Form990
Click to see attachment
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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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 01-01-2021 , and ending 12-31-2021
BCheck if applicable:
CName of organization
KAISER FOUNDATION HOSPITALS
 
% CHIEF ACCOUNTING OFFICER
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
ONE KAISER PLAZA Suite 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 $ 44,903,487,219
F Name and address of principal officer:
GREGORY A ADAMS
ONE KAISER PLAZA15L
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 13
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 12
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 86,864
6 Total number of volunteers (estimate if necessary) ............. 6 5,213
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 41,161,522
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 156,348,548 151,125,472
9 Program service revenue (Part VIII, line 2g) ......... 26,979,591,079 28,407,328,457
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 3,050,908,231 3,646,529,808
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 24,662,724 23,414,301
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 30,211,510,582 32,228,398,038
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 226,800,353 191,931,475
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) 10,382,377,093 12,565,157,183
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).... 16,499,507,373 16,054,774,377
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 27,108,684,819 28,811,863,035
19 Revenue less expenses. Subtract line 18 from line 12....... 3,102,825,763 3,416,535,003
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 56,349,630,157 70,705,925,309
21 Total liabilities (Part X, line 26)............. 25,041,404,826 28,296,983,564
22 Net assets or fund balances. Subtract line 21 from line 20..... 31,308,225,331 42,408,941,745
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 (2021)
Form 990 (2021)
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 $ 24,062,329,128 including grants of $ 6,581,425 ) (Revenue $ 25,742,747,856 )
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 $ 2,851,203,416 including grants of $ 0 ) (Revenue $ 2,511,570,604 )
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 2021, OVER 1 MILLION INDIVIDUALS WERE RECEIVING ACCESS TO INPATIENT AND EMERGENCY CARE AT KFH'S FACILITIES UNDER MEDICAID MANAGED CARE PROGRAMS IN THE STATES OF CALIFORNIA, HAWAII AND OREGON, AND UNDER THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP). IN ADDITION, KFH PROVIDED HEALTH CARE ON A FEE-FOR-SERVICE BASIS FOR MEDICAID BENEFICIARIES WHO WERE NOT ENROLLED AS KAISER FOUNDATION HEALTH PLAN, INC. MEMBERS.
4c (Code:   ) (Expenses $ 224,399,605 including grants of $ 0 ) (Revenue $ 7,502,933 )
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 2021, THIS PROGRAM ASSISTED OVER 173,000 PATIENTS THROUGH FINANCIAL ASSISTANCE. 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. OVER 3,800 PATIENTS WERE RECEIVING ACCESS TO COMPREHENSIVE HEALTH CARE THROUGH THESE PROGRAMS AT THE END OF 2021.
(Code:   ) (Expenses $ 545,035,622 including grants of $ 185,350,050 ) (Revenue $ 145,507,064 )
See part iii, line 4a-d description
4d Other program services (Describe in Schedule O.)
(Expenses $ 545,035,622 including grants of $ 185,350,050 ) (Revenue $ 145,507,064 )
4e Total program service expensesMediumBullet27,682,967,771
Form 990 (2021)
Form 990 (2021)
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 Rev. Proc. 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 IIIClick 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
Yes
 
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 XIIClick 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
 
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
 
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
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
 
No
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 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? 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 on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
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
2,549
b
Enter the number of Forms W-2G included on 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
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
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
86,864
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 , CH , CO , EZ , EG , UK , GR , HK , HU
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
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
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
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
No
Form 990 (2021)
Form 990 (2021)
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
13
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
12
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on 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 on 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 on 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 (1024 or 1024-A, if applicable), 990, and 990-T (section 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:
MediumBulletCHIEF ACCOUNTING OFFICERONE KAISER PLAZA 15L   OAKLAND,CA94612 (510) 271-6611
Form 990 (2021)
Form 990 (2021)
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 the 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, Form 1099-MISC, and/or box 1 of Form 1099-NEC) 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.

See the instructions for the order in which to list the persons above.
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/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(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) Gregory Adams......................................................................
Chairman & CEO
 14.9
.................
35.1 		X   X       0 13,283,101 2,279,123
(2) Arthur Southam......................................................................
EVP, Health Plan Ops & CGO
 5.0
.................
45.0 		    X       0 4,764,836 459,569
(3) Kathryn Lancaster......................................................................
EVP & Chief Financial Officer
 14.5
.................
35.5 		    X       0 4,580,354 447,559
(4) Janet Liang......................................................................
EVP, Group President & COO
 14.0
.................
36.0 		    X       0 4,004,413 934,930
(5) Kimberly Horn......................................................................
EVP, Group President, MOC
 14.0
.................
36.0 		    X       0 3,251,755 1,473,258
(6) Julie Miller-Phipps......................................................................
Regional President - SCAL & HI
 24.5
.................
25.5 		    X       0 3,235,586 300,017
(7) Mark Zemelman......................................................................
SVP, General Counsel & Secy
 20.0
.................
30.0 		    X       0 2,838,538 134,757
(8) Susan Mullaney......................................................................
Regional President - WA
 5.0
.................
45.0 		    X       0 2,047,569 729,785
(9) Ruth Williams-Brinkley......................................................................
Regional President - MAS
 5.0
.................
45.0 		    X       0 2,225,152 405,497
(10) Michael Ramseier......................................................................
Regional President - CO
 5.0
.................
45.0 		    X       0 1,632,246 938,018
(11) Chuck Bevilacqua......................................................................
SVP, Health Plan Svc & Admin
 10.0
.................
40.0 		    X       0 2,054,111 385,748
(12) Christian Meisner......................................................................
SVP, Chief HR Officer
 25.0
.................
25.0 		    X       0 1,734,971 668,365
(13) Wade Overgaard......................................................................
SVP, Health Plan Ops - CA
 10.0
.................
40.0 		    X       0 2,143,822 174,312
(14) Paul Swenson......................................................................
EVP, Chief Admin Officer
 4.5
.................
45.5 		    X       0 2,010,051 186,254
(15) Thomas Hanenburg......................................................................
SVP, Hospital System Ops
 0.0
.................
50.0 		          X 0 1,802,128 266,395
(16) Richard Daniels......................................................................
EVP, Chief Information Officer
 0.0
.................
0.0 		          X 0 2,050,163 -26,760
(17) Roland Lyon......................................................................
SVP, Strategy Implementation
 0.0
.................
50.0 		          X 0 1,773,338 135,683
Form 990 (2021)
Form 990 (2021)
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/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(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) Carrie Plietz........................................................................
Regional President - NCAL
 25.0
.......................25.0 		    X       0 1,412,047 483,016
(19) Vanessa Benavides........................................................................
SVP, Chief Legal Officer
 18.0
.......................32.0 		    X       0 1,614,569 272,107
(20) Laurel Junk........................................................................
SVP, Market Operations Svcs
 10.0
.......................40.0 		    X       0 1,559,705 304,599
(21) Yazdi Bagli........................................................................
EVP, Enterprise Business Svcs
 25.0
.......................25.0 		    X       0 1,152,722 708,126
(22) Anthony Barrueta........................................................................
SVP, Government Relations
 24.5
.......................25.5 		    X       0 1,628,674 149,363
(23) Thomas Meier........................................................................
SVP, Corporate Treasurer
 18.0
.......................32.0 		    X       0 1,461,837 301,391
(24) George Disalvo........................................................................
SVP, CFO - SCAL
 25.0
.......................25.0 		      X     0 1,616,463 139,804
(25) Chandrika Bhalla........................................................................
SVP, CFO - CA Mkts & FP
 25.0
.......................25.0 		    X       0 1,448,193 279,145
(26) Jeffrey Collins........................................................................
Regional President - NW
 25.0
.......................25.0 		    X       0 1,508,119 117,391
(27) Pratabkumar Vemana........................................................................
SVP, Chief Digital Officer
 50.0
.......................0.0 		        X   0 1,401,566 155,995
(28) Michael Rowe........................................................................
SVP, Chf Bus Dev & Strat Exec
 10.0
.......................40.0 		          X 0 1,414,087 130,938
(29) Diane Comer........................................................................
EVP, Chief Info & Tech Officer
 25.0
.......................25.0 		    X       0 1,404,663 112,316
(30) James Simpson........................................................................
Regional President - GA
 5.0
.......................45.0 		    X       0 1,407,201 51,818
(31) Arlene Peasnall........................................................................
SVP, HR & Labor Relations
 0.0
.......................50.0 		          X 0 1,130,913 283,402
(32) William Caswell........................................................................
SVP, Operations (KFHP/H)
 50.0
.......................0.0 		      X     0 1,275,290 136,304
(33) Michelle Gaskill........................................................................
SVP, Operations (KFHP/H)
 50.0
.......................0.0 		      X     0 1,211,772 187,248
(34) Alfonse Upshaw........................................................................
SVP,Corporate Controller & CAO
 16.0
.......................34.0 		    X       0 1,150,839 199,363
(35) Patricia Harvey........................................................................
SVP, Qlty, Reg, & Clinical Ops
 50.0
.......................0.0 		      X     0 1,222,867 109,848
(36) Michael Rembis........................................................................
CEO & Hospital Administrator
 50.0
.......................0.0 		        X   0 984,216 317,329
(37) Greg Christian........................................................................
Regional President - HI
 25.0
.......................25.0 		    X       0 999,722 255,380
(38) Lesley Wille........................................................................
SVP, Operations (KFHP/H)
 50.0
.......................0.0 		      X     0 1,012,659 231,807
(39) Donald Orndoff........................................................................
SVP, NFS
 14.0
.......................36.0 		    X       0 1,127,680 99,760
(40) George DeCesare........................................................................
SVP, Chief Tech Risk Officer
 50.0
.......................0.0 		        X   0 1,030,131 173,215
(41) William Grice........................................................................
SVP, Area Manager - Large
 50.0
.......................0.0 		        X   0 1,058,525 99,595
(42) Ha Luong........................................................................
Staff Nurse II
 50.0
.......................0.0 		        X   997,157 0 79,985
(43) Marty Ardron........................................................................
SVP, Operations (KFHP/H)
 50.0
.......................0.0 		      X     0 886,095 174,051
(44) Andrew Bindman........................................................................
EVP, Chief Medical Officer
 24.0
.......................26.0 		    X       0 749,189 214,664
(45) Catherine Hernandez Tirey........................................................................
SVP, Chief Comms Officer
 25.0
.......................25.0 		    X       0 748,087 205,505
(46) Philip Young........................................................................
Assistant Secretary
 25.0
.......................25.0 		    X       0 756,121 182,250
(47) John Yamamoto........................................................................
Assistant Secretary
 0.0
.......................50.0 		          X 0 713,806 165,638
(48) Ronald Vance........................................................................
Interim Regional President
 0.0
.......................0.0 		          X 0 870,325 0
(49) Marcus Hoffman........................................................................
SVP, CFO - SCAL & Hawaii
 25.0
.......................25.0 		      X     0 709,532 126,869
(50) Marie Alanna McKiernan........................................................................
Assistant Secretary
 25.0
.......................25.0 		    X       0 643,410 138,319
(51) Hong-Sze Yu........................................................................
VP, Brd & Corp Gov & Asst Secy
 13.5
.......................36.5 		    X       0 541,112 198,385
(52) Ryan Jenson........................................................................
Interim Corp Controller & CAO
 17.0
.......................33.0 		    X       0 606,694 125,965
(53) Jennifer Goldberg........................................................................
Assistant Secretary
 25.0
.......................25.0 		    X       0 554,266 163,136
(54) Janet O'Hollaren........................................................................
VP, COO
 0.0
.......................50.0 		          X 0 680,611 28,204
(55) Bechara Choucair........................................................................
SVP, Chief Health Officer
 25.0
.......................25.0 		    X       0 743,477 -86,346
(56) Kristin Bear........................................................................
Assistant Secretary
 17.0
.......................33.0 		    X       0 428,579 109,839
(57) Frank Richardson........................................................................
Assistant Secretary
 25.0
.......................25.0 		    X       0 424,195 114,181
(58) Charles Columbus........................................................................
SVP, Chief HR Officer
 0.0
.......................0.0 		          X 0 515,637 -10,157
(59) Bernice Gould........................................................................
Assistant Secretary
 20.5
.......................29.5 		    X       0 256,938 104,758
(60) Patrick Courneya........................................................................
EVP, Chief Medical Officer
 0.0
.......................0.0 		          X 0 313,249 12,852
(61) Maryann Bodayle........................................................................
Assistant Secretary
 22.0
.......................28.0 		    X       0 191,010 55,200
(62) Rochelle Roth........................................................................
Assistant Secretary
 0.0
.......................50.0 		          X 0 232,789 3,090
(63) Ramon F Baez........................................................................
Director
 1.5
.......................3.27 		X           0 237,259 -12,291
(64) Matthew T Ryan........................................................................
Director
 3.5
.......................5.0 		X           0 220,855 0
(65) Margaret E Porfido JD........................................................................
Director
 1.0
.......................2.0 		X           0 279,077 -62,832
(66) Leslie S Heisz........................................................................
Director
 2.4
.......................3.6 		X           0 233,428 -17,324
(67) Judith A Johansen JD........................................................................
Director
 3.0
.......................6.5 		X           0 277,470 -61,490
(68) Jeffrey E Epstein........................................................................
Director
 3.0
.......................5.5 		X           0 230,934 -16,869
(69) Richard P Shannon MD........................................................................
Director
 2.0
.......................4.0 		X           0 210,000 3,503
(70) David F Hoffmeister........................................................................
Director
 4.1
.......................5.9 		X           0 230,207 -18,455
(71) A Eugene Washington MD........................................................................
Director
 3.15
.......................4.15 		X           0 205,500 1,267
(72) David J Barger........................................................................
Director
 4.5
.......................7.5 		X           0 199,500 -357
(73) Regina M Benjamin MD MBA........................................................................
Director
 3.0
.......................5.5 		X           0 196,138 -16,773
(74) Gerald McCall........................................................................
SVP, Operations (KFHP/H)
 0.0
.......................0.0 		          X 0 117,597 0
(75) Cynthia A Telles PHD........................................................................
Director
 3.2
.......................6.5 		X           0 131,496 -28,540
(76) Edward YW Pei........................................................................
Director
 0.0
.......................0.0 		          X 0 56,844 0
(77) Kim J Kaiser........................................................................
Director
 0.0
.......................0.5 		          X 0 39,404 0
(78) Jenny J Ming........................................................................
Director
 1.85
.......................3.05 		X           0 101,209 -95,667
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 0 67,326,344 12,530,061
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 MediumBullet37,356
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
Yes
 
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
ROSE INTERNATIONAL INC,
16305 SWINGLEY RIDGE RD STE 350
CHESTERFIELD,MO63017 		STAFFING SERVICES 673,085,655
CARDINAL HEALTH,
5426 LANDERS RD
SHERWOOD,AR72117 		CONSULTING SERVICES 483,392,108
BLACKSTONE CONSULTING INC,
11726 SAN VICENTE BLVD
LOS ANGELES,CA90049 		CONSULTING SERVICES 226,418,833
ACCENTURE INTERNATIONAL LIMITED,
1 GRAND CANAL SQ
DUBLIN,0D02P820
EI 		Business Consulting 200,337,016
DPR CONSTRUCTION A GENERAL PARTNERS,
4665 MACARTHUR BLVD
NEWPORT BEACH,CA92660 		Construction Svces 191,057,417
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet362
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e 127,141,050
f All other contributions, gifts, grants, and similar amounts not included above1f 23,984,422
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 151,125,472
Program Service RevenueAmt Business Code
2a HOSPITAL SERV REV 622110 24,617,771,169 24,617,771,169    
b NON-PLAN & IND REV 622110 2,082,269,745 2,082,269,745    
c OTHR PRGM SERV REV 622110 892,009,358 891,308,939 700,419  
d MEDICARE PAYMENTS 622110 815,278,185 815,278,185    
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 28,407,328,457
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 1,455,154,026   38,736,348 1,416,417,678
4 Income from investment of tax-exempt bond proceedsMediumBullet 0      
5 Royalties...........MediumBullet 0      
(ii) Personal (i) Real
6a Gross rents   1,606,950 6a
b Less: rental expenses     6b
c Rental income or (loss) 0 1,606,950 6c
d Net rental income or (loss).......MediumBullet 1,606,950     1,606,950
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 14,275,223 14,852,189,740 7a
b Less: cost or other basis and sales expenses 9,696,334 12,665,392,847 7b
c Gain or (loss) 4,578,889 2,186,796,893 7c
d Net gain or (loss).........MediumBullet 2,191,375,782     2,191,375,782
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a 0
b Less: direct expenses ... 8b 0
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a 0
b Less: direct expenses ... 9b 0
c Net income or (loss) from gaming activities..MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances ..
10a 0
b Less: cost of goods sold .. 10b 0
c Net income or (loss) from sales of inventory..MediumBullet 0      
Business Code Miscellaneous Revenue
11a CAFETERIA 722310 13,863,915     13,863,915
b PARKING GARAGES 812930 5,921,735   298,410 5,623,325
c MANAGEMENT FEE 900099 1,320,940   1,320,940  
d All other revenue .... 700,761   105,405 595,356
e Total. Add lines 11a–11d ...... MediumBullet 21,807,351
12 Total revenue. See instructions.....MediumBullet 32,228,398,038 28,406,628,038 41,161,522 3,629,483,006
Form 990 (2021)
Form 990 (2021)
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 .... 191,658,242 191,658,242
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 0  
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. ............. 273,233 273,233
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) ......... 440,445 415,422 25,023  
7 Other salaries and wages........ 8,784,491,861 8,285,416,575 499,075,286 0
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 1,651,163,807 1,557,355,871 93,807,936  
9 Other employee benefits ....... 1,537,419,713 1,450,073,946 87,345,767  
10 Payroll taxes ........... 591,641,357 558,028,305 33,613,052  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 2,580,172   2,580,172  
c Accounting ........... 4,074,220   4,074,220  
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 46,522,369   46,522,369  
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 .... 4,589,446   4,589,446  
13 Office expenses ....... 219,237,407 206,781,824 12,455,583  
14 Information technology ...... 1,531,813,059 1,444,785,824 87,027,235  
15 Royalties .. 0      
16 Occupancy ........... 463,115,268 436,804,198 26,311,070  
17 Travel ............ 43,430,915 40,963,465 2,467,450  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 13,134,327   13,134,327  
20 Interest ........... 540,557,169 509,846,375 30,710,794  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 1,832,523,618 1,728,412,047 104,111,571  
23 Insurance ... 74,583,517 70,346,187 4,237,330  
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 PURCHASED MEDICAL SERVICES 5,842,963,391 5,842,963,391    
b BASIC CONTRACTUAL PAYMENTS 4,083,734,736 4,083,734,736    
c MEDICAL & OTHER SUPPLIES 2,379,810,732 2,244,606,017 135,204,715  
d PURCHASED NON-MEDICAL SVC 1,447,846,991 1,365,590,139 82,256,852  
e All other expenses -2,475,742,960 -2,335,088,026 -140,654,934  
25 Total functional expenses. Add lines 1 through 24e 28,811,863,035 27,682,967,771 1,128,895,264 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 (2021)
Form 990 (2021)
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 ........ 0 1 0
2 Savings and temporary cash investments ......... 243,926,620 2 178,345,381
3 Pledges and grants receivable, net ...... 0 3 0
4 Accounts receivable, net ............. 526,904,548 4 888,426,228
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 3,233,571,794 7 3,366,487,975
8 Inventories for sale or use ............ 926,063,942 8 786,684,305
9 Prepaid expenses and deferred charges ...... 828,132,031 9 1,991,368,118
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 42,408,656,307
b Less: accumulated depreciation 10b 23,674,433,086 18,517,233,884 10c 18,734,223,221
11 Investments—publicly traded securities . 17,940,147,894 11 20,074,199,007
12 Investments—other securities. See Part IV, line 11 ..... 12,930,614,144 12 23,331,518,300
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 ........... 1,203,035,300 15 1,354,672,774
16 Total assets. Add lines 1 through 15 (must equal line 33)... 56,349,630,157 16 70,705,925,309
Liabilities 17 Accounts payable and accrued expenses ..... 2,861,944,023 17 3,350,837,861
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 403,529,655 19 12,723,671
20 Tax-exempt bond liabilities ......... 5,247,410,000 20 5,237,410,000
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
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 16,528,521,148 25 19,696,012,032
26 Total liabilities. Add lines 17 through 25.. 25,041,404,826 26 28,296,983,564
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions ..........   27  
28 Net assets with donor restrictions ...........   28  
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds ..... 0 29 0
30 Paid-in or capital surplus, or land, building or equipment fund ... 53,370,329 30 36,074,156
31 Retained earnings, endowment, accumulated income, or other funds 31,254,855,002 31 42,372,867,589
32 Total net assets or fund balances ........... 31,308,225,331 32 42,408,941,745
33 Total liabilities and net assets/fund balances ........ 56,349,630,157 33 70,705,925,309
Form 990 (2021)
Form 990 (2021)
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
32,228,398,038
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
28,811,863,035
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
3,416,535,003
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
31,308,225,331
5
Net unrealized gains (losses) on investments ...............
5
-218,998,546
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
7,903,179,957
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
42,408,941,745
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 on
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 (2021)
Form 990 (2021)
Additional Data


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

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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
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 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
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- 10 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) 2021

Schedule A (Form 990) 2021
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 failed 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) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
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) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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 5 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) 2021

Schedule A (Form 990) 2021
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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 on 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) 2021

Schedule A (Form 990) 2021
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined on 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 on 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) 2021

Schedule A (Form 990) 2021
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 on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2021

Schedule A (Form 990) 2021
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 0.015 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 0.035 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) 2021

Schedule A (Form 990) 2021
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 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity 		2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions 		8  
9 Distributable amount for 2021 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2021 		(iii)
Distributable
Amount for 2021
1 Distributable amount for 2021 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2021:
a From 2016.......  
b From 2017.......  
c From 2018.......  
d From 2019.......  
e From 2020.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2021 distributable amount  
i Carryover from 2016 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2021 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2021 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2021, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions. 		 
6 Remaining underdistributions for 2021. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions. 		 
7 Excess distributions carryover to 2022. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2017.....  
b Excess from 2018.....  
c Excess from 2019.....  
d Excess from 2020.....  
e Excess from 2021.....  
Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021
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) 2021


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2021)
Schedule B (Form 990) (2021) Page 2
Name of organization
KAISER FOUNDATION HOSPITALS
  		Employer identification number
94-1105628
Part I
Contributors
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) (2021)
Schedule B (Form 990) (2021)
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) (2021)
Schedule B (Form 990) (2021)
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) (2021)
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.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
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 7/25/06, 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 FASB 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 FASB 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 FASB 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) 2021

Schedule D (Form 990) 2021
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 .... 185,760 185,760 185,760 185,760 185,760
b Contributions ...          
c Net investment earnings, gains, and losses 3,678 5,403 5,130 4,271 3,522
d Grants or scholarships ... 3,678 5,403 5,130 4,271 3,522
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ...... 185,760 185,760 185,760 185,760 185,760
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet0 %
b
Permanent endowment SchDMd Bullet100.000 %
c
Term endowment SchDMd Bullet0 %
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)
 
No
(ii) Related organizations .................
3a(ii)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
No
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 .....   1,068,739,926 1,068,739,926
b Buildings ....   27,345,173,135 14,288,890,143 13,056,282,992
c Leasehold improvements   357,255,918 259,432,907 97,823,011
d Equipment ....   3,889,697,845 3,323,412,662 566,285,183
e Other .....   9,747,789,483 5,802,697,374 3,945,092,109
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 18,734,223,221
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
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		 3,144,196,923 F

(B) PRIVATE EQUITY FUNDS		 20,187,321,377 F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 23,331,518,300
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
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 19,696,012,032
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) 2021

Schedule D (Form 990) 2021
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) 2021


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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
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" on 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 the region (d) Activities conducted in region (by type) (such as, 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 the region		 (f) Total expenditures
for and investments
in the region
South America     Investments   94,374,000
East Asia and the Pacific     Investments   274,383,000
Europe (Including Iceland and Greenland)     Investments   1,613,275,000
Middle East and North Africa     Investments   21,642,000
North America     Investments   43,413,000
South Asia     Investments   911,000
Sub-Saharan Africa     Investments   1,081,000
Central America and the Caribbean     Investments   8,641,611,000
           
           
           
           
           
           
           
           
           
3a Sub-total ....     10,690,690,000
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     10,690,690,000
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2021
Schedule F (Form 990) 2021
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of noncash
assistance 		(h) Description
of noncash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
Europe (Including Iceland and Greenland) Research/Project Support 30,000        
North America Research 28,000        
North America Research/Project Support 102,733        
Europe (Including Iceland and Greenland) Donation Of Funds To Support The Incorporation Of 112,500        
             
             
             
             
             
             
             
             
             
             
             
             
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
4
3 Enter total number of other organizations or entities .......................MediumBullet
0
Schedule F (Form 990) 2021
Schedule F (Form 990) 2021Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on 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
noncash
assistance 		(g) Description
of noncash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2021
Schedule F (Form 990) 2021
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; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2021
Schedule F (Form 990) 2021
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) 2021
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 Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2021
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
 
No
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
 
 
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) . . . 		    224,399,605 7,502,932 216,896,672 0.750 %
b Medicaid (from Worksheet 3, column a) . . . . .     2,848,665,885 2,510,526,481 338,139,404 1.170 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     2,537,531 1,044,123 1,493,408 0.010 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .     3,075,603,021 2,519,073,536 556,529,484 1.930 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     39,285,086   39,285,086 0.140 %
f Health professions education (from Worksheet 5) . . .     168,810,232 25,745,111 143,065,121 0.500 %
g Subsidized health services (from Worksheet 6) . . . .            
h Research (from Worksheet 7) .     151,590,254 119,761,953 31,828,301 0.110 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     184,878,896   184,878,896 0.640 %
j Total. Other Benefits . .     544,564,468 145,507,064 399,057,404 1.390 %
k Total. Add lines 7d and 7j .     3,620,167,489 2,664,580,600 955,586,888 3.320 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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 Healthcare 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
0
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
0
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
444,161,048
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
478,066,739
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-33,905,691
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) 2021
Schedule H (Form 990) 2021
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?42Name, 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
930000077 		X X   X   X X     A
2 KAISER FOUNDATION HOSPITAL- ROSEVILLE
1600 Eureka Rd
Roseville,CA95661
http://www.kp.org
550001681 		X X   X   X X     F
3 KAISER FOUNDATION HOSPITAL - FONTANA
9961 SIERRA AVE
FONTANA,CA92335
http://www.kp.org
240000159 		X X   X   X X     A
4 KAISER FDN HOSPITAL - SANTA CLARA
700 LAWRENCE EXPRESSWAY
SANTA CLARA,CA95051
http://www.kp.org
070000661 		X X   X   X X     A
5 KAISER FOUNDATION HOSPITAL - OAKLAND
275 W MACARTHUR BLVD
OAKLAND,CA94611
http://www.kp.org
140000052 		X X   X   X X     A
6 KAISER FDN HOSP - SUNNYSIDE MED CTR
10180 SOUTHEAST SUNNYSIDE RD
CLACKAMAS,OR97015
http://www.kp.org
1073 		X X   X     X     C
7 MAUI MEMORIAL MEDICAL CENTER
221 Mahalani Street
Wailuku,HI96793
mauihealthsystem.org
3-H 		X X         X     B
8 KAISER FOUNDATION HOSPITAL - DOWNEY
9333 IMPERIAL HIGHWAY
DOWNEY,CA90242
http://www.kp.org
930000078 		X X   X   X X     A
9 KAISER FDN HOSPITAL- SOUTH SACRAMENTO
6600 BRUCEVILLE RD
SOUTH SACRAMENTO,CA95823
http://www.kp.org
030000228 		X X   X   X X     A
10 KAISER FDN HOSPITAL - SD (Clairemont)
9455 CLAIREMOMT MESA BLVD
SAN DIEGO,CA92123
http://www.kp.org
080000062 		X X   X   X X     D
11 KAISER FDN HOSPITAL - SAN FRANCISCO
2425 GEARY BLVD
SAN FRANCISCO,CA94115
http://www.kp.org
220000188 		X X   X   X X     A
12 KAISER FOUNDATION HOSPITAL - ANAHEIM
3440 E LA PALMA AVE
ANAHEIM,CA92806
http://www.kp.org
060000091 		X X   X   X X     D
13 KAISER FDN HOSPITAL - SACRAMENTO
2025 MORSE AVE
SACRAMENTO,CA95825
http://www.kp.org
030000052 		X X   X   X X     A
14 KAISER FOUNDATION HOSPITAL - HONOLULU
3288 MOANALUA RD
HONOLULU,HI96819
http://www.kp.org
OHCA#31-H 		X X   X     X     D
15 KAISER FDN HOSPITAL - WALNUT CREEK
1425 S MAIN ST
WALNUT CREEK,CA94596
http://www.kp.org
140000290 		X X   X   X X     A
16 KAISER FOUNDATION HOSPITAL - VALLEJO
975 SERENO DR
VALLEJO,CA94589
http://www.kp.org
110000026 		X X   X   X X     A
17 KAISER FOUNDATION HOSPITAL - ONTARIO
2295 S VINEYARD AVE
ONTARIO,CA91761
http://www.kp.org
240000159 		X X   X   X X     A
18 KAISER FDN HOSPITAL - SOUTH BAY
25825 S VERMONT AVE
HARBOR CITY,CA90710
http://www.kp.org
930000079 		X X   X   X X     A
19 KAISER FOUNDATION HOSPITAL- RIVERSIDE
10800 MAGNOLIA AVE
RIVERSIDE,CA92505
http://www.kp.org
250000327 		X X   X   X X     A
20 KAISER FOUNDATION HOSPITAL - MODESTO
4601 DALE RD
MODESTO,CA95356
http://www.kp.org
030000393 		X X   X   X X     E
21 KAISER FDN HOSPITAL - SAN LEANDRO
2500 MERCED ST
SAN LEANDRO,CA94577
http://www.kp.org
550002678 		X X   X   X X     A
22 KAISER FOUNDATION HOSPITAL - SAN JOSE
250 HOSPITAL PARKWAY
SAN JOSE,CA95119
http://www.kp.org
070000117 		X X   X   X X     A
23 KAISER FOUNDATION HOSPITAL - IRVINE
6640 ALTON PARKWAY
IRVINE,CA92618
http://www.kp.org
060000091 		X X   X   X X     D
24 KAISER FDN HOSPITAL - BALDWIN PARK
1011 BALDWIN PARK BLVD
BALDWIN PARK,CA91706
http://www.kp.org
930000920 		X X   X   X X     E
25 KAISER FDN HOSPITAL - SANTA ROSA
401 BICENTENNIAL WAY
SANTA ROSA,CA95403
http://www.kp.org
110000213 		X X   X   X X     A
26 KAISER FDN HOSPITAL- SAN DIEGO(ZION)
4647 ZION AVE
SAN DIEGO,CA92120
http://www.kp.org
080000062 		X X   X   X X     D
27 KAISER FDN HOSPITAL - W LOS ANGELES
6041 CADILLAC AVE
LOS ANGELES,CA90034
http://www.kp.org
930000081 		X X   X   X X     D
28 KAISER FDN HOSPITAL - PANORAMA CITY
13652 CANTARA ST
PANORAMA CITY,CA91402
http://www.kp.org
930000080 		X X   X   X X     D
29 KAISER FOUNDATION HOSPITAL - FRESNO
7300 N FRESNO ST
FRESNO,CA93720
http://www.kp.org
040000384 		X X   X   X X     A
30 KAISER FDN HOSPITAL - WOODLAND HILLS
5601 DE SOTO AVE
WOODLAND HILLS,CA91367
http://www.kp.org
930000358 		X X   X   X X     D
31 KAISER FOUNDATION HOSPITAL - ANTIOCH
4501 SAND CREEK RD
ANTIOCH,CA94531
http://www.kp.org
550000614 		X X   X   X X     A
32 KAISER WESTSIDE MEDICAL CENTER
2875 NW STUCKI ROAD
HILLSBORO,OR97124
http://www.kp.org
14-1472 		X X   X     X     C
33 KAISER FDN HOSPITAL - REDWOOD CITY
1100 VETERANS BLVD
REDWOOD CITY,CA94063
http://www.kp.org
220000021 		X X   X   X X     A
34 KAISER FOUNDATION HOSPITAL- VACAVILLE
1 QUALITY DR
VACAVILLE,CA95688
http://www.kp.org
550001207 		X X   X   X X     A
35 KAISER FDN HOSP - SOUTH SAN FRANCISCO
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO,CA94080
http://www.kp.org
220000022 		X X   X   X X     A
36 KAISER FOUNDATION HOSPITAL - FREMONT
39400 PASEO PADRE PARKWAY
FREMONT,CA94538
http://www.kp.org
140000053 		X X   X   X X     A
37 KAISER FDN HOSPITAL - MORENO VALLEY
27300 IRIS AVE
MORENO VALLEY,CA92555
http://www.kp.org
550000810 		X X   X   X X     A
38 KAISER FDN HOSPITAL - SAN RAFAEL
99 MONTECILLO RD
SAN RAFAEL,CA94903
http://www.kp.org
110000357 		X X   X   X X     A
39 KAISER FOUNDATION HOSPITAL - RICHMOND
901 NEVIN ST
RICHMOND,CA94801
http://www.kp.org
140000052 		X X   X   X X     A
40 KAISER FOUNDATION HOSPITAL - MANTECA
1777 W YOSEMITE AVE
MANTECA,CA95337
http://www.kp.org
030000393 		X X   X   X X     A
41 KULA HOSPITAL
100 Keokea Place
Kula,HI96790
mauihealthsystem.org
25-H 		X X     X   X     B
42 LANAI COMMUNITY HOSPITAL
628 SEVENTH STREET
LANAI CITY,HI96763
mauihealthsystem.org
28-H 		X X     X   X     B
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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)
A-26 Facilities - See Part V Sec C
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): 		 
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 19
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 20
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    
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) 2021
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A-26 Facilities - See Part V Sec C
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 Was widely publicized 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/
b
http://www.kp.org/mfa/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
A-26 Facilities - See Part V Sec C
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
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
e
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
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A-26 Facilities - See Part V Sec C
Name of hospital facility or letter of facility reporting group  
Yes No
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) 2021
Schedule H (Form 990) 2021
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)
B-3 Facilities - See Part V Sec C
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): 		 
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 19
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 20
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    
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) 2021
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
B-3 Facilities - See Part V Sec C
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 Was widely publicized 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/
b
http://www.kp.org/mfa/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
B-3 Facilities - See Part V Sec C
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
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
e
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
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
B-3 Facilities - See Part V Sec C
Name of hospital facility or letter of facility reporting group  
Yes No
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) 2021
Schedule H (Form 990) 2021
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)
C-2 Facilities See Part V Sec C
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): 		 
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 19
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 20
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    
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) 2021
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
C-2 Facilities See Part V Sec C
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 Was widely publicized 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/
b
http://www.kp.org/mfa/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
C-2 Facilities See Part V Sec C
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
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
e
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
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
C-2 Facilities See Part V Sec C
Name of hospital facility or letter of facility reporting group  
Yes No
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) 2021
Schedule H (Form 990) 2021
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)
D-8 Facilities See Part V Sec C
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): 		 
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 19
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 20
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    
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) 2021
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
D-8 Facilities See Part V Sec C
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 Was widely publicized 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/
b
http://www.kp.org/mfa/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
D-8 Facilities See Part V Sec C
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
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
e
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
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
D-8 Facilities See Part V Sec C
Name of hospital facility or letter of facility reporting group  
Yes No
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) 2021
Schedule H (Form 990) 2021
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)
E-2 Facilities See Part V Sec C
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): 		 
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 19
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 20
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    
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) 2021
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
E-2 Facilities See Part V Sec C
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 Was widely publicized 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/
b
http://www.kp.org/mfa/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
E-2 Facilities See Part V Sec C
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
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
e
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
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
E-2 Facilities See Part V Sec C
Name of hospital facility or letter of facility reporting group  
Yes No
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) 2021
Schedule H (Form 990) 2021
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)
F-1 Facilities See Part V Sec C
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): 		 
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 19
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 20
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    
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) 2021
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
F-1 Facilities See Part V Sec C
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 Was widely publicized 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/
b
http://www.kp.org/mfa/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
F-1 Facilities See Part V Sec C
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
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
e
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
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
F-1 Facilities See Part V Sec C
Name of hospital facility or letter of facility reporting group  
Yes No
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) 2021
Schedule H (Form 990) 2021
Page 8
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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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
Line 5: The following response pertains to all Hospital Facilities: Community input was provided by a broad range of community members using key informant interviews, group interviews, focus groups, community events and listening sessions. Individuals with the knowledge, information, and expertise relevant to the health needs of the community were consulted. These individuals included representatives from county public health departments, school districts, local non-profits, regional public and private organizations as well as leaders, representatives, or members who reside and/or provide services in an under-resourced or medically underserved, low-income, and minority communities. Additionally, where applicable, other individuals with expertise of local health needs were consulted. Line 6a: KFH Anaheim & KFH Irvine: Hoag Memorial Hospital, St. Jude Medical Center, St. Joseph Medical Center, Mission Hospital, CHOC Children's Hospital KFH Antioch: John Muir Health, Sutter Health Bay Area KFH Downey: PIH Health Hospitals, St. Francis Medical Center KFH Fremont: Eden Medical Center, KFH San Leandro, St. Rose Hospital, UCSF Benioff Children's Hospital Oakland, Washington Hospital Healthcare System KFH Fontana: KFH Ontario KFH Fresno: Adventist Health Hanford, Adventist Health Reedley, Adventist Health Selma, Clovis Community Medical Center, Community Regional Medical, Fresno Heart and Surgery, Kaweah Delta Health Care District, Madera Community Hospital, San Joaquin Valley Rehabilitation Hospital, Sierra View Medical Center, Saint Agnes Community Medical Center, Valley Children's Healthcare KFH Honolulu: Adventist Health Castle, Kahi Mohala, Kahuku Medical Center, Kapiolani Medical Center for Women & Children, Kuakini Medical Center, Pali Momi Medical Center, The Queen's Medical Center, The Queen's Medical Center West Oahu, Rehabilitation Hospital of the Pacific, Shriners Hospitals for Children Honolulu, Straub Medical Center, Wahiawa General Hospital KFH Los Angeles: KFH West Los Angeles KFH Manteca: Adventist Health Lodi Memorial, Dameron Hospital, Dignity Health St. Joseph's Medical Center, Sutter Health KFH Moreno Valley: KFH Riverside KFH Oakland: Alta Bates Summit Medical Center, John Muir Health, UCSF Benioff Children's Hospital Oakland KFH Ontario: KFH Fontana KFH Panorama City: Dignity Health Northridge Hospital Medical Center, Providence Holy Cross Medical Center, Providence St. Joseph Medical Center KFH Redwood City: Dignity Health Sequoia Hospital, KFH South San Francisco, Lucile Packard Children's Hospital Stanford, Seton Medical Center and Seton Coastside, Stanford Health Care, Sutter Health Menlo Park Surgical Hospital and Sutter Health Mills-Peninsula Medical Center KFH Richmond: John Muir Health KFH Riverside: KFH Moreno Valley KFH Sacramento: Dignity Health, Sutter Health, University of California - Davis Medical Center KFH San Diego (Clairemont) & KFH San Diego (Zion): Palomar Health, Rady Children's Hospital San Diego, Scripps Health, Sharp HealthCare, Tri-City Medical Center, University of California - San Diego Health KFH San Francisco: Chinese Hospital, Dignity Health Saint Francis Memorial Hospital, Dignity Health St. Mary's Medical Center, Sutter Health - California Pacific Medical Center, University of California - San Francisco Medical Center KFH San Jose: El Camino Hospital, KFH Santa Clara, Lucile Packard Children's Hospital Stanford, O'Connor Hospital-Verity, Stanford Health Care, Saint Louise Regional Hospital-Verity KFH San Leandro: Eden Medical Center, KFH Fremont, St. Rose Hospital, UCSF Benioff Children's Hospital Oakland, Washington Hospital Healthcare System KFH San Rafael: Marin General Hospital, Sutter Health Novato Community Hospital KFH Santa Clara: El Camino Hospital, KFH San Jose, Lucile Packard Children's Hospital Stanford, O'Connor Hospital-Verity, Stanford Health Care, Saint Louise Regional Hospital-Verity KFH Santa Rosa: St. Joseph Health, Santa Rosa Memorial Hospital, Sutter Health Santa Rosa Regional Hospital KFH South Bay: Providence Little Company of Mary Medical Center, Torrance Memorial Medical Center KFH South Sacramento: Dignity Health, Sutter Health, University of California, Davis Medical Center KFH South San Francisco: Dignity Health Sequoia Hospital, Lucile Packard Children's Hospital Stanford, Seton Medical Center and Seton Coastside, Stanford Health Care, Sutter Health Menlo Park Surgical Hospital and Sutter Health Mills Peninsula Medical Center, KFH Redwood City KFH Sunnyside & KFH Westside: Adventist Medical Center, Legacy Health System, Oregon Health & Science University, PeaceHealth Southwest Medical Center, Providence Health, Tuality Community Hospital KFH Vacaville: NorthBay Healthcare, Sutter Health KFH Vallejo: Sutter Health KFH Walnut Creek: John Muir Health, San Ramon Regional Medical Center, Stanford Health Care-ValleyCare KFH West Los Angeles: Cedars Sinai, Providence Saint John's Health Center, UCLA Health, KFH Los Angeles KFH Woodland Hills: Valley Care Community Consortium, Ventura County Public Health KULA HOSPITAL, LANAI COMMUNITY HOSPITAL & MAUI MEMORIAL MEDICAL CENTER: MOLOKAI GENERAL HOSPITAL (QUEEN'S) MOLOKAI GENERAL HOSPITAL (QUEEN'S)
Line 6b: KFH Antioch: Contra Costa County Health Services, Contra Costa County Employment & Human Services KFH Baldwin Park: San Gabriel Valley Consortium on Homelessness, San Gabriel Valley Mental Health Consortium, National Alliance on Mental Illness KFH Downey: Interfaith Food Center, Santa Fe Springs, Kaiser Permanente Watts Counseling and Learning Center, Compton Youth Build, Los Angeles County Service Area 7 Health Action Lab Coalitions KFH Fontana & KFH Ontario: Oral Health Action Coalition-Inland Empire, Hospital Association of Southern California Homeless Systems Assessment of Care, San Bernardino County Homeless Partnership, Office of Homeless Services, the High Desert Food Collaborative, Kaiser Permanente San Bernardino County Area Community Mental and Behavioral Health Convening KFH Fremont: Alameda County Health Care Services, Alameda County Public Health Department, Community Health Center Network, Alameda County Behavioral Health Care Services, First 5 Alameda County KFH Fresno: United Health Centers, Cal Viva Health Net, Fresno County Public Health KFH Los Angeles: A Place Called Home, Asian Pacific AIDS Intervention Team, Bienestar, Bravo Medical Magnet High School, Brotherhood Crusade, California Community Foundation, CHIRLA, Esperanza Community Housing Corporation, Foothill Family Services, Heart of Los Angeles, Hollywood Community Housing Corporation, Hollywood DMH, JWCH Institute, LA Care, LA Conservation Corps Sheila Kuehl, LA Promise Fund, Los Angeles Christian Health Services, Los Angeles Neighborhood Legal Services, LURN, Mayor's Office of Resident Engagement, Mi Centro Latino Equality Alliance, My Friends Place, Pasadena Black Infant Health Program, Pasadena Public Health Department, Pasadena Public Health Department, Tobacco Control, Pasadena Unified School District, PATH, RootDownLA, South Central Family Health Services, SPA 4 Health Office, St. Barnabas, St. Francis Center, STEM Academy, StepUp on 2nd, TEACH Public Schools, The Center at Blessed Sacrament, The Los Angeles LGBT Center, To Help Everyone Health and Wellness Centers, TransLatin Coalition, Youth Policy Institute KFH Manteca: First 5 San Joaquin, Health Net, Health Plan of San Joaquin, Community Medical Centers, San Joaquin County Public Health Services KFH Modesto: Stanislaus County Health Services Agency, Stanislaus County Behavioral Health Services, Stanislaus County Office of Education, First 5 Stanislaus County KFH Moreno Valley: Clinicas de Salud del Pueblo, Riverside Community Health Foundation, University of California - Riverside School of Medicine KFH Oakland: Alameda County Health Care Services, Alameda County Public Health Department, Alameda County Behavioral Health Services, First 5 Alameda County KFH Redwood City: San Mateo County Health Department, County of San Mateo Human Services Agency, Peninsula Health Care District KFH Richmond: Contra Costa County Health Care Services, West Contra Costa Unified School District, Community Clinic Consortium of Contra Costa and Solano Counties, Richmond Office of Neighborhood Safety KFH Riverside: Borrego Health, Riverside Community Health Foundation, University of California - Riverside School of Medicine KFH Sacramento: Sacramento County Department of Public Health, Yolo County Department of Health and Human Services KFH San Francisco: African American Community Health Equity Council, APA Family Support Services, Asian Pacific Islander Health Parity Coalition, Chicano Latino Indigena Health Equity Coalition, Bayview Hunter's Point Foundation for Community Improvement, Instituto Familiar de la Raza, Rafiki Wellness, Metta Fund, San Francisco Community Clinic Consortium, San Francisco Human Services Network, San Francisco Interfaith Council, San Francisco Department of Public Health, San Francisco Mayor's Office, San Francisco Unified School District, University of California - San Francisco KFH San Jose: Santa Clara County Community Benefit Coalition, Hospital Council of Northern & Central California, Santa Clara County Public Health Department KFH San Leandro: Alameda County Health Care Services, Alameda County Public Health Department, Community Health Center Network, Alameda County Behavioral Health Care Services, First 5 Alameda County KFH San Rafael: Marin County Health and Human Services, Hospital Council of Northern and Central California, Northbay Leadership Council, Marin County Office of Education, Marin Community Foundation, San Rafael Chamber of Commerce KFH Santa Clara: Santa Clara County Community Benefit Coalition, Hospital Council of Northern & Central California, Santa Clara County Public Health Department KFH Santa Rosa: Sonoma County Department of Health Services KFH South Bay: Boys and Girls Clubs LA Harbor, Boys and Girls Clubs of Metro Los Angeles, Boys and Girls Clubs of the South Bay, Compton Youthbuild, Kaiser Permanente Watts Counseling and Learning Center, Positive Results Corporation, Save Black Boys, ShareFest Community Development Inc., South Bay Coalition to End Homelessness KFH South Sacramento: Sacramento County Public Health Department KFH South San Francisco: Hospital Consortium of San Mateo County, County of San Mateo Human Services Agency, Peninsula Health Care District, Stanford Health Care KFH Sunnyside & KFH Westside: Health Share of Oregon, Clackamas County Public Health Division, Clark County Public Health Department, Multnomah County Health Department, Washington County Public Health Division, Community Action, Immigrant & Refugee Community Organization, Oregon Community Health Workers Association, Oregon Health Equity Alliance 8, Our House of Portland KFH Vacaville: Solano County Health and Social Services, Community Health Insights KFH Vallejo: Napa County Health and Human Services, Solano County Health and Social Services, Community Health Insights KFH Walnut Creek: Contra Costa County Health Services Department, Contra Costa County Employment & Human Services
Line 11 Part 1: significant needs identified in Kaiser Foundation Hospitals facilities' most recently conducted CHNAs. Health Need: Access to care The following response pertains to all Hospital Facilities: - Charitable health coverage: Provide access and comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. - Medical financial assistance: Provide financial assistance to low-income individuals who receive care at KAISER FOUNDATION HOSPITALS facilities and cannot afford medical expenses. - Medicaid: Provide high-quality medical care to Medicaid participants who would otherwise struggle to access care. - Support screening for social and non-medical service needs and connect low-income individuals and families to community and government resources. - Increase access to health care coverage and care for underserved communities through targeted outreach, enrollment, and retention strategies. Health Need: Mental and behavioral health The following response pertains to these hospital facilities: Anaheim, Antioch, Baldwin Park, Downey, Fontana, Fremont, Fresno, Irvine, Los Angeles, Manteca, Modesto, Moreno Valley, Northwest (Kaiser Westside Medical Center and Sunnyside Medical Center), Oakland, Panorama City, Ontario, Redwood City, Richmond, Riverside, Roseville, Sacramento, San Diego, San Francisco, San Jose, San Leandro, San Rafael, Santa Clara, Santa Rosa, South Bay, South Sacramento, South San Francisco, Vacaville, Vallejo, Walnut Creek, West Los Angeles, Woodland Hills - Support the infrastructure and capacity building of community organizations and clinics to improve access to quality mental health care. - Provide workforce pipeline and training programs to ensure a culturally competent mental health workforce with the skills to meet the needs of diverse communities. - Support and participate in school-based programs to build student and staff capacity to address trauma and adverse childhood experiences. - Implement a multi-media campaign to reduce stigma towards mental health conditions. Health Need: Economic Security The following response pertains to these hospital facilities: Anaheim, Antioch, Baldwin Park, Downey, Fontana, Fremont, Fresno, Honolulu, Irvine, Los Angeles, Manteca, Modesto, Moreno Valley, Northwest (Kaiser Westside Medical Center and Sunnyside Medical Center), Oakland, Panorama City, Ontario, Redwood City, Richmond, Riverside, Roseville, Sacramento, San Diego, San Leandro, San Rafael, South Bay, South Sacramento, South San Francisco, Vacaville, Vallejo, Walnut Creek, West Los Angeles, Woodland Hills - Improve food security, including support of outreach and enrollment campaigns to increase eligible community members' enrollment in the Supplemental Nutrition Assistance Program. - Increase access to permanent supportive housing, and support programs and services for those experiencing homelessness. - Support long-term economic vitality of communities through purchasing, hiring and workforce development, small business development, impact investing, and improvements in the built environment. - Support programs helping vulnerable youth access resources needed to graduate from high school and prepare for college. Health Need: Obesity / HEAL / Diabetes The following response pertains to these hospital facilities: Fresno, Manteca, Modesto, Moreno Valley, Honolulu, Panorama City, Redwood City, Riverside, Roseville, San Francisco, San Jose, Santa Clara, South San Francisco, Woodland Hills - Support community-driven efforts to increase access to healthy food and physical activity, including community gardens, farmers markets, parks, and safe play areas for children. - Support high-need schools with the adoption and implementation of healthy eating active living policies and practices. - Provide opportunities for increasing awareness of prevention and management of chronic disease, including cardiovascular health, diabetes, and obesity. - Support action-oriented research into healthy eating and active living, including the connections between food insecurity and health and active transportation gaps. Health Need: Community and family safety The following response pertains to these hospital facilities: Kula Hospital, Lanai Community Hospital, Maui Memorial Medical Center, Sacramento, South Sacramento, Vacaville, Vallejo - Support community efforts to reduce violence, including firearm prevention. - Increase access to parks and public spaces and beautification of neighborhood outdoor spaces serving low income and vulnerable populations. - Support domestic violence and child abuse prevention and provide community trauma education. Health Need: Housing/homelessness The following response pertains to these hospital facilities: San Francisco, San Jose, Santa Clara, Santa Rosa - Strengthen local homeless system of care through the Housing and Health Initiative. - Support availability of permanent supportive housing. - Support long-term housing for transitional-aged foster youth. Health Need: Social determinants/ Racism/ Racial equity The following response pertains to these hospital facilities: South Bay, West Los Angeles - Incorporate an equity lens throughout planning, implementation, and execution of implementation strategies. - Contribute to statewide policy conversations focused on mental health promotion and early childhood development. Health Need: Education and literacy The following response pertains to these hospital facilities: San Rafael, Santa Rosa - Support programs that enrich mathematics instruction and improve 3rd grade reading. - Support tutoring and mentoring programs for academic success. Health Need: HIV/AIDS/STDs The following response pertains to this hospital facility: Los Angeles - Support programs that improve referral of patients to evidence-based health promotion programs. - Build capacity for organizations to expand their offering of evidence-based programs addressing STI/HIV prevention and management.
Line 11 Part 2: needs identified but not currently addressed in Kaiser Foundation Hospitals facilities' most recently conducted CHNAs. Health Need: Climate and health/ Environment The following response pertains to these hospital facilities: Antioch, Fremont, Fresno, Kula Hospital, Lanai Community Hospital, Manteca, Maui Memorial Medical Center, Modesto, Honolulu, Oakland, Redwood City, Sacramento, San Jose, San Leandro, Santa Clara, South Sacramento, South San Francisco, Walnut Creek - Less feasibility to make an impact on this need. - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. - Lack of feasible evidence-based or promising practices to address this need. - Less ability to leverage community assets to address this need. Health Need: Community and family safety/ Violence and injury prevention The following response pertains to these hospital facilities: Antioch, Fremont, Fresno, Manteca, Modesto, Oakland, Richmond, San Francisco, San Jose, San Leandro, San Rafael, Santa Clara, Santa Rosa, Walnut Creek - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. - Aspects of this need will be addressed in strategies for other needs. - Lack of feasible evidence-based or promising practices to address this need. - Less feasibility to make an impact on this need. Health Need: Obesity/ HEAL/ Diabetes The following response pertains to these hospital facilities: Antioch, Fontana, Fremont, Northwest (Kaiser Westside Medical Center and Sunnyside Medical Center), Oakland, Ontario, Richmond, San Diego, San Leandro, San Rafael, Santa Rosa, South Sacramento, Vacaville, Vallejo, Walnut Creek - This need is incorporated into other needs selected. - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. - Significant KAISER FOUNDATION HOSPITALS investments already have been made to address this need. Health Need: Education and literacy The following response pertains to these hospital facilities: Antioch, Fremont, Oakland, Richmond, San Leandro, South Bay, Vacaville, Vallejo, Walnut Creek, Woodland Hills - This need is incorporated into other needs selected. - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. - Less feasibility to make an impact on this need. Health Need: Housing/ homelessness The following response pertains to these hospital facilities: Antioch, Fremont, Oakland, Richmond, San Leandro, San Rafael, South Bay, South San Francisco, Vacaville, Vallejo, Walnut Creek - This need is incorporated into other needs selected. - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. - Less feasibility to make an impact on this need. Health Need: Transportation and traffic The following response pertains to these hospital facilities: Antioch, Fremont, Oakland, San Jose, San Leandro, Walnut Creek - This need is incorporated into other needs selected. Health Need: Asthma The following response pertains to these hospital facilities: Fontana , Fresno, Manteca, Modesto, Moreno Valley, Ontario, Riverside, San Jose, Santa Clara - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. - Less ability to leverage community assets to address this need. - Severity of this need is relatively low. Health Need: Cancer The following response pertains to these hospital facilities: Modesto, Moreno Valley, Redwood City, Riverside, San Jose, Santa Clara, South San Francisco - This need is incorporated into other needs selected. Severity of this need is relatively low. - Sufficient community resources exist to address this need. Health Need: Maternal and child health The following response pertains to these hospital facilities: Fontana, Northwest (Kaiser Westside Medical Center and Sunnyside Medical Center), Panorama City, Ontario, Roseville, San Rafael, Santa Rosa, South Sacramento, Vacaville, Vallejo - This need is incorporated into other needs selected. - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. Health Need: Substance use/ tobacco The following response pertains to these hospital facilities: Fontana, Fresno, Northwest (Kaiser Westside Medical Center and Sunnyside Medical Center), Kula Hospital, Lanai Community Hospital, Manteca, Maui Memorial Medical Center, Modesto, Ontario, San Diego - This need is incorporated into other needs selected. Health Need: HIV/ AIDS/ STDs The following response pertains to these hospital facilities: Moreno Valley, Panorama City, Riverside, San Francisco - Severity of this need is relatively low. - Sufficient community resources exist to address this need. Health Need: Economic security The following response pertains to these hospital facilities: Kula Hospital, Lanai Community Hospital, Maui Memorial Medical Center, San Jose, Santa Clara, Santa Rosa - Aspects of this need will be addressed in strategies for other needs. - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. - Lack of feasible evidence-based or promising practices to address this need. - Less feasibility to make an impact on this need. Health Need: Oral health The following response pertains to these hospital facilities: Fresno, Manteca, Modesto, Redwood City, San Rafael, South San Francisco - Aspects of this need will be addressed in strategies for other needs. - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. Health Need: Chronic disease/ CVD/ stroke The following response pertains to these hospital facilities: Anaheim, Irvine, Panorama City, Santa Rosa, Woodland Hills - This need is incorporated into other needs selected. Health Need: Mental/behavioral health The following response pertains to these hospital facilities: Kula Hospital, Lanai Community Hospital, Maui Memorial Medical Center, Honolulu - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. Health Need: Suicide The following response pertains to these hospital facilities: Anaheim, Irvine - This need is incorporated into other needs selected. Health Need: SDOH/ Structural racism and exclusion/ Racial equity The following response pertains to these hospital facilities: Los Angeles, San Rafael - This need is incorporated into other needs selected.
Line 13a: The following response pertains to all hospital facilities located in California and Hawaii: THE HOSPITAL PROVIDES FREE CARE (100% DISCOUNT) ON THE PATIENT COST FOR ELIGIBLE SERVICES TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. The following response pertains to hospital facilities: Sunnyside Medical Center and Westside Medical Center: THE HOSPITALS PROVIDE FREE CARE (100% DISCOUNT) ON THE PATIENT COST FOR ELIGIBLE SERVICES TO ALL CHARITY ELIGIBLE PATIENTS WITH A HOUSEHOLD INCOME LESS THAN OR EQUAL TO 300% OF THE FEDERAL POVERTY GUIDELINES (FPG). ELIGIBLE PATIENTS WITH A HOUSEHOLD INCOME GREATER THAN 300% AND LESS THAN OR EQUAL TO 400% OF THE FPG RECEIVE DISCOUNTED CARE ON THE PATIENT COST FOR ELIGIBLE SERVICES AS FOLLOW: - ELIGIBLE PATIENTS WITH A HOUSEHOLD INCOME GREATER THAN 300% AND LESS THAN OR EQUAL TO 350% OF THE FPG RECEIVE A 50% DISCOUNT) - ELIGIBLE PATIENTS WITH A HOUSEHOLD INCOME GREATER THAN 350% AND LESS THAN OR EQUAL TO 400% OF THE FPG RECEIVE A 25% DISCOUNT. - DISCOUNTS ON ELIGIBLE SERVICES ARE AVAILABLE TO ALL PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED.
Line 13h: The following response pertains to all hospital facilities located in California, Hawaii (excluding Maui) and Oregon: 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 10% OF THEIR ANNUAL HOUSEHOLD INCOME IS ELIGIBLE FOR FREE CARE. The following response pertains to hospital facilities located in California only: KAISER FOUNDATION HEALTH PLAN, INC. (KFHP) MEMBERS WHO HAVE A DEDUCTIBLE MUST HAVE INCURRED OUT-OF-POCKET MEDICAL AND PHARMACY EXPENSES FOR ELIGIBLE SERVICES OVER A 12 MONTH PERIOD GREATER THAN OR EQUAL TO 10% OF THEIR ANNUAL HOUSEHOLD INCOME IS ELIGIBLE FOR FREE CARE. The following response pertains to these hospital facilities: Maui Memorial Medical Center, Kula Hospital, and Lanai Community Hospital: 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 15% OF THEIR ANNUAL HOUSEHOLD INCOME IS ELIGIBLE FOR FREE CARE. Line 20a: The hospitals in facility reporting group B do not perform extraordinary collection actions.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 9
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?13
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 SUNNYBROOK SURGICAL CENTER
10180 SOUTHEAST SUNNYSIDE RD
CLACKAMAS,OR97015 		AMBULATORY SURGERY
4 INTERSTATE SURGICAL CENTER
3500 N INTERSTATE AVE
PORTLAND,OR97227 		AMBULATORY SURGERY
5 SANTA CLARA PHF
3840 HOMESTEAD RD
SANTA CLARA,CA95051 		MENTAL HEALTH
6 SKYLINE SURGICAL CENTER
5125 SKYLINE ROAD SOUTH
SALEM,OR97306 		AMBULATORY SURGERY
7 BROOKSIDE RESIDENTIAL TREATMENT CENTER
10180 SOUTHEAST SUNNYSIDE RD
Clackamas,OR97015 		INPATIENT MENTAL HEALTH SVCS
8 SUNNYBROOK PERITONEAL DIALYSIS CLINIC
9900 SE Sunnyside Rd
Clackamas,OR97015 		Peritoneal Dialysis
9 KULA HOSPITAL - 35N
100 KEOKEA PLACE
KULA,HI96790 		SKILLED NURSING & INTERMEDIATE CARE FACILITY
10 CENTRAL INTERSTATE PERITONEAL DIALYSIS
3600 N Interstate Ave
Portland,OR97227 		Peritoneal Dialysis
11 LANAI COMMUNITY HOSPITAL 43-N
628 SEVENTH STREET
LANAI CITY,HI96763 		SKILLED NURSING & INTERMEDIATE CARE FACILITY
12 KULA HOSPITAL - IMR-7
100 KEOKEA PLACE
KULA,HI96790 		IMMEDIATE CARE FACILITY FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES
13 CENTER FOR HEALTH RESEARCH
3800 N INTERSTATE AVE
PORTLAND,OR97227 		RESEARCH CENTER
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 10
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 CRITERIA FOR FREE AND DISCOUNTD CARE UNDER KP'S MEDICAL FINANCIAL ASSISTANCE POLICY; (1) MEANS TESTED (INCOME-BASED), (2) HIGH MEDICAL EXPENSES AND (3) SITUATIONS WHERE THE PATIENT HAS BEEN PREQUALIFIED. MEANS-TESTED (NCAL, SCAL, HI, NW, MHS & WA): A PATIENT OF A HOUSEHOLD INCOME LESS THAN OR EQUAL TO KFH'S MEANS TESTING CRITERIA AS A PERCENTAGE OF THE FEDERAL POVERTY GUIDELINES (FPG) IS ELIGIBLE FOR FREE CARE. NOTE: ASSETS ARE NOT USED IN ELIGIBILITY DETERMINATION. HIGH MEDICAL EXPENSES (NCAL, SCAL, HI, NW & WA): 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 10% OF ANNUAL HOUSEHOLD INCOME IS ELIGIBLE FOR FINANCIAL ASSISTANCE. HIGH MEDICAL EXPENSES (MHS): 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 15% 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 THE PATIENT: 1. IS ENROLLED IN A COMMUNITY 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.
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 ********************************************************************** The debt collection policy is included in the National MFA policy. 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) policy. 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 policy. Additionally, information related to extraordinary collections actions is included in the National MFA policy.
2 - needs assessment ********************************************************************** IN CALIFORNIA, HAWAII (INCLUDING THE MAUI HEALTH SYSTEM), OREGON, AND WASHINGTON 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 2019.
3 - patient education of eligibility for assistance ********************************************************************** IN CALIFORNIA, HAWAII, OREGON, AND WASHINGTON INFORMATION REGARDING ASSISTANCE IS WIDELY AVAILABLE THROUGHOUT THE FACILITIES TO ALL PATIENTS. INFORMATION REGARDING THE AVAILABILITY OF KAISER PERMANENTE'S MEDICAL FINANCIAL ASSISTANCE PROGRAM (MFAP) IS POSTED IN THE EMERGENCY DEPARTMENTS AND ADMITTING AREAS OF ALL KAISER PERMANENTE HOSPITALS. THE POSTED INFORMATION CONTAINS CONTACT INFORMATION FOR FURTHER ASSISTANCE. KAISER PERMANENTE ADMISSION AND DISCHARGE STAFF ARE ALSO A SOURCE OF INFORMATION FOR PATIENTS THAT EXPRESS FINANCIAL HARDSHIP OR REQUEST MEDICAL FINANCIAL ASSISTANCE. THIS STAFF CAN PROVIDE A COPY OF THE FINANCIAL ASSISTANCE POLICY SUMMARY, PROGRAM APPLICATION, OR CONNECT A PATIENT WITH A FINANCIAL COUNSELOR WHO CAN ASSIST PATIENTS IN DETERMINING ELIGIBILITY FOR GOVERNMENT PROGRAMS OR THE MFAP. PATIENT DISCHARGE PACKETS ALSO INCLUDE A COPY OF THE MFAP POLICY SUMMARY. IN ADDITION, MFAP INFORMATION, INCLUDING THE POLICY, POLICY PLAIN LANGUAGE SUMMARY AND APPLICATION, CAN ALSO BE FOUND ON THE PUBLICLY ACCESSIBLE KP MEDICAL FINANCIAL ASSISTANCE WEBSITE. ALL PATIENT BILLING STATEMENTS INCLUDE INFORMATION THAT FINANCIAL ASSISTANCE IS AVAILABLE AS WELL AS WHERE TO GET ADDITIONAL INFORMATION OR ASSISTANCE. THE MFAP POLICY PLAIN LANGUAGE SUMMARY IS ALSO INCLUDED WITH THE FIRST HOSPITAL BILLING STATEMENT TO ALL PATIENTS. ADDITIONALLY, IF PATIENTS ARE REFERRED TO BAD DEBT COLLECTIONS, PRIOR TO PERFORMING EXTRAORDINARY COLLECTIONS ACTIONS, THE PATIENT RECEIVES NOTIFICATION THAT FINANCIAL ASSISTANCE IS AVAILABLE. THE PROGRAM POLICY, POLICY PLAIN LANGUAGE SUMMARY, AND APPLICATION ARE AVAILABLE WITHOUT CHARGE IN ENGLISH AS WELL AS ALL THE LANGUAGES THAT MEET THE LIMITED ENGLISH PROFICIENCY POPULATION 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. IN HAWAII'S MAUI HEALTH SYSTEM (MHS), INFORMATION REGARDING ASSISTANCE IS WIDELY AVAILABLE THROUGHOUT THE FACILITIES TO ALL PATIENTS. INFORMATION REGARDING THE AVAILABILITY OF MHS FINANCIAL ASSISTANCE PROGRAM (FAP) IS POSTED IN THE EMERGENCY DEPARTMENTS AND ADMITTING AREAS OF THE MHS HOSPITAL. THE POSTED INFORMATION CONTAINS CONTACT INFORMATION FOR FURTHER ASSISTANCE. MHS ADMISSION AND DISCHARGE STAFF ARE ALSO A SOURCE OF INFORMATION FOR PATIENTS THAT EXPRESS FINANCIAL HARDSHIP OR REQUEST FINANCIAL ASSISTANCE. THIS STAFF CAN PROVIDE A COPY OF THE FINANCIAL ASSISTANCE POLICY SUMMARY, PROGRAM APPLICATION, OR CONNECT A PATIENT WITH A FINANCIAL COUNSELOR WHO CAN ASSIST PATIENTS IN DETERMINING ELIGIBILITY FOR GOVERNMENT PROGRAMS OR THE FAP. PATIENT DISCHARGE PACKETS ALSO INCLUDE A COPY OF THE FAP POLICY SUMMARY. IN ADDITION, FAP INFORMATION, INCLUDING THE POLICY, POLICY PLAIN LANGUAGE SUMMARY AND APPLICATION, CAN ALSO BE FOUND ON THE PUBLICLY ACCESSIBLE MHS FINANCIAL ASSISTANCE WEBSITE. ALL PATIENT BILLING STATEMENTS INCLUDE INFORMATION THAT FINANCIAL ASSISTANCE IS AVAILABLE AS WELL AS WHERE TO GET ADDITIONAL INFORMATION OR ASSISTANCE. THE FAP POLICY PLAIN LANGUAGE SUMMARY IS ALSO INCLUDED WITH THE FIRST HOSPITAL BILLING STATEMENT TO ALL PATIENTS. THE PROGRAM POLICY, POLICY PLAIN LANGUAGE SUMMARY, AND APPLICATION ARE AVAILABLE WITHOUT CHARGE IN ENGLISH AS WELL AS ALL THE LANGUAGES THAT MEET THE LIMITED ENGLISH PROFICIENCY POPULATION CRITERIA (LESSER OF 1,000 INDIVIDUALS OR 5% OF THE COMMUNITY).
4 - community information ********************************************************************** KFH SERVES COMMUNITIES IN CALIFORNIA, HAWAII (INCLUDING THE MAUI HEALTH SYSTEM), OREGON, AND WASHINGTON. 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 42 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. THE MAUI HEALTH SYSTEM OPERATES MAUI MEMORIAL MEDICAL CENTER, KULA HOSPITAL, AND LANAI COMMUNITY HOSPITAL ALL LOCATED IN MAUI COUNTY IN THE STATE OF HAWAII. IN OREGON, THE SUNNYSIDE MEDICAL CENTER IS LOCATED IN THE CITY OF CLACKAMAS AND KAISER WESTSIDE MEDICAL CENTER IN HILLSBORO. IN WASHINGTON, CENTRAL HOSPITAL IS LOCATED IN THE CITY OF SEATTLE. Ncal scal Hawaii nw ---- ---- ------ -- Total population in area (mil)*** 12.8 22.9 1.4 3.7 Median Household Income*** $96,858 $77,466 $85,522 $73,167 below 100% fpl* 11.0% 13.4% 9.6% 11.2% w/o public or private health ins* 5.1% 8.8% 3.8% 6.3% Limited English Proficiency(Household)* 8.3% 10.5% 5.8% 3.0% On-time High School Graduation Rate** 83.6% 83.8% 83.2% 79.5 Unemployment Rate (%)*** 14.8% 16.4% 19.4% 10.8% *US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY: 2015-19 ** US DEPARTMENT OF EDUCATION *** ESRI VIA KAISER PERMANENTE UTILITY FOR CARE DATA ANALYSIS, 2020 AS THE NATION'S LARGEST NONPROFIT INTEGRATED HEALTH CARE ORGANIZATION, KAISER PERMANENTE IS MISSION DRIVEN TO IMPROVE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE AND COMMITTED TO SHAPING 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 EQUITY TO ADDRESS CRITICAL HEALTH ISSUES IN OUR COMMUNITIES. FOR MANY YEARS, WE HAVE WORKED COLLABORATIVELY WITH OTHER ORGANIZATIONS TO ADDRESS SERIOUS PUBLIC HEALTH ISSUES, IMPROVE CONDITIONS FOR HEALTH IN OUR COMMUNITIES, ADVANCE HEALTH AND DRIVE AFFORDABILITY ACROSS THE NATION. 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.
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 THE COMMUNITIES WE SERVE. KFH'S GENERAL COMMUNITY BENEFITS INCLUDE: EMERGENCY DEPARTMENTS - KFH OPERATES FULL-TIME EMERGENCY DEPARTMENTS IN EACH OF ITS 42 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 75 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 five principal operating tax-exempt subsidiary health plans-Kaiser Foundation Health Plan of Colorado; Kaiser Foundation Health Plan of Georgia, Inc.; Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.; Kaiser Foundation Health Plan of the Northwest; and Kaiser Foundation Health Plan of Washington, 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. 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, in CA, HI, and OR based regions, 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 42 licensed hospitals, including five licensed hospitals with multiple campuses in California, Hawaii and Oregon. KFH provides 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 OREGON COMMUNITY BENEFIT REPORT TO THE DEPARTMENT OF HUMAN SERVICES, OFFICE FOR OREGON HEALTH POLICY AND RESEARCH FOR THE SUNNYSIDE AND WESTSIDE MEDICAL CENTERS.
Schedule H (Form 990) 2021
Additional Data


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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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
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
noncash assistance		 (h) Purpose of grant
or assistance
(1) 3c Capital Fund Inc
Po Box 71355
ADDRESS LINE 2 43 CHARACTER LIMIT
Bakersfield,CA93387 		81-3147737 501(c)(3) 24,500       Regional Disenfranchised Business Development Proj
(2) 3rd Street Youth Center & Clinic
1728 Bancroft Ave
San Francisco,CA94124 		47-4047803 501(c)(3) 25,000       Mental Health First Aid Training
(3) 3strands Global Foundation
3941 Park Dr
El Dorado Hills,CA95762 		27-4594317 501(c)(3) 25,000       Employ + Empower Program
(4) 5050 Women On Boards Inc
142 Sansome St
San Francisco,CA94104 		27-3272688 501(c)(3) 30,000       Research
(5) 100 Mile Club
2191 5th St211
Norco,CA92860 		20-8425786 501(c)(3) 14,000       100 Mile Club School Program
(6) A Caring Closet
1206 Ne 146th St C
Vancouver,WA98685 		81-1517903 501(c)(3) 24,500       Kp Unite Us Grant
(7) A Home Within Inc
195 41st St 11172
Oakland,CA94611 		94-3402610 501(c)(3) 125,000       Ahw-casa Therapy Project Bay Area
(8) Abc Unified School District
16700 Norwalk Blvd
Cerritos,CA90703 		95-2380644 Government 20,000       Thriving Schools Playbook Activation
(9) Abode Services
40849 Fremont Blvd
Fremont,CA94538 		94-3087060 501(c)(3) 44,000       Permanent Supportive Housing - Santa Clara County
(10) Abundant Grace Coastside Worker
515 Kelly St
Half Moon Bay,CA94019 		47-5557537 501(c)(3) 25,000       Community And Job Readiness Programs
(11) Access Institute For Psychological Svces
110 Gough St
San Francisco,CA94102 		01-0595862 501(c)(3) 70,000       John Muir Elementary - Building Resilience And Soc
(12) Acknowledge Alliance
2483 Old Middlefield Way208
Mountain View,CA94043 		77-0393676 501(c)(3) 50,000       Resilience Consultation Program
(13) Adolescent Counseling Services Inc
643 Bair Island Rd301
Redwood City,CA94063 		51-0192551 501(c)(3) 25,000       Mental Health Access For Youth Initiative
(14) Afghan Coalition
39155 Liberty St D460
Fremont,CA94538 		94-3398311 501(c)(3) 25,000       Mental Health Services For Afghan Immigrant Refuge
(15) African American Alliance (Aaah)
825 Ne 20th Ave 225
Portland,OR97232 		74-3140832 501(c)(3) 10,000       Economic Stability For All
(16) African American Chamber Of Commerce
42 N Sutter St 218
Stockton,CA95202 		30-0667359 501(c)(6) 25,000       Improving Economic Security Through Training Leade
(17) African American Community Service
304 N 6th St
San Jose,CA95112 		94-2494728 501(c)(3) 45,000       Aacsa Pandemic Response
(18) Age Well Senior Services Inc
23101 Lake Center Dr325
Lake Forest,CA92630 		93-1163563 501(c)(3) 50,000       Meals On Wheels For South Orange County Seniors
(19) Agingnext
141 S Spring St
Claremont,CA91711 		95-3100466 501(c)(3) 20,000       Project Community Access At The Cal Poly Pomona Co
(20) Agricultural Institute Of Marin
2169 Francisco Blvd E A
San Rafael,CA94901 		86-1156712 501(c)(3) 20,000       Nutrition And Racial Equity For Beginning Farmers
(21) Alameda City Unified School District
2060 Challenger Dr
Alameda,CA94501 		94-6002061 Government 25,000       Trauma Informed Practices In Ausd Title 1 Schools
(22) Alameda County Adult Day Services
510 17th St 200
Oakland,CA94612 		20-4704743 501(c)(3) 40,000       Rapid Response Case Management Pilot
(23) Alameda County Community Food Bank
7900 Edgewater Dr
Oakland,CA94621 		94-2960297 501(c)(3) 175,000       Nourishing Children And Families Through School Pa
(24) Alameda County Meals On Wheels
1721 Broadway 201
Oakland,CA94612 		94-2651065 501(c)(3) 20,000       Planning A Pilot To Improve Health Outcomes Throug
(25) Alameda Health Consortium
101 Callan Ave 300
San Leandro,CA94577 		51-0189590 501(c)(3) 225,000       Advance High-quality, Equitable Health Care For Al
(26) Alameda Point Collaborative
677 W Ranger Ave
Alameda,CA94501 		94-3361464 501(c)(3) 10,000       Covid-19 Vaccination Promotioin
(27) Albertina Kerr Centers
424 Ne 22nd Ave
Portland,OR97232 		93-0386780 501(c)(3) 10,000       Kerr's Children's Mental Health Services
(28) Allen Temple Baptist Church
8501 International Blvd
Oakland,CA94621 		94-1747125 501(c)(3) 95,000       Vaccination Hesitancy Project
(29) Alliance For A Healthier Generation Inc
1028 Se Water Ave 215
Portland,OR97214 		27-2028308 501(c)(3) 419,528       Healthier Generation: Heal 2.0, Po - Grants Splits
(30) Almaden Valley Counseling Service
6529 Crown Blvd D
San Jose,CA95120 		94-2775534 501(c)(3) 25,000       Counseling For Children And Youth
(31) Altamed Health Services Corp
2040 Camfield Avenue
Los Angeles,CA90040 		95-2810095 501(c)(3) 56,942       Research
(32) Alum Rock Counseling Center
777 N 1st St 444
San Jose,CA95112 		23-7367637 501(c)(3) 25,000       Alum Rock Counseling Center?S Capital Renovations
(33) Always Knocking Inc
4600 47th Ave 106
Sacramento,CA95824 		26-4635991 501(c)(3) 25,000       Multi-component Health Care System
(34) Alzheimers Association
2290 N 1st St 101
San Jose,CA95131 		13-3039601 501(c)(3) 53,000       Alzheimer's Education, Support Groups & Resources-
(35) Alzheimer's Disease Association Of Kern
Po Box 22108
Bakersfield,CA93390 		77-0017561 501(c)(3) 25,000       Alzheimer's And Dementia Care Force
(36) Alzheimers Orange County
2515 Mccabe Way200
Irvine,CA92614 		95-3702013 501(c)(3) 50,000       Caregiver Support And Education At Alzheimer?S Ora
(37) Amelia Ann Adams Whole Life Center
6702 Inglewood Ave K
Stockton,CA95207 		81-4694078 501(c)(3) 25,000       Covid-19 Vaccine Equity Project
(38) America Scores Bay Area
1460 Mission St
San Francisco,CA94103 		48-1272959 501(c)(3) 25,000       Scores San Francisco: Healthy Bodies, Hearts & Min
(39) American Cancer Society Inc
250 Williams St Nw
Atlanta,GA30303 		13-1788491 501(c)(3) 10,000       Road To Recovery And Transportation
(40) American Family Housing
15161 Jackson St
Midway City,CA92655 		33-0071782 501(c)(3) 62,500       Housing For Health Oc (Hhoc)
(41) American Heart Association Inc
1777 S Harrison St 500
Denver,CO80210 		13-5613797 501(c)(3) 90,000       Kids Heart Challenge & Healthy For Good
(42) American Online Giving Foundation Inc
40 East Main St 887
Newark,DE19711 		81-0739440 501(c)(3) 483,968       Board Of Directors Matching Gift Program
(43) American Red Cross
3131 N Vancouver Ave
Portland,OR97227 		53-0196605 501(c)(3) 20,000       Home Fire Campaign - 2022
(44) Ann & Robert H Lurie Childrens Hospital
225 E Chicago Ave
Chicago,IL60611 		36-2170833 501(c)(3) 12,039       Research
(45) Another Level For Women
Po Box 3633
Victorville,CA92393 		47-5458279 501(c)(3) 30,000       Nourish Food Pantry
(46) Antelope Valley Boys & Girls Club
Po Box 10047
Lancaster,CA93584 		95-4290055 501(c)(3) 18,000       Triple Play
(47) Antelope Valley College Foundation
3041 W Avenue K
Lancaster,CA93536 		95-4398700 501(c)(3) 23,314       Avc Student Health Services - Mental Health
(48) Antelope Valley Domestic Violence
Po Box 2980
Lancaster,CA93539 		95-3582588 501(c)(3) 92,500       Comforting Seniors
(49) Antelope Valley Partners For Health
44226 10th St W
Lancaster,CA93534 		47-0957404 501(c)(3) 110,000       Strengthening The Workforce With Support, Antelope
(50) Antioch Unified School District
510 G St
Antioch,CA94509 		86-1134505 Government 100,000       Ausd Wellness
(51) Anti-recidivism Coalition
1414 K St 150
Sacramento,CA95814 		46-2140915 501(c)(3) 25,000       Sacramento Mental Health Program
(52) Apsara
3830 Alvarado Ave C
Stockton,CA95204 		68-0224100 501(c)(3) 25,000       Covid-19 Community Health Project
(53) Arrowhead United Way
646 North D St
San Bernardino,CA92402 		95-1934586 501(c)(3) 10,000       Economic Prosperity Through Employment Training An
(54) Ashland Free Medical Clinic
1757 Clemens Rd
Oakland,CA94602 		68-0554276 501(c)(3) 25,000       Access To Care For The Uninsured And Under Insured
(55) Asian American Drug Abuse Program Inc
2900 S Crenshaw Blvd
Los Angeles,CA90016 		95-2848695 501(c)(3) 20,000       Positively Inglewood - ?Positivity Is Prevention?
(56) Asian Americans Advancing Justice
1145 Wilshire Blvd
Los Angeles,CA90017 		95-3854152 501(c)(3) 10,000       38th Anniversary Virtual Celebration
(57) Asian Americans For Community
2400 Moorpark Ave 300
San Jose,CA95128 		94-2292491 501(c)(3) 145,000       Covid-19 Vaccine Equity In Vietnamese, Filipino An
(58) Asian And Pacific Islander Wellness
730 Polk St 4th Fl
San Francisco,CA94109 		94-3096109 501(c)(3) 50,000       Tenderloin Covid-19 Prevention Project
(59) Asian Health Services
101 8th St 100
Oakland,CA94607 		94-2235908 501(c)(3) 100,000       Covid Response And Mental Health Needs In The Api
(60) Asian Resources Inc
6270 Elder Creek Rd
Sacramento,CA95824 		94-2658135 501(c)(3) 75,000       Covid-19 Vaccine Equity In The Aapi Community
(61) Aspire Indiana Health
9615 E 148th St 1
Noblesville,IN46060 		47-4391083 501(c)(3)   28,938 Cost Medical Supplies Support for Public Health
(62) Axis Community Health Inc
5925 W Las Positas Blvd 100
Pleasanton,CA94588 		94-2232394 501(c)(3) 45,000       Core Support For Safety Net Health Services
(63) Axis Foundation Inc
1100 Marigold Dr
Perris,CA92571 		26-1818786 501(c)(3) 15,000       Youth Action Health & Housing Resilience Project
(64) Bakersfield City School District Edu Fdn
1300 Baker St
Bakersfield,CA93305 		95-6000671 501(c)(3) 20,000       Trauma Informed Therapeutic Interventions
(65) Bakersfield Kern Regional Homeless Collab
1900 E Brundage Ln
Bakersfield,CA93307 		61-1948977 501(c)(3) 25,000       Innovations In First Time Home Ownership - Leverag
(66) Baldwin Bethany Community Development
4115 W Martin Luther King Jr Blvd
Los Angeles,CA90008 		30-0144624 501(c)(3) 10,000       Thankful Thursdays Fall Campaign And Annual Thanks
(67) Baldwin Park Charitable Relief
14403 Pacific Ave
Baldwin Park,CA91706 		47-5435073 501(c)(3) 62,500       Baldwin Park Housing For Health Tiny Home Project
(68) Bananas Incorporated
5232 Claremont Ave
Oakland,CA94618 		94-2247074 501(c)(3) 25,000       Support For Families Emerging From The Pandemic: C
(69) Bartz-altadonna Community Health Center
43322 Gingham Ave 103 105
Lancaster,CA93535 		27-3261289 501(c)(3) 24,500       Behavioral Health Navigation & Integration
(70) Battle Ground Healthcare
1910 Sw 9th Ave
Battle Ground,WA98604 		27-3148590 501(c)(3) 18,000       Education For Healthy Lives: Comprehensive Diabete
(71) Bay Area Black Nurses Association
3317 Elm St 103
Oakland,CA94609 		94-2257479 501(c)(3) 95,000       Project Covid - Super Care
(72) Bay Area Community Resources
11175 San Pablo Ave
El Cerrito,CA94530 		94-2346815 501(c)(3) 100,000       Healing And Youth Resilience Post-sip
(73) Bay Area Womens Sports Initiative
1922 The Alameda 420
San Jose,CA95126 		55-0897084 501(c)(3) 20,000       Bawsi Middle School Pilot
(74) Baylor College Of Medicine
Po Box 301207
Dallas,TX75303 		74-1613878 501(c)(3) 98,294       Research
(75) Baylor Research Institute
4236 Lowes Drive
Temple,AZ76502 		75-1921898 501(c)(3) 42,652       Research / Project Support
(76) Beaverton School District 48j
16550 Sw Merlo Rd
Beaverton,OR97003 		93-6001065 Government 24,999       Restorative Practices For Educators And Trauma Inf
(77) Beebe Memorial Cme Cathedral
3900 Telegraph Ave
Oakland,CA94609 		94-1752395 501(c)(3) 95,000       Covid-19 Vaccination Outreach
(78) Berkeley Food And Housing Project
3225 Adeline St
Berkeley,CA94703 		94-2979073 501(c)(3) 25,000       Russell Street Residence
(79) Berkeley Food Network
1569 Solano Ave 243
Berkeley,CA94707 		81-4942342 501(c)(3) 25,000       Nutrition Delivered
(80) Berkeley Youth Alternatives
1255 Allston Way
Berkeley,CA94702 		94-1711728 501(c)(3) 25,000       Steps2success Safe Haven
(81) Beth Israel Deaconess Medical Center Inc
330 Brookline Ave Rm 259
Boston,MA02215 		04-2103881 501(c)(3) 9,189       Research / Project Support
(82) Bienestar Human Services Inc
5326 E Beverly Blvd
Los Angeles,CA90022 		95-4505737 501(c)(3) 24,999       Tele-bienestar
(83) Big Brothers Big Sisters Of Central
4047 N Fresno St
Fresno,CA93726 		94-1668376 501(c)(3) 70,000       Mentorship In Fresno County + Access To Technology
(84) Big John Kares
Po Box 44532
Los Angeles,CA90044 		82-1623895 501(c)(3) 20,000       Bjk Education & Training Program
(85) Bilingual Broadcasting Foundation Inc
Po Box 7189
Santa Rosa,CA95407 		23-7134263 501(c)(3) 50,000       Covid-19 Vaccine Equity In Sonoma, Marin, Napa, So
(86) Bill Wilson Center
3490 The Alameda
Santa Clara,CA95050 		94-2221849 501(c)(3) 25,000       Rapid Rehousing Program
(87) Black Cooperative Investment Fund
6080 Center Dr Fl 6
Los Angeles,CA90045 		81-4320957 501(c)(3) 50,000       Bcif Microlending For Economic Empowerment
(88) Black Women For Wellness
Po Box 292516
Los Angeles,CA90029 		95-4624707 501(c)(3) 50,000       Dignity In Pregnancy And Childbirth Collaboration
(89) Blanchet House Of Hospitality
310 Nw Glisan St
Portland,OR97209 		93-6031009 501(c)(3) 10,000       Trauma-informed, Dignified Service: Volunteer Trai
(90) Blood Bank Of San Bernardino
Po Box 1429
San Bernardino,CA92402 		95-1708743 501(c)(3) 12,500       Research
(91) Board Of Trustees Of The Glide
330 Ellis St
San Francisco,CA94102 		94-1156481 501(c)(3) 75,000       Covid-19 Vaccine Equity In The Tenderloin
(92) Booker T Washington Community Service
800 Presido Ave
San Francisco,CA94115 		94-1160952 501(c)(3) 50,000       Vaccine Equity Grants: Child And Targeted Communit
(93) Borland Free Clinic
3550 Sw Borland Rd
Tualatin,OR97062 		46-1070038 501(c)(3) 10,000       Expanding Women's Health Services At Borland Free
(94) Boston University
1010 Commonwealth Avenue
Boston,MA02215 		32-0293118 501(c)(3) 68,674       Research
(95) Boys & Girls Club Of Coachella Valley
42600 Cook St120
Palm Desert,CA92211 		95-6122699 501(c)(3) 22,000       Triple Play: A Game Plan For Mind, Body, And Soul
(96) Boys & Girls Club Of Fontana
Po Box 3712
Fontana,CA92334 		33-0443344 501(c)(3) 10,000       Social Emotional Learning For Youth
(97) Boys & Girls Club Of Hollywood
850 N Cahuenga Blvd
Los Angeles,CA90038 		95-1775142 501(c)(3) 24,999       Programs Addressing The Healthy Development Of Und
(98) Boys & Girls Club Of San Fernando Valley
11251 Glenoaks Blvd
Pacoima,CA91331 		95-2468448 501(c)(3) 10,000       Bgcsfv After-school Program
(99) Boys & Girls Club Of San Leandro
Po Box 234
San Leandro,CA94577 		94-6003779 501(c)(3) 20,000       Workforce Readiness
(100) Boys & Girls Clubs
1251 Clay St
Redlands,CA92374 		95-6187083 501(c)(3) 35,000       Healthy Habits Food Program
(101) Boys & Girls Clubs Of Fresno County
540 North Augusta St
Fresno,CA93701 		94-1149171 501(c)(3) 25,000       Healthy Living For Great Futures
(102) Boys & Girls Clubs Of Greater Sacramento
5212 Lemon Hill Ave
Sacramento,CA95824 		68-0338324 501(c)(3) 25,000       Jjet 2021-2022 - Response, Recovery, Resilience
(103) Boys & Girls Clubs Of Metro Los Angeles
800 S Figueroa St 950
Los Angeles,CA90017 		81-0851473 501(c)(3) 10,000       Beyond The Mask ? 2021 Virtual Celebration
(104) Boys & Girls Clubs Of North San Mateo Cty
201 W Orange Ave
So San Francisco,CA94080 		94-1497000 501(c)(3) 25,000       Great Futures Start Here-- Nourishing The Whole Ch
(105) Boys & Girls Clubs Of Southwest
5109 Ne 82nd Ave 205
Vancouver,WA98662 		91-1978646 501(c)(3) 24,500       Boys & Girls Clubs Of Southwest Washington - Commu
(106) Boys & Girls Clubs Of The Peninsula
401 Pierce Rd
Menlo Park,CA94025 		94-1552134 501(c)(3) 25,000       Bgcp Teen And Postsecondary Mental Health
(107) Boys & Girls Clubs Of Tracy
753 W Lowell Ave
Tracy,CA95376 		68-0028682 501(c)(3) 25,000       Supper Program
(108) Boys And Girls Club Of Ventura Inc
6020 Nicolle St D
Ventura,CA93003 		95-2248919 501(c)(3) 25,000       Greater Ventura Youth Skills Recovery Care Program
(109) Boys And Girls Clubs Of Greater Oxnard
1900 W 5th St
Oxnard,CA93030 		95-1785162 501(c)(3) 30,000       Steam Innovation Labs
(110) Bridge To Home Scv
23752 Newhall Ave
Santa Clarita,CA91321 		95-4587823 501(c)(3) 15,000       Crisis Shelter And Housing Programs
(111) Brigham And Womens Hospital Inc
Po Box 3714
Boston,MA02241 		04-2312909 501(c)(3) 22,143       Research / Project Support
(112) Bright Prospect
1460 E Holt Ave74
Pomona,CA91767 		52-2363234 501(c)(3) 24,900       College Readiness Program
(113) Brighter Beginnings
2727 Macdonald Ave
Richmond,CA94804 		94-2949749 501(c)(3) 50,000       Increasing Access To Healthcare In Antioch
(114) Brotherhood Of Elders Network
Po Box 70913
Oakland,CA94612 		36-4857014 501(c)(3) 300,000       Umoja Health Covid-19 Initiative To Ensure Equity
(115) Buckelew Programs
201 Alameda Del Prado
Novato,CA94949 		23-7088977 501(c)(3) 20,000       Behavioral Healthcare Access In Marin: Counseling
(116) Buddhist Tzu Chi Foundation
1100 S Valley Center Ave
San Dimas,CA91773 		94-2952782 501(c)(3) 90,000       Mobile Veggie Pantry
(117) Building A Generation
932 W Cypress St
Redlands,CA92373 		54-2104001 501(c)(3) 20,000       Career Pathway Program
(118) Burma Refugee Family Network
1811 11th Ave
Oakland,CA94606 		27-2836526 501(c)(3) 15,000       Afghan Resettlement
(119) Ca Consortium For Urban Indian Health Inc
1016 Lincoln Blvd 111
San Francisco,CA94129 		20-4878959 501(c)(3) 150,000       2021 Consortia Core Support
(120) California Association Of Food Banks
1624 Franklin St 722
Oakland,CA94612 		68-0392816 501(c)(3) 100,000       Until We're All Fed: Ending A Generational Hunger
(121) California Black Womens Health Project
9800 S La Cienega Blvd905
Inglewood,CA90301 		95-4702923 501(c)(3) 50,000       Black Birthworkers Resiliency Project
(122) California Congress Of Parents
2327 L St
Sacramento,CA95816 		95-1683870 501(c)(3) 8,650       California State Pta 122nd Annual Convention - Vir
(123) California Emerging Technology Fund
2151 Salvio St 252
Concord,CA94520 		20-5184429 501(c)(3) 25,000       San Jose Digital Inclusion Parternship
(124) California Healthcare Safety Net
70 Washington St215
Oakland,CA94607 		94-2970752 501(c)(3) 173,755       Core Support For The California Health Care Safety
(125) California Lutheran University
60 W Olsen Rd 1675
Thousand Oaks,CA91360 		95-2962604 501(c)(3) 10,000       Public Health Internship Program
(126) California Mental Health Services
3043 Gold Canal Dr 200
Rancho Cordova,CA95670 		27-0707523 Government 150,000       Building The Future Behavioral Health Workforce
(127) California Parenting Institute
3650 Standish Ave
Santa Rosa,CA95407 		94-2541640 501(c)(3) 25,000       Resilient Parenting
(128) California Partnership For Safe
825 Washington St 200
Oakland,CA94607 		45-3127566 501(c)(3) 300,000       A Regional Approach To Reducing Gun Violence In Th
(129) California Rural Legal Assistance
2210 K St201
Sacramento,CA95816 		94-2800442 501(c)(3) 75,000       Covid-19 Vaccine Equity In East Contra Costa
(130) California School-based Health Alliance
1203 Preservation Park Wy302
Oakland,CA94612 		94-3201896 501(c)(3) 75,000       Increasing Access To Equitable Care For Inland Emp
(131) California State University Fullerton
2600 Nutwood Ave
Fullerton,CA92831 		33-0567945 501(c)(3) 10,000       Research
(132) California State University Northridge
18111 Nordhoff Street
Northridge,CA91330 		95-6196006 501(c)(3) 37,500       Interpersonal Violence Education For Ne Valley Hea
(133) California Wic Association
3960 Industrial Blvd 500
West Sacramento,CA95691 		68-0271696 501(c)(3) 75,000       Modernizing Wic: Longstanding Problems, Pandemic L
(134) Calwa Recreation And Park District
4545 E Church Ave
Fresno,CA93725 		94-6036299 Government 30,000       Calwa Community Pool
(135) Camarena Health
730 N I St 202
Madera,CA93637 		94-2503904 501(c)(3) 135,000       Camarena Health Ccm & Rpm Programs
(136) Cambodian Association Of America
2390 Pacific Ave
Long Beach,CA90806 		95-3528706 501(c)(3) 105,000       Cambodian Wellness Project
(137) Camillus Health Concern Inc
336 Nw 5th Street
Miami,FL33128 		65-0063921 501(c)(3)   45,626 Cost Medical Supplies Support for Public Health
(138) Caminar
2600 S El Camino Real200
San Mateo,CA94403 		94-1639389 501(c)(3) 20,000       Bridges To Wellness
(139) Canal Alliance
91 Larkspur St
San Rafael,CA94901 		94-2832648 501(c)(3) 75,000       Canal Alliance University Prep! (Up!)
(140) Canopy
3921 E Bayshore Rd
Palo Alto,CA94303 		01-0565752 501(c)(3) 25,000       Community Tree Champions: Growing Tree Equity Thro
(141) Care Harbor
18436 Hawthorne Blvd 204
Torrance,CA90504 		27-2984870 501(c)(3) 25,000       Care Harbor / La
(142) Caregivers Volunteers Assisting The Elderly
1765 Goodyear Ave
Ventura,CA93003 		77-0081692 501(c)(3) 20,000       Volunteer Caregiving For Vulnerable Seniors In Ven
(143) Carroll College
1601 North Benton Ave
Helena,MT59625 		81-0231774 501(c)(3) 7,500       Scholarship
(144) Casa Esperanza Transitional Home For Women
5501 Stockdale Hwy
Bakersfield,CA93389 		47-4019231 501(c)(3) 25,000       Casa Esperanza: Health & Home
(145) Casa Pacifica
1722 S Lewis Rd
Camarillo,CA93012 		77-0195022 501(c)(3) 10,000       Mental Health Assessment Services For Non-minor De
(146) Cascade Aids Project Inc
520 Nw Davis St215
Portland,OR97209 		93-0903383 501(c)(3) 10,000       Behavioral Health For People Living With Hiv In Sw
(147) Catalyst Of San Diego & Imperial Counties
5060 Shoreham Pl 350
San Diego,CA92122 		33-0868261 501(c)(3) 95,000       Funders Together To End Homelessness San Diego
(148) Catholic Charities Diocese Of Stockton
1106 North El Dorado St
Stockton,CA95202 		94-1629114 501(c)(3) 195,000       2021 Bloc Cohort
(149) Catholic Charities Of Diocese Santa Rosa
987 Airway Ct
Santa Rosa,CA95403 		94-2479393 501(c)(3) 45,000       Emergency Assistance For Immigrant Victims Of Viol
(150) Catholic Charities Of Los Angeles Inc
10217 S Inglewood Ave
Lennox,CA90304 		95-1690973 501(c)(3) 100,000       Support Thrive Local Community Network Development
(151) Catholic Charities Of Santa Clara County
2625 Zanker Rd
San Jose,CA95134 		94-2762269 501(c)(3) 25,000       Pathfinder
(152) Catholic Charities Of The Diocese Of Fresno
149 N Fulton St
Fresno,CA93701 		94-1678938 501(c)(3) 25,000       Catholic Charities Meal And Nutrition Distribution
(153) Catholic Charities San Bernardino&Riverside
1450 N D St
San Bernardino,CA92405 		95-3516461 501(c)(3) 80,000       Casework Services For Families And Individuals Aff
(154) Cause Communications
12304 Santa Monica Blvd 201
Los Angeles,CA90025 		95-4774537 501(c)(3) 75,000       We Rise
(155) Cedars Sinai Medical Center
PO Box 48955
Los Angeles,CA90048 		95-1644600 501(c)(3) 106,823       Research
(156) Center For Domestic Peace
734 A St
San Rafael,CA94901 		94-2415856 501(c)(3) 25,000       Domestic Violence Parent/Child Therapy
(157) Center For Elders Independence
510 17th St
Oakland,CA94612 		94-3123446 501(c)(3) 25,000       Healthy Meals For Seniors - San Leandro
(158) Center For Empowering Refugees & Immigrants
544 International Blvd9
Oakland,CA94606 		76-0822958 501(c)(3) 25,000       Transforming Intergenerational Trauma In Southeast
(159) Center For Human Services
2000 W Briggsmore Ave I
Modesto,CA95350 		94-1725620 501(c)(3) 170,000       2021 Bloc Cohort
(160) Center For Individual And Family
5445 Laurel Canyon Blvd
North Hollywood,CA91607 		51-0204566 501(c)(3) 15,000       School Based Mental Health Services
(161) Center For Living & Learning
14549 Archwood St221
Van Nuys,CA91405 		95-4406897 501(c)(3) 50,000       Cll Support Thrive Local Community Network Develop
(162) Center For Nonprofit Management
1000 N Alameda St250
Los Angeles,CA90012 		95-3357253 501(c)(3) 9,400       2021 501(C)Onference: Renewal
(163) Center For The Study Of Young People
Po Box 48750
Los Angeles,CA90048 		95-3760982 501(c)(3) 26,876       Career Development Program
(164) Center On Policy Initiatives
3727 Camino Del Rio S 100
San Diego,CA92108 		33-0824881 501(c)(3) 50,000       Community Schools: Integrating Academics, Health,
(165) Central California Asthma Collaborative
4991 E Mckinley Ave109
Fresno,CA93727 		45-3599201 501(c)(3) 75,000       Central Valley Asthma Relief Project
(166) Central California Food Bank
4010 E Amendola Dr
Fresno,CA93725 		77-0320851 501(c)(3) 95,000       2021 Bloc Cohort
(167) Central City Community Health Centers
5970 S Central Ