic; Lowe and Associates; Martha's Village and Kitchen; MFI Recovery Center; Michelle's Place; Moreno Valley Chamber of Commerce; Moreno Valley Unified School District; Murrieta Valley Unified School District; Music Changing Lives; Neighborhood Healthcare; Nonprofit Resource Center; Oak Grove Center for Education Training & the Arts; Path of Life Ministries; Project KIND; Provident Bank; Quinn Community Outreach Corp.; Regional Access; Project Foundation; Riverside Community College Dental Program; Riverside Community Health Foundation; Riverside County Department of Mental Health; Riverside County Department of Public Health; Riverside County Public Health Nursing; Riverside County Regional Medical Center; Riverside-San Bernardino County Indian; Health, Inc.; Safe Alternatives for Everyone; Southern California Permanente Medical Group (SCPMG); Southwest California Legal Council; Southwest Healthcare; St. Patrick Church; Student Run Health Clinic; The California Endowment; THINK Together; United States Veterans; United Way of the Inland Valleys; University of California, Riverside School of Medicine; Urban Community Action Project; Whiteside Manor. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The remaining prioritized health needs for Moreno Valley will not be addressed by KFH-Moreno Valley because, using a set of criteria, they were not ranked as highly as the health needs that were selected (access to Care, which includes Mental Health, Oral Health, and Service Infrastructure, Obesity and Overweight, and Diabetes, which also includes Service Infrastructure). KFH-Moreno Valley has unique resources and capacity to dedicate to the three chosen health needs. In addition, there are other strong community partners who are currently addressing the needs below. The needs that will not be addressed are: 1. Asthma; 2. Cancer; 3. Cardiovascular Disease (including hypertension, heart disease, and stroke); 4. Community Violence; 5. Economic Instability. KFH-Moreno Valley will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - RICHMOND EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. The remaining prioritized health needs for Richmond - Economic security; Affordable community-based mental health services; Safe outdoor spaces; Local specialty care for low-income populations; and Affordable community-based substance abuse services - will not be addressed by KFH Richmond because they were not ranked as highly as access to care, healthy eating active living, violence prevention and asthma prevention. Specifically, economic security will be indirectly addressed through the access to care and violence prevention strategies. Affordable community-based mental health services and affordable community-based substance abuse services were not selected because of KPs limited capacity and assets to provide services that can impact the broader service area. Although safe outdoor spaces similarly was not selected as a priority health need because of KPs limited capacity and assets to provide such services, it is addressed in the violence prevention health need. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Richmond will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
KFH - MANTECA EXPLANATIONS PART V, SECTION B. ********************************************************************** LINE 5: Input was gathered through focus groups and key informant interviews. Line 6a: St Joseph's Medical Center; Dameron Hospital; Sutter Tracy Community Hospital. Line 11: We are addressing the significant health needs prioritized through the CHNA process through the development and implementation of our Implementation Strategy (IS). The IS also describes the needs we prioritized and did not, and the reasons why such needs are not being addressed. We prioritized a number of community health needs to focus our efforts and increase the impact of our investments. We applied criteria to prioritize the needs and did not select those that did not rank as highly in terms of scale or severity of the problem, the ability to leverage existing Kaiser Permanente or community assets, lacked evidence of promising approaches, or failed to demonstrate the presence of health disparities. The full CHNA as well as the IS reports can be found at www.kp.org/chna. Needs not selected by KFH Manteca include: Lack of or limited access to dental care; Lack of or limited access to health education; Acculturation, limited cultural competence in health and related systems; and Limited transportation options. These health needs were not ranked as highly as Access to Primary and Preventive Care Services and Healthy Foods/Physical Activity and will not be addressed by KFH Manteca based on the rationale described below. However, a number of the strategies developed to address Access to Primary and Preventive Care Services and Healthy Foods/Physical Activity will impact the other health needs not selected. For example, strategies to increase healthy eating and physical activity may in part address lack of or limited access to health education. Strategies implemented to increase access to primary and preventive care services populations may address acculturation and limited cultural competence in health and related systems. While this Implementation Strategy Report responds to the CHNA and Implementation Strategy requirements in the Affordable Care Act and IRS Notices, it is not exhaustive of everything we do to enhance the health of our communities. KFH Manteca will look for collaboration opportunities that address needs not selected where it can appropriately contribute to addressing those needs. Specific rationale for the health needs selected to address" is provided below: 1. Lack of or limited access to dental care: KFH Manteca does not offer dental services and does not have oral health expertise in-house. 2. Lack of or limited access to health education: The community assigned a moderate level of prioritization to this health need. Limited potential impact on health outcomes due to lack of opportunities for leveraging policy change or placed based strategies in this area. 3. Acculturation, limited cultural competence in health and related systems: Acculturation was ranked as the second lowest priority after criteria to select health needs to address were applied. Cultural competence is addressed in part through KFH Manteca strategies in Access to Primary Care and Preventive Services and Healthy Foods/Physical Activity. 4. Limited transportation options: Limited transportation was ranked as one of the lowest priority health needs in the CHNA. line 13a: KP provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. line 13h: High Medical Expenses over 10% of annual income may apply for specific products / benefits.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 8
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?8
Name and address Type of Facility (describe)
1 KAISER PERMANENTE POST ACUTE CARE CENTER
1440 168TH AVE
SAN LEANDRO,CA94578 		SKILLED NURSING
2 MENTAL HEALTH CENTER
765 W COLLEGE ST
LOS ANGELES,CA90012 		MENTAL HEALTH
3 BROOKSIDE RESIDENTIAL TREATMENT CENTER
10180 SOUTHEAST SUNNYSIDE RD
CLACKAMAS,OR97015 		INPATIENT MENTAL HEALTH SVCS
4 SANTA CLARA PHF
3840 HOMESTEAD ROAD
SANTA CLARA,CA95051 		MENTAL HEALTH
5 INTERSTATE SURGICAL CENTER
3500 N INTERSTATE AVE
PORTLAND,OR97227 		AMBULATORY SURGERY
6 SUNNYBROOK SURGICAL CENTER
10180 SOUTHEAST SUNNYSIDE RD
CLACKAMAS,OR97015 		AMBULATORY SURGERY
7 SKYLINE SURGICAL CENTER
5135 SKYLINE ROAD SOUTH
SALEM,OR97306 		AMBULATORY SURGERY
8 CENTER FOR HEALTH RESEARCH
3800 N INTERSTATE AVE
PORTLAND,OR97227 		RESEARCH CENTER
9
10
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 9
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
1 - Part I Line 3c ********************************************************************** There are three distinct eligibility criterion for free care under KPs medical financial assistance policy; (1) means tested (income-based), (2) high medical expenses and (3) situations where the patient has been prequalified. Means-tested: A patient of a household income less than or equal to KFHs means testing criteria as a percentage of the Federal Poverty Guidelines (FPG) is eligible for financial assistance. Note: Assets are not used in income-based criteria. High Medical Expenses: A patient of any household income level with incurred out-of-pocket medical and pharmacy expenses for eligible services over a 12 month period greater than or equal to KFHs high medical expense criteria as a percentage of annual household income is eligible for financial assistance. Prequalification: A patient is presumed to meet the program eligibility criteria and is not required to provide personal, financial and other information to verify financial status when he or she is: 1. Is enrolled in a Community MFA (CMFA) program to which patients have been referred and prequalified through (1) federal, state or local government, (2) a partnering community-based organization, or (3) at a KFH sponsored community health event, or 2. Is enrolled in a KP Community Benefit program designed to support access to care for low-income patients and prequalified by designated KFH/HP personnel, or 3. Is enrolled in a credible means-tested health coverage program (e.g., Medicare Low Income Subsidy Program), or 4. Was granted a prior medical financial assistance award within the last 30 days. 1 - Part I Line 7 ********************************************************************** The losses attributed to providing charity care (medical financial assistance and charitable health coverage) and participation in select government or community sponsored health coverage programs are calculated using a cost-based methodology for patients in those programs. The cost-based loss is generated through the standard systems used to report on market segments for KFHP/KFH's commercial business lines. In order to calculate the percentages reported in column (f) bad debt was excluded.
1 - Part III Line 4 ********************************************************************** The financial statements do not include a footnote related to bad debt expense. However, on the financial statements, the bad debt expense is included in the patient service revenue. Patient services revenue is included in copays, deductibles, fees, and other revenue in the statement of operations and is recognized as services are rendered. Bad debt expense related to patient services revenue is calculated based on historical bad debt experience and recorded as an offset to patient services revenue (net of contractual allowances, charity care, and discounts).
1 - Part III Line 8 ********************************************************************** None of the amounts reported on Part III, line 7 has been treated as community benefit. The Medicare hospital cost reports are the source document to capture the Medicare revenue and Medicare allowable costs. To determine the direct costs, the cost report takes inputs from the general ledger by hospital location and applies a step-down methodology to allocate overhead costs. The costs are then passed through additional cost report computations to determine allowable Medicare costs. The total allowable Medicare cost is subtracted from the total revenue by region to determine the Medicare surplus or shortfall.
1 - 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.
2 - needs assessment ********************************************************************** IN CALIFORNIA, OREGON AND HAWAII, EACH KFH MEDICAL CENTER IS REQUIRED TO CONDUCT A COMMUNITY NEEDS ASSESSMENT EVERY THREE YEARS.THE ASSESSMENTS MAY BE CONDUCTED INDIVIDUALLY BY EACH HOSPITAL OR IN COLLABORATION WITH OTHER HOSPITALS, COMMUNITY-BASED AGENCIES AND PUBLIC SERVICE ORGANIZATIONS. EACH NEEDS ASSESSMENT PROVIDES A SUMMARY OF THE NEEDS ASSESSMENT PROCESS UNDERTAKEN INCLUDING THE METHODOLOGIES AND DATA SOURCES UTILIZED, INDIVIDUALS AND ORGANIZATIONS CONSULTED, A COMPLETE LISTING OF THE NEEDS IDENTIFIED AND DESCRIPTION OF THE METHOD USED TO PRIORITIZE NEEDS FOR INCLUSION IN THE INDIVIDUAL COMMUNITY BENEFIT PLANS. THE MOST RECENT NEEDS ASSESSMENTS WERE COMPLETED IN 2013.
3 - 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. 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 KAISER PERMANENTE PHYSICIANS AND STAFF ARE ALSO A SOURCE OF INFORMATION FOR PATIENTS REQUESTING MEDICAL FINANCIAL ASSISTANCE. INFORMATION IS ALSO PUBLICLY POSTED ON OUR WEBSITES AND IN PUBLIC ENTRANCES OF HOSPITALS, MEDICAL OFFICE BUILDINGS, URGENT CARE AND OUTPATIENT PHARMACIES. IN ADDITION, MFAP INFORMATION CAN ALSO BE FOUND ON THE PUBLICLY ACCESSIBLE KP WEB SITE. ALL PATIENTS IDENTIFIED AS "SELF PAYWHO 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. THE PROGRAM POLICY, BROCHURE (PLAIN LANGUAGE SUMMARY) AND APPLICATION ARE AVAILABLE WITHOUT CHARGE IN ENGLSIH AS WELL AS ALL THE LANGUAGES THAT MEET THE LIMITED ENGLISH PROFICIENCY POPULATON CRITERIA (LESSER OF 1,000 INDIVIDUALS OR 5% OF THE COMMUNITY). LANGUAGES SUPPORTED INCLUDE, BUT ARE NOT LIMITED TO SPANISH, CHINESE, JAPANESE, KOREAN, LAOTIAN, TAGALOG, RUSSIAN, FARSI AND VIETNAMESE.
4 - community information ********************************************************************** KFH SERVES COMMUNITIES IN CALIFORNIA, HAWAII, AND OREGON. THE COMMUNITIES WE SERVE ARE DIVERSE AND INCLUDE BOTH LESS POPULOUS AND DENSELY POPULATED CITIES AND COUNTIES. OUR COMMUNITIES ARE DIVERSE IN MANY WAYS INCLUDING INCOME, RATE OF UNINSURED, HIGH SCHOOL GRADUATION AND LIMITED ENGLISH PROFICIENCY. OUR FACILITIES AND THE PEOPLE WHO WORK WITHIN THEM ARE LOCATED WITHIN, AND ARE PART OF OUR COMMUNITIES. KFH owns and operates 38 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, Irvine, Los Angeles, Manteca, Modesto, Moreno Valley, Oakland, Ontario, Panorama City, Redwood City, Richmond, Riverside, Roseville, Sacramento, San Diego, San Francisco, San Jose, San Leandro, San Rafael, Santa Clara, Santa Rosa, South Sacramento, South San Francisco, Vacaville, Vallejo, Walnut Creek, West Los Angeles, and Woodland Hills. In Hawaii, the Moanalua Medical Center is located in the City of Honolulu on the island of Oahu. In Oregon, the Sunnyside Medical Center is located in the City of Clackamas and Kaiser westside medical center in Hillsboro. Ncal scal Hawaii nw ---- ---- ------ -- Total population in area (mil)* 11.7 21.6 1.3 3.3 Median Household Income**** $76,802 $60,998 $72,019 $61,291 % below 200% FPL***** 31.29 37.96 25.94 34.6% below 100% fpl* 14.4 16.9 11.4 15.7% w/o public or private health ins* 12.52 18.88 6.57 13.51% Population Age 5+ with limited English Proficiency* 16.65 21.84 12.62 6.84 High School Graduation Rate** 82.83** 82.61** 82**^ 85.9**^ Unemployment Rate (%)*** 6.6 7.6 5 6.4 (SOURCE: US CENSUS 2010 AMERICAN COMMUNITY SURVEY S2701, CPO3, AND DP03 LIMITED TO APPROXIMATE KAISER SERVICE AREAS (MSA) IN EACH OF THE 4 REGIONS. (INCLUDES THE ENTIRE STATE OF HAWAII) * US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY: 2010-14 ** CALIFORNIA DEPARTMENT OF EDUCATION. 2013. **^ US Department of Education, EDFacts. Accessed via DATA.GOV. Additional data analysis by CARES. 2013-14. *** US DEPARTMENT OF LABOR, BUREAU OF LABOR STATISTICS: 2016 - JUNE **** KAISER PERMANENTE UTILITY FOR CARE DATA ANALYSIS, GEMS MEMBER & POPULATION DEMOGRAPHICS REPORT, Q1 2016 ***** US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY. 2010-14 KAISER PERMANENTE'S COMMITMENT TO THE COMMUNITY AND PROMOTION OF COMMUNITY HEALTH Since our beginnings, we have been committed to helping shape the future of health care. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. KFH is committed to the belief that good health is a fundamental right shared by all, and we recognize that good health extends beyond the doctor's office and the hospital. Like our approach to medicine, our work in the community takes a prevention-focused, evidence-based approach. We go beyond traditional corporate philanthropy or grant-making to leverage financial resources with medical research, physician expertise, and clinical practices. Historically, we have focused our investments in three areas-Health Access, Healthy Communities, and Health Knowledge-to address critical health issues in our communities. For many years, we have worked collaboratively with other organizations to address serious public health issues such as obesity, access to care, and violence. We have conducted Community Health Needs Assessments (CHNA) to better understand each community's unique needs and resources. The CHNA process informs our community investments and helps us develop strategies aimed at making long-term, sustainable change-and it allows us to deepen the strong relationships we have with other organizations that are working to improve community health. THE KFHP/KFH BOARD HAS A STANDING COMMUNITY BENEFIT COMMITTEE OF THE BOARD OF DIRECTORS TO OVERSEE THE PROGRAM-WIDE COMMUNITY BENEFIT PROGRAM. KAISER PERMANENTE ALSO HAS A NATIONAL EXECUTIVE OF KFHP AND KFH TO LEAD KAISER PERMANENTE'S COMMUNITY BENEFIT PROGRAM AS A FULL-TIME ASSIGNMENT. RAYMOND J. BAXTER, PHD IS THE SENIOR VICE PRESIDENT FOR COMMUNITY BENEFIT, RESEARCH AND HEALTH CARE POLICY REPORTING TO THE CEO AND CHAIRMAN OF THE BOARD.
5 - promotion of community health ********************************************************************** KFH's principal purpose is to provide hospital, medical, and surgical care, including emergency services, extended care and home health care to members of the public without regard to age, sex, race, religion or national origin, or to the individual's ability to pay. KFH SHARES THE KAISER PERMANENTE MISSION, OF PROVIDING AFFORDABLE HIGH QUALITY HEALTH CARE TO OUR MEMBERS, AND IMPROVING THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE. KFH's general community benefits include: Emergency departments - KFH operates full-time emergency departments in each of its 38 licensed hospitals, including five licensed hospitals with multiple campuses in California, Hawaii and Oregon. Emergency medical services are available to all individuals regardless of their ability to pay. Care provided to all patients - Hospital care is provided to individuals with health care coverage from any private or government-sponsored health plan, insured and uninsured referrals from safety net and other public health partnerships, and uninsured patients admitted through the emergency department. Open Medical Staff Privileges - Staff privileges in the hospitals are available to community practitioners who are not affiliated with a Permanente Medical Group. Reinvestment of Surplus Revenues - KFHP pays KFH for hospital services and surplus revenues are reinvested IN THE furtherance OF THE EXEMPT PURPOSE, for capital replacement or expansion of facilities and equipment, debt amortization, improvement in patient care and services, and other community benefit services including charity care, medical education and research. In addition, KFH is committed to operating to intentionally protect and preserve the environment and scarce resources. Poor environmental quality contributes to disease and economic insecurity. Kaiser Foundation Hospitals has therefore committed itself to protecting and improving the natural environment as a key component of our mission to improve healthcare quality and affordability. To fulfill this commitment, Kaiser Foundation Hospitals maintains a structure for environmental stewardship that enables the organization to continuously improve its environmental performance. This structure includes clearly defined roles, responsibilities, plans and routines, and has resulted in five organization-wide focus areas that have been selected based on their ability to have the most impact on the environmental forces that shape environmental- and human-health: 1. Finding safe alternatives to harmful industrial chemicals 2. Responding to climate change 3. Promoting sustainable farming and food choices 4. Reducing, reusing, and recycling to eliminate waste 5. Conserving water In each of these focus areas, Kaiser Foundation Hospitals has established ambitious goals, implemented initiatives, achieved measurable improvements, and regularly reported progress to our Board of Directors, our staff, and the communities we serve.
6 - affiliated health care system ********************************************************************** Kaiser Permanente is a not for profit, integrated health care delivery system comprised of Kaiser Foundation Hospitals, Kaiser Foundation Health Plan, and The Permanente Medical Groups. For more than 65 years, Kaiser Permanente has been dedicated to providing high-quality, affordable health care services and to improving the health of our members and the communities we serve. Kaiser Foundation Hospitals (KFH) and Kaiser Foundation Health Plan, Inc. (KFHP), with its four principal operating tax-exempt subsidiary health plans-Kaiser Foundation Health Plan of Colorado; Kaiser Foundation Health Plan of Georgia, Inc.; Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.; and Kaiser Foundation Health Plan of the Northwest, are nonprofit corporations that are part of the integrated health care delivery system known as the Kaiser Permanente Medical Care Program or "Kaiser Permanente." Kaiser Permanente is an integrated health care delivery system that combines the provision and financing of health care services. People who elect to enroll in a Kaiser Permanente health plan receive a full range of prepaid health care services, including hospital care, professional care in hospitals and physicians' offices, x-ray and laboratory services, physical therapy, emergency, ambulance transportation, preventive services, health education and certain prescribed drugs. More comprehensive drug coverage is also provided through a separate coverage rider. In the hospital-based regions - California, Hawaii and Northwest, Kaiser Permanente is comprised of several separate legal organizations: KFH - a California nonprofit public benefit corporation exempt from federal income tax under Internal Revenue Code 501(c)(3); KFHP - a California nonprofit public benefit corporation exempt from federal income tax under Internal Revenue Code 501(c)(3); Northwest Health Plan - an Oregon nonprofit corporation. Kaiser Permanente contracts with various medical groups in each respective region to provide services to members. Persons enroll in Kaiser Permanente through KFHP or one of the Health Plan subsidiaries ("Health Plan"). Health Plan provides and arranges comprehensive health care services for members on a predominantly prepaid basis and fulfills its contractual obligations to group and individual members by contracting with KFH and a Permanente Medical Group to provide the required health care services. KFHP and KFH are separate corporations governed by identical boards of directors. KFH accepts responsibility to provide or arrange necessary hospital services and facilities for Health Plan members. KFH owns and operates 38 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.
7 - state filing of community benefit report ********************************************************************** KFH annually prepares and submits a Consolidated Community Benefit Plan to the California Office of Statewide Health Planning and Development in compliance with Health and Safety Code Section 127340 et seq. The consolidated plan includes a hospital-specific community benefit plan for each individual medical center campus in California. KFH also annually prepares and submits a comprehensive Community benefit report to the Department of Human Services, Office for Oregon Health Policy and Research for the Sunnyside Medical Center located in the City of Clackamas.
Schedule H (Form 990) 2015
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," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number
94-1105628
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) 100 Mile Club
2191 Fifth St 211
Norco,CA92860 		20-8425786 501(c)(3) 20,000       Project Support
(2) 18 Reasons
3150 18th St 315
San Francisco,CA94110 		45-3059509 501(c)(3) 35,000       Project Support
(3) 2B Successful Youth
919 Missouri
Fairfield,CA94533 		26-3308963 501(c)(3) 15,000       Project Support
(4) 2nd Harvest Food Bank Santa Clara
4001 N 1st St
San Jose,CA95134 		94-2614101 501(c)(3) 40,000       Project Support
(5) 2nd Harvest Food Bnk San Joaquin
704 EIndustrial Pk
Manteca,CA95337 		68-0376587 501(c)(3) 25,000       Other
(6) A More Excellent Way Hlth Improve Org
215 Lighthouse Drive
Vallejo,CA94590 		14-2011697 501(c)(3) 14,481       Project Support
(7) A Place Called Home
2830 S Central Ave
Los Angeles,CA90011 		95-4427291 501(c)(3) 15,000       Project Support
(8) A Reason to Survive
200 East 12th Street
National City,CA91950 		33-0963135 501(c)(3) 10,000       Project Support
(9) A Window Between Worlds
710 4th Avenue
Venice,CA90291 		95-4448606 501(c)(3) 10,000       Project Support
(10) ABC Unified School District
16700 Norwalk Bl
Cerritos,CA90703 		95-2380644 Government or P 13,000       Conference Support
(11) ABC Unified School District Edu Found
16700 Norwalk Bl
Cerritos,CA90703 		27-5388922 501(c)(3) 9,215       Event Support\Annual Fundraiser
(12) Abode Services
40849 Fremont Blvd
Fremont,CA94538 		94-3087060 501(c)(3) 44,750       Other
(13) Access CA Services
631 S Brookhurst St
Anaheim,CA92804 		33-0826205 501(c)(3) 15,000       Project Support
(14) Access Institute for Psychological Serv
110 Gough St 301
San Francisco,CA94102 		01-0595862 501(c)(3) 20,000       Project Support
(15) Access OC S Cal
1505 E 17th St 209
Santa Ana,CA92705 		45-5011901 501(c)(3) 10,000       Project Support
(16) Adaptive Phys Edu
1455 Madison Avenue
Redwood City,CA94061 		46-3037547 501(c)(3) 15,000       General Operating Support
(17) Adelante Mujeres
2420 - 19th Ave
Forest Grove,OR97116 		03-0473181 501(c)(3) 20,000       Project Support
(18) Adelante Youth Alliance
805 N Madison Ave
Pasadena,CA91104 		15-4819333 501(c)(3) 19,400       Conference Support
(19) Adelanto Elementary School District
11824 Air Expressway
Adelanto,CA92301 		95-6000010 Government or P 10,000       Project Support
(20) Adolescent Counseling Svcs
1717 Embarcadero Rd
Palo Alto,CA94303 		53-0192551 501(c)(3) 15,000       General Operating Support
(21) Advanced Center for Eyecare
1701 Westwind Dr
Bakersfield,CA93301 		27-3257780 501(c)(3) 15,000       Project Support
(22) Afghan Coalition
39155 Liberty St
Fremont,CA94538 		94-3398311 501(c)(3) 25,000       General Operating Support
(23) Agricultural Institute of Marin
400 Smith Ranch Rd
San Rafael,CA94903 		86-1156712 501(c)(3) 15,000       Capital Fund Support
(24) AIDS Srv Found of OC
17982 Skypark Circ
Irvine,CA92614 		33-0126481 501(c)(3) 15,000       Project Support
(25) Airport Marina Counseling Service
7891 La Tijera Blvd
Los Angeles,CA90045 		95-2224149 501(c)(3) 10,000       Project Support
(26) Alameda Boys & Girls Club Inc
1900 3rd Street
Alameda,CA94501 		94-1312299 501(c)(3) 10,000       Project Support
(27) Alameda County Deputy Sheriff's Ass
16378 E 14th St
San Leandro,CA94578 		83-0410537 501(c)(3) 30,000       Project Support
(28) Alameda County Health Care Services
1000 San Leandro Blv
San Leandro,CA94577 		94-6000501 Government or P 14,000       Project Support
(29) Alameda County Hlth Care Services Agency
1000 San Leandro Blv
San Leandro,CA94577 		94-6000501 Government or P 2,620,000       Capital Fund Support
(30) Alameda County Office of Education
313 West Winton Ave
Hayward,CA94544 		94-6002421 Government or P 75,000       Project Support
(31) Alameda Health System Foundation
350 Frank H Ogawa
Oakland,CA94612 		94-3103136 501(c)(3) 231,625       Project Support
(32) Alameda Hlth Consort
101 Callan Ave 300
San Leandro,CA94577 		51-0189590 501(c)(3) 133,350       Event Support\Annual Fundraiser
(33) Aldea Inc
1801 Oak St PO 841
Napa,CA94559 		94-2159248 501(c)(3) 20,000       Project Support
(34) Alexandria House
426 S Alexandria Av
Los Angeles,CA90020 		95-4809755 501(c)(3) 10,000       Project Support
(35) Alive & Free
1060 Tennessee St
San Francisco,CA94107 		94-3171846 501(c)(3) 5,730       Event Support\Cultural Event
(36) Allen Temple Foundation Inc
8501 International
Oakland,CA94621 		94-3171539 501(c)(3) 150,000       Project Support
(37) Al-Shifa Clinic Inc
2034 B Mallory St
San Bernardino,CA92407 		33-0855769 501(c)(3) 25,000       General Operating Support
(38) Alternatives in Action
3666 Grand Ave
Oakland,CA94610 		94-3210413 501(c)(3) 20,000       Project Support
(39) Alum Rock Union Elem School District
2930 Gay Avenue
San Jose,CA95127 		77-0016360 Government or P 40,000       Project Support
(40) Always Knocking Inc
7030 Indian Lane
Sacramento,CA95822 		26-4635991 501(c)(3) 20,000       Project Support
(41) Alzheimer Disease & Related Disorders
2515 McCabe Way
Irvine,CA92614 		95-3702013 501(c)(3) 10,000       Project Support
(42) ALZHEIMERS DISEASE & RELATED DISORDERS
6632 Convoy Court
San Diego,CA92111 		95-3565388 501(c)(3) 10,000       Project Support
(43) Alzheimers Disease Assoc of Kern County
5500 Olive Dr Bldg
Bakersfield,CA93308 		77-0017561 501(c)(3) 25,000       General Operating Support
(44) Amanecer Comm Counseling Non-Profit
1200 Wilshire Bl
Los Angeles,CA90017 		95-3076578 501(c)(3) 10,000       Project Support
(45) Ambrose Recreation and Park District
3105 Willow Pass Rd
Bay Point,CA94565 		94-1622656 Government or P 10,000       Project Support
(46) Ambulatory Surgery Access Coalition
1119 Market St 400
San Francisco,CA94103 		94-3180356 501(c)(3) 9,510       Other;Event Support\Annual Fundraiser
(47) Amer SCORES Bay
1610 Harrison St
San Francisco,CA94103 		48-1272959 501(c)(3) 15,000       Project Support
(48) America Ntl Red Cros
3131 N Vancouver Av
Portland,OR97228 		53-0196605 501(c)(3) 30,000       Project Support
(49) America On Track
600 W Santa Ana Bl
Santa Ana,CA92701 		33-0724044 501(c)(3) 10,000       Project Support
(50) American Cancer Society Inc
1710 Webster Street
Oakland,CA94612 		13-1788491 501(c)(3) 20,000       Event Support\Health Fair
(51) American Diabetes Association Inc
4600 Roseville Rd
North Highlands,CA95660 		13-1623888 501(c)(3) 32,015       Event Support\Dinner;Event Support
(52) American Heart Association Inc
426 17th St 300
Oakland,CA94612 		13-5613797 501(c)(3) 462,250       Event Support\Annual Fundraiser
(53) American Lung Association of Sacramento
1531 I St 201
Sacramento,CA95814 		94-0362650 501(c)(3) 8,500       Other
(54) Andrew J Young Fnd
260 14th Street NW
Atlanta,GA30318 		58-2591049 501(c)(3) 25,000       Project Support
(55) Ann Martin Children's Center
1375 55th Street
Emeryville,CA94608 		94-6099000 501(c)(3) 12,350       Event Support\Cultural Event
(56) Antelope Valley College Foundation
3041 West Avenue K
Lancaster,CA93536 		95-4398700 501(c)(3) 15,000       Project Support
(57) Antelope Valley Hlth
44226 10th St West
Lancaster,CA93534 		47-0957404 501(c)(3) 17,900       Event Support\Health Fair
(58) APA Family Sup Services former Asian
10 Nottingham Place
San Francisco,CA94133 		94-3164091 501(c)(3) 10,000       Project Support
(59) APLA Health & Wellness
611 S Kingsley Dr
Los Angeles,CA90005 		84-1661910 501(c)(3) 15,000       Project Support
(60) Arden Manor Recreation & Park District
1415 Rushden Drive
Sacramento,CA95864 		94-6000529 Government or P 15,000       Project Support
(61) AREA AGENCY ON AGING-SERVING NAPA
400 Contra Costa St
Vallejo,CA94590 		94-2742309 501(c)(3) 20,000       Project Support
(62) Arrowhead United Way
646 North D Street
San Bernardino,CA92401 		95-1934586 501(c)(3) 10,000       Project Support
(63) Arts and Cultural Foundation of Antioch
PO Box 613
Antioch,CA94509 		68-0479175 Government or P 15,000       Project Support
(64) Ashland Free Medical Clinic
50 E Lewelling San
San Lorenzo,CA94580 		68-0554276 501(c)(3) 65,000       Project Support
(65) Asian Americans Advancing Justice LA
1145 Wilshire Bl 2Fl
Los Angeles,CA90017 		95-3854152 501(c)(3) 28,200       Conference Support
(66) Asian Americans for Comm Involvement
2400 Moorpark Ave
San Jose,CA95128 		94-2292491 501(c)(3) 40,000       Project Support
(67) Asian Health & Service Center
3633 SE 35th Pl
Portland,OR97202 		93-1192100 501(c)(3) 83,334       Project Support
(68) Asian Pac Islander
4000 Truxel Rd 3
Sacramento,CA95834 		55-0849384 501(c)(3) 9,200       Other
(69) Asian Pacific Health Care Venture Inc
4216 Fountain Ave
Los Angeles,CA90029 		95-4177752 501(c)(3) 15,000       Project Support
(70) Asian Pacific Women's Center Inc
244 S San Pedro St
Los Angeles,CA90012 		93-1102854 501(c)(3) 7,500       Project Support
(71) Asian Pacific Youth Leadership Project
5226 Luttig Court
Elk Grove,CA95757 		94-3167910 501(c)(3) 9,916       Other;Event Support\Annual Fundraiser
(72) Asian-Ameri Educ
1115 South E St
San Bernardino,CA92408 		33-0749876 501(c)(3) 10,000       Project Support
(73) Assistance League of Redlands
506 Colton Avenue
Redlands,CA92374 		95-2131653 501(c)(3) 15,000       Project Support
(74) Avenidas
450 Bryant Avenue
Palo Alto,CA94301 		94-1480548 501(c)(3) 25,000       Project Support
(75) Axis Community Health Inc
4361 Railroad Ave
Pleasanton,CA94566 		94-2232394 501(c)(3) 30,000       Project Support
(76) Azusa Pacific University
901 E Alosta Ave
Azusa,CA91702 		95-1744369 501(c)(3) 10,000       Project Support
(77) Bakersfield Assoc for Retarded Citizens
2240 South Union Av
Bakersfield,CA93561 		95-1805520 501(c)(3) 8,000       Project Support
(78) Baldwin Park Unified School District
4640 N Maine Ave
Baldwin Park,CA91706 		95-6000213 Government or P 18,000       General Operating Support
(79) Bartz-Altadonna Community Health Center
43322 Gingham Ave
Lancaster,CA93535 		27-3261289 501(c)(3) 12,500       Project Support
(80) Battle Ground HealthCare
11117 NE 189th St
Battle Ground,WA98604 		27-3148590 501(c)(3) 15,000       Project Support
(81) Bay Area Bicycle Coalition
833 Market St 10 Fl
San Francisco,CA94103 		94-3023347 501(c)(3) 35,000       Other
(82) Bay Area Business Roundtable
8517 Earhart Road
OAKLAND,CA92621 		80-0242181 501(c)(3) 10,000       Other
(83) Bay Area Community Resources
171 Carlos Drive
San Rafael,CA94903 		94-2346815 501(c)(3) 27,500       Project Support
(84) Bay Area Women
1922 The Alameda
San Jose,CA95126 		55-0897084 501(c)(3) 25,000       Project Support
(85) Bay Area Women Against Rape
470 27th Street
Oakland,CA94612 		94-2300454 501(c)(3) 20,000       Project Support
(86) Bay Area Youth EMT Program
3066 Madeline Street
Oakland,CA94602 		27-0725892 501(c)(3) 20,000       Project Support
(87) Beach School PTA
1710 N Humboldt
Portland,OR97217 		93-1256837 501(c)(3) 9,500       Project Support
(88) Bear Valley Unified School District
PO Box 1529
Big Bear Lake,CA92315 		95-6006065 Government or P 10,000       Project Support
(89) Bellflower Unified School District
16703 S Clark Ave
Bellflower,CA90706 		95-6000249 Government or P 26,000       Responsive
(90) Benicia Community Action Council
480 MILITARY EAST
BENICIA,CA94510 		68-0294153 501(c)(3) 8,000       Project Support
(91) Benicia Unified School District
350 East K Street
Benicia,CA94510 		30-0385724 Government or P 30,000       Project Support
(92) Berkeley Youth Alternatives
1255 Allston Way
Berkeley,CA94702 		94-1711728 501(c)(3) 20,000       Project Support
(93) Big Brothers Big Sisters Columbia NW
1827 NE 44th Av 100
Portland,OR97213 		93-1303640 501(c)(3) 15,000       Project Support
(94) Bill Wilson Center
3490 The Alameda
Santa Clara,CA95050 		94-2221849 501(c)(3) 25,000       Project Support
(95) Blanchet House of Hospitality
310 NW Glisan Street
Portland,OR97209 		93-6031009 501(c)(3) 15,000       Project Support
(96) Borrego Comm Hlth
4343 Yaqui Pass RD
Borrego Springs,CA92004 		33-0440021 501(c)(3) 20,000       General Operating Support
(97) Boy & Girl Tracy Inc
753 W Lowell Avenue
Tracy,CA95376 		68-0028682 501(c)(3) 34,000       Project Support
(98) Boy Girl Club Kern
801 Niles Street
Bakersifeld,CA93305 		95-2462246 501(c)(3) 10,000       Project Support
(99) Boys & Girls Club
1950 E 220th St
Carson,CA90810 		33-0475452 501(c)(3) 7,500       Project Support
(100) Boys & Girls Club of Burbank Inc
2244 N Buena Vista
Burbank,CA91504 		95-4485745 501(c)(3) 10,000       Project Support
(101) Boys & Girls Club of El Sobrante
4660 Appian Way
El Sobrante,CA94803 		94-1525614 501(c)(3) 20,000       Project Support
(102) Boys & Girls Club of Hollywood
850 N Cahuenga Bl
Los Angeles,CA90038 		95-1775142 501(c)(3) 10,000       Project Support
(103) Boys & Girls Club of Pasadena
3230 E Del Mar Blv
Pasadena,CA91107 		95-1643305 501(c)(3) 10,000       Project Support
(104) Boys & Girls Club of Redlands Inc
1251 Clay Street
Redlands,CA92374 		95-6187083 501(c)(3) 12,000       Project Support
(105) Boys & Girls Club W San Gabriel Valley
328 S Ramona Ave
Monterey Park,CA91754 		95-2782501 501(c)(3) 9,000       Project Support
(106) Boys & Girls Clubs Greater Sacramento
5212 Lemon Hill Ave
Sacramento,CA95824 		68-0338324 501(c)(3) 32,140       Project Support
(107) Boys & Girls Clubs NSan Mateo County
201 W Orange Ave
South San Francisco,CA94080 		94-1497000 501(c)(3) 30,000       General Operating Support
(108) Boys & Girls Clubs of Fresno County
540 N Augusta St
Fresno,CA93701 		94-1149171 501(c)(3) 9,450       General Operating Support
(109) Boys & Girls Clubs of Oakland
3300 High St 2nd Fl
Oakland,CA94619 		94-1279794 501(c)(3) 30,000       Project Support
(110) Boys & Girls Clubs of Southwest WA
1111 Main St 605
Vancouver,WA98660 		91-1978646 501(c)(3) 20,000       Project Support
(111) Boys & Girls Clubs of the Diablo Valley
1301 Alhambra Avenue
Martinez,CA94553 		94-1333618 501(c)(3) 10,000       Project Support
(112) Boys and Girls Club of Manteca
545 W Alameda St
Manteca,CA95336 		94-2751177 501(c)(3) 29,900       Project Support
(113) Boys Girls Club of Salem Marion & Polk
1395 Summer St NE
Salem,OR97301 		93-0581470 501(c)(3) 12,000       Project Support
(114) Breast Cancer Emergency Fund
12 Grace St 300
San Francisco,CA94103 		20-3203899 501(c)(3) 9,500       Event Support\Annual Fundraiser
(115) Breathe Calif Golden Gate Public Hlth
1 Sutter St 225
San Francisco,CA94104 		94-0836760 501(c)(3) 6,545       Event Support\Luncheon
(116) Breathe Calif Sacramento-Emigrant Trail
909 12th St 100
Sacramento,CA95814 		94-1641240 501(c)(3) 17,500       Project Support
(117) Bridge to Home SCV
24405 Chestnut Ave
Santa Clarita,CA91321 		95-4587823 501(c)(3) 6,626       Project Support
(118) Brighter Beginnings
2648 International
Oakland,CA94601 		94-2949749 501(c)(3) 41,000       Project Support
(119) Buddhist Tzu Chi Medical Foundation
10414 Vacco St
South El Monte,CA91733 		95-4457939 501(c)(3) 67,750       Project Support
(120) Building A Generat
932 W Cypress
Redlands,CA92373 		54-2104001 501(c)(3) 9,000       Project Support
(121) Building Opport Self
2065 Kittredge St E
Berkeley,CA94704 		51-0173390 501(c)(3) 10,000       Project Support
(122) CSULA Auxiliary Services Inc
5151 State Univrsty
Los Angeles,CA90032 		95-4016653 501(c)(3) 8,800       Event Support\Dinner
(123) Cal Dedicated Educ
425 Broadway
Redwood City,CA94063 		45-0676449 501(c)(3) 6,140       Conference Support
(124) Cal Partnership Safe
469 9th St 210
Oakland,CA94607 		45-3127566 501(c)(3) 125,000       Project Support
(125) Cal State Bakersfield Foundation
9001 Stockdale Hwy
Bakersfield,CA93311 		95-2643086 501(c)(3) 13,758       Project Support
(126) Calico Center
524 Estudillo Ave
San Leandro,CA94577 		94-3256781 501(c)(3) 27,395       Other
(127) Calif Aquatic Therapy & Wellness Center
6801 Long Beach Bl
Long Beach,CA90805 		95-2382016 501(c)(3) 10,000       Project Support
(128) Calif Center For Public Health Advocacy
PO Box 2309
Davis,CA95617 		95-4723901 501(c)(3) 210,000       Project Support
(129) California Association of Food Banks
1624 Franklin St 722
Oakland,CA94612 		68-0392816 501(c)(3) 104,500       Conference Support
(130) California Bicycle Coalition
1017 L Street 288
Sacramento,CA95814 		68-0417507 501(c)(3) 10,000       Conference Support
(131) California Black Health Network
520 9th St Suite 210
Sacramento,CA95814 		95-3794688 501(c)(3) 12,400       Event Support\Cultural Event
(132) California Dental Association Foundation
1201 K St 1511
Sacramento,CA95814 		68-0411536 501(c)(3) 10,000       Project Support;Event Support
(133) California Family Health Council Inc
3600 Wilshire Bl
Los Angeles,CA90010 		95-2564024 501(c)(3) 75,000       Project Support
(134) California Food Policy Advocates Inc
436 14th St 1220
Oakland,CA94612 		94-3163142 501(c)(3) 140,000       Project Support
(135) California Health Collaborative
1680 West Shaw Av
Fresno,CA93711 		94-2862660 501(c)(3) 80,000       Project Support
(136) California Medical Assoc Foundation
2230 L Street
Sacramento,CA95816 		94-6062822 501(c)(3) 8,464       Conference Support
(137) California Pan-Ethnic Health Network
1221 Preservation
Oakland,CA94612 		94-3306223 501(c)(3) 125,000       General Operating Support
(138) California Parenting Institute
3650 Standish Avenue
Santa Rosa,CA95407 		94-2541640 501(c)(3) 21,600       Event Support\Annual Fundraiser
(139) California Primary Care Association
1231 I St 400
Sacramento,CA95814 		94-3215565 501(c)(3) 20,000       Conference Support
(140) California School Based Health Alliance
1203 Preservation
Oakland,CA94612 		94-3201896 501(c)(3) 144,480       Conference Support
(141) California State Univ Fresno Foundation
4910 N Chestnut Ave
Fresno,CA93726 		94-6003272 501(c)(3) 19,950       General Operating Support
(142) California State University Sacramento
3000 State Univer
Sacramento,CA95819 		68-0365325 Government or P 21,850       Conference Support
(143) California Youth Services
23282 Mill Creek Dr
Laguna Hills,CA92653 		20-1051272 501(c)(3) 10,000       Project Support
(144) Camarena Health
344 E Sixth Street
Madera,CA93637 		94-2503904 501(c)(3) 152,500       Project Support
(145) Caminar
2600 SElCamino Rea
San Mateo,CA94403 		94-1639389 501(c)(3) 35,000       General Operating Support
(146) Camp Taylor Inc
5424 Pirrone Road
Salida,CA95368 		04-3709177 501(c)(3) 8,000       Other
(147) Campbell Union School District
155 Third Street
Campbell,CA95008 		77-0226428 Government or P 25,000       Project Support
(148) Canal Alliance
91 Larkspur Street
San Rafael,CA94901 		94-2832648 501(c)(3) 20,000       Project Support
(149) Cancer CAREpoint
2505 Samaritan Dr
San Jose,CA95124 		27-3029691 501(c)(3) 8,000       Project Support
(150) CANCER PREVENTION INSTITUTE OF CA
2201 Walnut Avenue
Fremont,CA94538 		23-7427232 501(c)(3) 54,557       PassThrough Fed Proj
(151) Cangress
838 E 6th Street
Los Angeles,CA90021 		02-0661629 501(c)(3) 10,000       Project Support
(152) Cardea Services
614 Grand Ave
Oakland,CA94610 		94-2401949 501(c)(3) 15,000       Project Support
(153) Care Harbor
18436 Hawthorne 204
Torrance,CA90504 		27-2984870 501(c)(3) 20,000       Event Support\Health Fair
(154) CAREGIVERS Volunteers Assisting Elderly
1765 Goodyear Ave
Ventura,CA93003 		77-0081692 501(c)(3) 20,000       General Operating Support
(155) Casa de Amparo
325 Buena Creek Road
San Marcos,CA92069 		95-3315571 501(c)(3) 12,000       Project Support
(156) Casa Familiar
119 W Hall Avenue
San Ysidro,CA92173 		23-7237898 501(c)(3) 10,000       Project Support
(157) CASA of Los Angeles
201 Centre Plaza Dr
Monterey Park,CA91754 		95-3890446 501(c)(3) 15,000       Project Support
(158) Catholic Charities CYO Archiocese SF
990 Eddy Street
San Francisco,CA94109 		94-1498472 501(c)(3) 20,000       General Operating Support
(159) Catholic Charities of Diocese Santa Rosa
PO 4900 Santa Rosa
Santa Rosa,CA95403 		94-2479393 501(c)(3) 20,000       Project Support
(160) Catholic Charities the Diocese Stockton
400 12th St 4
Modesto,CA95354 		94-1629114 501(c)(3) 50,000       Project Support
(161) Center for AIDS Research Educ & Serv
1500 21st Street
Sacramento,CA95811 		68-0162903 501(c)(3) 62,500       Project Support
(162) Center for Community Solutions
4508 Mission Bay
San Diego,CA92109 		95-6379598 501(c)(3) 15,000       Project Support
(163) Center for Domestic Peace
734 A Street
San Rafael,CA94901 		94-2415856 501(c)(3) 5,400       Event Support\Annual Fundraiser
(164) Center for Human Development
901 Sunvalley Bl
Concord,CA94520 		94-2520840 501(c)(3) 14,117       Event Support\Cultural Event
(165) Center for Individual fam couseling
5445 Laurel Cyn Blvd
North Hollywood,CA91607 		51-0204566 501(c)(3) 9,500       Project Support
(166) Center for Living and Learning
14549 Archwood St
Van Nuys,CA91405 		95-4406897 501(c)(3) 14,790       Project Support
(167) Center for Oral Health
309 East 2nd Street
Pomona,CA91766 		94-3000350 501(c)(3) 53,686       Event Support\Awards Ceremony
(168) Center for the Pacific Asian Family Inc
543 N Fairfax Ave
Los Angeles,CA90036 		95-3532351 501(c)(3) 9,600       Event Support\Dinner
(169) Center Integrated Family & Health Serv
540 Eremland Ste A-C
Covina,CA91723 		95-4746042 501(c)(3) 7,500       Project Support
(170) Centinela Youth Services Inc
11539 Hawthorne Blvd
Hawthorne,CA90250 		95-3821576 501(c)(3) 17,500       Project Support
(171) Central American Resource Center Carecen
2845 West 7th Street
Los Angeles,CA90005 		95-3867724 501(c)(3) 19,155       Event Support\Dinner
(172) Central City Concern Inc
232 NW Sixth Ave
Portland,OR97209 		93-0728816 501(c)(3) 95,000       Project Support
(173) Central Coast Alliance Unit Sustainable
2021 Sperry Ave 18
Ventura,CA93003 		77-0578864 501(c)(3) 20,000       General Operating Support
(174) Central Unified School District
4605 N Polk
Fresno,CA93722 		77-0559747 Government or P 90,000       General Operating Support
(175) Central Valley Health Network Inc
455 Capitol Mall
Sacramento,CA95814 		68-0429643 501(c)(3) 125,000       General Operating Support
(176) Centro de Salud La Comunidad De San
1275 30th Street
San Diego,CA92154 		95-2801772 501(c)(3) 30,000       Project Support
(177) Cesar Chavez Foundation
316 West 2nd St 600
los angeles,CA90012 		95-2466747 501(c)(3) 9,350       Event Support\Annual Fundraiser
(178) Chaldean & Middle-Eastern Social Ser
436 S Magnolia Ave
El Cajon,CA92020 		20-3502737 501(c)(3) 15,000       Project Support
(179) ChangeLab Solutions
2201 Broadway 502
Oakland,CA94612 		26-3710746 501(c)(3) 75,000       Project Support
(180) Chapa-De Indian Health Program Inc
11670 Atwood Road
Auburn,CA95603 		94-2583156 501(c)(3) 63,426       Project Support
(181) Charles Drew Univ of Medicine & Science
1731 E 120th St
Los Angeles,CA90059 		95-6151774 501(c)(3) 33,622       Event Support\Annual Fundraiser
(182) Child & Family Center
21545 Centre Pointe
Santa Clarita,CA91350 		95-3941342 501(c)(3) 12,000       Project Support
(183) Child Advocates SB
851 S MtVernon Ave
Colton,CA92324 		33-0362613 501(c)(3) 15,000       Project Support
(184) Children Def Fund
634 S Spring St
Los Angeles,CA90014 		52-0895622 501(c)(3) 17,500       Project Support
(185) Children Now
1404 Franklin St
Oakland,CA94612 		94-3059243 501(c)(3) 150,000       Project Support
(186) Children Ntrk Solano
2320 Courage Dr 107
Fairfield,CA94533 		68-0014506 501(c)(3) 90,000       Project Support
(187) Children's Cancer Association
1200 SW Natio Pky
Portland,OR97209 		93-1181662 501(c)(3) 15,000       Project Support
(188) Children's Council of San Francisco
445 Church Street
San Francisco,CA94114 		94-2221305 501(c)(3) 20,000       Project Support
(189) Childrens Dental Foundation
455 E Columbia St
Long Beach,CA90806 		95-2111124 501(c)(3) 12,500       General Operating Support
(190) Children's Fund
348 W Hospitality
San Bernardino,CA92408 		33-0193286 501(c)(3) 10,000       Project Support
(191) Children's Health Initiative Napa County
2140 Jefferson St D
Napa,CA94559 		25-1924934 501(c)(3) 20,000       Project Support
(192) Children's Nurturing Project
2195 Union Avenue
Fairfield,CA94533 		72-1553818 501(c)(3) 20,000       Project Support
(193) Chinatown Service Center
767 N Hill St
Los Angeles,CA90012 		95-2918844 501(c)(3) 9,350       Event Support\Annual Fundraiser
(194) Christian Counseling svc
51 West Olive Avenue
Redlands,CA92373 		33-0063237 501(c)(3) 9,000       Project Support
(195) Chula Vista Elementary School District
511 G Street
Chula Vista,CA91910 		95-6000613 Government or P 8,000       Project Support
(196) Circulate San Diego
1111 6th Ave 402
San Diego,CA92101 		46-0505205 501(c)(3) 60,000       General Operating Support
(197) City Church of Sacra
PO Box 188653
Sacramento,CA95818 		45-3626724 501(c)(3) 5,100       Other
(198) City Long Beach Depart Health & Human
2525 Grand Avenue
Long Beach,CA90815 		95-6000733 Government or P 20,000       Project Support
(199) City of Antioch
PO Box 5007
Antioch,CA94531 		94-6000293 Government or P 9,600       Project Support
(200) City of Baldwin Park
14403 E Pacific Ave
Baldwin Park,CA91706 		23-7401605 Government or P 5,119       Project Support
(201) City of Baldwin Park
14403 E Pacific Ave
Baldwin Park,CA91706 		95-6005574 Government or P 15,000       General Operating Support
(202) City of Bellflower
16600 Civic Center
Bellflower,CA90706 		95-6005896 Government or P 20,000       Project Support
(203) City of Carson
701 East Carson St
Carson,CA90749 		95-2513547 Government or P 15,000       Project Support
(204) City of Downey
11111 Brookshire Ave
Downey,CA90241 		95-1918226 Government or P 6,000       Project Support
(205) City of Folsom
50 Natoma Street
Folsom,CA95630 		94-6000334 Government or P 10,000       Project Support
(206) City of Fontana
16860 Valencia Ave
Fontana,CA92335 		95-6004770 Government or P 18,000       Project Support
(207) City of Lancaster
44933 FERN AVENUE
LANCASTER,CA93534 		95-3213004 Government or P 15,000       General Operating Support
(208) City of McFarland
401 W Kern Avenue
McFarland,CA93250 		17-0952766 Government or P 18,800       Project Support
(209) City of Montclair
5111 Benito Street
Montclair,CA91763 		95-6005731 Government or P 14,000       General Operating Support
(210) City of Portland Oregon
1120 SW 5th Ave 8FL
Portland,OR97204 		93-6002236 Government or P 100,000       Project Support
(211) City of Rancho Cucamonga
10500 Civic Center
Rancho Cucamonga,CA91730 		95-3213002 Government or P 10,000       General Operating Support
(212) City of Rialto
150 South Palm Ave
Rialto,CA92376 		95-6000768 Government or P 10,000       Project Support
(213) City of Santa Clara
1500 Warburton Ave
Santa Clara,CA95050 		94-6000426 Government or P 40,000       Event Support\Cultural Event
(214) City of Yucaipa
34272 Yucaipa Blvd
Yucaipa,CA92399 		33-0383731 Government or P 7,500       General Operating Support
(215) City Pasadena Department of Human Serv
100 N Garfield Ave
Pasadena,CA91109 		95-6000759 Government or P 10,000       Project Support
(216) City Team Ministries
722 Washington St
Oakland,CA94607 		94-1501265 501(c)(3) 7,600       Other;Project Support
(217) Civicorps Schools
101 Myrtle Street
Oakland,CA94607 		94-2941068 501(c)(3) 25,000       Project Support
(218) Clackamas County
2051 Kaen Road 367
Oregon City,OR97045 		93-6002286 Government or P 89,368       Project Support
(219) Clackamas Vlnt Med
700 Molalla Ave
Oregon City,OR97045 		37-1621141 501(c)(3) 23,000       General Operating Support
(220) Clark County Public Health
PO Box 9825
Vancouver,WA98666 		91-6001299 Government or P 83,334       Project Support
(221) CLEVELAND CLINIC LERNER
9500 Euclid Avenue
Cleveland,OH44195 		34-0714585 501(c)(3) 51,005       PassThrough Fed Proj
(222) Clinica Monsenor Oscar A Romero
123 S Alvarado St
Los Angeles,CA90057 		95-3881333 501(c)(3) 50,000       Project Support
(223) Cnt for Wellness
401 Van Ness Av 319
San Francisco,CA94102 		39-2060766 501(c)(3) 25,000       Project Support
(224) Coachella Valley Volunteers Medicine
82-915 Avenue 48
Indio,CA92201 		26-3312826 501(c)(3) 20,000       Project Support
(225) Coaching Corps
310 Eighth St 300
Oakland,CA94607 		94-3310845 501(c)(3) 103,750       Other
(226) Coastal Health Alliance
65 Third St 17
Point Reyes Station,CA94956 		68-0172541 501(c)(3) 10,000       Project Support
(227) Coastside Adult Day Health Center
925 Main St Suite A
Half Moon Bay,CA94019 		94-2935784 501(c)(3) 10,000       General Operating Support
(228) Coastside Medical Dental Clinics Inc
210 San Mateo Rd
Half Moon Bay,CA94019 		94-3390196 501(c)(3) 15,000       General Operating Support
(229) COLUMBIA UNIVERSITY MEDICAL CTR
630 West 168th St
New York,NY10032 		13-5598093 501(c)(3) 20,500       PassThrough Fed Proj
(230) Comm Action Partner
5005 Business Prk N
Bakersfield,CA93309 		95-2402760 501(c)(3) 10,000       Project Support
(231) Comm Action Partnership of Sonoma
1300 N Dutton Ave
Santa Rosa,CA95401 		94-1648949 501(c)(3) 23,000       Conference Support
(232) Comm Action Partnership San Bernardino
696 S Tippecanoe
San Bernardino,CA92408 		95-2376882 501(c)(3) 25,000       Project Support
(233) Comm Against Sexual
3101 1st Ave
Sacramento,CA95817 		46-1498182 501(c)(3) 25,955       Other
(234) Comm Agencies Caring
16703 S Clark Ave
Bellflower,CA90706 		33-0953881 501(c)(3) 10,000       Project Support
(235) Comm Alliance Family Farmers Foundation
PO Box 363
Davis,CA95617 		94-2914745 501(c)(3) 105,000       Project Support
(236) Comm Coalition Substance Abuse Prevent
8101 S Vermont Ave
Los Angeles,CA90044 		95-4298811 501(c)(3) 14,140       Project Support
(237) Comm Fnd Sonoma
250 D St 205
Santa Rosa,CA95404 		46-5607272 501(c)(3) 75,000       Project Support
(238) Comm Hlth Impr Prt
5095 Murphy Cyn Rd
San Diego,CA92123 		33-0496092 501(c)(3) 15,000       Project Support
(239) Comm Hlth Partnership Santa Clara County
1401 Parkmoor Av 200
San Jose,CA95126 		77-0352645 501(c)(3) 495,000       Project Support
(240) Comm Partnership Families San Joaquin
401 N San Joaquin
Stockton,CA95219 		68-0475602 501(c)(3) 40,000       Project Support
(241) Committee on the Shelterless
PO 2744 900 Hopper
Petaluma,CA94952 		68-0176855 501(c)(3) 6,500       Event Support\Annual Fundraiser
(242) CommuniCare Health Centers
2051 John Jones Rd
Davis,CA95616 		94-2188574 501(c)(3) 40,000       Project Support
(243) Community Child Care Coordinat Alameda
22351 City Center Dr
Hayward,CA94541 		23-7218859 501(c)(3) 58,000       Other
(244) Community Clinic Assoc of LA County
700 S Flower St
Los Angeles,CA90017 		95-4576023 501(c)(3) 35,488       Conference Support
(245) Community Clinic Assoc San Bernardio
1800 Western Ave 105
San Bernardino,CA92241 		30-0666184 501(c)(3) 6,100       Conference Support
(246) Community Clinic Consortium
3720 Barrett Avenue
Richmond,CA94805 		20-0782029 501(c)(3) 127,750       Event Support\Workforce
(247) Community Energy Services Corporation
1013 Pardee St
Berkeley,CA94710 		94-3032388 501(c)(3) 10,000       Project Support
(248) Community Family Guidance Center
10929 South St 208B
Cerritos,CA90703 		95-3083776 501(c)(3) 15,000       Project Support
(249) Community Health Awareness Council
590 W El Camino Rea
Mountain View,CA94040 		94-2223670 501(c)(3) 30,000       Project Support
(250) Community Health Center Network Inc
101 Callan Avenue
San Leandro,CA94577 		94-3253662 501(c)(3) 200,000       Project Support
(251) Community Health Clinic Ole
1100 Trancas St
Napa,CA94558 		23-7221695 501(c)(3) 20,000       Project Support
(252) Community Health Partners
PO Bx 2853 1230 7th
Longview,WA98632 		91-2016542 501(c)(3) 58,000       Project Support
(253) Community Hlth Sys
22675 Alessandro
Moreno Valley,CA92553 		33-0056551 501(c)(3) 46,000       General Operating Support
(254) Community House on Broadway
1105 Broadway
Longview,WA98632 		94-3067129 501(c)(3) 9,000       General Operating Support
(255) Community Integration Services Inc
10100 Balboa Blvd
Granada Hills,CA91344 		20-2300297 501(c)(3) 8,000       Project Support
(256) Community Matters
652 Petaluma J-1
Sebastopol,CA95472 		68-0369720 501(c)(3) 45,000       Project Support
(257) Community Partners
1000 N Alameda
Los Angeles,CA90012 		95-4302067 501(c)(3) 200,942       Project Support
(258) Community Recovery Resources
730 Sunrise Ave 200
Roseville,CA95661 		94-2275091 501(c)(3) 21,180       Event Support\Health Fair
(259) Community Seniorserv Inc
1200 N Knollwood
Anaheim,CA92801 		95-2771715 501(c)(3) 10,000       Project Support
(260) Community Service Educa & Research
5380 Elvas Ave 214
Sacramento,CA95819 		23-7003581 501(c)(3) 35,000       Project Support
(261) Communitys Child Inc
25520 Woodward Ave
Lomita,CA90717 		20-2871854 501(c)(3) 7,500       Project Support
(262) Conard House Inc
1385 Mission St 200
San Francisco,CA94103 		94-1489356 501(c)(3) 25,000       Project Support
(263) Concordia University
2811 NE Holman St
Portland,OR97211 		93-0391563 501(c)(3) 20,000       Project Support
(264) Contra Costa Child Care Council
1035 Detroit Ave
Concord,CA94518 		94-2383037 501(c)(3) 68,450       Project Support
(265) Contra Costa Economic Partnership
1355 Willow Way 253
Concord,CA94520 		68-0360130 501(c)(3) 48,000       Project Support
(266) Contra Costa Regional Medical & Health
2500 Alhambra Avenue
Martinez,CA94533 		94-6000509 Government or P 122,030       Project Support
(267) Contra Tiempo
4058 Tilden Avenue
Culver City,CA90232 		20-5477825 501(c)(3) 10,000       Project Support
(268) Cope Family Center
707 Randolph Street
Napa,CA94559 		94-2322399 501(c)(3) 22,500       Project Support
(269) CORA Comm Overcoming Relatsion Abuse
2211 Palm Avenue
San Mateo,CA94403 		94-2481188 501(c)(3) 33,000       Project Support
(270) Council Of OC Society St Vincent De Paul
8014 Marine Way
Irvine,CA92618 		95-3033494 501(c)(3) 47,500       Project Support
(271) Council on Aging - Orange County
1971 E 4th St 200
Santa Ana,CA92705 		95-2874089 501(c)(3) 15,000       Project Support
(272) County of Placer
11484 B Avenue
Auburn,CA95603 		94-6000527 Government or P 15,000       Project Support
(273) County of San Mateo
222 West 39th Ave
San Mateo,CA94403 		94-6000532 Government or P 200,583       Project Support
(274) County of Santa Clara
976 Lenzen Ave
San Jose,CA95126 		94-6000533 Government or P 125,000       Project Support
(275) County of Sonoma Depart of Hlth Ser
490 Mendocino Ave
Santa Rosa,CA95401 		94-6000539 Government or P 1,020,000       Project Support
(276) Court Appointed Special Advocates Kern
2000 24th St 130
Bakersfield,CA93301 		77-0344298 501(c)(3) 11,000       Project Support
(277) Covenant House California
1325 N Western Ave
Los Angeles,CA90027 		13-3391210 501(c)(3) 15,000       Project Support
(278) Cowlitz County Health Department
207 Fourth Avenue N
Kelso,WA98626 		91-6001310 Government or P 98,220       Project Support
(279) Craft Community Care Center Inc
710 Black Diamond St
Pittsburg,CA94565 		20-1483590 501(c)(3) 10,000       Project Support
(280) Crafton Hills College Foundation
11711 Sand Canyon Rd
Yucaipa,CA92399 		23-7314077 501(c)(3) 10,000       Project Support
(281) CSULB 49er
1250 Bellflower Bl
Long Beach,CA90804 		45-2163910 501(c)(3) 5,370       Project Support
(282) Curry Senior Center
333 Turk Street
San Francisco,CA94102 		23-7362588 501(c)(3) 20,000       Project Support
(283) Daly City Peninsula Partnership Collab
725 Price Street
Daly City,CA94014 		06-1734338 501(c)(3) 15,000       General Operating Support
(284) DANA FARBER CANCER INSTITUTE
450 Brookline Avenue
Boston,MA02215 		04-2263040 501(c)(3) 163,659       PassThrough Fed Proj
(285) David and Margaret Home Inc
1350 Third Street
La Verne,CA91750 		95-1660346 501(c)(3) 6,000       Project Support
(286) Day One
175 N Euclid Ave
Pasadena,CA91101 		95-4172246 501(c)(3) 17,000       General Operating Support
(287) Desert AIDS Project
1695 N Sunrise Way
Palm Springs,CA92262 		33-0068583 501(c)(3) 20,000       Project Support
(288) Destiny Arts Center
970 Grace Ave
Oakland,CA94608 		94-3176726 501(c)(3) 10,000       Project Support
(289) Dixon Fmly Services
155 N Second Street
Dixon,CA95620 		68-0041829 501(c)(3) 15,000       Project Support
(290) Downtown Womens Center
442 S San Pedro St
Los Angeles,CA90013 		31-1597223 501(c)(3) 104,210       Responsive
(291) Dr Earl R Crane Children Dental Hlth
580 West 6th Street
San Bernardino,CA92410 		95-1627155 501(c)(3) 15,000       Project Support
(292) E County Jr Warriors
4464 Lone Tree Wy
Antioch,CA94531 		46-4243696 501(c)(3) 6,000       Project Support
(293) E Bay Asian Local
310 Eighth St 200
Oakland,CA94607 		51-0171851 501(c)(3) 20,000       Responsive;Project Support
(294) E San Gabriel Valley Coalition Homeless
1345 Turnbull Cyn Rd
Hacienda Heights,CA91745 		95-4508436 501(c)(3) 11,500       Project Support
(295) Earth Island Institute Inc
221 Oak St D
Oakland,CA94607 		94-2889684 501(c)(3) 15,000       Project Support
(296) East Bay Agency for Children
303 Van Buren Avenue
Oakland,CA94610 		94-1358309 501(c)(3) 32,050       Event Support\Annual Fundraiser
(297) East Bay Bicycle Coalition
466 Water Street
Oakland,CA94607 		94-2585652 501(c)(3) 10,000       Project Support
(298) East Bay Center for the Performing Arts
339 - 11th Street
Richmond,CA94801 		94-1692171 501(c)(3) 10,000       Project Support
(299) East Bay Community Foundation
200 Frank H Ogawa Pl
Oakland,CA94612 		94-6070996 501(c)(3) 12,000       Other
(300) East County Faith Based Subcomittee
4549 Delta Fair Bl
Antioch,CA94509 		20-8682635 501(c)(3) 20,700       Project Support
(301) East Oakland Youth Development Center
8200 International
Oakland,CA94621 		23-7334590 501(c)(3) 14,000       Other;Event Support\Annual Fundraiser
(302) East Valley Community Health Center Inc
420 S Glendora Ave
West Covina,CA91790 		23-7068586 501(c)(3) 15,000       Project Support
(303) Easter Seals Bay Area
391 Taylor Bl 250
Pleasant Hill,CA94523 		94-3120231 501(c)(3) 6,250       Event Support\Annual Fundraiser;
(304) Eating Disorders Resource Center
15891 Los Gatos Alm
Los Gatos,CA95032 		68-0616393 501(c)(3) 17,500       Project Support
(305) Eden Youth & Family Center
680 W Tennyson
Hayward,CA94544 		94-2442586 501(c)(3) 77,000       Project Support
(306) El Centrito Family Learning Centers
450 South K St111
Oxnard,CA93030 		31-1652255 501(c)(3) 20,000       General Operating Support
(307) El Centro de Amistad
566 South Brand Bl
San Fernando,CA91340 		95-3498639 501(c)(3) 10,000       Project Support
(308) El Centro de Libertad
500 Allerton St 3 Fl
Redwood City,CA94062 		94-3189174 501(c)(3) 15,000       General Operating Support
(309) El Monte S El Monte Emerg Resources
10900 Mulhall Street
El Monte,CA91731 		95-6097318 501(c)(3) 10,000       General Operating Support
(310) El Nido Family Centers
10200 Sepulveda Bl
Mission Hills,CA91345 		95-3186429 501(c)(3) 33,500       Event Support\Annual Fundraiser
(311) El Viento Foundation
15744 Goldenwest St
Huntington Beach,CA92647 		33-0905269 501(c)(3) 15,000       Project Support
(312) Elders in Action
1411 SW Morrison St
Portland,OR97205 		93-1168567 501(c)(3) 10,000       Project Support
(313) Elevate Your GAME
2019 E 120th Street
Los Angeles,CA90059 		68-0533404 501(c)(3) 15,000       Project Support
(314) Elica Health Centers
1860 Howe Ave 440
Sacramento,CA95825 		37-1424390 501(c)(3) 92,500       Project Support
(315) Elk Gr Food Bank
9820 Dino Dr 140
Elk Grove,CA95624 		38-3664737 501(c)(3) 31,500       Project Support
(316) Elk Grove Unified School District
6300 Ehrhardt Ave
Sacramento,CA95823 		94-6002501 Government or P 65,127       Event Support\Health Fair
(317) Emergency Food Bank
7 West Scotts Avenue
Stockton,CA95203 		68-0002165 501(c)(3) 30,000       Project Support;Other
(318) Episcopal Community Services
401 Mile of Cars Wy
National City,CA91950 		95-1945256 501(c)(3) 10,000       Project Support
(319) Equus Medendi Inc
25888 Miramonte St
Redlands,CA92373 		45-4559288 501(c)(3) 6,500       Project Support
(320) Fairfield Community Services Foundation
1000 Webster Street
Fairfield,CA94553 		68-0344658 501(c)(3) 15,000       Project Support
(321) Fairfield Police Activities League
250 Travis Bl 3342
Fairfield,CA94533 		26-1184406 501(c)(3) 20,000       Project Support
(322) Fairfield-Suisun Unified School District
2490 Hillborn Road
Fairfield,CA94533 		94-6001297 Government or P 18,000       Project Support
(323) Faith In Action
3303 Whitemarsh Lane
Fairfield,CA94534 		68-0431992 501(c)(3) 15,000       Project Support
(324) Families Assist Min
1030 Calle Negocio
San Clemene,CA92673 		33-0864870 501(c)(3) 10,000       Project Support
(325) Families Forward
8 Thomas
Irvine,CA92618 		33-0086043 501(c)(3) 15,000       Project Support
(326) Family and Children Services
375 Cambridge Avenue
Palo Alto,CA94306 		94-1167408 501(c)(3) 25,000       Project Support
(327) Family Giving Tree
606 Valley Way
Milpitas,CA95035 		77-0284682 501(c)(3) 20,000       Other;Project Support
(328) Family Health Care Centers
6501 S Garfield
Bell Gardens,CA90201 		95-1641454 501(c)(3) 30,000       General Operating Support
(329) Family Health Centers of San Diego Inc
823 Gateway Center
San Diego,CA92102 		95-2833205 501(c)(3) 40,000       Project Support
(330) Family Hlth Care Centers Greater Los Ang
1669 North E St
San Bernardino,CA92405 		95-1641436 501(c)(3) 10,000       Project Support
(331) Family Resource & Refer Cntr San Joaquin
509 WWeber Ave 101
Stockton,CA95203 		94-1691503 501(c)(3) 40,000       Project Support
(332) Family Services of the Desert Inc
14080 Palm Dr E
Desert Hot Springs,CA92240 		95-2549152 501(c)(3) 20,000       General Operating Support
(333) Farmers Market Fund
240 N Broadway 129
Portland,OR97227 		45-3804465 501(c)(3) 24,900       Project Support
(334) Feeding America Riv
2950-A Jefferson St
Riverside,CA92504 		33-0072922 501(c)(3) 20,000       Project Support
(335) Feeding America San Diego
9455 Waples St 135
San Diego,CA92121 		26-0457477 501(c)(3) 26,000       Project Support
(336) FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH
350 Community Drive
Manhasset,NY11030 		11-2673595 501(c)(3) 20,230       PassThrough Fed Proj
(337) First African Methodist Episcopal Church
530 - 37th
Oakland,CA94609 		23-7010426 501(c)(3) 20,000       Other
(338) Folsom Cordova Unified School District
909 Mormon Street
Folsom,CA95630 		94-6002505 Government or P 32,885       Project Support
(339) Food Bank of Contra Costa and Solano
4010 Nelson Avenue
Concord,CA94520 		94-2418054 501(c)(3) 72,450       Project Support
(340) Food In Need Distr
83-775 Citrus Avenue
Indio,CA92201 		33-0006007 501(c)(3) 20,000       Project Support
(341) FOOD Inc
3403 E Central Ave
Fresno,CA93725 		77-0320851 501(c)(3) 156,970       Other
(342) Food Literacy Center
2973 3rd Avenue
Sacramento,CA95817 		45-3973268 501(c)(3) 10,000       Project Support
(343) FOOD Share Inc
4156 Southbank Drive
Oxnard,CA93036 		77-0018162 501(c)(3) 30,000       Project Support
(344) Foothill AIDS Prjt
233 W Harrison Ave
Claremont,CA91711 		33-0341665 501(c)(3) 35,000       Project Support
(345) Foothill Family Service
2500 E Foothill Bl
Pasadena,CA91107 		95-1690990 501(c)(3) 25,000       Project Support
(346) Foothill Unity Center
415 E Chestnut Ave
Monrovia,CA91016 		95-4310817 501(c)(3) 18,000       Event Support\Health Fair
(347) Foothill-De Anza Comm Colleges Foun
12345 El Monte Rd
Los Altos Hills,CA94022 		94-3258220 501(c)(3) 50,000       Project Support
(348) Foundation for Clovis Schools
1450 Herndon
Clovis,CA93611 		77-0140576 501(c)(3) 90,000       General Operating Support
(349) Foundation for Healthy Generations
1601 E Fourth Plain
Vancouver,WA98661 		91-6186093 501(c)(3) 45,000       Project Support
(350) Foundation for Students Rising Above
287 31st Avenue
San Francisco,CA94121 		81-0615887 501(c)(3) 15,000       Event Support\Annual Fundraiser
(351) FRED HUTCHINSON CANCER RESEARCH CENTER
1100 Fairview Ave N
Seattle,WA98109 		23-7156071 501(c)(3) 94,382       PassThrough Fed Proj
(352) Free Clinic of Southwest Washington
4100 Plomondon St
Vancouver,WA98661 		91-1707542 501(c)(3) 42,500       General Operating Support
(353) Fresh Approach
5060 Commercial Cir
Concord,CA94520 		26-2438206 501(c)(3) 125,000       Project Support
(354) Fresh Producers Inc
420 I Street Suite 5
Sacramento,CA95814 		20-8747234 501(c)(3) 25,000       Project Support
(355) Fresno Center for New Americans
4879 E Kings Cyn Rd
Fresno,CA93727 		77-0280265 501(c)(3) 25,000       Project Support
(356) Fresno Metropolitan Ministry
4270 N Blackstone Av
Fresno,CA93726 		94-2181848 501(c)(3) 11,000       Project Support
(357) Fresno Unified School District
2309 Tulare Street
Fresno,CA93721 		94-6002206 Government or P 90,000       General Operating Support
(358) Fresno United Neighborhoods
1515 E Divisadero
Fresno,CA93721 		77-0348220 501(c)(3) 30,000       General Operating Support
(359) Friend Creston Child
PO Box 86368
Portland,OR97286 		32-0300896 501(c)(3) 20,000       Project Support
(360) Friends For Youth Inc
1741 Broadway
Redwood City,CA94402 		94-2961034 501(c)(3) 15,000       General Operating Support
(361) Friends of the Los Angeles Free Clinic
8405 Beverly Blvd
Los Angeles,CA90048 		95-3433824 501(c)(3) 13,500       Event Support\Dinner
(362) Friends of Zenger Farm
11741 SE Foster Road
Portland,OR97266 		93-1269630 501(c)(3) 82,592       Project Support
(363) Funders Ntk Smart
1500 San Remo Ave
Coral Gables,FL33146 		57-1173613 501(c)(3) 25,000       General Operating Support
(364) Gay & Lesbian Comm Services Cnt of OC
1605 N Spurgeon St
Santa Ana,CA92701 		95-2934041 501(c)(3) 15,000       Other
(365) GenerateHope Inc
4025 Camino del Rio
San Diego,CA92108 		26-3405689 501(c)(3) 8,000       Project Support
(366) Girl Scouts of Northern California
1310 S Bascom Ave
San Jose,CA95128 		94-1551410 501(c)(3) 30,000       Project Support
(367) Girl Scouts of Orange County
9500 Toledo Wy 100
Irvine,CA92618 		95-2023244 501(c)(3) 10,000       Project Support
(368) Girls Inc NW Oregon
4800 SW Macadam
Portland,OR97239 		54-2073930 501(c)(3) 35,000       Project Support
(369) Girls Incorporated of Alameda County
510 16th Street
Oakland,CA94612 		94-1558073 501(c)(3) 13,225       Event Support\Annual Fundraiser
(370) Girls On Run Napa
3299 Claremont Wy 6
Napa,CA94558 		55-0906534 501(c)(3) 20,000       Project Support
(371) Girls on the Run of Los Angeles County
5330 N Figueroa St
Los Angeles,CA90042 		20-5115367 501(c)(3) 10,000       Project Support
(372) Give Every Child A Chance
322 Sun West Place
Manteca,CA95337 		68-0399384 501(c)(3) 40,000       Project Support
(373) Glendale Community Free Health Clinic
134 N Kenwood St
Glendale,CA91206 		87-0732681 501(c)(3) 10,000       General Operating Support
(374) Global Center For Success Inc
1055 Azuar Drive
Vallejo,CA94592 		71-0896807 501(c)(3) 9,000       Project Support
(375) Gospel Center Rescue Mission Inc
445 S San Joaquin St
Stockton,CA95203 		94-1375835 501(c)(3) 60,000       Project Support
(376) Grandma's House of Hope
1505 E 17th St 116
Santa Ana,CA92705 		26-0391438 501(c)(3) 15,000       Project Support
(377) Grandparent As Parents
22048 Sherman Wy
Canoga Park,CA91303 		33-0592916 501(c)(3) 25,000       General Operating Support
(378) Greater San Diego After-School All-Stars
750 B St 3300
San Diego,CA92101 		33-0687576 501(c)(3) 10,000       Project Support
(379) GROUP HEALTH COOPERATIVE
1730 Minor Avenue
Seattle,WA98101 		91-0511770 501(c)(3) 534,681       PassThrough Fed Proj
(380) Guide Dogs for the Blind
32901 SE Kelso Road
Boring,OR97009 		94-1196195 501(c)(3) 15,000       Project Support
(381) Hamburger Home dba Aviva Fmly & Children
7120 Franklin Avenue
Los Angeles,CA90046 		95-1693616 501(c)(3) 8,000       Project Support
(382) Harbor Area Gang Alt
2555 Industry Way
Lynwood,CA90262 		33-0322451 501(c)(3) 30,000       Project Support
(383) Harbor City B&G Club
1220 W 256th St
Harbor City,CA90710 		33-0450797 501(c)(3) 15,000       General Operating Support
(384) Harbor Free Clinic Inc
593 W 6th Street
San Pedro,CA90731 		23-7103245 501(c)(3) 15,000       General Operating Support
(385) Harbor Interfaith
670 W 9th St
San Pedro,CA90731 		33-0031099 501(c)(3) 95,000       Project Support
(386) Harbor-UCLA Research & Educ Institute
1124 W Carson St
Torrance,CA90502 		95-2138184 501(c)(3) 14,000       Conference Support
(387) HARC
75-080 Frank Sinatr
Palm Desert,CA92211 		20-5719074 501(c)(3) 15,000       Project Support
(388) Harm Reduction Services
2800 Stockton Blvd
Sacramento,CA95817 		68-0300656 501(c)(3) 25,000       Project Support
(389) HARVARD PILGRIM HEALTH CARE
133 Brookline Avenue
Boston,MA02215 		04-2452600 501(c)(3) 159,958       PassThrough Fed Proj
(390) Haven Hills Inc
PO Bx 260 Canoga Pk
Canoga Park,CA91305 		95-3196247 501(c)(3) 8,500       Project Support
(391) Hayward Sisters Hospital DBA
27200 Calaroga Ave
Hayward,CA94545 		94-1668344 501(c)(3) 3,000,000       General Operating Support
(392) Health Educ Council Serving Population
3950 Industrial Bl
West Sacramento,CA95691 		68-0249296 501(c)(3) 551,044       Project Support
(393) HEALTH PARTNERS INSTITUTE FOR EDUCATION
8170 33rd Ave South
Minneapolis,MN55440 		41-1670163 501(c)(3) 78,116       PassThrough Fed Proj
(394) HEALTH RESEARCH INC
PO Box 2966
Buffalo,NY14240 		14-1402155 501(c)(3) 581,921       PassThrough Fed Proj
(395) HealthRight 360
1735 Mission St 2050
San Francisco,CA94103 		94-6129071 501(c)(3) 15,000       General Operating Support
(396) Healthy Aging Association
121 Downey Ave 102
Modesto,CA95354 		77-0546574 501(c)(3) 40,000       Project Support
(397) Healthy Comm Forum Greater Sacramento
8928 Volunteer LN
Sacramento,CA95828 		68-0377256 501(c)(3) 86,500       Event Support\Health Fair
(398) Helpline Youth Counseling
12440 Firestone Blv
Norwalk,CA90650 		23-7113824 501(c)(3) 7,500       Project Support
(399) HENRY FORD HEALTH SYSTEM
1 Ford Place-5C69
Detroit,MI48202 		38-1357020 501(c)(3) 129,094       PassThrough Fed Proj
(400) Hillsides
940 Avenue 64
Pasadena,CA91105 		95-1644002 501(c)(3) 8,650       Event Support\Annual Fundraiser
(401) Hispanas Organized Political Equality CA
634 S Spring St
Los Angeles,CA90014 		95-4718409 501(c)(3) 21,460       Event Support\Awards Ceremony
(402) Hlthy Smiles Kids OC
10602 Chapman 200
Garden Grove,CA92840 		38-3675065 501(c)(3) 15,000       Project Support
(403) Hollywood Police Activities League
1358 Wilcox Avenue
Los Angeles,CA90028 		95-4596172 501(c)(3) 10,000       Project Support
(404) Hollywood Sunset Free Clinic
3324 W Sunset Blvd
Los Angeles,CA90026 		23-7074488 501(c)(3) 8,000       Project Support
(405) Homeboy Industries
130 W Bruno St
Los Angeles,CA90012 		95-4800735 501(c)(3) 20,000       Event Support\Annual Fundraiser
(406) Hope Of The Valley Rescue Mission
8165 San Fernando Rd
Sun Valley,CA91352 		27-2053273 501(c)(3) 35,000       Project Support
(407) Hospice of Napa Valley Inc
414 S Jefferson St
Napa,CA94559 		68-0393144 501(c)(3) 20,000       Project Support
(408) House of Ruth Inc
599 N Main Street
Pomona,CA91768 		95-3276033 501(c)(3) 15,000       Project Support
(409) Housing Authority of the County of Kern
601-24th Street
Bakersfield,CA93301 		95-6001629 Government or P 14,200       Project Support
(410) Huckleberry Youth Programs Inc
3310 Geary Blvd
San Francisco,CA94118 		94-1687559 501(c)(3) 23,400       Event Support\Annual Fundraiser
(411) Human Options Inc
5540 Trabuco Rd
Irvine,CA92620 		95-3667817 501(c)(3) 15,000       General Operating Support
(412) Hunger Action Los Angeles
961 SMariposa 205
Los Angeles,CA90006 		20-5142259 501(c)(3) 8,940       Event Support\Annual Fundraiser
(413) Hurtt Family Hlth
One Hope Drive
Tustin,CA92782 		33-0906866 501(c)(3) 15,000       Project Support
(414) I Have a Dream Foundation - Oregon
2916 NE Alberta St
Portland,OR97211 		93-1037323 501(c)(3) 17,710       Project Support
(415) ICF Center For Cross-Border Philanthropy
2505 N Avenue
National City,CA91950 		26-1640148 501(c)(3) 10,440       Event Support\Annual Fundraiser
(416) Immaculate Heart Community
5515 Franklin Avenue
Los Angeles,CA90028 		95-2706764 501(c)(3) 7,000       Project Support
(417) Impact Northwest
4610 SE Belmont
Portland,OR97215 		93-0557964 501(c)(3) 15,000       Project Support
(418) INDIANA UNIVERSITY
980 Indiana Ave
Indianapolis,IN46202 		35-1955872 501(c)(3) 6,683       PassThrough Fed Proj
(419) Industry Sheriff's Youth Athletic League
150 North Hudson Ave
City of Industry,CA91744 		95-4350187 501(c)(3) 6,500       Project Support
(420) Info Line San Diego
5251 Viewridge Crt
San Diego,CA92123 		33-1029843 501(c)(3) 17,500       Event Support\Luncheon
(421) Inland Caregiver Res
1430 E Cooley Dr
Colton,CA92324 		33-0460833 501(c)(3) 28,464       Project Support
(422) Inland Empire United Way
9644 Hermosa Avenue
Rancho Cucamonga,CA91730 		33-0502676 501(c)(3) 10,000       Project Support
(423) Inland Valley Council of Churches
1753 N Park Ave
Pomona,CA91768 		95-2674837 501(c)(3) 7,500       Project Support
(424) InnerCity Struggle
124 NTownsend Ave
Los Angeles,CA90063 		27-2133211 501(c)(3) 10,000       Project Support
(425) InnVision Shelter Network
181 Constitution Dr
Menlo Park,CA94025 		77-0160469 501(c)(3) 45,000       Project Support
(426) Institute for Local Government
1400 K St 205
Sacramento,CA95814 		94-1537757 501(c)(3) 100,000       Project Support
(427) Insure the Uninsured Project
2444 Wilshire Bl 412
Santa Monica,CA90403 		27-4159194 501(c)(3) 35,700       Conference Support
(428) Inter Tribal Sports
42232 Rio Nedo Dr A
Temecula,CA92590 		26-0752842 501(c)(3) 10,000       Project Support
(429) International Rescue Committee Inc
5348 University Ave
San Diego,CA92105 		13-5660870 501(c)(3) 10,000       Project Support
(430) Jacobs & Cushman San Diego Food Bank
9850 Distribution Av
San Diego,CA92121 		20-4374795 501(c)(3) 25,000       Project Support
(431) Jefferson Union High School District
2780 Junipero Serra
Daly City,CA94015 		94-3083772 Government or P 33,316       Event Support\Annual Fundraiser
(432) Jewish Community Free Clinic
50 Montgomery Dr
Santa Rosa,CA95404 		94-3386103 501(c)(3) 20,000       General Operating Support
(433) Jewish Family & Childrens Long Beach
3801 E Willow St
Long Beach,CA90815 		95-2273033 501(c)(3) 10,000       Project Support
(434) Jewish Family & Children's Srv East Bay
1855 Olympic Blvd
Walnut Creek,CA94596 		94-3250304 501(c)(3) 20,000       Project Support
(435) Jewish Family Service of San Diego
8804 Balboa Avenue
San Diego,CA92123 		95-1644024 501(c)(3) 15,000       Project Support
(436) Jewish Family Srv
801 E Tahquitz Cyn
Palm Springs,CA92262 		33-0613083 501(c)(3) 20,000       Project Support
(437) JOHNS HOPKINS HOSPITAL
615 North Wolfe St
Baltimore,MD21205 		52-0591656 501(c)(3) 38,816       PassThrough Fed Proj
(438) JOSEPH'S STOREHOUSE FOOD BANK RES CNT
760 E Stuart Ave
Redlands,CA92375 		26-2323673 501(c)(3) 13,000       Project Support
(439) Jr Posse Youth Equestrian Program
453 W Caldwell St
Compton,CA90220 		95-4699219 501(c)(3) 12,000       Project Support
(440) Jumpstart for Young Children Inc
1625 W Olympic Blvd
Los Angeles,CA90015 		04-3262046 501(c)(3) 10,000       Project Support
(441) Junior Blind of America
5300 Angeles Vista
Los Angeles,CA90043 		95-1977659 501(c)(3) 7,500       Project Support
(442) Justice In Aging
3660 Wilshire Bl 719
Los Angeles,CA90010 		95-3132674 501(c)(3) 8,875       Event Support\Annual Fundraiser
(443) JWCH Institute Inc
5650 Jillson Street
Commerce,CA90040 		95-2289916 501(c)(3) 13,500       Event Support\Dinner
(444) K to College
7730 Pardee Lane
Oakland,CA94621 		51-0671019 501(c)(3) 24,000       Other
(445) KAISER FOUNDATION HEALTH PLAN OF COLO
10350 E Dakota Ave
Denver,CO80231 		84-0591617 501(c)(3) 478,161       PassThrough Fed Proj
(446) Keaton Raphael Memorial Neuroblastoma
2260 Douglas Bl 150
Roseville,CA95661 		68-0406980 501(c)(3) 10,000       Project Support
(447) Kennedy King Memorial College Scholar
PO Box 2643
Martinez,CA94553 		94-1677726 501(c)(3) 19,545       Other
(448) Kern County Children Families
2724 L Street
Bakersfield,CA93301 		77-0529128 Government or P 10,000       Project Support
(449) Kidpower Teenpower Fullpower
1706 Church St 1115
San Francisco,CA94131 		77-0226712 501(c)(3) 20,000       Project Support
(450) Kids Come First
1556 S Sultana Ave
Ontario,CA91761 		33-0969025 501(c)(3) 25,000       General Operating Support
(451) Kids Community Clinic of Burbank
400 W Elmwood Ave
Burbank,CA91506 		95-4791296 501(c)(3) 18,500       Project Support
(452) KidsFirst
124 Main Street
Roseville,CA95678 		68-0195225 501(c)(3) 25,000       Project Support
(453) Korean Hlth Educ Inform & Research
3727 W 6th St
Los Angeles,CA90020 		95-4074660 501(c)(3) 17,690       Event Support\Annual Fundraiser
(454) LA Family Housing Corporation
7843 Lankershim Bl
North Hollywood,CA91605 		95-3920560 501(c)(3) 100,000       Project Support
(455) LA Free Clinic dba Saban Free Clinic
8405 Beverly Blvd
Los Angeles,CA90048 		95-2539105 501(c)(3) 10,000       Project Support
(456) La Casa De Las Madres
1663 Mission St 225
San Francisco,CA94103 		94-2330864 501(c)(3) 15,000       Project Support
(457) La Clinica De La Raza Inc
1450 Fruitvale 3rd F
Oakland,CA94601 		94-1744108 501(c)(3) 49,600       Event Support\Annual Fundraiser;
(458) LA Com Garden Council
4470 Sunset Bl 381
Los Angeles,CA90027 		31-1734705 501(c)(3) 7,000       Project Support
(459) La Luz Bilingual Center
17560 Greger Street
Sonoma,CA95476 		68-0228235 501(c)(3) 20,000       Project Support
(460) La Maestra Famliy
4060 Fairmount Av
San Diego,CA92105 		33-0473171 501(c)(3) 37,500       Project Support
(461) Laguna Beach Community Clinic
362 Third Street
Laguna Beach,CA92651 		95-2637633 501(c)(3) 20,000       Project Support
(462) LAMP Inc
1920 WThird Street
Los Angeles,CA90057 		95-3993742 501(c)(3) 90,000       Project Support
(463) Lane Coalition for Healthy Active Youth
PO Box 264
Eugene,OR97440 		90-0401941 501(c)(3) 10,000       General Operating Support
(464) Larkin Street Youth Services
134 Golden Gate Ave
San Francisco,CA94102 		94-2917999 501(c)(3) 13,500       Event Support\Annual Fundraiser
(465) LA's Best
200 N Spring St
Los Angeles,CA90012 		95-4311058 501(c)(3) 74,000       General Operating Support
(466) Latino Community Foundation
One Embarcadero Cnt
San Francisco,CA94111 		81-0564400 501(c)(3) 48,850       Event Support\Annual Fundraiser
(467) Latino Diabetes Association
200 W MINES AVE
MONTEBELLO,CA90640 		20-0303774 501(c)(3) 7,500       Project Support
(468) Latino Leadership Council
2945 Bell Road 274
Auburn,CA95603 		27-0970476 501(c)(3) 31,444       Event Support\Cultural Event
(469) LEARNING ENRICHMENT AFTERSCHOOL PROG
112 WEST 9TH ST 815
LOS ANGELES,CA90015 		20-1734414 501(c)(3) 10,000       General Operating Support
(470) LIFE Courses Inc
440 Grand Ave 207
Oakland,CA94610 		45-4177065 501(c)(3) 10,000       Other
(471) LifeLong Medical Care
2344 Sixth Street
Berkeley,CA94710 		94-2502308 501(c)(3) 1,780,160       event/General operating support - urgent care in west contra costa county
(472) LifeWorks Of Sonoma County
1200 College Avenue
Santa Rosa,CA95404 		68-0375462 501(c)(3) 20,000       Project Support
(473) Lighthouse Counsel
427 A St 400
Lincoln,CA95648 		35-2252834 501(c)(3) 36,263       Event Support\Cultural Event
(474) Lincoln Child Center
1266 14th Street
Oakland,CA94607 		94-1156501 501(c)(3) 25,000       Project Support
(475) Links for Life
1706 Chester Ave200
Bakersfield,CA93301 		93-1088003 501(c)(3) 20,000       Project Support
(476) Livermore Area Recreation Park District
4444 East Ave
Livermore,CA94550 		94-6000849 Government or P 15,000       Project Support
(477) Livermore Vly Joint Unified Schl Dist
685 E Jack London
Livermore,CA94550 		94-2175582 Government or P 15,000       Project Support
(478) Loaves & Fishes Cont
835 Ferry Street
Martinez,CA94553 		68-0018077 501(c)(3) 45,000       Project Support
(479) Local Ecology and Agriculture Fremont
PO Box 2816
Fremont,CA94536 		27-1349266 501(c)(3) 18,500       Project Support
(480) Local Government Commission
980 9th St 1700
Sacramento,CA95814 		94-2791699 501(c)(3) 10,000       Conference Support
(481) Loma Linda University
24951 N Circle Drive
Loma Linda,CA92350 		95-1816009 501(c)(3) 9,052       Conference Support
(482) Lomi School Foundation
534 B Street
Santa Rosa,CA95401 		94-2495238 501(c)(3) 40,000       Project Support
(483) Long Beach Bar Fnd
3515 Linden Ave
Long Beach,CA90807 		33-0585482 501(c)(3) 12,500       Project Support
(484) Los Ang County Depart of Public Health
600 S Commonwealth
Los Angeles,CA90005 		95-6000927 Government or P 7,900       Conference Support
(485) Los Ang Trade Tech College Foundation
400 W Washington Bl
Los Angeles,CA90015 		95-3813527 501(c)(3) 19,260       Event Support\Awards Ceremony
(486) Los Angeles Alliance for a New Economy
464 Lucas Ave
Los Angeles,CA90017 		95-4459427 501(c)(3) 8,500       Event Support\Awards Ceremony
(487) Los Angeles Brotherhood Crusade Inc
200 E Slauson Ave
Los Angeles,CA90011 		95-2543819 501(c)(3) 10,000       Other
(488) Los Angeles Center for Law and Justice
1241 S Soto St
Los Angeles,CA90023 		95-2690540 501(c)(3) 5,570       Event Support\Annual Fundraiser
(489) Los Angeles Child Development Center
2014 Sawtelle Blvd
Los Angeles,CA90025 		95-3222295 501(c)(3) 10,000       Project Support
(490) Los Angeles LGBT Center
1625 N Schrader
Los Angeles,CA90028 		95-3567895 501(c)(3) 15,000       Conference Support
(491) Los Angeles Regional Food Bank
1734 East 41st St
Los Angeles,CA90058 		95-3135649 501(c)(3) 47,500       Project Support
(492) Los Angeles Unified School District
1208 Magnolia Avenue
Gardena,CA90247 		95-6001908 Government or P 16,500       Project Support
(493) Los Angeles Youth Network
1853 Taft Ave
Los Angeles,CA90028 		95-3953979 501(c)(3) 10,000       Project Support
(494) Lotus Bloom
2008 Park Blvd
Oakland,CA94606 		51-0662715 501(c)(3) 10,000       Project Support
(495) LUTHERAN SOCIAL SERVICES OF S Cal
41945 BIG BEAR BL
BIG BEAR LAKE,CA92315 		95-2225798 501(c)(3) 10,000       Project Support
(496) Madera County Public Health Department
14215 Road 28
Madera,CA93638 		94-6000518 Government or P 30,000       Project Support
(497) Mama's Kitchen
3960 Home Avenue
San Diego,CA92105 		33-0434246 501(c)(3) 9,250       Event Support\Dinner
(498) March of Dimes Foundation
101 Montgomery St
San Francisco,CA94104 		13-1846366 501(c)(3) 61,875       Other
(499) Marin City Community Services District
630 Drake Avenue
Marin City,CA94965 		94-6050222 Government or P 20,000       Project Support
(500) Marion County Health Department
3180 Center St NE
Salem,OR97301 		93-6002307 Government or P 83,340       Project Support
(501) Marjaree Mason Center Inc
1600 M Street
Fresno,CA93721 		94-1156639 501(c)(3) 73,262       Other
(502) MARSHFIELD CLINIC RESEARCH
1000 North Oak Ave
Marshfield,WI54449 		39-0452970 501(c)(3) 87,822       PassThrough Fed Proj
(503) Marthas Pantry
2200 Broadway D
Vancouver,WA98663 		38-3794358 501(c)(3) 6,600       Project Support
(504) Martin L King Jr
1680 E 120th Street
Los Angeles,CA90059 		45-4433505 501(c)(3) 24,450       Event Support\Luncheon
(505) Martin Luther King Jr Freedom Center
333 East 8th Street
Oakland,CA94606 		94-3390034 501(c)(3) 40,000       Other;Project Support
(506) MASSACHUSETTS GENERAL HOSPITAL
50 Staniford Street
Boston,MA02114 		04-2697983 501(c)(3) 5,062       PassThrough Fed Proj
(507) Maternal and Child Health Access
1111 W 6th St 4Fl
Los Angeles,CA90017 		95-4555879 501(c)(3) 15,000       Project Support
(508) Maude Price Elementary School
9525 Tweedy Lane
Downey,CA90240 		95-6006586 Government or P 37,000       Responsive
(509) MAYO CLINIC
200 First Street SW
Rochester,MN55905 		41-6011702 501(c)(3) 29,934       PassThrough Fed Proj
(510) MayView Community Health Center
270 Grant Avenue
Palo Alto,CA94306 		94-2239648 501(c)(3) 35,000       Project Support
(511) Meals on Wheels of San Francisco Inc
1375 Fairfax Avenue
San Francisco,CA94124 		94-1741155 501(c)(3) 24,050       Project Support
(512) Meals On Wheels of Solano County Inc
95 Marina Center
Suisun City,CA94585 		94-2453452 501(c)(3) 20,000       Project Support
(513) Meals on Wheels Sr
1300 Civic Drive
Walnut Creek,CA94596 		68-0044205 501(c)(3) 5,500       Project Support
(514) Medical Mission Adventures
11540 Bonham Ave
Lakeview Terrace,CA91342 		04-3661520 501(c)(3) 10,000       Project Support
(515) MEMORIAL SLOAN KETTERING CANCER CENTER
633 3rd Avenue
New York,NY10065 		13-1624182 501(c)(3) 55,893       PassThrough Fed Proj
(516) Mend-Meet Each Need with Dignity
10641 N San Fernando
Pacoima,CA91331 		23-7306337 501(c)(3) 120,610       Project Support
(517) Mental Health America of Los Angeles
506 W Jackman St
Lancaster,CA93534 		95-1881491 501(c)(3) 15,000       Project Support
(518) Mental Health Assoc of San Mateo County
2686 Spring Street
Redwood City,CA94063 		94-6034112 501(c)(3) 15,000       General Operating Support
(519) Mercy House Liv Cnt
807 N Garfield
Santa Ana,CA92701 		33-0315864 501(c)(3) 12,000       Project Support
(520) Meristem
9200 Fair Oaks Blvd
Fair Oaks,CA95682 		47-1411177 501(c)(3) 6,000       Conference Support
(521) Mexican American Legal Defense Educ
634 S Spring St
Los Angeles,CA90014 		74-1563270 501(c)(3) 14,250       Event Support\Annual Fundraiser
(522) MF Place Inc
5850 Hollywood Blvd
Hollywood,CA90028 		95-4834034 501(c)(3) 14,550       Event Support\Annual Fundraiser
(523) MFI Recovery Center
5870 Arlington Ave
Riverside,CA92504 		95-2833715 501(c)(3) 25,000       Project Support
(524) Mid-Peninsula Boys & Girls Club Inc
200 North Quebec St
San Mateo,CA94401 		94-1431583 501(c)(3) 15,000       General Operating Support
(525) Minority AIDS Project
5149 W Jefferson Bl
Los Angeles,CA90016 		95-4175650 501(c)(3) 15,000       Project Support
(526) Mission City Community Network Inc
15206 Parthenia St
North Hills,CA91343 		95-4226189 501(c)(3) 15,000       Project Support
(527) Mission Edge San Diego
PO Box 12319
San Diego,CA92112 		27-2938491 501(c)(3) 25,000       Project Support
(528) Mission Solano Res
740 Travis Blvd
Fairfield,CA94533 		61-1431375 501(c)(3) 10,000       Project Support
(529) MOMS Orange County
1128 W Santa Ana
Santa Ana,CA92703 		33-0518078 501(c)(3) 19,550       Event Support\Annual Fundraiser
(530) Monarch Sch Project
1625 Newton Ave
San Diego,CA92113 		33-0871354 501(c)(3) 10,000       Project Support
(531) Montclair Community Foundation
5111 Benito Ave
Montclair,CA91763 		26-4180900 501(c)(3) 10,000       Project Support
(532) Monument Crisis
1990 Market Street
Concord,CA94520 		41-2111171 501(c)(3) 20,000       Project Support
(533) Monument Impact
1760 Clayton Rd
Concord,CA94520 		94-3370919 501(c)(3) 530,550       Project Support
(534) Mountain Hlth & Comm
31115 Hwy 94
Campo,CA91906 		33-0164420 501(c)(3) 20,000       Project Support
(535) Mountains Comm Hosp
PO Box 1493
Lake Arrowhead,CA92352 		33-0530904 501(c)(3) 10,000       Project Support
(536) Mt Diablo Unifi Sch
1266 San Carlos A-6
Concord,CA94518 		68-0091157 Government or P 8,000       Project Support
(537) Multi Integrated Kdy
9155 SW Barnes Rd
Portland,OR97225 		45-0520604 501(c)(3) 15,000       EMPLOYEE SPONSORED\Individual
(538) Museum of the African Diaspora
685 Mission Street
San Francisco,CA94105 		94-3338239 501(c)(3) 93,500       Other
(539) Mutual Assist Network Del Paso Heights
811 Grand Ave A3
Sacramento,CA95838 		68-0332694 501(c)(3) 22,705       Project Support
(540) My Sister's House
3053 Freeport 120
Sacramento,CA95818 		68-0464114 501(c)(3) 27,260       Event Support\Cultural Event
(541) N California Center for Well-Being
365 B Tesconi Circle
Santa Rosa,CA95401 		93-1144835 501(c)(3) 32,180       Event Support\Awards Ceremony
(542) NAMI ACS dba
4974 Omar Street
Fremont,CA94538 		46-1028709 501(c)(3) 30,000       Project Support
(543) NAMI California
1851 Heritage Ln
Sacramento,CA95815 		94-2676057 501(c)(3) 14,550       Conference Support
(544) Napa Emergency Women's Services
1141 Pear Tree Ln
Napa,CA94558 		94-2745889 501(c)(3) 15,000       Project Support
(545) Napa Valley Unif Edu
2425 Jefferson St
Napa,CA94558 		68-0005743 501(c)(3) 15,000       Project Support
(546) National Coalition of 100 Black Women
6175 Shattuck Ave
Oakland,CA94609 		94-3298877 501(c)(3) 6,850       Other
(547) National Kidney Foundation Inc
131 Steuart St 425
San Francisco,CA94105 		13-1673104 501(c)(3) 9,310       Event Support\Annual Fundraiser
(548) National Medical Fellowships Inc
347 Fifth Ave 510
New York,NY10016 		01-0963657 501(c)(3) 14,750       Other
(549) Nehemiah Community Foundation
640 Bercut Ave A
Sacramento,CA95811 		68-0449972 501(c)(3) 25,000       Project Support
(550) Neighborhd Legal
1102 E Chevy Chase
Glendale,CA91205 		95-2408642 501(c)(3) 9,000       Event Support\Awards Ceremony
(551) Neighborhood Healthcare
425 North Date St
Escondido,CA92025 		95-2796316 501(c)(3) 60,000       Project Support
(552) Neighborhood House Inc
7780 SW Capitol Hwy
Portland,OR97215 		93-0386875 501(c)(3) 15,000       Project Support
(553) New Directions for Youth
7315 Lankershim Bl
North Hollywood,CA91605 		95-2973008 501(c)(3) 18,000       Event Support\Annual Fundraiser
(554) New Hope Free Clinic
760 E Stuart Ave
Redlands,CA92374 		46-2473576 501(c)(3) 11,000       Project Support
(555) New Horizons Caregivers Group
3129 S Hacienda Bl
Hacienda Heights,CA91745 		75-3132090 501(c)(3) 7,500       Project Support
(556) Nile Sisters Development Initiative
6035 University Ave
San Diego,CA92115 		91-2131196 501(c)(3) 10,000       Project Support
(557) Niroga Institute
111 Fairmount Ave
Oakland,CA94611 		20-2620278 501(c)(3) 45,000       Project Support
(558) NO CA INST RESEARCH AND ED
4150 Clement St
San Francisco,CA94121 		94-3084159 501(c)(3) 44,218       PassThrough Fed Proj
(559) North & South of Market Adult Day Hlth
930 Fourth Street
San Francisco,CA94158 		94-2915039 501(c)(3) 20,000       Project Support
(560) North Bay Children's Center
932 C Street
Novato,CA94949 		94-3024246 501(c)(3) 40,000       Capital Fund Support
(561) North by Northeast Comm Health Center
3030 NE Martin LKing
Portland,OR97212 		72-1618287 501(c)(3) 35,000       Project Support
(562) North Clackamas School District
4444 SE Lake Rd
Milwaukie,OR97222 		93-0599524 Government or P 15,000       Project Support
(563) North County Lifeline
3142 Vista Way 400
Oceanside,CA92056 		95-2794253 501(c)(3) 12,000       Project Support
(564) North East Medical Services
1520 Stockton Street
San Francisco,CA94133 		94-1722562 501(c)(3) 25,000       Project Support
(565) Northeast Valley Health Corporation
1172 N Maclay Ave
San Fernando,CA91340 		23-7120632 501(c)(3) 27,000       Event Support\Awards Ceremony
(566) Northwest Family Services
6200 SE King Road
Portland,OR97222 		93-0841022 501(c)(3) 15,000       Project Support
(567) Northwest Health Foundation Fund II
221 NW 2nd Ave 300
Portland,OR97209 		93-1293344 501(c)(3) 1,250,000       General Operating Support
(568) NORTHWESTERN UNIVERSITY
750 N Lake Shore Dr
Chicago,IL60611 		36-2167818 501(c)(3) 124,769       PassThrough Fed Proj
(569) Novato Youth Center
680 Wilson Ave
Novato,CA94947 		94-1735064 501(c)(3) 20,000       Project Support
(570) Oak View Renewal
PO Box 3476
Huntington Beach,CA92605 		61-1495237 501(c)(3) 15,000       Project Support
(571) Oakland Leaf Foundation
7700 Edgewater Dr
Oakland,CA94621 		81-0565800 501(c)(3) 10,000       Project Support
(572) Oakland Military Institute College
3877 Lusk Street
Oakland,CA94608 		91-2073068 501(c)(3) 19,700       Event Support\Annual Fundraiser
(573) Oakland Museum CA
1000 Oak Street
Oakland,CA94607 		45-3138892 501(c)(3) 30,000       Event Support\Cultural Event;Other
(574) Oakland Public Educ
581 61st Street
Oakland,CA94609 		43-2014630 501(c)(3) 14,250       Other;Event Support\Luncheon
(575) Oakland School for the Arts
530 18th Street
Oakland,CA94612 		68-0463892 501(c)(3) 24,700       Event Support\Cultural Event
(576) Oceanside Unified School District
2111 Mission Avenue
Oceanside,CA92058 		95-2681075 Government or P 10,000       Project Support
(577) Odd Fellow- Rebekah Children's Home CA
290 IOOF Avenue
Gilroy,CA95020 		94-1167402 501(c)(3) 45,000       Project Support
(578) Off The Front
2044 E Nees
Fresno,CA93720 		27-2022802 501(c)(3) 10,000       General Operating Support
(579) Okizu Foundation
16 Digital Dr 130
Novato,CA94949 		68-0291178 501(c)(3) 12,500       Event Support\Cultural Event
(580) Old Adobe Union
845 Crinella Drive
Petaluma,CA94954 		58-1289541 Government or P 25,000       Project Support
(581) Olive Crest
555 Technology Court
Riverside,CA92507 		95-2877102 501(c)(3) 25,000       Project Support
(582) On Lok Day Services
1333 Bush Street
San Francisco,CA94109 		94-3101292 501(c)(3) 20,000       Project Support
(583) On The Move
780 Lincoln Avenue
Napa,CA94558 		75-3149095 501(c)(3) 55,000       Other
(584) One Step a la Vez
421 Sespe Ave
Fillmore,CA93015 		45-4604852 501(c)(3) 8,290       Project Support
(585) OneOC
1901 East 4th St 100
Santa Ana,CA92705 		95-2021700 501(c)(3) 35,000       Project Support
(586) Ontario-Montclair Schools Foundation
PO Box 1426
Ontario,CA91762 		90-0716973 501(c)(3) 13,500       Project Support
(587) OPARC
9029 Vernon Ave
Montclair,CA91711 		95-1943396 501(c)(3) 6,000       Project Support
(588) Open Heart Kitchen of Livermore Inc
1141 Catalina Drive
Livermore,CA94550 		94-3396038 501(c)(3) 16,300       Event Support\Annual Fundraiser
(589) Operation Safe Hse
9685 Hayes Street
Riverside,CA92503 		33-0326090 501(c)(3) 15,000       Project Support
(590) Operation Samahan Inc
1428 Highland Avenue
National City,CA91950 		95-3008798 501(c)(3) 20,000       Project Support
(591) Optimal Hospice Foundation
6780 N West Ave 101
Fresno,CA93711 		95-3334909 501(c)(3) 15,000       Project Support
(592) Optimist Boys Home & Ranch
6957 N Figueroa St
Los Angeles,CA90041 		95-1643340 501(c)(3) 15,000       Project Support
(593) Orange County Family Justice Cnt
150 West Vermont Ave
Anaheim,CA92805 		20-4088652 501(c)(3) 10,000       General Operating Support
(594) Orangewood Children's Foundation
1575 E 17th Street
Santa Ana,CA92705 		95-3616628 501(c)(3) 20,000       Project Support
(595) Oregon Children's Foundation DBA SMART
101 SW Market St
Portland,OR97201 		93-1051724 501(c)(3) 10,000       Project Support
(596) Oregon College Of Oriental Medicine
10525 SE Cherry Blsm
Portland,OR97216 		93-0845182 501(c)(3) 15,000       Project Support
(597) Oregon Food Bank Inc
PO Box 55370
Portland,OR97238 		93-0785786 501(c)(3) 15,000       Project Support
(598) Oregon Foundation for Reproductive Hlth
310 SW 4th Av 840
Portland,OR97204 		93-0803636 501(c)(3) 50,000       Project Support
(599) Oregon Hlth and Science University Found
1121 SW Salmon St
Portland,OR97205 		23-7083114 501(c)(3) 25,000       Project Support
(600) Oregon Public Health Institute
310 SW 4th Ave
Portland,OR97204 		93-1259522 501(c)(3) 275,000       Project Support
(601) Oregon Sch-Bas Hlth
310 SW 4th Ave 905
Portland,OR97204 		36-4588657 501(c)(3) 65,000       General Operating Support
(602) Our Place Housing Solutions
16429 Bellflower Bl
Bellflower,CA90706 		26-2435307 501(c)(3) 20,000       Project Support
(603) P F Bresee Foundation
184 Bimini Pl
Los Angeles,CA90004 		95-3797363 501(c)(3) 8,000       Project Support
(604) Pacific Clinics
800 SSanta Anita Av
Arcadia,CA91006 		95-1644034 501(c)(3) 17,500       Project Support
(605) Pacifica Gardens
P0 Bx 883830 Rosita
Pacifica,CA94044 		47-1423254 501(c)(3) 16,500       General Operating Support
(606) Padres Unidos NP
708 N Garfield St
Santa Ana,CA92701 		45-2443746 501(c)(3) 10,000       Project Support
(607) Palm Springs Cult
2100 Tahquitz Cyn
Palm Springs,CA92262 		55-0914693 501(c)(3) 15,000       Project Support
(608) PALO ALTO MEDICAL FOUNDATION
795 El Camino Real
Palo Alto,CA94301 		94-1156581 501(c)(3) 154,261       PassThrough Fed Proj
(609) Para Los Ninos
500 Lucas Ave
Los Angeles,CA90017 		95-3443276 501(c)(3) 10,000       Event Support\Annual Fundraiser
(610) Paramount Care Foundation
8303 Alondra Blvd
Paramount,CA90723 		68-0497737 501(c)(3) 6,000       General Operating Support
(611) Parent Resource Center
811 5th Street
Modesto,CA95351 		77-0324466 501(c)(3) 30,738       Project Support
(612) Partners In Care Foundation Inc
732 Mott St 150
San Fernando,CA91340 		95-3954057 501(c)(3) 8,600       Event Support\Annual Fundraiser
(613) Pasadena - Foothill Valley YWCA
1015 N Lake Ave 205
Pasadena,CA91104 		95-1644059 501(c)(3) 11,400       Event Support\Annual Fundraiser
(614) Pasadena Senior Center
85 E Holly Street
Pasadena,CA91103 		95-2085393 501(c)(3) 23,356       Event Support\Dinner
(615) Path Life Ministries
6216 Brockton 211
Riverside,CA92506 		33-0724945 501(c)(3) 9,900       Event Support\Annual Fundraiser
(616) Pathways Volunteer
3701 Michelson St
Lakewood,CA90712 		33-0241726 501(c)(3) 15,000       Project Support
(617) Peace Over Violence
1015 Wilshire Blvd
Los Angeles,CA90017 		51-0179305 501(c)(3) 13,150       Event Support\Annual Fundraiser
(618) Pediatric Dental Ini
1380 19th Hole Drive
Windsor,CA95492 		34-3012430 501(c)(3) 23,440       Project Support
(619) Peninsula Family Service
24 2nd Avenue
San Mateo,CA94401 		94-1186169 501(c)(3) 21,500       General Operating Support
(620) Peninsula Volunteer's Inc
800 Middle Avenue
Menlo Park,CA94025 		94-1294939 501(c)(3) 10,000       General Operating Support
(621) Penny Lane Centers
15305 Rayen Street
North Hills,CA91343 		95-2633765 501(c)(3) 5,500       Project Support
(622) People Assisting the Homeless
340 N Madison Ave
Los Angeles,CA90004 		95-3950196 501(c)(3) 90,000       Project Support
(623) People Reaching Out
5299 Auburn Blvd
Sacramento,CA95841 		94-2795430 501(c)(3) 27,000       Project Support
(624) People's Comm Organization for Reform
1610 Beverly Bl 2
Los Angeles,CA90026 		93-1216789 501(c)(3) 8,000       Project Support
(625) Petaluma Health Care District
1425 North McDowell
Petaluma,CA94954 		94-6033418 Government or P 20,000       Project Support
(626) Phoenix Foods USA
3032 Avenida Christi
Carlsbad,CA92009 		46-3278605 501(c)(3) 12,000       Project Support
(627) Placer County Office of Educ - Auburn
360 Nevada Street
Auburn,CA95603 		94-6002096 Government or P 15,000       Project Support
(628) Placer Food Bank
8284 Industrial Ave
Roseville,CA95678 		94-1740316 501(c)(3) 25,000       Project Support
(629) Placer People of Faith Together
3080 Sunshine Meado
Auburn,CA95602 		27-0240478 501(c)(3) 20,000       Project Support
(630) Plan Parenthood LA
400 W 30th St
Los Angeles,CA90007 		95-2408623 501(c)(3) 19,000       Project Support
(631) Planned Parenthood Columbia Willamette
3727 NE Martin King
Portland,OR97202 		93-6031270 501(c)(3) 50,000       Project Support
(632) Planned Parenthood Mar Monte Inc
633 N Van Ness
Fresno,CA93728 		94-1583439 501(c)(3) 71,685       Project Support
(633) Planned Parenthood Shasta Diablo Inc
2185 Pacheco Street
Concord,CA94520 		94-1575233 501(c)(3) 62,300       Other;Event Support\Annual Fundraiser
(634) Playworks Education Energized
1507 NW 23rd A
Portland,OR97210 		94-3251867 501(c)(3) 238,600       Project Support
(635) Pogo Park
2604 Roosevelt Av
Richmond,CA94804 		32-0318691 501(c)(3) 20,000       Project Support
(636) POINT LOMA NAZARENE UNIVERSITY
3900 LOMALAND DRIVE
SAN DIEGO,CA92106 		95-1644035 501(c)(3) 10,000       Project Support
(637) Pomona Community Health Center
1450 Holt Avenue
Pomona,CA91767 		22-3914738 501(c)(3) 20,000       Project Support
(638) Portland After-School Tennis & Education
7519 N Burlington
Portland,OR97203 		93-1256066 501(c)(3) 9,900       Project Support
(639) Positive Alternative Recreational Team
2576 Gumdrop Dr
San Jose,CA95148 		76-0832431 501(c)(3) 10,000       Project Support
(640) Poverello House
412 F Street
Fresno,CA93706 		77-0007985 501(c)(3) 60,000       General Operating Support
(641) Powerhouse Ministrie
311 Market Street
Folsom,CA95630 		68-0020855 501(c)(3) 30,000       Project Support
(642) Prescott -Joseph Center Comm Enhancement
920 Peralta Street
Oakland,CA94607 		94-3248535 501(c)(3) 50,000       Project Support
(643) Program for Torture Victims
3550 Wilshire Bl
Los Angeles,CA90010 		95-4492477 501(c)(3) 10,000       Event Support\Dinner
(644) Project Access Now
PO Box 10953 1311
Portland,OR97296 		20-8928388 501(c)(3) 100,000       General Operating Support
(645) Project Access Inc
3900 Birch St 113
Newport Beach,CA92660 		33-0834635 501(c)(3) 10,000       Project Support
(646) Project Inform Incorporated
273 9th St 2nd Fl
San Francisco,CA94103 		94-3052723 501(c)(3) 10,000       Other
(647) Project Quest
2901 E Burnside St
Portland,OR97214 		93-1121778 501(c)(3) 15,000       Project Support
(648) Project Sister Family Services
363 S Park Ave 303
Pomona,CA91766 		23-7116161 501(c)(3) 15,000       Project Support
(649) Promises2Kids
9440 Ruffin Court
San Diego,CA92123 		95-3655288 501(c)(3) 10,000       Project Support
(650) Prototypes Innovation Health Mental Hlth
1000 N Alameda St
Los Angeles,CA90012 		95-4092046 501(c)(3) 10,000       Project Support
(651) Public Health Institute
555 12th St 10th Fl
Oakland,CA94607 		94-1646278 501(c)(3) 179,000       Project Support
(652) Public Hlth Foundation Enterprises INC
12801 Crossroads
City of Industry,CA91746 		95-2557063 501(c)(3) 150,000       Project Support
(653) Puente dela Cost
620 N St PO Bx 554
Pescadero,CA94060 		37-1484262 501(c)(3) 6,010       Project Support
(654) Rainbow Services Ltd
453 West 7th Street
San Pedro,CA90731 		95-3855705 501(c)(3) 7,500       Project Support
(655) Rancho Los Amigos Foundation Inc
7601 E Imperial Hgwy
Downey,CA90242 		95-3849600 501(c)(3) 8,000       Event Support\Annual Fundraiser
(656) Rape Trauma Services
1860 El Camino Real
Burlingame,CA94010 		94-3215045 501(c)(3) 15,000       General Operating Support
(657) Ravenswood Family Health Center
1885 Bay Road
East Palo Alto,CA94303 		94-3372130 501(c)(3) 25,000       General Operating Support
(658) Reach Out West End Inc
1126 West Foothill
Upland,CA91786 		95-2642747 501(c)(3) 30,000       Project Support
(659) Redwood Community Health Coalition
1310 Redwood Wy
Petaluma,CA94954 		94-3220029 501(c)(3) 315,499       Project Support
(660) Redwood Empire Food Bank
3990 Brickway Blvd
Santa Rosa,CA95403 		68-0121855 501(c)(3) 22,860       Event Support\Annual Fundraiser
(661) Regional Parks Foundation
2950 Peralta Oaks
Oakland,CA94620 		23-7011877 501(c)(3) 70,000       Project Support
(662) ReImagine Mack Rd
75 Quinta
Sacramento,CA95823 		46-4193875 501(c)(3) 40,800       Other
(663) Rescue Mission AllianceVictor Valley
16857 C Street
Victorville,CA92395 		23-7278002 501(c)(3) 10,000       General Operating Support
(664) RESEARCH FOUNDATION STATE UNIV OF NY
402 Crofts Hall
Buffalo,NY14260 		14-1368361 501(c)(3) 18,656       PassThrough Fed Proj
(665) Respect Institute
1743 Park Ave 429
San Jose,CA95112 		27-3718777 501(c)(3) 10,000       Conference Support
(666) Richmond Community Foundation
1014 Florida Av 200
Richmond,CA94804 		94-3337754 501(c)(3) 14,260       Conference Support
(667) Rio Vista CARE Inc
PO 576125 Sacrament
Rio Vista,CA94571 		68-0063763 501(c)(3) 20,000       Project Support
(668) Riverside Comm College District Found
4800 Magnolia Avenue
Riverside,CA92506 		95-2993847 501(c)(3) 25,000       Project Support
(669) Riverside Community Health Foundation
4445-A Magnolia Av
Riverside,CA92501 		23-7276444 501(c)(3) 30,000       Project Support
(670) Riverside County Physicians Memorial
3993 Jurupa Ave
Riverside,CA92506 		95-6080778 501(c)(3) 15,000       Project Support
(671) Riverside Free Clin
3504 Mission Inn
Riverside,CA92501 		46-5407059 501(c)(3) 10,000       Project Support
(672) Robert F Kennedy
544 N Avalon Blv
Wilmington,CA90744 		33-0531975 501(c)(3) 10,000       Project Support
(673) Roberts Family Development Center
770 Darina Ave
Sacramento,CA95815 		68-0470557 501(c)(3) 27,200       Other
(674) Ronald McDonald House Charities of SCAL
1250 Lyman Place
Los Angeles,CA90029 		95-3167869 501(c)(3) 10,000       Event Support\Annual Fundraiser
(675) Roots Community Health Center
9925 International
Oakland,CA94603 		26-2583954 501(c)(3) 10,000       Project Support
(676) Rosie The Riveter Trust
440 Civic Center Plz
Richmond,CA94807 		94-3335350 501(c)(3) 39,400       Event Support\Cultural Event
(677) RotaCare Bay Area Inc
514 Valley Way
Milpitas,CA95035 		77-0328723 501(c)(3) 108,000       Project Support
(678) Ryse Inc
205 41st Street
Richmond,CA94805 		26-0692904 501(c)(3) 35,000       Project Support
(679) SAC Health System
1455 E 3rd Street
San Bernardino,CA92408 		33-0664371 501(c)(3) 22,500       Event Support\Awards Ceremony
(680) Sacramento Area Congregations Together
9249 Folsom Blvd
Sacramento,CA95826 		94-3146791 501(c)(3) 21,440       Other
(681) Sacramento City Unified School District
5735 47th Ave
Sacramento,CA95824 		94-6002491 Government or P 50,000       Project Support
(682) Sacramento County Office of Education
PO Box 269003
Sacramento,CA95826 		94-6002536 Government or P 20,000       Project Support
(683) Sacramento Gay & Lesbian Comm Center
1927 L Street
Sacramento,CA95811 		94-2502229 501(c)(3) 10,000       Project Support
(684) Sacramento Loaves and Fishes
PO 13495 1321 C St
Sacramento,CA95813 		68-0189897 501(c)(3) 30,000       Project Support
(685) Sacramento Native American Hlth Cnt
2020 J Street
Sacramento,CA95811 		20-4287737 501(c)(3) 109,562       Project Support
(686) Sacramento Neighbor
2411 Alhambra Bl 200
Sacramento,CA95817 		68-0118032 501(c)(3) 20,000       Project Support
(687) Safe Routes Schl Ntl
2323 Broadway 109B
Oakland,CA94612 		46-2694434 501(c)(3) 100,750       Project Support
(688) Salem Free Clinic's
1300 Broadway St NE
Salem,OR97301 		20-3549992 501(c)(3) 43,000       General Operating Support
(689) Salem Hospital
PO Box 140001
Salem,OR97309 		93-0579722 501(c)(3) 2,908,200       General Operating Support
(690) Salem-Keizer Coalit
PO Box 4296 3850
Salem,OR97302 		65-1203900 501(c)(3) 15,000       Project Support
(691) Samaritan Counseling Center
1126 W Foothill Bl
Upland,CA91786 		95-3160005 501(c)(3) 10,000       Project Support
(692) Samaritan House
4031 Pacific Blvd
San Mateo,CA94403 		23-7416272 501(c)(3) 30,000       General Operating Support
(693) Samaritan Social Srv
1883 Myrtlewood Ave
Colton,CA92324 		33-0227205 501(c)(3) 14,000       General Operating Support
(694) Samuel Dixon Family Health Center Inc
25115 W Av Stanford
Valencia,CA91355 		95-4278726 501(c)(3) 7,000       Project Support
(695) San Antonio Comm Hospital Dental Center
8593 Archibald Ave
Rancho Cucamonga,CA91730 		95-6140562 501(c)(3) 10,000       General Operating Support
(696) San Bernardino Co Sexual Assault Srv
444 N Arrowhead
San Bernardino,CA92401 		95-3543081 501(c)(3) 15,000       Project Support
(697) San Diego American Indian Health Center
2602 First Ave
San Diego,CA92103 		95-3397369 501(c)(3) 17,000       Project Support
(698) San Diego Blk Hlth
5275 Market St C
San Diego,CA92114 		33-0573601 501(c)(3) 10,000       Project Support
(699) San Diego County Medical Society Fnd
5575 Ruffin Rd 250
San Diego,CA92123 		95-2568714 501(c)(3) 20,000       Project Support
(700) San Diego Family Care
6973 Linda Vista Rd
San Diego,CA92111 		95-2700856 501(c)(3) 20,000       Project Support
(701) San Diego Hunger Coalition
4305 University Ave
San Diego,CA92105 		30-0507718 501(c)(3) 10,000       Project Support
(702) San Diego Lesbian Gay Bi-Transgender
3909 Centre Street
San Diego,CA92103 		23-7332048 501(c)(3) 15,000       Project Support
(703) San Diego MANA
2515 Camino del Rio
San Diego,CA92108 		33-0821060 501(c)(3) 10,000       Project Support
(704) San Diego Rescue Mission Inc
120 Elm St
San Diego,CA92101 		95-1874073 501(c)(3) 10,000       Project Support
(705) San Diego Unified School District
4100 Normal Street
San Diego,CA92103 		95-6002781 Government or P 20,000       Project Support
(706) San Fern Comm Hspt
732 Mott St 100
San Fernando,CA91340 		51-0142144 501(c)(3) 10,000       Project Support
(707) San Fran Community Clinic Consortium
2720 Taylor St 430
San Francisco,CA94133 		94-2897258 501(c)(3) 329,250       Event Support\Annual Fundraiser
(708) San Francisco City Impact
230 Jones Street
San Francisco,CA94102 		90-0332259 501(c)(3) 25,000       Project Support
(709) San Francisco General Hospital Foun
2789 25th St 2028
San Francisco,CA94110 		94-3189424 501(c)(3) 212,125       Event Support\Annual Fundraiser
(710) San Francisco -Marin Food Bank
900 Pennsylvania Ave
San Francisco,CA94107 		94-3041517 501(c)(3) 5,910       Event Support\Annual Fundraiser
(711) San Francisco Public Health Foundation
30 Van Ness 2300
San Francisco,CA94102 		94-3117093 501(c)(3) 529,861       Project Support
(712) San Francisco Reviving Baseball In-City
38 Keyes Ave 200
San Francisco,CA94129 		27-4360909 501(c)(3) 15,000       Project Support
(713) San Francisco Study Center Inc
944 Market Street
San Francisco,CA94102 		94-2168838 501(c)(3) 30,000       Project Support
(714) San Francisco Unified School District
555 Franklin Street
San Francisco,CA94102 		94-6000416 Government or P 35,000       Project Support
(715) San Gabriel Unified School District
408 Junipero Serra
San Gabriel,CA91776 		95-6000777 Government or P 7,500       Project Support
(716) San Gabriel Valley Conservation & Srv
3629 Cypress Ave
El Monte,CA91731 		27-0030016 501(c)(3) 7,500       Project Support
(717) San Gabriel Valley Found for Dental Hlth
14101 E Nelson Av
La Puente,CA91746 		95-4590029 501(c)(3) 7,500       Project Support
(718) San Gabriel Vly Consortium Homelessness
1760 W Cameron Ave
West Covina,CA91790 		27-0711034 501(c)(3) 6,000       Conference Support
(719) San Geronimo Valley Community Cener
PO Box 194
San Geronimo,CA94963 		23-7172128 501(c)(3) 10,000       Project Support
(720) San Joaquin Cnty Edu
2901 Arch-Airport Rd
Stockton,CA95213 		68-0006282 Government or P 64,500       Other
(721) San Jose Children's Discovery Museum
180 Woz Way
San Jose,CA95110 		94-2870828 501(c)(3) 30,000       Project Support
(722) San Jose Downtown Foundation
28 N First St 1000
San Jose,CA95113 		77-0395206 501(c)(3) 99,000       Project Support
(723) San Leandro Boys and Girls Club
401 Marina Boulevard
San Leandro,CA94577 		94-6003779 501(c)(3) 33,080       Other
(724) San Leandro Education Foundation
433 Callan Ave 203
San Leandro,CA94577 		26-3044668 501(c)(3) 38,100       Other
(725) San Mateo Police Activities League
200 Franklin Parkway
San Mateo,CA94403 		31-1593896 501(c)(3) 15,000       General Operating Support
(726) San Mateo Sheriff's
3151 Edison Way
Redwood City,CA94063 		45-0617342 501(c)(3) 20,000       General Operating Support
(727) Sanger Unified School District Hlth
1905 7th Street
Sanger,CA93704 		95-6002210 Government or P 90,000       General Operating Support
(728) Santa Clara City Library Found & Friends
2635 Homestead Road
Santa Clara,CA95051 		91-2125234 501(c)(3) 12,000       Project Support
(729) Santa Clarita Valley Boys and Girls Club
24909 Newhall Avenue
Newhall,CA91321 		95-2572622 501(c)(3) 7,000       Project Support
(730) Santa Rosa City Schools
211 Ridgeway Avenue
Santa Rosa,CA95401 		68-0180139 Government or P 24,000       Project Support
(731) SCAL Center for Nonprofit Management
1000 N Alameda 250
Los Angeles,CA90012 		95-3357253 501(c)(3) 7,500       Conference Support
(732) School Hlth Clinics Santa Clara County
5671 Santa Teresa Bl
San Jose,CA95123 		77-0031679 501(c)(3) 25,000       Project Support
(733) Senior Coastsiders
925 Main Street
Half Moon Bay,CA94019 		94-3119310 501(c)(3) 10,000       General Operating Support
(734) Senior Support of the Tri-Valley
5353 Sunol Blvd
Pleasanton,CA94566 		20-3225569 501(c)(3) 10,000       Project Support
(735) Seniors First
12183 Locksley Ln
Auburn,CA95602 		68-0430154 501(c)(3) 38,500       Project Support
(736) SEPULVEDA RESEARCH CORP
16111 Pulmmer Street
Sepulveda,CA91343 		95-4246275 501(c)(3) 24,844       PassThrough Fed Proj
(737) SEQUOIA FOUNDATION
2166 Avenida de la Playa
La Jolla,CA92037 		33-0100208 501(c)(3) 5,974       PassThrough Fed Proj
(738) Serotonin Surge Charities
824 Falcon Avenue
Davis,CA95616 		68-0411254 501(c)(3) 50,000       Other
(739) Serve The People Inc
1206 E 17th St 204
Santa Ana,CA92701 		27-0421556 501(c)(3) 15,000       Project Support
(740) Serving Seniors
525 14th St 200
San Diego,CA92101 		95-2850121 501(c)(3) 15,000       Project Support
(741) Shanti Orange County
23461 S Pointe Dr
Laguna Hills,CA92653 		33-0236592 501(c)(3) 15,000       Project Support
(742) Shanti Project Inc
730 Polk Street
San Francisco,CA94109 		94-2297147 501(c)(3) 30,000       Project Support
(743) Share Our Selves Corporation
1550 Superior Avenue
Costa Mesa,CA92627 		95-3222316 501(c)(3) 30,000       Event Support\Dinner
(744) Sharefest Community Development Inc
3480 Torrance 110
Torrance,CA90503 		20-5651596 501(c)(3) 15,000       Project Support
(745) Shelter Inc Contra
1333 Willow Pass Rd
Concord,CA94520 		68-0117241 501(c)(3) 15,000       Event Support\Annual Fundraiser
(746) Sierra Vista Child & Family Services
100 Poplar Ave
Modesto,CA95354 		94-2158023 501(c)(3) 120,000       Project Support
(747) Silicon Valley Creates
38 W Santa Clara St
San Jose,CA95113 		94-2825213 501(c)(3) 15,000       Project Support
(748) Single Mothers Outreach
23780 Newhall Ave
Newhall,CA91321 		95-4646004 501(c)(3) 7,000       Project Support
(749) Social Justice Learning Institute Inc
600 Centinela Avenue
Inglewood,CA90302 		26-3413373 501(c)(3) 10,000       Project Support
(750) Soil Born Farm Urban Agriculture Project
2140 Chase Drive
Rancho Cordova,CA95670 		20-0774693 501(c)(3) 26,500       Event Support\Annual Fundraiser
(751) Solano Coalition for Better Health
1 Harbor Center 270
Suisun City,CA94585 		94-3189914 501(c)(3) 15,000       Project Support
(752) Solano County Public Health
355 Tuolumne St
Vallejo,CA94590 		94-6000538 Government or P 20,000       Project Support
(753) Solar Richmond
2730 Maine Avenue
Richmond,CA94804 		26-2428044 501(c)(3) 10,000       Project Support
(754) Sonoma County Regional Parks Foundation
2300 County Cnt Dr
Santa Rosa,CA95403 		68-0421813 501(c)(3) 19,000       Project Support
(755) SOSMentor
23622 Calabasas Rd
Calabassas,CA91302 		95-4722980 501(c)(3) 35,940       Project Support
(756) South Asian Network
18173 Pioneer Bl I
Artesia,CA90701 		33-0608166 501(c)(3) 8,250       Event Support\Annual Fundraiser
(757) South Bay Children's Hlth Center Assoc
410 Camino Real
Redondo Beach,CA90277 		95-6003956 501(c)(3) 10,000       General Operating Support
(758) South Bay Family Healthcare Center
23430 Hawthorne Blvd
Torrance,CA90505 		23-7049937 501(c)(3) 22,500       Project Support
(759) South Hayward Parish
27287 Patrick Ave
Hayward,CA94544 		94-2250549 501(c)(3) 32,000       Event Support\Cultural Event
(760) South San Francisco Friends Library
840 West Orange Ave
South San Francisco,CA94080 		74-3116201 501(c)(3) 15,000       General Operating Support
(761) South West Community Health Center
7754 SW Capitol Hwy
Portland,OR97219 		74-3050497 501(c)(3) 33,000       General Operating Support
(762) Southeast Asian Com
970 NBroadway 209
Los Angeles,CA90012 		45-2156435 501(c)(3) 25,000       Responsive
(763) Southern California Grantmakers
1000 N Alameda St
Los Angeles,CA90012 		95-2831058 501(c)(3) 9,550       Conference Support
(764) Special Olympics Northern California Inc
3480 Buskirk Av 340
Pleasant Hill,CA94523 		68-0363121 501(c)(3) 63,000       Other;Event Support\Dinner
(765) Special Service for Groups Inc
905 E 8th St
Los Angeles,CA90021 		95-1716914 501(c)(3) 157,700       Project Support
(766) SPIRITT Family Services
8000 Painter Ave
Whittier,CA90602 		95-2852683 501(c)(3) 27,500       Project Support
(767) Squash4Friends
18635 Verano St
Hesperia,CA92345 		84-1179212 501(c)(3) 10,000       Project Support
(768) St Francis Center of Redwood City
151 Buckingham Ave
Redwood City,CA94063 		94-3052056 501(c)(3) 16,553       General Operating Support
(769) St Joseph Center
204 Hampton Drive
Venice,CA90291 		95-3874381 501(c)(3) 90,000       Project Support
(770) St Level Hlth Prject
2501 International
Oakland,CA94601 		56-2324355 501(c)(3) 25,000       Project Support
(771) St Anthony Foundation
150 Golden Gate Ave
San Francisco,CA94102 		94-1513140 501(c)(3) 25,000       Project Support
(772) St Barnabas Senior Center of Los Ang
675 S Carondelet
Los Angeles,CA90057 		95-1641435 501(c)(3) 10,000       Project Support
(773) St Francis Center
1835 S Hope St
Los Angeles,CA90015 		95-4479271 501(c)(3) 15,000       Project Support
(774) St Jeanne de Lestonnac Free Clinic
1215 E Chapman Av
Orange,CA92866 		95-3499011 501(c)(3) 75,000       Project Support
(775) St John of God Health Care Services
13333 Palmdale Road
Victorville,CA92395 		95-3806996 501(c)(3) 20,000       Project Support
(776) St John's Program for Real Change
2443 Fair Oaks 369
Sacramento,CA95825 		68-0132934 501(c)(3) 20,000       Project Support
(777) St Johns Well Child & Family Center
808 West 58th Street
Los Angeles,CA90037 		95-4067758 501(c)(3) 30,000       Event Support\Annual Fundraiser
(778) St Mary's Dining Room
545 W Sonora St
Stockton,CA95203 		94-2687280 501(c)(3) 40,000       Project Support
(779) St Vincent de Paul of Contra Costa
2210 Gladstone Drive
Pittsburg,CA94565 		94-1448577 501(c)(3) 30,000       Project Support
(780) St Vincent de Paul Society
503 Giuseppe Crt 8
Roseville,CA95678 		68-0205405 501(c)(3) 27,250       Project Support
(781) St Vincent dePaul
3350 E Street
San Diego,CA92102 		33-0492302 501(c)(3) 37,500       Project Support
(782) Stand Up Placer
11115 B Ave
Auburn,CA95603 		94-2578871 501(c)(3) 26,000       Other
(783) Stand for Families Free of Violence
1410 Danzig Plz 200
Concord,CA94520 		94-2476576 501(c)(3) 22,250       Project Support
(784) STANFORD UNIVERSITY
3160 Porter Drive
Palo Alto,CA94304 		94-1156365 501(c)(3) 71,873       PassThrough Fed Proj; Event Support\Workforce
(785) Stanislaus Multi-Clt
601 S Martin L King
Modesto,CA95351 		31-1751288 501(c)(3) 75,000       Project Support
(786) StarVista
610 Elm St 212
San Carlos,CA94070 		94-3094966 501(c)(3) 17,266       General Operating Support
(787) Store to Door
PO Box 4665
Portland,OR97208 		94-3105555 501(c)(3) 15,000       General Operating Support
(788) Strength in Support
26938 Marbella
Mission Viejo,CA92691 		46-1896501 501(c)(3) 15,000       Project Support
(789) Students Run America
5252 Crebs Avenue
Tarzana,CA91356 		95-4430502 501(c)(3) 31,000       Project Support
(790) Sunday Friends Foundation
730 Story Rd 3
San Jose,CA95122 		77-0518937 501(c)(3) 25,000       Project Support
(791) Sunnyvale Community Services
725 Kifer Road
Sunnyvale,CA94086 		94-1713897 501(c)(3) 30,000       Project Support
(792) Sunshine Division Inc
687 N Thompson St
Portland,OR97227 		93-0429354 501(c)(3) 15,000       Project Support
(793) Susan G Komen Brst
3191-A Airport Loop
Costa Mesa,CA92626 		33-0487943 501(c)(3) 28,500       Event Support\Annual Fundraiser
(794) Susan G Komen Foundation Inc
1500 SW 1st AVE 270
Portland,OR97201 		93-1068897 501(c)(3) 50,000       Project Support
(795) Susan G Komen Breast Cancer Foundation
9310 Tech Center Dr
Sacramento,CA95826 		94-3169358 501(c)(3) 20,000       Project Support
(796) THE Clinic Inc
3834 S Western Ave
Los Angeles,CA90062 		23-7351622 501(c)(3) 10,000       Project Support
(797) Taking the Reins
3919 1/2 Rigali Ave
Los Angeles,CA90039 		95-4688657 501(c)(3) 7,500       Project Support
(798) Taller San Jose
801 North Broadway
Santa Ana,CA92701 		59-3816355 501(c)(3) 15,000       Other
(799) Tarzana Treatment Center Inc
18646 Oxnard Street
Tarzana,CA91356 		94-2219349 501(c)(3) 15,000       General Operating Support
(800) Tehachapi Valley Recreation Park
490 West D Street
Tehachapi,CA93561 		30-0708724 Government or P 25,000       Project Support
(801) The Alameda County Comm Food Bank Inc
7900 Edgewater Drive
Oakland,CA94621 		94-2960297 501(c)(3) 70,000       Other
(802) The CA Conf Equality
3711 Long Beach
Long Beach,CA90807 		54-2178438 501(c)(3) 10,000       Project Support
(803) The California Hlth Care Safety-Net Ins
70 Washington St
Oakland,CA94607 		94-2970752 501(c)(3) 21,250       Conference Support
(804) The Carolyn E Wylie Center Children
4164 Brockton Avenue
Riverside,CA92501 		93-0670286 501(c)(3) 30,000       Project Support
(805) The Catalyst Foundation
616 W Lancaster Bl
Lancaster,CA93534 		77-0357456 501(c)(3) 8,814       Project Support
(806) The Cerritos College Foundation
11110 Alondra Blvd
Norwalk,CA90650 		95-3387108 501(c)(3) 50,000       Event Support\Annual Fundraiser
(807) The Children's Partnership
1351 3rd St Promenad
Santa Monica,CA90401 		46-4106389 501(c)(3) 80,000       Project Support
(808) The Childrens Center Antelope Valley
45111 N Fern Avenue
Lancaster,CA93534 		95-4212759 501(c)(3) 18,000       Project Support
(809) The Childrens Clinic Serving Children
2790 Atlantic Avenue
Long Beach,CA90806 		95-1643332 501(c)(3) 10,000       General Operating Support
(810) The City of Clovis CA
1033 Fifth Street
Clovis,CA93612 		94-6000311 Government or P 40,000       Project Support
(811) The Davis Street Community Center Incorp
3081 Teagarden St
San Leandro,CA94577 		94-3121699 501(c)(3) 9,600       Other
(812) The Foodbank of Southern California
1444 San Francisco
Long Beach,CA90813 		95-3557056 501(c)(3) 12,000       Project Support
(813) The Foundation for Educ & Employ
438 South A St
Oxnard,CA93030 		30-0223314 501(c)(3) 8,290       General Operating Support
(814) The Gales Creek Camp Foundation
7110 SW Fir Loop
Portland,OR97223 		93-6010464 501(c)(3) 9,375       Project Support
(815) The Gathering Inn
201 Berkeley Ave
Roseville,CA94567 		84-1657746 501(c)(3) 15,000       Other
(816) The HEAL Project
PO Box 3051
Half Moon Bay,CA94019 		27-0192940 501(c)(3) 20,000       General Operating Support
(817) The Illumination Foundation
2691 Richter Av 107
Irvine,CA92606 		71-1047686 501(c)(3) 20,000       Project Support
(818) The Leaven
2320 Courage Dr 111
Fairfield,CA94533 		26-3653717 501(c)(3) 60,000       Project Support
(819) The Raise Foundation
2900 Bristol J201
Costa Mesa,CA92626 		33-0240178 501(c)(3) 20,000       Project Support
(820) The Rector Wardens & Vestry Church
4368 Santa Anita Ave
El Monte,CA91731 		95-1765149 501(c)(3) 15,000       Project Support
(821) The Salvation Army Territorial Headquart
6845 University Ave
San Diego,CA92115 		94-1156347 501(c)(3) 24,680       Project Support
(822) The Sheriffs Community Impact Program
2350 Northrop Avenue
Sacramento,CA95825 		27-3457087 501(c)(3) 17,000       Project Support
(823) The Tech Museum of Innovation
201 South Market St
San Jose,CA95113 		94-2864660 501(c)(3) 50,000       Other
(824) The Tucker Maxon Oral School
2860 SE Holgate Bl
Portland,OR97202 		93-0391592 501(c)(3) 15,000       Project Support
(825) The Vacaville Neighborhood Boys & Girls
100 Holly Lane
Vacaville,CA95688 		13-4223488 501(c)(3) 25,000       Project Support
(826) The Wallace Medical Concern
124 NE 181st St 103
Portland,OR97230 		93-0853709 501(c)(3) 8,000       General Operating Support
(827) The Wall-Las Memorias Project
5619 Monte Vista St
Los Angeles,CA90042 		95-4468225 501(c)(3) 6,375       Conference Support
(828) The Young Artists Conservatory of Music
500 Davis St
Vacaville,CA95688 		20-2734913 501(c)(3) 10,000       Project Support
(829) Thessalonika Family Services Inc
PO Box 890326
Temecula,CA92589 		95-3551068 501(c)(3) 20,000       Project Support
(830) THINK Together
550 Valley Way
Milpitas,CA95035 		33-0781751 501(c)(3) 47,500       Project Support
(831) Tiburcio Vasquez Health Center
22331 Mission Blvd
Hayward,CA94544 		23-7118361 501(c)(3) 77,000       Project Support
(832) Tides Center
1107 9th St
Sacramento,CA95814 		94-3213100 501(c)(3) 710,470       Event Support\Annual Fundraiser
(833) Tierra del Sol Foundation
9919 Sunland Blvd
Sunland,CA91040 		95-2671260 501(c)(3) 10,000       Project Support
(834) Tigard-Tualatin School District 23J
6960 SW Sandburg St
Tigard,OR97223 		93-0572833 Government or P 50,000       Project Support
(835) Tiger Woods Foundation Inc
One Tiger Woods Way
Anaheim,CA92801 		20-0677815 501(c)(3) 25,000       Project Support
(836) Time for Change Fnd
PO Box 25040
San Bernardino,CA92406 		52-2405277 501(c)(3) 25,000       Project Support
(837) Toberman Neighborhood Center Inc
131 N Grand Avenue
San Pedro,CA90731 		95-1643387 501(c)(3) 16,625       Event Support\Annual Fundraiser
(838) Tracy Interfaith Ministries
311 W Grant Line Rd
Tracy,CA95378 		94-3150638 501(c)(3) 10,000       Other
(839) Training Institute Leadership Enrichment
920 Peralta St 2A
Oakland,CA94607 		68-0437852 501(c)(3) 9,875       Other
(840) TransFormCA
436 14th St 600
Oakland,CA94612 		72-1521579 501(c)(3) 80,000       Conference Support
(841) Transitional Living & Comm Support Inc
650 Howe Ave 400A
Sacramento,CA95825 		94-2777955 501(c)(3) 29,340       Other
(842) Tri-City Health Center
39465 Paseo Padre
Fremont,CA94538 		23-7255435 501(c)(3) 35,300       Event Support\Health Fair
(843) Turning Point Foundation
505 Poli St 401
Ventura,CA93002 		77-0213467 501(c)(3) 20,000       General Operating Support
(844) UC HASTINGS COLLEGE OF THE LAW
200 McAllister St
San Francisco,CA94102 		94-2581680 501(c)(3) 7,279       PassThrough Fed Proj
(845) Union of Pan Asian Communities
1031 25th Street
San Diego,CA92102 		23-7279074 501(c)(3) 15,000       Project Support
(846) Union Station Homeless Services
825 E Orange Grove
Pasadena,CA91104 		95-3958741 501(c)(3) 98,600       Project Support
(847) United Cancer Advocacy Action Network
1459 E Thousand Oak
Thousand Oaks,CA91362 		27-0748389 501(c)(3) 8,290       Project Support
(848) United Charitable Programs
6201 Leesburg Pike
Falls Church,VA22044 		20-4286082 501(c)(3) 7,500       Project Support
(849) United Negro College Fund Inc
220 Montgomery St
San Francisco,CA94104 		13-1624241 501(c)(3) 25,000       Other
(850) United Samaritans Foundation
220 S Broadway
Turlock,CA95380 		77-0393321 501(c)(3) 30,000       Project Support
(851) United States Veterans Initiative
733 Hindry Ave
Inglewood,CA90301 		95-4382752 501(c)(3) 58,090       Project Support
(852) United Way of the Bay Area
550 Kearny St 1000
San Francisco,CA94108 		94-1312348 501(c)(3) 9,250       Other;Event Support\Annual Fundraiser
(853) United Way of the Columbia Willamette
619 SW 11th Ste 300
Portland,OR97205 		93-0582124 501(c)(3) 90,000       Project Support
(854) United Way of the Stanislaus Area
422 McHenry Avenue
Modesto,CA95354 		94-1212129 501(c)(3) 80,000       Project Support
(855) United Way of Ventura County
4001 Mission Oaks Bl
Camarillo,CA93012 		95-1945833 501(c)(3) 20,000       General Operating Support
(856) University Muslim Medical Assoc
711 W Florence Ave
Los Angeles,CA90044 		95-4666712 501(c)(3) 10,000       Project Support
(857) UNIVERSITY OF ALABAMA AT BIRMINGHAM
1530 3rd Ave S
Birmingham,AL35294 		63-0649108 501(c)(3) 158,278       PassThrough Fed Proj
(858) University of Calif San Francisco Found
220 Montgomery St
San Francisco,CA94104 		94-2829914 501(c)(3) 20,000       Conference Support
(859) UNIVERSITY OF CALIFORNIA - BERKELEY
21985 Hearst Ave
Berkeley,CA94720 		94-6002123 501(c)(3) 26,592       PassThrough Fed Proj; Conference Support
(860) UNIVERSITY OF CALIFORNIA - DAVIS
1850 Research Prk Dr
Davis,CA95618 		94-6036494 501(c)(3) 106,784       PassThrough Fed Proj
(861) UNIVERSITY OF CALIFORNIA - IRVINE
5171 California Ave
Irvine,CA92697 		95-2226406 501(c)(3) 897,609       PassThrough Fed Proj
(862) UNIVERSITY OF CALIFORNIA - SAN FRANCISCO
3333 California St
San Francisco,CA94143 		94-6036493 501(c)(3) 916,221       PassThrough Fed Proj; Event Support\Annual Fundrai
(863) UNIVERSITY OF COLORADO
13001 East 17th Ave
Aurora,CO80045 		20-8575263 501(c)(3) 91,486       PassThrough Fed Proj
(864) UNIVERSITY OF FLORIDA HEALTH
219 Grinter Hall
Gainsville,FL32611 		59-1943502 501(c)(3) 9,617       PassThrough Fed Proj
(865) UNIVERSITY OF MASSACHUSETTS WORCESTER
55 Lake Ave North
Worcester,MA01655 		04-3167352 501(c)(3) 165,795       PassThrough Fed Proj
(866) UNIVERSITY OF NORTH CAROLINA
104 Airport Drive
Chapel Hill,NC27599 		56-6001393 501(c)(3) 12,706       PassThrough Fed Proj
(867) UNIVERSITY OF PENNSYLVANIA
3451 Walnut Street
Philadelphia,PA19104 		23-1352685 501(c)(3) 119,325       PassThrough Fed Proj
(868) UNIVERSITY OF SOUTH CAROLINA
1600 Hampton Street
Columbia,SC29208 		57-6001153 501(c)(3) 11,809       PassThrough Fed Proj
(869) UNIVERSITY OF TEXAS
7000 Fannin
Houston,TX77030 		74-1761309 501(c)(3) 17,110       PassThrough Fed Proj
(870) UNIVERSITY OF TEXAS SW MEDICAL CENTER
5323 Harry Hines Bvd
Dallas,TX75390 		74-6000089 501(c)(3) 55,983       PassThrough Fed Proj
(871) University of the Pacific
3601 Pacific Avenue
Stockton,CA95211 		94-1156266 501(c)(3) 39,999       Project Support
(872) UNIVERSITY OF WASHINGTON
4333 Brooklyn Ave NE
Seattle,WA98195 		91-6001089 501(c)(3) 52,257       PassThrough Fed Proj
(873) UNIVERSTIY OF MICHIGAN
3003 S State Street
Ann Arbor,MI48109 		38-6006309 501(c)(3) 36,871       PassThrough Fed Proj
(874) UNIVERSTIY OF MINNESOTA
200 Oak Street SE
Minneapolis,MN55455 		41-6007513 501(c)(3) 261,606       PassThrough Fed Proj
(875) UpValley Family Centers of Napa Valley
1500 Cedar Street
Calistoga,CA94515 		80-0023012 501(c)(3) 25,000       Project Support
(876) Urban Community Action Projects
2880 Hulen Place
Riverside,CA92507 		04-3656147 501(c)(3) 20,000       Project Support
(877) Urban Tilth
31 Maine Ave
Richmond,CA94804 		20-4124161 501(c)(3) 15,000       Project Support
(878) UTAH STATE UNIVERSITY
1415 Old Main Hill
Logan,UT84322 		87-0276385 501(c)(3) 14,584       PassThrough Fed Proj
(879) Valley Care Community Consortium Inc
7515 Van Nuys Blvd
Van Nuys,CA91405 		20-5569606 501(c)(3) 14,005       Event Support\Awards Ceremony
(880) Valley Community Healthcare
6801 Coldwater Cyn
North Hollywood,CA91605 		23-7050082 501(c)(3) 31,000       Project Support
(881) Valley Family Center
302 S Brand Blvd
San Fernando,CA91340 		95-4105054 501(c)(3) 10,000       Project Support
(882) Valley Health Team Inc
21890 Colorado Ave
San Joaquin,CA93660 		94-2217261 501(c)(3) 75,000       Project Support
(883) Valley Village
20830 Sherman Way
Winnetka,CA91306 		23-7314159 501(c)(3) 15,000       General Operating Support
(884) Venice Family Clinic
604 Rose Avenue
Venice,CA90291 		95-2769432 501(c)(3) 18,750       Project Support
(885) Ventura County Medical Resource
199 Figueroa St 2Fl
Ventura,CA93001 		95-6096141 501(c)(3) 20,000       General Operating Support
(886) Victor Valley Colleg
18422 Bear Valley Rd
Victorville,CA92395 		51-0141667 501(c)(3) 10,000       Project Support
(887) Victor Valley Domestic Violence Inc
PO Bx 2825 VV
Victorville,CA92395 		93-1067826 501(c)(3) 10,000       Project Support
(888) Village Comm Res
633 Village Drive
Brentwood,CA94513 		41-2045701 501(c)(3) 6,000       Project Support
(889) Village Family Services
6736 Laurel Canyon
North Hollywood,CA91606 		95-4625826 501(c)(3) 39,200       General Operating Support
(890) VIP Community Mental Health Center Inc
1721 Griffin Avenue
Los Angeles,CA90031 		30-0017808 501(c)(3) 15,000       Project Support
(891) VIRGINIA COMMONWEALTH UNIVERSITY
800 East Leigh St
Richmond,VA23298 		54-6001736 501(c)(3) 37,541       PassThrough Fed Proj
(892) Virginia Garcia Memorial Foundation
PO Box 486
Cornelius,OR97113 		91-2077840 501(c)(3) 180,000       Project Support
(893) Vision To Learn
11611 San Vicente Bl
Los Angeles,CA90049 		45-3457853 501(c)(3) 40,000       Project Support
(894) Vision Y Compromiso
1000 N Alameda
Los Angeles,CA90012 		32-0071651 501(c)(3) 10,000       Conference Support
(895) Vista Community Clinic
1000 Vale Terrace Dr
Vista,CA92084 		95-2815615 501(c)(3) 30,000       Project Support
(896) VMC Foundation
2400 Moorpark Ave
San Jose,CA95128 		77-0187890 501(c)(3) 200,000       Project Support
(897) Volunteer Center of Sonoma County Inc
153 Stony Crl 100
Santa Rosa,CA95401 		94-1751375 501(c)(3) 5,500       Project Support
(898) Volunteers In Medicine Clinic
2260 Marcola Road
Springfield,OR97477 		93-1276816 501(c)(3) 35,000       Project Support
(899) Volunteers of America of Oregon Inc
3910 SE Stark St
Portland,OR97214 		93-0395591 501(c)(3) 50,000       General Operating Support
(900) Walk San Fran
433 Natoma St 240
San Francisco,CA94103 		47-2000881 501(c)(3) 10,000       Event Support\Annual Fundraiser
(901) Watts Healthcare Corporation
10300 Compton Avenue
Los Angeles,CA90002 		75-3046480 501(c)(3) 10,000       Project Support
(902) Watts Willowbrook Boys & Girls Club
1339 E120th Street
Los Angeles,CA90059 		95-1945829 501(c)(3) 7,500       General Operating Support
(903) WEAVE Incorporated
1900 K Street
Sacramento,CA95811 		94-2493158 501(c)(3) 35,000       Project Support
(904) Weigh of Life
968 23rd St
Richmond,CA94804 		20-3752206 501(c)(3) 15,000       Project Support
(905) Well Healing Mobile
7625 East Ave
Fontana,CA92336 		33-0831503 501(c)(3) 20,000       Project Support
(906) WellSpace Health
1820 J Street
Sacramento,CA95811 		94-1713704 501(c)(3) 523,804       Responsive;Project Support
(907) West Covina Unified School District
1717 W Merrced Av
West Covina,CA91790 		95-4603489 Government or P 5,870       Project Support
(908) West End Young Men's Christian Assoc
10970 Arrow Rte 106
Rancho Cucamonga,CA91730 		95-1727678 501(c)(3) 14,000       Project Support
(909) Western Youth Services
23461 S Pointe Dr
Laguna,CA92653 		95-3407054 501(c)(3) 15,000       Project Support
(910) Westminster Free Clinic
5560 Napoleon Avenue
Oak Park,CA91377 		77-0563241 501(c)(3) 20,000       General Operating Support
(911) Westside Family Health Center
1711 Ocean Park Bl
Santa Monica,CA90405 		95-2931931 501(c)(3) 12,136       Event Support\Annual Fundraiser
(912) White Pony Express
1300 Boulevard Way
Walnut Creek,CA94595 		46-5220565 501(c)(3) 8,000       Project Support
(913) Whiteside Manor
2743 Orange St
Riverside,CA92501 		23-7126416 501(c)(3) 23,000       Project Support
(914) Wilmington Community Free Clinic
1009 N Avalon Blvd
Wilmington,CA90744 		95-3137803 501(c)(3) 15,000       Project Support
(915) Winters Healthcare Foundation
310 Main Street
Winters,CA95694 		68-0454670 501(c)(3) 125,000       Project Support
(916) Wise & Healthy Aging
1527 4th Street
Santa Monica,CA90401 		95-2788014 501(c)(3) 18,000       Project Support
(917) Women Against Gun Violence
8800 Venice Bl
Los Angeles,CA90034 		95-4738754 501(c)(3) 9,480       Event Support\Awards Ceremony
(918) Women At Work
2555 E Colorado Bl
Pasadena,CA91107 		95-3411403 501(c)(3) 8,200       Event Support\Annual Fundraiser
(919) Women Crowned In Glory Inc
7120 Hayvenhurst Ave
Van Nuys,CA91406 		95-4808038 501(c)(3) 8,290       General Operating Support
(920) Womens Breast Can
27645 Jefferson 117
Temecula,CA92590 		33-0951216 501(c)(3) 23,000       Project Support
(921) Women's Empowerment
1590 North A Street
Sacramento,CA95811 		03-0520643 501(c)(3) 10,000       Project Support
(922) Working Wardrobe
3030 Pullman St A
Costa Mesa,CA92626 		33-0669145 501(c)(3) 15,000       Project Support
(923) Worksite Wellness LA
5955 SWestern Ave
Los Angeles,CA90047 		55-0802354 501(c)(3) 15,000       Project Support
(924) Wright Institute
2728 Durant Avenue
Berkeley,CA94704 		94-1674865 501(c)(3) 25,000       Project Support
(925) YALE UNIVERSITY
47 College Street
New Haven,CT06520 		06-0646973 501(c)(3) 165,194       PassThrough Fed Proj
(926) YMCA of Silicon Valley
80 Saratoga Avenue
Santa Clara,CA95051 		94-1156318 501(c)(3) 50,000       Project Support
(927) YMCA of the East Bay
2350 Broadway
Oakland,CA94612 		94-1156317 501(c)(3) 11,000       Project Support
(928) Yolo County Childrens Alliance
600 A Street Suite Y
Davis,CA95616 		68-0526185 501(c)(3) 25,000       Project Support
(929) Yolo Family Service Agency
455 First Street
Woodland,CA95695 		94-1452884 501(c)(3) 10,000       Project Support
(930) Young & Healthy
PO Box 93397
Pasadena,CA91109 		95-4527969 501(c)(3) 7,750       Event Support\Annual Fundraiser
(931) Young Men Christian Assoc Metropolitan
11336 Corbin Ave
Porter Ranch,CA91326 		95-1644052 501(c)(3) 117,000       Project Support
(932) YOUNG WOMENS CHRISTIAN ASSOC
1421 Guerneville Rd
Santa Rosa,CA95403 		94-2347428 501(c)(3) 30,000       Project Support
(933) Youth Action Project
600 NArrowhead 300
San Bernardino,CA92401 		42-1574359 501(c)(3) 20,000       Project Support
(934) Youth ALIVE
3300 Elm Street
Oakland,CA94609 		94-3143254 501(c)(3) 109,144       Conference Support
(935) Youth Enrichment Strategies
3029 Macdonald Ave
Richmond,CA94804 		03-0458294 501(c)(3) 25,000       Project Support
(936) Youth For Christ USA Inc
1102 North School St
Stockton,CA95205 		94-1708137 501(c)(3) 40,000       Project Support
(937) Youth Radio
1701 Broadway
Oakland,CA94612 		94-3180825 501(c)(3) 75,000       Project Support
(938) YWCA of San Gabriel Valley
943 North Grand Av
Covina,CA91724 		95-1641967 501(c)(3) 7,500       Project Support
(939) ZERO BREAST CANCER
4340 Redwood Hwy
San Rafael,CA94903 		68-0386016 501(c)(3) 60,290       PassThrough Fed Proj\Event Support\Awards Ceremony
(940) Concordia College
901 8th St S
Moorhead,MN56562 		41-0693977 501(c)(3) 12,500       General support
(941) Holy Family Day Homes of San Francisco
299 Dolores St
San Francisco,CA94103 		94-1156492 501(C)(3) 30,000       General support
(942) Lewis and Clark College
0615 SW Palatine Hill Road MSC 88
portland,OR97219 		93-0386858 501(c)(3) 8,950       General support
(943) Nature Conservancy
821 SE 14th Avenue
portland,OR97214 		53-0242652 501(c)(3) 11,250       General support
(944) Washington State University Foundation
PO Box 641927
pullman,WA99164 		91-1075542 501(c)(3) 15,000       General support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
944
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2015

Schedule I (Form 990) 2015
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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 523 1,115,500      
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
SCHEDULE I, PART I, LINE 2 Grantees are required to submit a final report that describes progress toward goals, impact to date, as well as financial accounting for how funds were used.
Schedule I (Form 990) 2015



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" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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 on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on 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," on line 5a or 5b, describe in Part III.
6
For persons listed on 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," on line 6a or 6b, describe in Part III.
7
For persons listed on 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 on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
Yes
 
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2015

Schedule J (Form 990) 2015
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 on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column(B) reported as deferred on prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1Claudio F AbreuSVP, Regional IT Operations (i)

(ii)		 0
-------------
482,329 		0
-------------
422,383 		0
-------------
189,166 		0
-------------
128,767 		0
-------------
30,006 		0
-------------
1,252,651 		0
-------------
131,678
2Gregory AdamsEVP, GP & Region Pres NCAL (i)

(ii)		 0
-------------
734,090 		0
-------------
1,242,350 		0
-------------
267,848 		0
-------------
293,224 		0
-------------
23,507 		0
-------------
2,561,019 		0
-------------
0
3Mary Ann BarnesRegion President - Hawaii (i)

(ii)		 0
-------------
413,932 		0
-------------
268,472 		0
-------------
57,268 		0
-------------
43,896 		0
-------------
19,806 		0
-------------
803,374 		0
-------------
0
4Anthony BarruetaSVP, Government Relations (i)

(ii)		 0
-------------
415,255 		0
-------------
560,201 		0
-------------
40,746 		0
-------------
199,780 		0
-------------
19,278 		0
-------------
1,235,260 		0
-------------
1,004
5Raymond BaxterSVP, CB Research & Hlth Policy (i)

(ii)		 0
-------------
555,895 		0
-------------
967,449 		0
-------------
53,744 		0
-------------
66,099 		0
-------------
31,483 		0
-------------
1,674,670 		0
-------------
0
6Frank BeirneSVP & Area Mgr - San Mateo (i)

(ii)		 0
-------------
85,516 		0
-------------
168,023 		0
-------------
255,209 		0
-------------
-87,768 		0
-------------
17,557 		0
-------------
438,537 		0
-------------
0
7Vanessa BenavidesSVP, Chief Comp & Priv Officer (i)

(ii)		 0
-------------
46,154 		0
-------------
350,000 		0
-------------
19,061 		0
-------------
44,742 		0
-------------
1,790 		0
-------------
461,747 		0
-------------
0
8Charles BevilacquaSVP,KFHP Products, Svc & Admin (i)

(ii)		 0
-------------
506,355 		0
-------------
579,010 		0
-------------
21,722 		0
-------------
176,298 		0
-------------
20,953 		0
-------------
1,304,338 		0
-------------
0
9Derrick BillingsSVP, Hosp & Area Ops - NCAL (i)

(ii)		 0
-------------
470,399 		0
-------------
99,233 		0
-------------
419,657 		0
-------------
286,744 		0
-------------
12,189 		0
-------------
1,288,222 		0
-------------
0
10Maryann Bodayleassistant secretary (i)

(ii)		 0
-------------
146,552 		0
-------------
19,482 		0
-------------
2,168 		0
-------------
10,494 		0
-------------
8,841 		0
-------------
187,537 		0
-------------
0
11Odette BolanoSVP & Area Manager - East Bay (i)

(ii)		 0
-------------
448,485 		0
-------------
73,811 		0
-------------
40,307 		0
-------------
220,310 		0
-------------
11,715 		0
-------------
794,628 		0
-------------
152,350
12Christopher BoydSVP & Area Mgr - Santa Clara (i)

(ii)		 0
-------------
369,367 		0
-------------
204,935 		0
-------------
152,319 		0
-------------
104,524 		0
-------------
23,167 		0
-------------
854,312 		0
-------------
99,312
13Michael BradySVP, Infrastructure Mgmt Group (i)

(ii)		 0
-------------
100,539 		0
-------------
533,455 		0
-------------
25,913 		0
-------------
13,299 		0
-------------
18,755 		0
-------------
691,961 		0
-------------
0
14Virginia CampbellSVP & Area Mgr - Diablo (i)

(ii)		 0
-------------
0 		0
-------------
43,279 		0
-------------
78,214 		0
-------------
29,626 		0
-------------
2,748 		0
-------------
153,867 		0
-------------
0
15Lisa L CaplanSVP, Bus Info Off - Care Del (i)

(ii)		 0
-------------
312,504 		0
-------------
396,476 		0
-------------
87,950 		0
-------------
150,057 		0
-------------
20,144 		0
-------------
967,131 		0
-------------
0
16William CaswellSVP, Operations (i)

(ii)		 0
-------------
434,615 		0
-------------
390,773 		0
-------------
41,269 		0
-------------
139,393 		0
-------------
18,443 		0
-------------
1,024,493 		0
-------------
0
17Thomas W Chapman EdDDirector (i)

(ii)		 0
-------------
206,000 		0
-------------
0 		0
-------------
21,466 		0
-------------
18,000 		0
-------------
0 		0
-------------
245,466 		0
-------------
0
18Greg ChristianSVP, Area Manager - Fontana (i)

(ii)		 0
-------------
350,100 		0
-------------
201,703 		0
-------------
20,355 		0
-------------
91,234 		0
-------------
24,699 		0
-------------
688,091 		0
-------------
0
19Benjamin ChuEVP,GP & Region President SCAL (i)

(ii)		 0
-------------
714,190 		0
-------------
1,176,598 		0
-------------
4,085,859 		0
-------------
62,500 		0
-------------
25,219 		0
-------------
6,064,366 		0
-------------
2,659,657
20Judith CoffeySVP & Area Mgr - Marin/Sonoma (i)

(ii)		 0
-------------
352,532 		0
-------------
201,422 		0
-------------
26,447 		0
-------------
54,200 		0
-------------
23,415 		0
-------------
658,016 		0
-------------
0
21Jeffrey CollinsSVP & Area Manager - Roseville (i)

(ii)		 0
-------------
363,989 		0
-------------
187,365 		0
-------------
156,571 		0
-------------
105,796 		0
-------------
11,539 		0
-------------
825,260 		0
-------------
0
22Charles ColumbusSVP, Chief HR Officer (i)

(ii)		 0
-------------
526,581 		0
-------------
1,030,974 		0
-------------
461,386 		0
-------------
283,986 		0
-------------
33,696 		0
-------------
2,336,623 		0
-------------
311,207
23Diane ComerSVP, Buss Info Officer - KFHP (i)

(ii)		 0
-------------
344,175 		0
-------------
458,113 		0
-------------
87,249 		0
-------------
160,048 		0
-------------
24,357 		0
-------------
1,073,942 		0
-------------
0
24Mark CostaSVP, Area Mgr - Orange County (i)

(ii)		 0
-------------
351,237 		0
-------------
198,939 		0
-------------
101,365 		0
-------------
108,582 		0
-------------
24,822 		0
-------------
784,945 		0
-------------
50,040
25Patrick CourneyaEVP, CMO (i)

(ii)		 0
-------------
448,182 		0
-------------
202,442 		0
-------------
53,994 		0
-------------
312,931 		0
-------------
19,621 		0
-------------
1,037,170 		0
-------------
0
26Richard DanielsEVP, CIO (i)

(ii)		 0
-------------
670,684 		0
-------------
804,028 		0
-------------
29,059 		0
-------------
230,159 		0
-------------
31,897 		0
-------------
1,765,827 		0
-------------
0
27Erin DowningSpecial Assistant to the Board (i)

(ii)		 0
-------------
100,247 		0
-------------
16,564 		0
-------------
17,558 		0
-------------
9,442 		0
-------------
8,130 		0
-------------
151,941 		0
-------------
0
28Jeffrey E EpsteinDirector (i)

(ii)		 0
-------------
199,000 		0
-------------
0 		0
-------------
15,672 		0
-------------
0 		0
-------------
0 		0
-------------
214,672 		0
-------------
0
29Elizabeth FinleySVP, Area Manager - San Diego (i)

(ii)		 0
-------------
356,794 		0
-------------
214,279 		0
-------------
321,171 		0
-------------
41,422 		0
-------------
20,145 		0
-------------
953,811 		0
-------------
193,701
30Jerry C FlemingSVP, Health Reform Implementat (i)

(ii)		 0
-------------
89,610 		0
-------------
206,418 		0
-------------
413,786 		0
-------------
306,685 		0
-------------
8,531 		0
-------------
1,025,030 		0
-------------
359,537
31Angela Yee FongStaff Charge Nurse IV (i)

(ii)		 0
-------------
740,966 		0
-------------
0 		0
-------------
9,704 		0
-------------
31,040 		0
-------------
25,934 		0
-------------
807,644 		0
-------------
0
32Deborah FribergSVP, Area Mgr - Central Valley (i)

(ii)		 0
-------------
340,392 		0
-------------
0 		0
-------------
136,122 		0
-------------
34,670 		0
-------------
22,821 		0
-------------
534,005 		0
-------------
0
33Diane Gage-LofgrenSVP, Brand Mgmt & Comm (i)

(ii)		 0
-------------
0 		0
-------------
0 		0
-------------
346,833 		0
-------------
6,404 		0
-------------
16,488 		0
-------------
369,725 		0
-------------
0
34Daniel GarciaSVP, Chief Compliance Officer (i)

(ii)		 0
-------------
586,604 		0
-------------
889,894 		0
-------------
54,027 		0
-------------
65,761 		0
-------------
34,985 		0
-------------
1,631,271 		0
-------------
0
35Sandra Golzeassistant secretary, ncal (i)

(ii)		 0
-------------
270,190 		0
-------------
228,936 		0
-------------
18,912 		0
-------------
96,635 		0
-------------
21,330 		0
-------------
636,003 		0
-------------
0
36Mitchell GoodsteinSVP, Actuarial, U/W & Pricing (i)

(ii)		 0
-------------
0 		0
-------------
395,382 		0
-------------
226,314 		0
-------------
0 		0
-------------
0 		0
-------------
621,696 		0
-------------
226,314
37William R GraberDirector (i)

(ii)		 0
-------------
244,000 		0
-------------
0 		0
-------------
11,742 		0
-------------
0 		0
-------------
0 		0
-------------
255,742 		0
-------------
0
38J Eugene Grigsby III PhDDirector (i)

(ii)		 0
-------------
226,500 		0
-------------
0 		0
-------------
400 		0
-------------
0 		0
-------------
0 		0
-------------
226,900 		0
-------------
0
39Thomas HanenburgSVP & Area Mgr - GSAA (i)

(ii)		 0
-------------
333,742 		0
-------------
191,729 		0
-------------
36,036 		0
-------------
98,772 		0
-------------
20,179 		0
-------------
680,458 		0
-------------
0
40Corwin HarperSVP & Area Mgr - Napa/Solano (i)

(ii)		 0
-------------
343,450 		0
-------------
171,956 		0
-------------
42,528 		0
-------------
95,362 		0
-------------
26,318 		0
-------------
679,614 		0
-------------
0
41Leslie S HeiszDirector (i)

(ii)		 0
-------------
199,000 		0
-------------
0 		0
-------------
15,281 		0
-------------
0 		0
-------------
0 		0
-------------
214,281 		0
-------------
0
42David HoffmeisterDirector (i)

(ii)		 0
-------------
194,000 		0
-------------
0 		0
-------------
11,066 		0
-------------
0 		0
-------------
0 		0
-------------
205,066 		0
-------------
0
43Kimberly HornRegion President - MAS (i)

(ii)		 0
-------------
528,939 		0
-------------
355,043 		0
-------------
175,296 		0
-------------
425,899 		0
-------------
25,059 		0
-------------
1,510,236 		0
-------------
110,584
44Judith JohansenDirector (i)

(ii)		 0
-------------
231,500 		0
-------------
0 		0
-------------
11,058 		0
-------------
0 		0
-------------
0 		0
-------------
242,558 		0
-------------
0
45Kim J KaiserDirector (i)

(ii)		 0
-------------
221,500 		0
-------------
0 		0
-------------
5,496 		0
-------------
0 		0
-------------
0 		0
-------------
226,996 		0
-------------
0
46Marilyn KawamuraRegion President - MAS (i)

(ii)		 0
-------------
0 		0
-------------
64,919 		0
-------------
35,936 		0
-------------
0 		0
-------------
0 		0
-------------
100,855 		0
-------------
31,724
47Patricia Kennedy-ScottRegion President - Ohio (i)

(ii)		 0
-------------
0 		0
-------------
0 		0
-------------
157,724 		0
-------------
8,859 		0
-------------
14,545 		0
-------------
181,128 		0
-------------
0
48Kerry KohnenRegion President - Georgia (i)

(ii)		 0
-------------
14,949 		0
-------------
494,937 		0
-------------
704,113 		0
-------------
42,462 		0
-------------
19,041 		0
-------------
1,275,502 		0
-------------
0
49Kathryn LancasterEVP & CFO (i)

(ii)		 0
-------------
779,351 		0
-------------
1,512,879 		0
-------------
298,864 		0
-------------
199,848 		0
-------------
17,903 		0
-------------
2,808,845 		0
-------------
233
50Janet LiangSVP & COO - NCAL (i)

(ii)		 0
-------------
507,267 		0
-------------
598,460 		0
-------------
649,261 		0
-------------
142,539 		0
-------------
24,747 		0
-------------
1,922,274 		0
-------------
173,411
51Donna LynneEVP, GP & Region Pres - CO (i)

(ii)		 0
-------------
626,191 		0
-------------
887,469 		0
-------------
47,003 		0
-------------
932,987 		0
-------------
32,795 		0
-------------
2,526,445 		0
-------------
0
52Philip A MarineauDirector (i)

(ii)		 0
-------------
219,000 		0
-------------
0 		0
-------------
7,213 		0
-------------
0 		0
-------------
0 		0
-------------
226,213 		0
-------------
0
53Gerald McCallSVP Operations (i)

(ii)		 0
-------------
450,683 		0
-------------
390,773 		0
-------------
112,107 		0
-------------
42,749 		0
-------------
26,838 		0
-------------
1,023,150 		0
-------------
20,498
54Andrew McCullochRegion President - Northwest (i)

(ii)		 0
-------------
443,383 		0
-------------
489,607 		0
-------------
235,159 		0
-------------
411,791 		0
-------------
27,040 		0
-------------
1,606,980 		0
-------------
148,793
55Colleen McKeownSVP & Area Mgr - Diablo (i)

(ii)		 0
-------------
370,065 		0
-------------
189,092 		0
-------------
19,416 		0
-------------
174,296 		0
-------------
18,847 		0
-------------
771,716 		0
-------------
0
56Thomas MeierSVP, Corporate Treasurer (i)

(ii)		 0
-------------
366,589 		0
-------------
535,310 		0
-------------
114,448 		0
-------------
46,053 		0
-------------
27,546 		0
-------------
1,089,946 		0
-------------
19,340
57Julie Miller-PhippsRegion President - GA (i)

(ii)		 0
-------------
398,450 		0
-------------
200,594 		0
-------------
292,002 		0
-------------
41,740 		0
-------------
17,856 		0
-------------
950,642 		0
-------------
0
58Donald OrndoffSVP, NFS (i)

(ii)		 0
-------------
410,384 		0
-------------
523,171 		0
-------------
264,152 		0
-------------
160,685 		0
-------------
29,568 		0
-------------
1,387,960 		0
-------------
182,662
59Nathaniel OubreVP, CA MediCal, CHIP & CHC (i)

(ii)		 0
-------------
300,673 		0
-------------
212,962 		0
-------------
59,689 		0
-------------
43,624 		0
-------------
23,519 		0
-------------
640,467 		0
-------------
0
60Wade OvergaardSVP, Health Plan Ops - CA (i)

(ii)		 0
-------------
482,019 		0
-------------
627,770 		0
-------------
24,941 		0
-------------
47,338 		0
-------------
28,354 		0
-------------
1,210,422 		0
-------------
141
61Edward Y W PeiDirector (i)

(ii)		 0
-------------
218,500 		0
-------------
0 		0
-------------
12,464 		0
-------------
18,000 		0
-------------
0 		0
-------------
248,964 		0
-------------
0
62Margaret E PorfidoDirector (i)

(ii)		 0
-------------
239,000 		0
-------------
0 		0
-------------
16,935 		0
-------------
0 		0
-------------
0 		0
-------------
255,935 		0
-------------
0
63Frank Richardsonassistant secretary, hawaii (i)

(ii)		 0
-------------
210,554 		0
-------------
140,645 		0
-------------
9,683 		0
-------------
45,940 		0
-------------
23,918 		0
-------------
430,740 		0
-------------
0
64Christine RobischSVP, CAO - NCAL (i)

(ii)		 0
-------------
379,811 		0
-------------
188,997 		0
-------------
19,296 		0
-------------
106,513 		0
-------------
13,156 		0
-------------
707,773 		0
-------------
0
65Rochelle Rothassistant secretary (i)

(ii)		 0
-------------
170,501 		0
-------------
93,540 		0
-------------
23,060 		0
-------------
38,537 		0
-------------
17,513 		0
-------------
343,151 		0
-------------
0
66Kathleen Marie ScheirmanSVP, Application Svcs Group (i)

(ii)		 0
-------------
395,008 		0
-------------
477,711 		0
-------------
205,643 		0
-------------
174,789 		0
-------------
20,061 		0
-------------
1,273,212 		0
-------------
99,050
67Jacqueline Sellersassistant secretary (i)

(ii)		 0
-------------
191,615 		0
-------------
80,592 		0
-------------
5,767 		0
-------------
38,315 		0
-------------
11,781 		0
-------------
328,070 		0
-------------
0
68Nirav ShahSVP, COO Clinical Operations (i)

(ii)		 0
-------------
504,899 		0
-------------
150,652 		0
-------------
18,062 		0
-------------
67,554 		0
-------------
21,461 		0
-------------
762,628 		0
-------------
0
69Richard ShannonDirector (i)

(ii)		 0
-------------
226,500 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
226,500 		0
-------------
0
70Sandra SmallSVP, Hospital & Area Ops (i)

(ii)		 0
-------------
0 		0
-------------
171,676 		0
-------------
158,897 		0
-------------
0 		0
-------------
0 		0
-------------
330,573 		0
-------------
149,077
71Arthur SouthamEVP, Health Plan Operations (i)

(ii)		 0
-------------
818,213 		0
-------------
1,665,914 		0
-------------
355,489 		0
-------------
72,330 		0
-------------
26,163 		0
-------------
2,938,109 		0
-------------
14,170
72Deborah StokesSVP, Controller & CAO (i)

(ii)		 0
-------------
353,904 		0
-------------
429,013 		0
-------------
79,334 		0
-------------
42,538 		0
-------------
21,711 		0
-------------
926,500 		0
-------------
0
73Paul SwensonSVP & Chief Strategy Officer (i)

(ii)		 0
-------------
520,542 		0
-------------
594,488 		0
-------------
45,630 		0
-------------
179,786 		0
-------------
27,833 		0
-------------
1,368,279 		0
-------------
149,355
74Cynthia A Telles PhDDirector (i)

(ii)		 0
-------------
240,500 		0
-------------
0 		0
-------------
11,066 		0
-------------
0 		0
-------------
0 		0
-------------
251,566 		0
-------------
0
75Bernard TysonChairman & CEO (i)

(ii)		 0
-------------
1,209,932 		0
-------------
3,631,595 		0
-------------
1,022,267 		0
-------------
142,327 		0
-------------
33,902 		0
-------------
6,040,023 		0
-------------
0
76Max VillalobosCOO - North County (i)

(ii)		 0
-------------
319,803 		0
-------------
199,183 		0
-------------
93,720 		0
-------------
54,521 		0
-------------
23,326 		0
-------------
690,553 		0
-------------
0
77Cesar VillalpandoSVP, Enterprise Shared Svcs (i)

(ii)		 0
-------------
468,109 		0
-------------
471,585 		0
-------------
163,009 		0
-------------
155,059 		0
-------------
23,288 		0
-------------
1,281,050 		0
-------------
55,285
78Jed WeissbergSVP, Quality & Care Del Excel (i)

(ii)		 0
-------------
0 		0
-------------
372,916 		0
-------------
5,282 		0
-------------
-24,803 		0
-------------
0 		0
-------------
353,395 		0
-------------
0
79Vita WillettSVP, Area Manager - Riverside (i)

(ii)		 0
-------------
352,686 		0
-------------
200,108 		0
-------------
80,429 		0
-------------
100,410 		0
-------------
18,485 		0
-------------
752,118 		0
-------------
47,382
80Nancy WollenSVP, Chief Operating Officer (i)

(ii)		 0
-------------
352,425 		0
-------------
214,824 		0
-------------
20,890 		0
-------------
103,733 		0
-------------
30,039 		0
-------------
721,911 		0
-------------
0
81Carlos Zaragozaassistant secretary, scal (i)

(ii)		 0
-------------
263,345 		0
-------------
200,189 		0
-------------
83,068 		0
-------------
78,331 		0
-------------
24,860 		0
-------------
649,793 		0
-------------
0
82Steven ZatkinSVP, General Counsel & Secy (i)

(ii)		 0
-------------
0 		0
-------------
0 		0
-------------
261,259 		0
-------------
0 		0
-------------
0 		0
-------------
261,259 		0
-------------
256,468
83Victoria ZatkinVP, Off of Brd & Corp Gov Svcs (i)

(ii)		 0
-------------
206,699 		0
-------------
110,698 		0
-------------
139,952 		0
-------------
78,627 		0
-------------
5,105 		0
-------------
541,081 		0
-------------
85,167
84Mark ZemelmanSVP, General Counsel & Secy (i)

(ii)		 0
-------------
528,915 		0
-------------
844,658 		0
-------------
225,714 		0
-------------
126,479 		0
-------------
32,940 		0
-------------
1,758,706 		0
-------------
0
85George DiSalvoSVP-CFO, SCAL (i)

(ii)		 0
-------------
511,762 		0
-------------
586,825 		0
-------------
40,900 		0
-------------
208,515 		0
-------------
17,943 		0
-------------
1,365,945 		0
-------------
0
86Michael RoweSVP, CFO - NCAL (i)

(ii)		 0
-------------
574,398 		0
-------------
654,526 		0
-------------
223,774 		0
-------------
152,140 		0
-------------
24,187 		0
-------------
1,629,025 		0
-------------
148,926
87Edward GlavisSVP & Area Mgr - Roseville (i)

(ii)		 0
-------------
35,893 		0
-------------
284,704 		0
-------------
77,057 		0
-------------
2,003 		0
-------------
1,721 		0
-------------
401,378 		0
-------------
20,191
Schedule J (Form 990) 2015

Schedule J (Form 990) 2015
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 3 METHODS USED TO ESTABLISH COMPENSATION OF CEO/EXECUTIVE DIRECTOR: THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS DESCRIBED BELOW TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF A RELATED ORGANIZATION.
SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS: Frank Beirne $ 225,969 Virginia Campbell 78,186 Diane Gage-Lofgren 346,667 Patricia Kennedy-Scott 143,846 Kerry Kohnen 588,701 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 $ 238,078 Anthony Barrueta 1,004 Christopher Boyd 129,050 Benjamin Chu 4,056,254 Charles Columbus 415,179 Mark Costa 63,975 Elizabeth Finley 250,721 Jerry C Fleming 390,732 Edward Glavis 70,102 Mitchell Goodstein 226,314 Marilyn Kawamura 31,724 Kerry Kohnen 111,661 Kathryn Lancaster 253,372 Janet Liang 164,133 Gerald McCall 88,323 Andrew McCulloch 190,209 Thomas Meier 75,379 Julie Miller-Phipps 60,178 Donald Orndoff 238,394 Nathaniel Oubre 41,563 Wade Overgaard 141 Kathleen Marie Scheirman 133,737 Sandra Small 149,077 Arthur Southam 309,647 Deborah Stokes 55,994 Bernard Tyson 635,105 Cesar Villalpando 72,696 Vita Willett 60,847 Carlos Zaragoza 39,705 Steven Zatkin 256,468 Victoria Zatkin 103,806 Mark Zemelman 179,473 SOME OF THE PARTICIPANTS LISTED IN SCHEDULE J, PART II PARTICIPATED IN NONQUALIFIED SUPPLEMENTAL RETIREMENT PLANS. UNDER THESE PLANS, THE ORGANIZATION MAKES ANNUAL CONTRIBUTIONS TO A NOTIONAL ACCOUNT ON BEHALF OF EACH PARTICIPANT. CONTRIBUTIONS VARY BY POSITION, LEVEL AND PAY, AND VEST OVER TIME BASED ON AGE AND/OR SERVICE. PARTICIPANT ACCOUNTS ARE CREDITED WITH A FIXED RATE OF INTEREST, INVESTED IN AVAILABLE MUTUAL FUNDS OR A COMBINATION OF BOTH. CERTAIN OFFICERS ACCRUE A BENEFIT THAT VESTS BASED ON AGE AND SERVICE AND TARGETS A PERCENTAGE OF FINAL AVERAGE PAY LESS PRIOR PLAN OFFSETS. UNVESTED AMOUNTS ARE SUBJECT TO RISK OF FORFEITURE.
Schedule J, Part I, Line 7 Non-fixed payments: THE ORGANIZATION PROVIDED NON-FIXED PAYMENTS TO SOME OF THE PERSONS LISTED. PAYMENTS WERE MADE UNDER INCENTIVE PLANS, BASED ON ATTAINMENT OF ORGANIZATIONAL PERFORMANCE GOALS AND INDIVIDUAL PERFORMANCE, DESIGNED TO SUPPORT THE ORGANIZATION'S MISSION TO PROVIDE HIGH-QUALITY, AFFORDABLE CARE AND IMPROVE THE HEALTH OF ITS MEMBERS AND THE COMMUNITIES IT SERVES. Schedule J, Part I, line 8 Certain amounts reported in Form 990, Part VII, were paid or accrued pursuant to a contract that was subject to the initial contract exception described in Regulations section 53.4958-4(a)(3). Fixed payments were paid to or accrued for THREE OFFICERS and ONE KEY EMPLOYEE in 2015.
Schedule J, Part II, Column C THE ACTUARIAL VALUE FOR SOME INDIVIDUALS' DEFINED BENEFIT PLAN DECLINED IN 2015, RESULTING IN NEGATIVE VALUES IN COLUMN (C) IN SOME INSTANCES.
Schedule J, Part II, Column F AMOUNTS INCLUDED IN SCHEDULE J, PART II, COLUMN F INCLUDE AMOUNTS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION, AS WELL AS, DISTRIBUTIONS FROM A 457(B) PLAN THAT WERE PREVIOUSLY REPORTED AS REPORTABLE COMPENSATION IN ACCORDANCE WITH FORM 990 INSTRUCTIONS.
Schedule J (Form 990) 2015
Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number
94-1105628
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A 2003 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		52-1598225 130911RW2 08-06-2003 213,060,000 PAR REFUNDING CHFFA 83,85,93 SER C   X   X   X
B 2004 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130911WF3 03-30-2004 1,600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
C 2006 CSCDACHFFA FIXED
  		68-0164610 1309112G4 06-08-2006 916,299,000 FINANCE HEALTH CARE FACILITIES   X   X   X
D 2006 CSCDACHFFA VARIABLE
  		52-1643828 13033FK74 06-08-2006 600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
2007 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 1309116M7 02-01-2007 476,113,485 PREM/DISC REFUNDING 01A,02D,04F&G   X   X   X
2008 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795SZ1 05-01-2008 500,000,000 PAR REFUNDING 04A-D ARS BONDS& 04H   X   X   X
2009 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795D38 06-03-2009 1,638,437,048 FINANCE HEALTH CARE FACILITIES   X   X   X
2002 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130911LD0 06-01-2009 99,996,058 REOFFERING OF 2002E CSCDA (PREMIUM   X   X   X
2008 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795TP2 05-29-2009 149,996,162 REOFFERING OF 2008C CSCDA (PREMIUM   X   X   X
2011 CALIFORNIA HEALTH FACILITIES FINANCING AUTH
  		52-1643828 13033LML8 05-03-2011 204,545,000 PAR REFUNDING 01A,B,C KHAC BONDS   X   X   X
2012 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 1307955G8 04-18-2012 1,007,791,119 FINANCE HEALTH CARE FACILITIES   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired .................. 60,000,000 800,000,000 0 0
2 Amount of bonds legally defeased .............. 0 0 0 0
3 Total proceeds of issue .................. 213,060,000 1,639,884,612 954,024,896 602,245,616
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 88,159,219 79,221,674 5,674,726
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 0 6,375,000 0 0
8 Credit enhancement from proceeds ............. 0 10,073,543 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 0 1,535,276,850 874,803,222 596,570,889
11 Other spent proceeds ............. 213,060,000 0 0 0
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2009 2010 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? .... X     X   X   X
15 Were the bonds issued as part of an advance refunding issue? .....   X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X   X   X   X
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?   X   X   X   X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet        
6 Total of lines 4 and 5 .............        
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......                
b Exception to rebate? ........ X   X   X   X  
c No rebate due? .........     X   X   X  
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X     X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X X     X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
PART I: 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 1: We will continue to report the 2009 put rolls of the 2008C and 2002E bonds as the current outstanding debt, with the amount of premium from their sales shown in Part II, Line 1, "Amount of bonds retired".
PART II, LINE 3: Difference between total proceeds (Part II Line 3) and issue price (Part I), for all applicable bond issues, is due to interest earned on the construction fund.
PART III, LINE 4 AND 5: At bond-financed facilities, there is 0% private use reported due to a policy of maintaining adequate equity contributions at each facility.
PART IV, LINE 2C: BOND ISSUER NAME: 2004 CALIFORNIA STATEWIDE CMNTYS DEV AUTH REBATE DATE COMPUTATION WAS PERFORMED: 01/14/2009 BOND ISSUER NAME: 2006 CSDA / CHFFA VARIABLE REBATE DATE COMPUTATION WAS PERFORMED: 06/07/2011 BOND ISSUER NAME: 2002 CALIFORNIA STATEWIDE CMNTYS DEV AUTH REBATE DATE COMPUTATION WAS PERFORMED: 11/27/2012
Schedule K (Form 990) 2015

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number
94-1105628
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A 2003 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		52-1598225 130911RW2 08-06-2003 213,060,000 PAR REFUNDING CHFFA 83,85,93 SER C   X   X   X
B 2004 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130911WF3 03-30-2004 1,600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
C 2006 CSCDACHFFA FIXED
  		68-0164610 1309112G4 06-08-2006 916,299,000 FINANCE HEALTH CARE FACILITIES   X   X   X
D 2006 CSCDACHFFA VARIABLE
  		52-1643828 13033FK74 06-08-2006 600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
2007 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 1309116M7 02-01-2007 476,113,485 PREM/DISC REFUNDING 01A,02D,04F&G   X   X   X
2008 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795SZ1 05-01-2008 500,000,000 PAR REFUNDING 04A-D ARS BONDS& 04H   X   X   X
2009 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795D38 06-03-2009 1,638,437,048 FINANCE HEALTH CARE FACILITIES   X   X   X
2002 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130911LD0 06-01-2009 99,996,058 REOFFERING OF 2002E CSCDA (PREMIUM   X   X   X
2008 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795TP2 05-29-2009 149,996,162 REOFFERING OF 2008C CSCDA (PREMIUM   X   X   X
2011 CALIFORNIA HEALTH FACILITIES FINANCING AUTH
  		52-1643828 13033LML8 05-03-2011 204,545,000 PAR REFUNDING 01A,B,C KHAC BONDS   X   X   X
2012 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 1307955G8 04-18-2012 1,007,791,119 FINANCE HEALTH CARE FACILITIES   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired .................. 60,000,000 800,000,000 0 0
2 Amount of bonds legally defeased .............. 0 0 0 0
3 Total proceeds of issue .................. 213,060,000 1,639,884,612 954,024,896 602,245,616
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 88,159,219 79,221,674 5,674,726
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 0 6,375,000 0 0
8 Credit enhancement from proceeds ............. 0 10,073,543 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 0 1,535,276,850 874,803,222 596,570,889
11 Other spent proceeds ............. 213,060,000 0 0 0
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2009 2010 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? .... X     X   X   X
15 Were the bonds issued as part of an advance refunding issue? .....   X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X   X   X   X
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?   X   X   X   X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet        
6 Total of lines 4 and 5 .............        
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......                
b Exception to rebate? ........ X   X   X   X  
c No rebate due? .........     X   X   X  
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X     X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X X     X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
PART I: 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 1: We will continue to report the 2009 put rolls of the 2008C and 2002E bonds as the current outstanding debt, with the amount of premium from their sales shown in Part II, Line 1, "Amount of bonds retired".
PART II, LINE 3: Difference between total proceeds (Part II Line 3) and issue price (Part I), for all applicable bond issues, is due to interest earned on the construction fund.
PART III, LINE 4 AND 5: At bond-financed facilities, there is 0% private use reported due to a policy of maintaining adequate equity contributions at each facility.
PART IV, LINE 2C: BOND ISSUER NAME: 2004 CALIFORNIA STATEWIDE CMNTYS DEV AUTH REBATE DATE COMPUTATION WAS PERFORMED: 01/14/2009 BOND ISSUER NAME: 2006 CSDA / CHFFA VARIABLE REBATE DATE COMPUTATION WAS PERFORMED: 06/07/2011 BOND ISSUER NAME: 2002 CALIFORNIA STATEWIDE CMNTYS DEV AUTH REBATE DATE COMPUTATION WAS PERFORMED: 11/27/2012
Schedule K (Form 990) 2015

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number
94-1105628
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A 2003 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		52-1598225 130911RW2 08-06-2003 213,060,000 PAR REFUNDING CHFFA 83,85,93 SER C   X   X   X
B 2004 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130911WF3 03-30-2004 1,600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
C 2006 CSCDACHFFA FIXED
  		68-0164610 1309112G4 06-08-2006 916,299,000 FINANCE HEALTH CARE FACILITIES   X   X   X
D 2006 CSCDACHFFA VARIABLE
  		52-1643828 13033FK74 06-08-2006 600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
2007 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 1309116M7 02-01-2007 476,113,485 PREM/DISC REFUNDING 01A,02D,04F&G   X   X   X
2008 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795SZ1 05-01-2008 500,000,000 PAR REFUNDING 04A-D ARS BONDS& 04H   X   X   X
2009 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795D38 06-03-2009 1,638,437,048 FINANCE HEALTH CARE FACILITIES   X   X   X
2002 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130911LD0 06-01-2009 99,996,058 REOFFERING OF 2002E CSCDA (PREMIUM   X   X   X
2008 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795TP2 05-29-2009 149,996,162 REOFFERING OF 2008C CSCDA (PREMIUM   X   X   X
2011 CALIFORNIA HEALTH FACILITIES FINANCING AUTH
  		52-1643828 13033LML8 05-03-2011 204,545,000 PAR REFUNDING 01A,B,C KHAC BONDS   X   X   X
2012 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 1307955G8 04-18-2012 1,007,791,119 FINANCE HEALTH CARE FACILITIES   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired .................. 60,000,000 800,000,000 0 0
2 Amount of bonds legally defeased .............. 0 0 0 0
3 Total proceeds of issue .................. 213,060,000 1,639,884,612 954,024,896 602,245,616
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 88,159,219 79,221,674 5,674,726
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 0 6,375,000 0 0
8 Credit enhancement from proceeds ............. 0 10,073,543 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 0 1,535,276,850 874,803,222 596,570,889
11 Other spent proceeds ............. 213,060,000 0 0 0
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2009 2010 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? .... X     X   X   X
15 Were the bonds issued as part of an advance refunding issue? .....   X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X   X   X   X
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?   X   X   X   X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet        
6 Total of lines 4 and 5 .............        
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......                
b Exception to rebate? ........ X   X   X   X  
c No rebate due? .........     X   X   X  
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X     X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X X     X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
PART I: 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 1: We will continue to report the 2009 put rolls of the 2008C and 2002E bonds as the current outstanding debt, with the amount of premium from their sales shown in Part II, Line 1, "Amount of bonds retired".
PART II, LINE 3: Difference between total proceeds (Part II Line 3) and issue price (Part I), for all applicable bond issues, is due to interest earned on the construction fund.
PART III, LINE 4 AND 5: At bond-financed facilities, there is 0% private use reported due to a policy of maintaining adequate equity contributions at each facility.
PART IV, LINE 2C: BOND ISSUER NAME: 2004 CALIFORNIA STATEWIDE CMNTYS DEV AUTH REBATE DATE COMPUTATION WAS PERFORMED: 01/14/2009 BOND ISSUER NAME: 2006 CSDA / CHFFA VARIABLE REBATE DATE COMPUTATION WAS PERFORMED: 06/07/2011 BOND ISSUER NAME: 2002 CALIFORNIA STATEWIDE CMNTYS DEV AUTH REBATE DATE COMPUTATION WAS PERFORMED: 11/27/2012
Schedule K (Form 990) 2015

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number

94-1105628
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2015
Schedule L (Form 990 or 990-EZ) 2015
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) kim b kurth sister of officer 192,093 compensation    
(2) ANGELA PATRICIA BENNAGE daughter of key employee 127,849 compensation    
(3) carol mcmenamy spouse of key employee 153,158 compensation    
(4) boeringer ingelheim substantial contributor 95,195,671 payment for supplies    
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2015


Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

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

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number

94-1105628
Return Reference Explanation
PART vi, line 11b Form 990 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. Prior to finalization, the return is reviewed by an external tax advisor. 4. Once signed by an external tax advisor, the return and underlying data are reviewed by an officer or a member of management designated by an officer for signature and filing. 5. Copies are then provided to board members prior to filing.
PART vi, line 12c COMPLIANCE ENFORCEMENT A. REGULARLY AND CONSISTENTLY MONITORS COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY - KAISER PERMANENTE REGULARLY MONITORS COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY IN 3 KEY WAYS: A1. THE KAISER PERMANENTE COMPLIANCE HOTLINE IS AVAILABLE TO ALL EMPLOYEES AND VENDORS TO REPORT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. ALL CALLS ARE ANSWERED BY A THIRD PARTY AND PROVIDED TO KAISER PERMANENTE'S NATIONAL COMPLIANCE OFFICE FOR REVIEW AND APPROPRIATE ACTION. EMPLOYEES CAN REPORT ANONYMOUSLY. RETALIATION IS PROHIBITED. REPORTS OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST ARE GENERATED AND INVESTIGATIONS ARE CONDUCTED AS REQUIRED AND INFORMATION IS TRACKED AND TRENDED TO DETERMINE IF ADDITIONAL GUIDANCE IS REQUIRED TO AVOID OR MANAGE CONFLICTS OF INTEREST. COMPLIANCE HOTLINE REPORTS ARE PROVIDED FOR REVIEW AND ACTION TO THE KAISER FOUNDATION HEALTH PLAN/HOSPITALS BOARDS OF DIRECTORS ANNUALLY. A2. THE NATIONAL COMPLIANCE OFFICE AND INTERNAL AUDIT SERVICES ANNUALLY REVIEW THE DIRECTORS', OFFICERS', KEY EMPLOYEES', AND EXECUTIVES' ANNUAL CONFLICTS OF INTEREST QUESTIONNAIRE DISCLOSURES AND PROVIDE DIRECTION ON ANY INVESTIGATIONS REQUIRED. INVESTIGATIONS ARE DOCUMENTED, TRACKED AND TRENDED TO DETERMINE IF ADDITIONAL CONTROLS OR EDUCATION IS REQUIRED. IN ADDITION, CONFLICTS OF INTEREST QUESTIONNAIRE REPORTS ARE PROVIDED FOR REVIEW AND ACTION TO THE KAISER FOUNDATION HEALTH PLAN/HOSPITALS BOARDS OF DIRECTORS ANNUALLY; AND A3. ANNUALLY, AS A COMPONENT OF THE EXTERNAL AUDIT, AN OUTSIDE CERTIFIED PUBLIC ACCOUNTING FIRM REVIEWS THE ANNUAL CONFLICTS OF INTEREST QUESTIONNAIRES PROCESS COMPLETED BY DIRECTORS, OFFICERS, KEY EMPLOYEES, AND EXECUTIVES, AND ACTIONS TAKEN AS A RESULT OF THE DISCLOSURES. THE RESULTS OF THE ANNUAL AUDIT, INCLUDING ANY FINDINGS IN THIS AREA ARE PRESENTED TO THE KAISER FOUNDATION HEALTH PLAN/HOSPITALS AUDIT AND COMPLIANCE COMMITTEE. B. REGULARLY AND CONSISTENTLY ENFORCES COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY - TO ENSURE CONSISTENCY IN THE ENFORCEMENT OF THE POLICY KAISER PERMANENTE USES THE FOLLOWING STEPS AS A GENERAL GUIDELINE: B1. REPRESENTED EMPLOYEES ARE SUBJECT TO ANY CORRECTIVE/DISCIPLINARY ACTION PROVISIONS DESCRIBED IN SPECIFIC REGIONAL/NATIONAL COLLECTIVE BARGAINING AGREEMENTS AND/OR ORGANIZATIONAL POLICIES AND PRACTICES. B2. KAISER PERMANENTE NOTIFIES EMPLOYEES OF THE NATIONAL HUMAN RESOURCES POLICY NO. 14. CORRECTIVE/DISCIPLINARY ACTION POLICY DURING NEW EMPLOYEE ORIENTATION AND IN ANNUAL COMPLIANCE TRAINING. B3. IN THE EVENT THAT IT IS NECESSARY TO DISCIPLINE ANY EMPLOYEE BECAUSE OF, BUT NOT LIMITED TO, FAILURE TO COMPLY WITH APPLICABLE LEGAL/REGULATORY REQUIREMENTS, KAISER PERMANENTE POLICIES AND PROCEDURES,OR THE PRINCIPLES OF RESPONSIBILITY, OR FOR UNSATISFACTORY PERFORMANCE OR MISCONDUCT, COACHING/COUNSELING AND/OR CORRECTIVE/DISCIPLINARY ACTION MAY INCLUDE, BUT IS NOT LIMITED TO: - ORAL DISCUSSION AND/OR WARNING BY THE EMPLOYEE'S IMMEDIATE SUPERVISOR OR HIGHER LEVEL MANAGER TO CORRECT THE PROBLEM; - WRITTEN NOTICE, WITH OR WITHOUT FINAL WARNING; - PAID OR UNPAID SUSPENSION, WITH OR WITHOUT FINAL WARNING; - TERMINATION OF EMPLOYMENT.
PART vi, line 15A/B COMPENSATION DETERMINATION THE EXECUTIVE COMPENSATION PROGRAM AS ADMINISTERED BY KAISER FOUNDATION HEALTH PLAN, INC. IS DESIGNED TO RECRUIT, RETAIN AND MOTIVATE QUALIFIED SENIOR MANAGEMENT PERSONNEL. SENIOR MANAGEMENT PERSONNEL HAVE A SIGNIFICANT IMPACT ON THE STRATEGIC AND POLICY DIRECTION AND RESULTS OF THE ORGANIZATION. THEREFORE, THE EXECUTIVE COMPENSATION PROGRAM IS, TO A SIGNIFICANT DEGREE, PERFORMANCE-BASED. THE COMPENSATION PROGRAM IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE MANAGEMENT COMMITTEE ON COMPENSATION. PRIOR TO PAYMENT, ALL PROGRAMS AND PAYMENTS TO THE CEO, EXECUTIVE DIRECTOR, AND TOP MANAGEMENT OFFICIALS (EXECUTIVES) ARE REVIEWED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE MANAGEMENT COMMITTEE ON COMPENSATION. BASE PAY FOR EXECUTIVE POSITIONS IS ESTABLISHED AT A LEVEL COMPARABLE TO THE RELEVANT MARKET. IN ADDITION, OTHER COMPONENTS OF THE COMPENSATION PROGRAM BEAR 'AT-RISK' FEATURES DESIGNED TO FOCUS ON STRATEGICALLY IMPORTANT PERFORMANCE GOALS AND TO ASSIST IN ATTRACTING AND RETAINING TOP PERFORMERS. THE EXECUTIVE COMPENSATION PROGRAM IS TARGETED TO BE COMPETITIVE TO THE COMPARABLE EXTERNAL MARKET IN WHICH THE ORGANIZATION COMPETES FOR EXECUTIVE LEADERSHIP. EVALUATION OF COMPARABLE PAY DATA IS PERFORMED BY AN INDEPENDENT COMPENSATION, BENEFIT & HUMAN RESOURCE CONSULTING FIRM. THE COMPENSATION PROGRAM FOCUSES ON OBJECTIVES IN THE AREAS OF QUALITY OF MEMBER CARE AND SERVICE, MEMBERSHIP GROWTH, FINANCIAL SOUNDNESS, AND THE COMMUNITY AND SOCIAL MISSION OF THE ORGANIZATION.
PART vi, line 18 Forms 990 are available on www.guidestar.org.
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. - 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 independent auditors' report. To request copies contact: Vice President, Government Relations Kaiser Foundation Health Plan and Hospitals One Kaiser Plaza, 18th floor 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 $ (13,989,265) change in inter-regional transfer (89,755,551) change in dividends, partnership (129,736,027) restricted grants - co 2,147,242 change in pension and other retirement liabilities 1,806,879,633 gain/loss on sale on investment - book-to-tax difference 575,011,180 otti losses (1,189,583,458) ------------------ 960,973,754
PART iii, lines 4a-4d Legal Affiliation with Kaiser Foundation Health Plan, Inc. and its Subsidiaries Kaiser Foundation Hospitals (KFH) and Kaiser Foundation Health Plan, Inc. (KFHP, Inc.) and its four principal operating subsidiaries are separate corporations governed by identical boards of directors. KFH accepts responsibility to provide or arrange necessary inpatient services and facilities for members of health plans administered by KFHP, Inc. KFH owns and operates licensed hospitals in California, Hawaii and Oregon. These facilities provide emergency and inpatient services to all persons in the community, regardless of membership or ability to pay. Staff privileges are available on a nondiscriminatory basis to physicians in the communities served. KFH also contracts with other community hospitals to provide services to members for specialized care and other services. Kaiser Foundation Hospitals Commitment to the Community: KFHs mission is to provide hospital, medical, and surgical care, including emergency services, extended care, and home health care to the public without regard to age, sex, race, religion, or national origin, or to the individuals ability to pay. KFH strives for excellence in serving its patients through market-leading performance in quality and service. As a nonprofit organization, Kaiser Foundation Hospitals is committed to improving the health of the communities beyond the population of patients served by its facilities. Annual investments in a range of Community Benefit programs are a fundamental embodiment of the organizations ongoing commitment to improve the general wellbeing within the broader community. These investments result in intentional, planned, measurable, and accountable benefits intended to address many of the health challenges faced at the individual, local, state, and national levels. The Affordable Care Act (ACA) enacted in 2010 codifies responsibilities that nonprofit hospital organizations such as KFH must satisfy in order to maintain their qualification as tax-exempt entities. One responsibility involves conducting a Community Health Needs Assessment (CHNA) at least once every three years at every licensed hospital facility. Kaiser Foundation Hospitals has completed similar needs assessments for many years to identify the needs and resources that guide our Community Benefit spending. The new federal legislation provides an opportunity to revisit assessment and planning processes with an eye toward enhancing compliance, transparency, efficiency, and utilization of emerging technologies. KFHs most recent CHNA process was undertaken in 2013. In 2014, KFH began addressing the primary needs which were identified in the latest CHNA by developing a comprehensive set of Implementation Strategies (IS) for every facility. The IS reports describe the needs which each KFH facility has chosen to prioritize and the reasons why other needs are not being addressed during this three-year cycle. A full set of the CHNA assessments by facility as well as the related Implementation Strategy reports can be found at www.kp.org/chna. In 2007, the board of directors of Kaiser Foundation Health Plan, Inc. and Kaiser Foundation Hospitals refined the focus of the organizations Community Benefit programs and established the following four priority areas which have come to be known as "Streams of Work": A. Care and Coverage for Low-Income People Creates and supports programs that lower the financial barriers for the under- and uninsured. B. Community Health Initiatives Seeks to measurably improve the health of the communities we serve. Designs, delivers, and sustains long-term programs that engage communities in work to improve conditions in their neighborhoods. C. Safety Net Partnerships Builds partnerships with community clinics, local health departments, and public hospitals. Provides funding, technical assistance, dissemination of care management and quality improvements technology to help improve care and expand treatment capacity for vulnerable populations. D. Developing and Disseminating Knowledge Improves health care by sharing our knowledge - educating practitioners, advancing research, empowering consumers and informing policymakers about evidence-based care and health. In addition to the four Streams of Work identified by the combined Board of Directors, the following Community Benefit-related activities have been described in this section of the tax return. E. Other Community Benefit Investments - support Community Benefit activities and programs beyond the national streams of work, including the administrative expenses of regional Community Benefit departments dedicated to supporting the organizations Community Benefit programs and services and coordinating related initiatives. F. Environmental Stewardship - protecting and improving the natural environment is a key component of KFHs mission to improve the health of the community it serves. Although costs associated with this initiative are not included in the dollars reported as Community Benefit investments, efforts in this area contribute to advancing a broader vision emphasizing healthy people and healthy environments while also improving health care quality and affordability. The following are details of the Community Benefit activities provided by Kaiser Foundation Hospitals: In 2015, Kaiser Foundation Hospitals expended approximately $980 million (at cost, net of $1,355 million of related revenues) to support Community Benefit activities. The following summarizes many of the signature Community Benefit programs and services grouped according to the national Streams of Work.
A. Care and Coverage for Low-Income People Improving health care access for those with limited incomes and resources is fundamental to Kaiser Foundation Hospitals mission. In 2015, the organization invested approximately $790 million (at cost, net of $1,215 million of related revenues) to address the financing and delivery of health care for populations vulnerable due to socio-economic status, illness, ethnicity, age, or other factors. Program beneficiaries (under- and uninsured) received free or discounted care in a KFH facility. A.1. Charitable Care (Medical Financial Assistance and Charitable Health Coverage Programs) Kaiser Foundation Hospitals provides charity care to low-income vulnerable populations through the Medical Financial Assistance (MFA) and Charitable Health Coverage (CHC) programs. In 2015, KFH spent approximately $164 million (at cost, net of $2.6 million of related revenues) to support under- and uninsured patients treated in KFH facilities located in California, Hawaii, and Oregon. A.1.1. Medical Financial Assistance (MFA) Program Kaiser Foundation Hospitals Medical Financial Assistance program provides financial assistance for emergency and medically necessary services, medications, and supplies to patients with a demonstrated financial need. Patients must receive health care services at facilities operated by Kaiser Foundation Hospitals and/or from a Kaiser Permanente provider. Eligibility is based upon prescribed levels of income to patients who have exhausted other private and public sources of support. In 2015, KFH provided $124 million (at cost, net of $200 thousand in related revenues) of services under this program. At KFH, uninsured patients receive a discount on hospital and professional charges for emergency or other medically necessary care without an application and regardless of income level. The discount is provided to ensure than an uninsured individual is not charged more for emergency or other medically necessary services than the amounts generally billed to insured individuals receiving equivalent care. Contracted collection agency practices are aligned with the organizations social values and the final IRC section 501(r). Additionally, any patient experiencing financial hardship due to high medical expenses relative to their income level may qualify for the program under special circumstances. A.1.1.1. MFA Program Offered in California In California, the MFA programs eligibility criteria allows patients falling at or below 350% of the Federal Poverty Guidelines (FPG) to receive full (100%) write off of patient out-of-pocket costs. In 2015, KFH patients in California received full forgiveness for over 112,000 inpatient days of care under the MFA program. A.1.1.2. MFA Program Offered in Hawaii In Hawaii, the MFA program is open to patients whose family income is at or below 400% of the Federal Poverty Guidelines (FPG). In 2015, KFH patients in Hawaii received full (100%) forgiveness for nearly 6,000 inpatient days of care under the MFA program. A.1.1.3. MFA Program Offered in Oregon and Washington In Oregon and Washington, the MFA programs eligibility criteria allows insured patients falling below 300% of FPG and uninsured patients falling at or below 350% of FPG to receive full write off of medical charges. This population received full (100%) forgiveness for over 10,000 inpatient days of care under KFHs MFA program in 2015. The MFA program also covers full or partial expenses for dental services if applicants meet qualifying guidelines. A.1.2. Charitable Health Coverage (CHC) Program Charitable Health Coverage (CHC) is a unique approach to caring for low-income uninsured persons in the community. Eligible participants receive a regular Kaiser Foundation Health Plan, Inc. membership card and access to the full range of services and providers at Kaiser Foundation Hospital facilities--a much better alternative to a potentially costly emergency room visit or hospitalization. KFHP, Inc.s CHC programs have a long history of making a real difference in the lives of low-income people who might otherwise have no permanent health care coverage. In 2015, more than 75,000 low-income adults and children who were not eligible for other public or privately sponsored coverage received access to health care through facilities operated by Kaiser Foundation Hospitals in California and Oregon. KFH contributed approximately $40 million (at cost, net of $2.4 million of related revenues) to provide subsidized care to these underserved populations in 2015. A.1.2.1. CHC Programs Offered in California A.1.2.1.1. Child Health Program The Child Health Program provides medical and dental coverage to eligible children under the age of 19 for California families with income up to 300% of the Federal Poverty Guidelines who do not have access to other health insurance. After-subsidy, monthly payment amounts charged to members range from $0 to $20 per child per month, depending on family income, for a maximum of three children. Additional children are covered free of charge. A.1.2.1.2. Healthy San Francisco KFH provided access to approximately 670 KFHP, Inc. members participating in the Healthy San Francisco program at the end of 2015. 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 living on a combined family income at or below 400% of the Federal Poverty Level. It is available for all San Francisco residents, regardless of immigration or employment status, or pre-existing medical conditions. While this program is not an insurance plan, it does provide access to primary care, preventive services, and hospitalization within the city and county of San Francisco. A.1.2.2. CHC Program Offered in Oregon A.1.2.2.1. The Child Health Plan Program Plus The Child Health Plan Program Plus targets eligible students. This program is open to children of low-income families who reside in one of six school districts and who do not have access to other health insurance options. The program provides comprehensive medical, dental, and prescription coverage to children between kindergarten and 12th grade, and these children must come from a household with income up to 350% of the Federal Poverty Guidelines.
A.2.Participation in Medicaid and Other Government-Sponsored Programs Kaiser Foundation Hospitals has a long history of providing access to low- and moderate-income individuals as a nonprofit organization. In 2015, Kaiser Foundation Hospitals provided medical services valued at $619 million (at cost, net of $1,212 million of related revenues) to individuals participating in government-sponsored programs in California, Hawaii, Oregon, and Washington. Improving access to care for vulnerable populations is fundamental to KFHs social mission to improve the health of communities served and consistent with the obligations of a tax exempt organization. The Affordable Care Act is having a continuing far-reaching impact on the landscape of government-sponsored programs, as these options are poised to become the key source of health coverage for a significant portion of the American population. KFH has responded to this challenge by developing organizational strategies to enable individuals whose coverage is changing due to personal or financial circumstances to continue to obtain medical care at facilities owned by the organization. Realized and anticipated growth in the organizations Medicaid offerings closely aligns with and supports KFHs core mission, tax exempt status, credibility in state and federal policy arenas, and community health needs focusing on access to care. A.2.1. Government-Sponsored Programs in California Highlights of the government-sponsored health care coverage programs supported by KFH in California include: A.2.1.1. Medicaid/Medi-Cal Managed Care KFH provided access to inpatient care for nearly 647,000 Medicaid/Medi-Cal managed care members in Northern and Southern California through various local and state government entities. Approximately $475 million (at cost, net of $1,025 million of related revenues) was invested in this program in 2015. Prior to 2014, KFH provided health care services to members participating in the federal- and state-funded Childrens Health Insurance Program (CHIP) offered by Kaiser Foundation Health Plan, Inc. Coverage was offered under the Healthy Families program. In 2013, members of the Healthy Families program were transitioned to a plan under the Medicaid/Medi-Cal umbrella. Financial losses formerly associated with the Healthy Families program are now included in the overall totals for the Medicaid/Medi-Cal managed care program. A.2.1.2. Medi-Cal Fee-for-Service KFH provided subsidized care on a fee-for-service basis to over 185,000 Medi-Cal patients who were not enrolled as members of Kaiser Foundation Health Plan, Inc. This accounted for approximately $113 million (at cost, net of $78 million of related revenues) of inpatient services provided by KFH. A.2.2. Government-Sponsored Programs in Hawaii Highlights of the government-sponsored health care coverage programs supported by KFH in Hawaii include: A.2.2.1. QUEST QUEST is a Medicaid managed care program run by Hawaiis Department of Human Services. The state administers the QUEST program and pays Kaiser Foundation Health Plan, Inc. to provide medical services. KFH provides access to the organizations health care facilities in connection with the QUEST program on the islands of Oahu and Maui. In 2015, KFH cared for approximately 26,000 individuals enrolled in Quest and expended approximately $6.8 million (at cost, net of $31 million of related revenues) on subsidized medical care services. A.2.2.2. Medicaid Fee-for-Service Kaiser Foundation Hospitals provides services on a fee-for-service basis to states not participating in the Medicaid managed care program or for individuals/populations not enrolled in managed care. In 2015, KFH in Hawaii contributed $4.2 million (at cost, net of $2.9 million of related revenues) towards subsidized care for Medicaid patients who were not enrolled in the Kaiser Foundation Health Plan QUEST program. A.2.2.3. Childrens Health Insurance Program (CHIP) The Childrens Health Insurance 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 3,100 children enrolled in this program were cared for at KFH facilities in Hawaii at a total expense of $480 thousand (at cost, net of $750 thousand of related revenues) in 2015. A.2.3. Government-Sponsored Programs in Oregon and Washington Highlights of the government-sponsored health care coverage programs supported by KFH in Oregon and Washington include: A.2.3.1. Medicaid Programs in Oregon and Washington Kaiser Foundation Hospitals supports Medicaid managed care programs in the states of Oregon and Washington in addition to a fee-for-service option. In 2015, KFH expended approximately $16.9 million (at cost, net of $28.4 million of related revenues) in the Northwest region to subsidize care under Medicaid. The following describe the programs and target populations: A.2.3.1.1. Oregon Health Plan Kaiser Foundation Hospitals provides medical care to individuals participating in the Oregon Health Plan under a direct contract with Kaiser Foundation Health Plan, Inc. Members in this program are enrolled based upon eligibility criteria for qualified participants who reside in Marion and Polk counties. A.2.3.1.2. Health Share of Oregon With the establishment of Coordinated Care Organizations in the State of Oregon, Kaiser Foundation Health Plan, Inc. has joined Tuality Healthcare, Care Oregon, and Providence Health Services to form the largest Coordinated Care Organization in the State. Kaiser Foundation Hospital provides inpatient care services to the KFHP, Inc. members of this program which serves families in Clackamas, Multnomah, and Washington counties. A.2.3.1.3. Healthy Options Healthy Options is a Medicaid program for low-income individuals that meet eligibility requirements for Medicaid. It is a fully-capitated state program managed by the Washington State Health Care Authority (HCA). Kaiser Foundation Hospitals provides services at KFH facilities to eligible participants who reside in either Clark or Cowlitz counties through a subcontract with Molina Healthcare. A.2.3.1.4. Medicaid Fee-for-Service KFH provided $4.0 million (at cost, net of $4.0 million of related revenues) in subsidized care to Medicaid fee-for-service patients living in the states of Oregon and Washington in 2015. These services were billed to the Medicaid program on behalf of non-affiliated patients receiving medical attention in KFH facilities. When a Medicaid patient receives services from Kaiser Foundation Hospitals under this program, these expenses are recorded as non-capitated services and billed to the Medicaid program on a fee-for-service basis. A.2.3.2. Child Health Insurance Program (CHIP) In both Oregon and Washington, KFH provides health care services to members of KFHP, Inc.s Child Health Insurance Program. The program provides health insurance to children whose family income is between 200 percent and 300 percent of the federal poverty level, and who are not eligible for Medicaid. Subsidies are provided on a sliding scale based on income. In both states, the program is governed by the Medicaid contract, and offers the same benefits. KFH incurred net losses of $1.7 million (at cost, net of $2.0 million of related revenues) under this program in 2015.
A.3. Grants and Donations for Care and Coverage In 2015, Kaiser Foundation Hospitals donated approximately $6.6 million to nonprofit and community-based organizations to improve access to health care for low-income families and individuals. The following are a few examples of the contributions made in this area: A.3.1 Project ACCESS NOW Project Access Now received $100,000 to support a network of volunteer health care providers and the ancillary services in the Northwest Region that are needed to assure that low-income patients in the community get the care they need. Facilitating a health care delivery workflow that is easier for providers to donate care, this program includes information technology, care coordination, a pharmacy benefit management system, low-cost medication, and interpretive services for nonhospital providers. A.3.2 Salem Hospital In Oregon, Kaiser Foundation Hospitals provided $2.9 million of additional charitable care through a contract with Salem Hospital, serving community members that live and work in the greater Willamette Valley. KFHs 2013 Community Health Needs Assessment for this area found that over 17% of the population in the Mid-Willamette Valley was uninsured, and an even greater percentage fell within the low-income range. Funding provided by KFH supports free or discounted medically necessary care to qualifying low-income patients. A.3.3 Prior Year Contributions for Care and Coverage Investments In prior years, KFH made contributions to several donor advised funds under the direction of various foundations operating in our local communities. These funds were intended to identify and support nonprofit organizations that meet community needs in the area of care and coverage. In 2015, the following initiative was funded through disbursements issued by the community foundations based upon recommendations informed by KFH's expertise. A.3.3.1 Operation Access Operation Access received a grant of $300,000 in 2015 from a prior year contribution to a community foundation donor advised fund for core operating support. Operation Access organizes a network of 41 medical centers and 1400 medical professionals who donate surgical, specialty, and diagnostic services. They reach 1,500 low-income, uninsured patients a year in nine Northern California counties, with plans to expand into three additional counties.
B. Community Health Initiatives (CHI) The Community Health Initiatives (CHI) strategy aims to improve the health of individuals, families, and communities by addressing the social, economic, and environmental determinants of health. The role of the community is vital to creating the conditions of health as well as the importance of non-medical resources in communities that promote well-being and prevent disease. The central premise of this approach is that excellent medical care alone is not sufficient to create healthy communities. Evidence underscores the importance of changing community environments as a critical community health strategy. Guided by this evidence, Kaiser Foundation Hospitals supports comprehensive initiatives that focus on policy and environmental changes to promote healthy eating and active living, community safety, economic stability, and social and emotional wellness. In 2015, KFH spent approximately $13.7 million to support Community Health Initiatives as poverty and obesity were identified as significant and pervasive barriers to health in the recent Community Health Needs Assessments of each KFH hospital. B.1. Community Health Initiative Programs The following describe two of the primary programs supported within the CHI Stream of Work: B.1.1. Healthy Eating, Active Living (HEAL) and obesity prevention Healthy eating, active living has been and continues to be a compelling focus for Kaiser Foundation Hospitals work since obesity continues to be a significant and pervasive public health problem. Despite encouraging signs of obesity rates leveling off in recent years, substantial racial and ethnic disparities continue to exist. Also, through a focus on healthy eating and active living, Kaiser Foundation Hospitals can have a marked impact on a wide range of health conditions including pre-diabetes, diabetes, cardiovascular disease and several cancers that are affected by these behaviors. Finally, a focus on nutrition, physical activity and weight management are highly aligned with Kaiser Foundation Hospitals clinical expertise in this area, including prevention orientation and a number of existing programs and partnerships. Wherever possible, KFH supports a concentration of multiple strategies that enable sustainable change towards healthy eating and active living lifestyles. These include policies and practices reducing the availability and consumption of sugar-sweetened beverages, development of safe spaces, and active transportation policies that support public transit. B.1.2. Thriving Schools Thriving Schools is an initiative to improve healthy eating, physical activity, and school climate in K-12 schools within Kaiser Foundation Health Plans geographic service areas, primarily through a focus on policy, systems, and environmental changes that make the healthy choice the easy choice. Also supported are interventions that target individual behavior change and family engagement and that help create a culture of health in school communities through complementary efforts targeting both teacher/staff wellness and student health. B.2. CHI Investments in the Community Kaiser Foundation Hospitals investments in the CHI Stream of Work during 2015 included the following: B.2.1. Thriving Schools in Northern California In 2015, KFH provided $2.6 million in grant funding towards six Thriving Schools programs to implement coordinated strategies focused on policy, systems, the built environment, and program changes bolstering healthy eating and active living. Several programs this year, such as the multi-year grant to Monument Impact, specifically focused on improvements to school meals, developing joint use agreements for playground space within the community, and education. In South Santa Rosa, a $500,000 grant to the County of Sonoma Department of Public Health is expected to reach 22,000 people through changing the availability and appeal of sugar sweetened beverages in addition to creating greater access to walking and biking. B.2.2. Thriving Schools Integration with School-Based Health Centers in the Northwest In 2015, Virginia Garcia Memorial Foundation received $60,000 in a program integrating Thriving Schools with a school-based health center (SBHC). Funding from this grant allowed placement of staff at Century High School for coordinating policies and practices in local schools and school districts. This SBHC Community Wellness Promoter (CWP) works closely with Virginia Garcia's SBHC Manager and engage key stakeholders to develop a wellness model from pilot to evaluation, refinement, and replication. B.2.3. Safer Pedestrian Infrastructure in Southern California In 2015, Circulate San Diego (CSD) received support of $60,000 from KFH for Planning & Action for a Healthier Tomorrow to work on policies, collaboration, and funding to provide safer pedestrian infrastructure and encourage walking. Residents of low-income neighborhoods in San Diego County are 10 times more likely to be hit by a car compared to residents of upper-income neighborhoods. The San Diego City Council approved a resolution by CSD to eliminate all traffic fatalities and serious injuries in the city by 2025. B.2.4. Community-To-Clinic Integration in the Northwest KFH awarded Friends of Zenger Farm in the Northwest a grant of $82,592 in 2015 to implement a community-to-clinic integration with distribution of weekly boxes of fresh, local vegetables to low-income and chronically ill populations in North and outer Southeast Portland. B.2.5. Community Food Bank In 2015, Food, Inc. received $150,000 from KFH as part of a two-year grant to provide access to, and thereby increase consumption of, lean protein and fresh produce in drought impacted communities in Fresno. Each family that was served in 2015 received approximately 25 pounds of produce and one whole chicken. Food, Inc. reported that nearly 8,000 families were served by this program in this first year. B.3. Prior Year Contributions for CHI Investments In prior years, KFH made contributions to several donor advised funds under the direction of various foundations operating in our local communities. These funds were intended to identify and support nonprofit organizations that meet community needs in the area of community health initiatives. In 2015, the following initiatives were funded through disbursements issued by the community foundations based upon recommendations informed by KFH's expertise. B.3.1. HOPE SAN FRANCISCO (HOPE SF) San Francisco Foundation received $1 million in 2015 from a prior contribution to a community foundation donor advised fund for HOPE SF to implement a large-scale public housing revitalization project integrating a Peer Health Leadership program to support residents to lead healthy lifestyles, improve resident mental health, and increase community safety. Over 100 agencies that serve the community are engaged in the HOPE SF initiative. This program is expected to reach 4,000 people. In 2015, the program reported that more than 20 peer leaders have BEEN TRAINED AND HAVE SERVED OVER 700 RESIDENTS THROUGH "HEALTH EATING, ACTIVE LIVING" ACTIVITIES. B.3.2. Healthy Food Access In 2015, Community Partners Los Angeles Food Policy Council, the fiscal agent for Los Angeles Food Policy Council (LAFOC), received $50,000 in 2015 from a prior contribution to a community foundation donor advised fund as part of a multi-year grant supporting the adoption of sustainable and healthy food systems for underserved communities. LAFPC manages and guides working groups for street food vending and acceptance of Electronic Benefit Transfer and Women Infant Child (EBT/WIC) at all farmers' markets. B.3.3. Active Living The Trust for Public Land (TPL) received $100,000 in 2015 from a prior contribution to a community foundation donor advised fund as part of a multi-year grant supporting TPLs work in creating new parks and improving existing ones in neighborhoods with high percentages of residents living at or below the federal poverty level. In 2015, TPL reported opening two parks with four more sites in development. Park advisory boards were also created in five of the projects.
C. Safety Net Partnerships Kaiser Foundation Hospitals is committed to building partnerships with the institutions that serve on the front lines of health care for the uninsured and underserved. By providing support to community health centers, public hospitals, and local health departments, KFH helps them deliver care and treatment to the most vulnerable in our communities. KFH is dedicated not only to improving clinical care for racial and ethnic populations, but also to investing in communities and promoting good health for the communities served. As such, Safety Net Partnership (SNP) initiatives aim to strengthen the system of community clinics, public hospitals, and health departments to promote access to high quality care for the uninsured and underserved vulnerable populations (many of whom are newly insured under Medicaid expansion or health insurance exchange). KFH also focuses on improving access to health services and the transformation of care delivery to meet the challenges of health care reform. Efforts to improve access and transform care include work on: increasing access to specialty care services; increasing the use of health information technology in safety net settings; and eliminating health disparities. KFH also supports innovative efforts to bring services closer to where people play, live, and work through partnerships with school based health centers and community clinics. Investments in Safety Net Partnerships is accomplished through three programmatic areas of work: I. Quality Improvement & Population Health II. Leadership Development III. Transforming Care & Improving Access In 2015, KFH spent approximately $5.9 million to support Safety Net Partnerships as access to affordable quality care and health disparities amongst vulnerable populations were identified as significant and pervasive barriers to health in the recent Community Health Needs Assessments in the communities that KFH hospitals served. The following are examples of initiatives funded in accordance with the objectives of the Safety Net Partnerships Stream of Work during the year. C.1. Targeted Safety Net Investments C.1.1. Recuperative Care Program Central City of Concern, Inc. in the Northwest region received $75,000 for Recuperative Care Program (RCP). RCPs aim is to help medically vulnerable adults facing homelessness more successfully manage their transition out of hospital care. The RCP provides immediate housing, a primary care home, and intensive case management. C.1.2. Home for Good Collaborative for Los Angeles County In 2015, KFH contributed $630,000 towards eight projects as a co-funding partner of Home for Good (HFG). HFG aims to provide housing coordination and placement services for 2,400 chronically homeless individuals in the eight Service Planning Areas of Los Angeles County. KFH resources contribute to the provision of homeless health and wellness beyond medical care, and address social determinants of health such as housing, transportation, job training and placement. C.1.3. Tigard-Tualatin School District KFH continued its commitment in 2015 with a series of grants. An example was an award of $50,000 to Oregon Tigard-Tualatin School District 23J to implement an integrated school-wide mental health early identification, intervention, and treatment services. This program estimated providing direct services to 500 students per year. C.1.4. Community Health Workers KFH provided a grant of $260,000 to the Oregon Public Health Institute for the Warriors of Wellness project. Funding from this grant supports Community Health Workers in conducting health promotion activities in their communities and collaboration with community-based organizations. C.1.5. Quality Improvement and Population Health: ALL/PHASE Protocol In 2015, Kaiser Foundation Hospital issued a series of grants to support SAFETY NET CLINICS IN ADOPTING "ALL/PHASE" INTO CLINICAL GUIDELINES AND CARE MANAGEMENT PROTOCOLS, LEVERAGING KFH'S EVIDENCE-BASED PRACTICES. A total of $3.0 million in investments recognized under the Care and Coverage Stream of Work was provided to safety net and community clinics for adopting ALL/PHASE, an evidence-based practice directed at improving outcomes in cardiovascular disease. Kaiser Foundation Hospitals ALL/PHASE treatment protocol targets those PATIENTS MOST PRONE TO CARDIOVASCULAR DEATH. "ALL" STANDS FOR ASPIRIN, Lisinopril, and Lovastatin and clinical studies show it to be effective in reducing cardiovascular risk. It is projected that over a three-year period, patients that receive the ALL treatment protocol will have a 60 percent lower incidence of hospitalizations for heart attacks and strokes. C.1.5.1 Alameda Health Systems Foundation One example of the ALL/PHASE grants was an award of $200,000 funded by the Care and Coverage Stream of Work in Northern California to the Community Health Center Network (CHCN). CHCN serves a predominantly low-income and uninsured population facing disparities in health equity. Chronic conditions, including diabetes and hypertension, are prevalent. The grant issued by KFH will permit CHCN to expand the ALL/PHASE treatment protocol within its patient population. At the end of 2015, CCHN reported enrolling 34,000 patients on ALL/PHASE protocol for cardiovascular disease risk management. C.3. Prior Year Contributions for Safety Net Partnerships In prior years, KFH made contributions to several donor advised funds under the direction of various foundations operating in our local communities. These funds were intended to identify and support nonprofit organizations that meet community needs in the area of safety net partnerships. In 2015, the following initiatives were funded through disbursements issued by the community foundations based upon recommendations informed by KFH's expertise. C.3.1 Trauma-Informed Care in School-Based Health Centers Santa Rosa Community Health Centers (SRCHC) in Northern California was awarded a grant of $95,000 from a prior contribution to a community foundation donor advised fund to increase the competency of teachers/staff at Elsie Allen High School to recognize and understand the impacts of trauma, increase mental health services for low-income high-risk teens, and support school staff wellness with weekly yoga classes that connect them to the health center.
D. Developing and Disseminating Knowledge The Developing and Disseminating Knowledge Stream of Work supports activities that improve health care by sharing knowledge, educating practitioners, advancing research, empowering consumers and informing policymakers about evidence-based care and health. Kaiser Foundation Hospitals spent $142 million (at cost, net of $139 million of related revenues) in 2015 to support programs and services associated with the development and dissemination of knowledge. D.1. Medical Research Programs At Kaiser Foundation Hospitals, research is an essential part of what it means to be an evidence-based, learning organization. Achievements realized under this program are made possible through a dedicated group of researchers, the comprehensive nature of KFHs electronic medical record system, and access to the health data of over 10 million Kaiser Foundation Health Plan, Inc. members. Through studies conducted at KFHs four regional and two national research centers, researchers address critical issues like cancer, cardiovascular conditions, diabetes, behavioral and mental health, and health care delivery improvements by leveraging the organizations research expertise, rich data sources, and delivery system environment. KFH spent approximately $30 million (at cost, net of $120 million of related revenues) on medical research projects in 2015. In 2015, Kaiser Foundation Health Plan, Inc. and its subsidiaries continued to expand its national biobank, the KP Research Bank, a research resource that will strengthen the ability to conduct cutting-edge studies. With this development, Kaiser Foundation Hospitals benefit from being part of a biobank that will be one of the largest non-governmental biobanks in the United States to examine the genetic and environmental factors that influence common diseases such as heart disease, cancer, diabetes, high blood pressure, Alzheimer's disease, asthma and many others. D.1.1. National Research Program Kaiser Foundation Hospitals has a long history of conducting health services and medical research that addresses health care policy, quality of care, and quality of life. The results have yielded findings that affect not just the practice of medicine within the organization, but also for society-at-large. D.1.1.1. Kaiser Foundation Research Institute (KFRI) The Kaiser Foundation Research Institute provides administrative leadership and support for federally funded medical research conducted at regional research centers located in California, Hawaii, and Oregon, as well as three other states. KFRI personnel are designated as the Authorized Organizational Official for all federally funded research performed by both Kaiser Foundation Hospitals and Kaiser Foundation Health Plan, Inc., and its subsidiaries. In this capacity, KFRI submits applications for grants and executes contracts and sub-contracts for all federally funded research on behalf of the regional research programs described below. KFRI also manages invoicing and accounts receivable related to federally funded research, and distributes grant proceeds to the appropriate regional program. Additionally, KFRI supports the regional research centers on issues related to human participant protection and clinical trials research quality and compliance. D.1.1.2. The Center for Effectiveness and Safety Research (CESR) The Center for Effectiveness and Safety Research is a national research center that leverages the expertise of Kaiser Permanentes seven regional research centers to answer important comparative effectiveness and safety questions that affect health care delivery questions by relying on collaborations within the network.
D.1.2. Regional Research Program KFHS research organization includes investigators and staff at four regional research centers, clinician researchers working at KFHs medical centers, and research groups based within the national organization. The regional research centers include: - The Centers for Health Research (locations in Oregon and Hawaii) - The Department of Research and Evaluation (Southern California) - The Division of Research (Northern California) The principal research activities conducted by these four regional centers include the following: D.1.2.1. The Center for Health Research Hawaii The work undertaken by the Center for Health Research Hawaii is specially attuned to the health issues of the local population, which suffers disproportionately from several chronic diseases, primarily diabetes and heart disease. Research includes chronic disease prevention and epidemiology, as well as health technology and care delivery research. Top Research Areas: - Chronic Diseases - Diabetes - Epidemiology - Health Information Technology - Health Services Key Statistics: - Number of clinical trials in 2015: 68 - Number of active studies (clinical and non-clinical trials) in 2015: 148 - Number of research papers published in journals in 2015: 26 - Number of investigators: 3 - Number of Support Staff: 29 D.1.2.1.1 Major Areas of Funded Research The following is an example of a research project conducted by KFH investigators at the Centers for Health Research in Hawaii in 2015: D.1.2.1.1.1 Cardiovascular Disease Among Asians and Pacific Islanders Research Area: Cardiovascular Conditions Kaiser Permanente Primary Site: Hawaii Collaborating Kaiser Permanente Site: The Northwest Region For this project researchers are determining the prevalence/incidence of cardiovascular diseases among Asian and Pacific Islander populations and identifying underlying causes of differences in cardiovascular disease prevalence among these groups. Primary Funding Provided By: National Heart, Lung, and Blood Institute D.1.2.2. The Center for Health Research Northwest The Center for Health Research Northwest has been a leader in the field of research for over 50 years. As the research landscape has shifted over that time, this Center has adapted and cultivated new strengths, while remaining true to its guiding mission of advancing knowledge that serves the public health priorities of Kaiser Foundation Hospitals. Top Research Areas: - Cardiovascular Conditions - Genetics - Mental Health - Cancer - Womens Health Key Statistics: - Number of clinical trials in 2015: 57 - Number of active studies (clinical and non-clinical trials) in 2015: 672 - Number of research papers published in 2015: 167 - Number of investigators: 38 - Number of support staff: 214 D.1.2.2.1. Major Areas of Funded Research The following are examples of research projects conducted by KFH investigators at the Centers for Health Research in the Northwest in 2015: D.1.2.2.1.1. Statin Use in Relation to Breast Cancer Recurrence Research Area: Cancer Kaiser Permanente Primary Site: Northwest Region Breast cancer is second only to lung cancer as a cause of cancer mortality among U.S. women. Statins, one of the most commonly prescribed classes of drugs, are also the focus of growing interest in cancer research. In this study researchers are examining possible associations between the use of statins and recurrence of breast cancer among women receiving tamoxifen treatment for breast cancer. This includes investigating whether women who took statins before or after treatment for their initial breast cancer diagnosis had a lower risk of breast cancer recurrence than women who did not use statins. Primary Funding Provided By: National Cancer Institute D.1.2.2.1.2. Glycemia Reduction Approaches in Diabetes: A Comparative Effectiveness Study Research Area: Diabetes Kaiser Permanente Primary Site: Northwest Region A major challenge for health care practitioners is to choose, from the considerable array of glucose-lowering medications at their disposal, the optimal approach to achieving and then maintaining good glycemic control over time. This randomized clinical trial is focused on exploring the choice of one medication versus another agent as initial therapy or as the second drug added to metformin, the consensus initial treatment for type 2 diabetes. This includes examining individualizing therapies and determining whether some therapies work better in individuals with particular characteristics compared to others are needed. Primary Funding Provided By: National Institute of Diabetes and Digestive and Kidney Diseases
D.1.2.3. The Department of Research and Evaluation Southern California The Department of Research and Evaluation focuses on conducting research with real-world implications and translating findings into practice. The Department has been expanding and building scientific expertise in new research areas, including health services and implementation science. This helps KFH better understand how to provide more effective care for patients, and bridge the gap between research and practice. Top Research Areas: - Cancer - Cardiovascular Diseases and Diabetes - Health Services and Implementation Science - Obesity - Vaccine Safety and Effectiveness - Maternal and Infant Health Key Statistics: - Number of clinical trials in 2015: 452 - Number of active studies (clinical and non-clinical trials) in 2015: 1,558 - Number of research papers published in journals in 2015: 147 - Number of investigators: 35 - Number of support staff: 350 D.1.2.3.1. Major Areas of Funded Research The following are examples of research projects conducted by investigators at the Department of Research and Evaluation in Southern California in 2015: D.1.2.3.1.1. Pragmatic Trial of More Versus Less Intensive Strategies for Active Surveillance of Patients with Small Pulmonary Nodules Research Area: Cancer Researchers are seeking to find the best approach for identifying cancerous nodules in current and former smokers. Guidelines now recommend that heavy smokers and former smokers undergo regular lung cancer screening, which can identify small growths. Researchers are comparing whether using more intensive or less intensive protocols are best for finding cancerous growths. Primary Funding Provided By: Patient-Centered Outcomes Research Institute D.1.2.3.1.2. Moderate Hypertension in Pregnancy: Safety and Effectiveness of Treatment Research Area: Cardiovascular Conditions Collaborating Kaiser Permanente Site: Northern California Region In this study researchers are evaluating the effect of treating mild-to-moderate hypertension in pregnancy, comparing the risks of clinically important outcomes with different medications, and determining whether the benefits and risks vary by maternal race/ethnicity or obesity status. Primary Funding Provided By: Eunice Kennedy Shriver Institute of Child Health & Human Development D.1.2.3.1.3. Understanding the Factors That Lead to Disparities in Depression Treatment Research Area: Behavioral Health and Mental Health Collaborating Kaiser Permanente Sites: Hawaii and Colorado Regions In this study researchers are seeking to address disparities in psychotherapy treatment for depression. They are exploring three main themes: the health care system-, provider-, and patient-level factors that predict pharmacological and psychotherapeutic treatment patterns for those patients who are first diagnosed with depression; the health care system-, provider-, and patient-level factors that predict adherence to treatment once initiated; and the changes in depression symptoms and severity as a result of treatment. Primary Funding Provided By: National Institute of Mental Health D.1.2.4. The Division of Research Northern California The Division of Researchs program is built upon a base of rigorous epidemiologic investigation in a large, well-characterized population, which allows it to make major contributions in risk factor identification, prevention, and drug safety. New areas of inquiry include the role of genes and the environment in health, the use of health informatics, management of chronic conditions, and promotion of self-care and disease prevention. Top Research Areas: - Behavioral Health and Aging - Cancer - Cardiovascular and Metabolic Conditions - Health Care Delivery and Policy - Infectious Diseases - Vaccine Safety and Effectiveness - Womens and Childrens Health Key Statistics: - Number of clinical trials in 2015: 235 - Number of active studies (clinical and non-clinical trials) in 2015: 1,687 - Number of research papers published in journals in 2015: 310 - Number of investigators: 60 - Number of support staff: 527 D.1.2.4.1. Major Areas of Funded Research The following are examples of research projects conducted by KFH investigators at the Division of Research in Northern California in 2015: D.1.2.4.1.1. Evaluating a Risk Prediction Model for Lung Cancer Research Area: Cancer Screening with low-dose computed tomography (LDCT) presents an opportunity to improve early detection and reduce mortality from lung cancer. This five-year study seeks to evaluate whether the most predictive and clinically oriented risk model for lung cancer to date can be validated, extended, and applied to aid decision making about LDCT screening. Primary Funding Provided By: National Cancer Institute D.1.2.4.1.2. Excessive Gestational Weight Gain and Postpartum Glucose Intolerance in Women Research Area: Diabetes This study utilizes data from the prospective Kaiser Permanente Northern California pregnancy and birth cohorts to determine whether excessive gestational weight gain is related to glucose intolerance (pre-diabetes or type 2 diabetes mellitus) after pregnancy in a racially diverse sample of women. Primary Funding Provided By: Kaiser Permanente Community Benefit D.1.2.4.1.3. Health Impact of Matching Latino Patients with Spanish-Speaking Primary Care Providers Research Area: Health Care Delivery and Comparative Health Systems Latinos with diabetes and limited English proficiency (LEP) have poorer health outcomes compared to English-speaking Latinos or whites. In this study researchers are evaluating whether LEP Latino patients who switch from a monolingual primary care physician (i.e., one who does not speak Spanish) to a bilingual primary care physician experience beneficial changes in health and behaviors. Any observed changes are being compared to reference groups, which include English-speaking Latino or non-Hispanic white diabetes patients who also switch providers. Primary Funding Provided By: Health Policy and Disparities Research Program D.1.2.4.1.4. Impact of Health Reform on Smoking and Treatment Utilization Research Area: Behavioral Health and Mental Health In this study researchers are examining how the implementation of landmark health care legislation has affected the population of smokers in a private health care delivery system, their treatment utilization, and smoking cessation outcomes over time. The study is designed to test whether newly insured patients have a higher percentage of comorbidities and differential use of tobacco cessation counseling. Primary Funding Provided By: Tobacco-Related Disease Research Program
D.2. 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 KFH. 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. In 2015, health sciences and medical libraries in California, Hawaii, and Oregon completed thousands of requests for general knowledge and literature searches for research purposes. One example of the resources available to the community is the KFH Sunnyside medical library. It is one of two KFH regional libraries in Oregon, and is open 5 days a week. The library supports the local community, students, residents, and KP members. The library services available to the community are promoted on the KFH Sunnyside Medical Library external internet site. These services include in-depth research, answering reference questions, providing consumer health information and document delivery. Community members are invited to check out books from the updated consumer health book collection and its medical and nursing book collections. The community patrons are issued a library card. The library has a dedicated community computer that is available to the public. The computer is used daily by volunteers, interpreters, student interns, family members of patients, KP members and the community. In addition to providing health information to community members, library staff advises patrons of all skill and reading levels about how to access appropriate health information and resources online. D.3. Educational Theatre Programs (ETP) Confronted with an urgent need for preventive health information in the communities we serve, the Educational Theatre Programs (ETP) was created to inspire children, teens and adults to make informed decisions about their health and to build stronger, healthier communities. The Educational Theatre Program uses live theatre, music, comedy, and drama and these educational programs were developed with the advice of teachers, parents, students, health educators, medical professionals, and professional theatre artists. Performances are delivered by professional actors who are also trained as peer health educators, and are 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. ETP performances are localized to suit local cultures, norms, and audience on a regular basis. The 2015 productions focused heavily on healthy eating and active living, nutrition, and mental health, depending on the health priorities of the area as identified in their respective Community Health Needs Assessments. KFH in California, Northwest (Oregon, Washington) spent $10 million to provide more than 460,000 children and adults the opportunity to view or participate in one of the more than 3,700 performances, workshops, and other educational interactions offered during 2015. D.4. Health Professional Training and Education KFH spent approximately $101 million (at cost, net of $19 million in related revenues) to provide continuing medical education to healthcare professionals affiliated with colleges and universities and other health care providers. D.4.1 Graduate Medical Education KFH 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. In 2015, KFH contributed $73 million (at cost, net of $19 million of related revenues) to educate approximately 875 independent and more than 2,300 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 a part of receiving training in a Kaiser Foundation Hospital setting, exposure to understanding culturally competent care is heavily emphasized. To further understand barriers to receiving health care in the community, KFH also offers a one-year Community Medicine Fellowship in Southern California. These are full-time positions where fellows may work in multiple community settings, providing direct care, exploring connections in personal professional goals for community service, and identifying opportunities for systems-based improvements. In addition, in the Northwest region, KFH Sunnysides Department of Graduate Medical Education serves as a training resource for 21 affiliated residency programs, providing a variety of specialties options for the residents, fellows, medical and affiliated clinician students from both local and national institutions. Each academic year more than 400 trainees participate in the program. The KFH Sunnyside medical library services are also available to residents and students. D.4.2 Nurse Practitioner and Other Non-Physician Training Programs During 2015, KFH supported approximately 2,500 students pursuing a career in the allied health care field and spent $22 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 training programs offered. D.4.3 Kaiser Permanente School of Allied Health Sciences (KPSAHS) 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. D.4.4 Community College Partnerships In Southern California, KFH partners with community colleges as a clinical affiliate for radiologic technology, diagnostic medical sonography (ultrasound), and/or nuclear medicine. Students officially enrolled in these programs complete a clinical internship as an integral part of the curriculum. D.4.5 Online Curriculum for Nurses and Medical Assistants KFH has opened access to the Ambulatory Practice website, which offers online education modules used internally by nurses and medical assistants. This website is free to the community and provides community partners with learning opportunities designed to develop knowledge and skills that will enable them to implement evidence-based practices through research while supporting a proactive patient-centered care delivery system. For more information, visit: https://www.ambulatorypractice.org/community-partners/cb-online-education D.4.6 Pharmacy Residency Programs 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. D.4.7 Physical Therapy Orthopedic Residency Program The Physical Therapy Orthopedic Residency Program provides education in the specialty area of orthopedic physical therapy. This program offers physical therapy residency positions at non-KFH facilities in southern California. Program graduates are able to sit for board certification examinations in orthopedic physical therapy, and apply to participate in a physical therapy fellowship program. D.4.8 Board of Registered Nurses (BORN) Work Study Program The Board of Registered Nurses work study program gives nursing students valuable direct clinical experience before graduation, allowing them to enter the workplace with additional confidence and competence. This program provides s
E. Other Community Benefit investments In 2015, Kaiser Foundation Hospitals spent approximately $28.6 million to support Community Benefit activities and programs beyond the national streams of work. This included the administrative expenses of regional Community Benefit departments dedicated to supporting the organizations Community Benefit programs and services and coordinating related initiatives. The following is an example of programs funded in this area. E.1. Tumor Board and Cancer Registry KFH spent $1.4 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. E.2. Grants and Donations Towards Additional Needs in the Community During 2015, Kaiser Foundation Hospital spent approximately $3.4 million to support Community Benefit activities and programs beyond the national streams of work. The following is an example of a charitable contribution funded in this area. E.2.1. Contributions to Community Foundation Kaiser Foundation Hospitals made a contribution of $500,000 to the Northwest Health Foundation Fund II. This contribution is dedicated towards efforts in creating a Total Health approach emphasizing the role of non-medical needs in the community, as unmet social, behavioral and environment needs limit the ability of the community to achieve health and overall wellbeing. The range of activities addressing the Total Health of the communities KFHP Inc. serves may include social and emotional wellness, mental health, adverse childhood events, basic needs in transportation and housing, behavior change, and safe and healthy environments. F. Environmental Stewardship Poor environmental quality contributes to disease and economic insecurity. Kaiser Foundation Hospitals has committed itself to protecting and improving the natural environment as a key component of its mission to improve the health of the community it serves. Although costs associated with this initiative are not included in the dollars reported as Community Benefit investments, efforts in this area contribute to advancing a broader vision emphasizing healthy people and healthy environments while also improving health care quality and affordability. To fulfill the organizations commitment to the natural environment, KFH maintains a governance structure for environmental stewardship that enables the organization to continually improve its environmental performance. This structure includes clearly defined roles, responsibilities, plans and routines, and has resulted in the following five organizational focus areas. These have been selected based on their ability to result in the greatest impact on the environmental forces that shape environmental and human health. - Finding safe alternatives to harmful industrial chemicals - Responding to climate change - Promoting sustainable farming and food choices - Reducing, reusing, and recycling to eliminate waste - Conserving water In each of these focus areas, KFH has established ambitious goals (including a target to reduce total greenhouse gas emissions by 30% by 2020, compared to a 2008 baseline), implemented initiatives, achieved measurable improvements, and regularly reported progress to the board of directors, staff, and the general public. F.1. Performance Metrics During 2015, key performance indicators for Kaiser Foundation Hospitals included: F.1.1. In California, Oregon, Washington, and Hawaii, including KP Information Technology: F.1.1.1 Medical product categories for which at least 99% of purchased products were free of harmful polyvinyl chloride (PVC) and bis(2-ethylhexyl) phthalate (DEHP) included: 1. Breast pumps; 2. Enteral nutrition products; 3. Exam gloves; and 4. Vascular catheters. F.1.1.2 Purchased or contracted to purchase over 65 million kilowatt-hours of renewable energy (including over 16 million kilowatt-hours of electricity generated by solar panels hosted at our facilities, and over 37 million kilowatt-hours of Green-e Certified Renewable Energy Certificates for one of our national data centers), thus reducing our organizations annual greenhouse gas emissions by over 26,000 metric tons of CO2-equivalent (including a reduction of over 17,000 metric tons of CO2-equivalent for one of our national data centers). F.1.1.3 Improved our water use intensity (gallons/rentable square foot) by approximately 15% (not including data centers) compared to our 2013 baseline, and improved the Water Usage Effectiveness of our national data centers by approximately 17% compared to our 2013 baseline. F.1.1.4 Improved our energy use intensity (kBtu/rentable square foot) by 2% (not including data centers) compared to our 2010 baseline year, and improved the Power Usage Effectiveness of our national data centers by approximately 23% compared to our 2010 baseline. F.1.1.5 Responsibly reused, recycled or composted over 28,000 tons of materials. F.1.1.6 Provided meals to patients containing approximately 378,000 pounds of sustainably produced meat and poultry. (see Note 1) Note 1 - Poultry/Pork must fulfill at least one of the following criteria TO BE SUSTAINABLE: 1. PRODUCED WITHOUT ANTIBIOTICS: LABELED "RAISED WITHOUT ANTIBIOTICS"NO ANTIBIOTICS ADMINISTERED" ORE "NEVER EVER 3" as allowed by USDA; 2. Locally produced: Poultry and pork raised AND processed within a 250-mile radius of the Kaiser Permanente facility; 3. Certified as humanely and/or sustainably grown: Carries one or more of the following third-party certified eco-labels focused on humane and sustainable production practices - USDA Certified Organic, Certified Humane Raised & Handled, Food Alliance Certified, Animal Welfare Approved, Salmon Safe or Non-GMO Project Verified. Beef, pork, and other meats must fulfill at least one of the following criteria to be SUSTAINABLE: 1. PRODUCED WITHOUT ANTIBIOTICS: LABELED "RAISED WITHOUT ANTIBIOTICS"NO ANTIBIOTICS ADMINISTERED" AS ALLOWED BY USDA; 2. PRODUCED WIHTOUT ADDED HORMONES: LABELED "NO HORMONES ADDED" AS ALLOWED BY USDA; 3. GRASS FED: LABELED "USDA GRASS-FED 4. LOCALLY PRODUCED: Beef, lamb and other meats raised AND processed within a 250-mile radius of the Kaiser Permanente facility; 5. Certified as humanely and/or sustainably produced: Carries one or more of the following third-party certified eco-labels focused on humane and sustainable production practices - USDA Certified Organic, Certified Humane Raised & Handled, Food Alliance Certified, Animal Welfare Approved, Salmon Safe, American Grassfed or Non-GMO Project Verified.
part v, line 4b BRAZIL CHILE CHINA COLOMBIA CZECH REPUPLIC DENMARK GHANA GREECE INDIA INDONESIA ISRAEL KENYA REPUBLIC OF KOREA MALAYSIA NIGERIA PHILIPPINIES POLAND TAIWAN THAILAND TURKEY
form 990, Part VI, Line 4 Significate changes to governing documents: The bylaws of the corporation were amended in 2015 with the following significant changes: On March 12, 2015, Article C, Directors, Section C-2, Number and Qualification was amended to change the number of Directors from "up to 15" to "a range of 13 to 17", and Article E, Committees and Professional Staffs, Section E-7 Compensation Committee, B(2)(d) was revised to clarify which compensation and benefit plan design changes are to be reviewed and approved by the Committee.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2015


Additional Data


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

OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number

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


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) KP ONCALL LLC
ONE KAISER PLAZA 15L
OAKLAND,CA94612
91-2166347 		CALL CENTER CA 43,540,145 18,568,294 KFH
 
(2) KAISER PERMANENTE VENTURES LLC SERIES A
ONE KAISER PLAZA 15L
OAKLAND,CA94612
27-2252521 		INVESTMENT DE -3,362,156 44,618,449 KFH
 
(3) NEWPORT GARFIELD LLC
19540 JAMBOREE ROAD SUITE 400
IRVINE,CA92612
90-0512284 		INVESTMENT DE -1,929,878 185,605,514 KFH
 
(4) KAISER PERMANENTE VENTURES LLC SERIES C
ONE KAISER PLAZA 15L
OAKLAND,CA94612
47-2924619 		INVESTMENT DE 0 18,144,701 kfh
 
(5) MAUI HEALTH SYSTEM a kaiser foundation
ONE KAISER PLAZE 15L
OAKLAND,CA94612
81-1559375 		HEALTH CARE HI 0 0 kfh
 


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


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


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

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)KAISER FDN HEALTH PLAN OF COLORADO
ONE KAISER PLAZA 15L

OAKLAND,CA94612
84-0591617 		HEALTH CARE CO 501(c)(3) 9 KFHP INC
 
Yes
 
(2)KAISER FDN HEALTH PLAN OF GEORGIA INC
ONE KAISER PLAZA 15L

OAKLAND,CA94612
58-1592076 		HEALTH CARE GA 501(c)(3) 9 KFHP INC
 
Yes
 
(3)KFHP OF THE MID-ATLANTIC STATES INC
ONE KAISER PLAZA 15L

OAKLAND,CA94612
52-0954463 		HEALTH CARE MD 501(c)(3) 9 KFHP INC
 
Yes
 
(4)KAISER FDN HEALTH PLAN OF THE NORTHWEST
ONE KAISER PLAZA 15L

OAKLAND,CA94612
93-0798039 		HEALTH CARE OR 501(c)(3) 9 KFHP INC
 
Yes
 
(5)KAISER FOUNDATION HEALTH PLAN INC
ONE KAISER PLAZA 15L

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

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

OAKLAND,CA94612
94-3299125 		ASSET MGT CA 501(c)(3) 11 - I KFH
 
Yes
 
(8)KAISER HEALTH PLAN ASSET MANAGEMENT INC
ONE KAISER PLAZA 15L

OAKLAND,CA94612
94-3299124 		ASSET MGT CA 501(c)(3) 11 - I KFHP INC
 
Yes
 
(9)LOKAHI ASSURANCE LTD
ONE KAISER PLAZA 15L

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

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

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

OAKLAND,CA94612
94-3317484 		FINANCING CA 501(c)(3) 11 - II KFHP INC
 
Yes
 
(13)KAISER HOSPITAL ASSISTANCE CORPORATION
ONE KAISER PLAZA 15L

OAKLAND,CA94612
31-1779500 		FINANCING CA 501(c)(3) 11 - I KFH
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



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

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




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



 		(k)
Percentage
ownership
Yes No Yes No
(1) PANTHEON GLOBAL HO FUND LP

600 MONTEREY STREET 23RD FLOOR
SAN FRANCISCO,CA94111
80-0948707 		INVESTMENT DE KFH
  		UNRELATED -428,748 227,552,740   No 0   No 100.000 %
(2) WELLINGTON TRUST COMPANY NA CTF GLOBAL

280 CONGRESS ST
BOSTON,MA02210
20-3879807 		INVESTMENT MA KFH
  		EXCL. UNDER SEC 512 52,561,504 332,776,066   No 0   No 87.462 %
(3) NXT CAPITAL SENIOR LOAN FUND I LLC

191 N WACKER DR SUITE 1200
CHICAGO,IL60606
37-1651297 		INVESTMENT DE KFH
  		EXCL. UNDER SEC 512 25,457,179 370,699,886   No 0   No 89.278 %
(4) GOLDMAN SACHS HO FUND B LP

30 HUDSON STREET 15TH FLOOR
JERSEY CITY,NJ07302
46-4966204 		INVESTMENT NJ KFH
  		UNRELATED 7,825,130 197,348,375   No 0   No 99.996 %
(5) AG KFHDL FUND LP

245 PARK AVE 26TH FL
NEW YORK,NY10167
47-3496708 		INVESTMENT NY KFH
  		EXCL. UNDER SEC 512 365,526 15,964,208   No 0   No 99.800 %
(6) PANTHEON GLOBAL REAL ASSETS HO FUND LP

600 MONTGOMERY ST 234RD FL
SAN FRANCISCO,CA94111
47-4226360 		INVESTMENT DE KFH
  		UNRELATED -662,774 103,381,121   No 0   No 100.000 %


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

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

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

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

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

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

ONE KAISER PLAZA 15L
OAKLAND,CA94612
 Health care CO NA
  		C CORP       Yes  


Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
Yes
 
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
Yes
 
h Purchase of assets from related organization(s) ............................
1h
Yes
 
i Exchange of assets with related organization(s) ............................
1i
Yes
 
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) KAISER FOUNDATION HEALTH PLAN INC

 a 53,455,781 PER AGREEMENT
(2) KAISER FOUNDATION HEALTH PLAN OF COLORADO

 A 139,684 PER AGREEMENT
(3) KAISER FOUNDATION HEALTH PLAN OF GEORGIA inc

 A 17,839,630 PER AGREEMENT
(4) KAISER FOUNDATION HEALTH PLAN OF THE MAS inc

 A 12,973,549 PER AGREEMENT
(5) kp oncall

 a 94,557 PER AGREEMENT
(6) kaiser foundation health plan of washington

 a 86,196 PER AGREEMENT
(7) KAISER FOUNDATION HEALTH PLAN OF THE NW

 B 175,000,000 PER AGREEMENT
(8) KAISER FOUNDATION HEALTH PLAN OF GEORGIA inc

 B 84,794 PER AGREEMENT
(9) KAISER PERMANENTE VENTURES LLC - SERIES A

 b 53,543,881 PER AGREEMENT
(10) KAISER PERMANENTE VENTURES LLC - SERIES C

 B 18,144,701 PER AGREEMENT
(11) PANTHEON GLOBAL HO FUND LP

 B 145,500,000 PER AGREEMENT
(12) goldman sachs ho fund b lp

 B 110,613,662 PER AGREEMENT
(13) WELLINGTON TRUST COMPANY NA CTF GLOBAL

 B 4,235,066 PER AGREEMENT
(14) NXT CAPITAL SENIOR LOAN FUND I LLC

 B 153,438,923 PER AGREEMENT
(15) AG KFHDL FUND LP

 B 15,800,000 PER AGREEMENT
(16) PANTHEON GLOBAL REAL ASSETS HO FUND LP

 B 105,320,868 PER AGREEMENT
(17) WELLINGTON TRUST COMPANY NA CTF GLOBAL

 C 106,805,852 PER AGREEMENT
(18) NXT CAPITAL SENIOR LOAN FUND I LLC

 C 23,089,612 PER AGREEMENT
(19) goldman sachs ho fund b lp

 C 21,113,433 PER AGREEMENT
(20) NXT CAPITAL SENIOR LOAN FUND I LLC

 C 147,195,561 PER AGREEMENT
(21) PANTHEON GLOBAL HO FUND LP

 C 50,920,868 PER AGREEMENT
(22) kaiser foundation health plan of washington

 D 2,000,000,000 PER AGREEMENT
(23) KAISER FOUNDATION HEALTH PLAN OF GEORGIA inc

 D 53,000,000 PER AGREEMENT
(24) KAISER FOUNDATION HEALTH PLAN OF THE MAS inc

 D 90,000,000 PER AGREEMENT
(25) KAISER FOUNDATION HEALTH PLAN OF THE NW

 G 2,372,398 PER AGREEMENT
(26) KAISER HOSPITAL ASSET MANAGEMENT inc

 H 16,579,004 PER AGREEMENT
(27) KAISER FOUNDATION HEALTH PLAN OF COLORADO

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

 K 164,532 PER AGREEMENT
(29) KAISER HOSPITAL ASSET MANAGEMENT inc

 K 186,320,093 PER AGREEMENT
(30) KAISER FOUNDATION HEALTH PLAN INC

 L 19,101,590,834 PER AGREEMENT
(31) KAISER FOUNDATION HEALTH PLAN OF COLORADO

 L 794,345,084 PER AGREEMENT
(32) KAISER FOUNDATION HEALTH PLAN OF GEORGIA inc

 L 368,855,048 PER AGREEMENT
(33) KAISER FOUNDATION HEALTH PLAN OF THE MAS inc

 L 520,624,640 PER AGREEMENT
(34) KAISER FOUNDATION HEALTH PLAN OF THE NW

 L 1,066,182,862 PER AGREEMENT
(35) KAISER PERMANENTE INSURANCE COMPANY

 L 273,353 PER AGREEMENT
(36) LOKAHI ASSURANCE LTD

 L 33,651,513 PER AGREEMENT
(37) KAISER FOUNDATION HEALTH PLAN INC

 M 2,084,230,056 PER AGREEMENT
(38) KAISER FOUNDATION HEALTH PLAN OF COLORADO

 M 2,086,236 PER AGREEMENT
(39) KAISER FOUNDATION HEALTH PLAN OF THE MAS inc

 M 647,500 PER AGREEMENT
(40) KAISER FOUNDATION HEALTH PLAN OF THE NW

 M 83,076,295 PER AGREEMENT
(41) KAISER FOUNDATION HEALTH PLAN OF GEORGIA inc

 M 24,331,015 PER AGREEMENT
(42) KAISER PERMANENTE INSURANCE COMPANY

 M 16,682,636 PER AGREEMENT
(43) LOKAHI ASSURANCE LTD

 M 129,989,770 PER AGREEMENT
(44) KAISER FOUNDATION HEALTH PLAN INC

 O 7,345,353 PER AGREEMENT
(45) KAISER FOUNDATION HEALTH PLAN INC

 P 12,778,616,136 PER AGREEMENT
(46) KAISER FOUNDATION HEALTH PLAN OF COLORADO

 P 3,631,020 PER AGREEMENT
(47) KAISER FOUNDATION HEALTH PLAN OF GEORGIA inc

 P 281,093,500 PER AGREEMENT
(48) KAISER FOUNDATION HEALTH PLAN OF THE MAS inc

 P 1,600,971 PER AGREEMENT
(49) KAISER FOUNDATION HEALTH PLAN OF THE NW

 P 252,194,900 PER AGREEMENT
(50) kp oncall

 P 1,850,076 PER AGREEMENT
(51) KAISER FOUNDATION HEALTH PLAN INC

 Q 6,596,226,608 PER AGREEMENT
(52) KAISER FOUNDATION HEALTH PLAN OF COLORADO

 Q 7,914,618 PER AGREEMENT
(53) KAISER FOUNDATION HEALTH PLAN OF GEORGIA inc

 Q 30,388,768 PER AGREEMENT
(54) KAISER FOUNDATION HEALTH PLAN OF THE MAS inc

 Q 278,561,647 PER AGREEMENT
(55) KAISER FOUNDATION HEALTH PLAN OF THE NW

 Q 1,344,259,243 PER AGREEMENT
(56) CAMP BOWIE SERVICE CENTER

 Q 88,538,933 PER AGREEMENT
(57) KAISER PERMANENTE INSURANCE COMPANY

 Q 954,734 PER AGREEMENT
(58) LOKAHI ASSURANCE LTD

 Q 99,527,490 PER AGREEMENT
(59) KP ONCALL

 Q 5,101,240 PER AGREEMENT
(60) KAISER FOUNDATION HEALTH PLAN INC

 R 21,930,260,337 PER AGREEMENT
(61) CAMP BOWIE SERVICE CENTER

 R 57,519,194 PER AGREEMENT
(62) LOKAHI ASSURANCE LTD

 R 4,991,400 PER AGREEMENT
(63) KAISER FOUNDATION HEALTH PLAN OF THE NW

 R 56,117,694 PER AGREEMENT
(64) KAISER FOUNDATION HEALTH PLAN OF GEORGIA inc

 R 114,905 PER AGREEMENT
(65) KAISER HOSPITAL ASSET MANAGEMENT inc

 R 4,079,239 PER AGREEMENT
(66) KAISER FOUNDATION HEALTH PLAN INC

 S 23,698,738,043 PER AGREEMENT
(67) CAMP BOWIE SERVICE CENTER

 S 130,627 PER AGREEMENT
(68) LOKAHI ASSURANCE LTD

 S 1,736,600 PER AGREEMENT
(69) KAISER FOUNDATION HEALTH PLAN OF THE NW

 S 25,245,647 PER AGREEMENT
(70) KAISER HOSPITAL ASSET MANAGEMENT inc

 S 26,136,065 PER AGREEMENT
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

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




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






























Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2015

Additional Data


Software ID:  
Software Version: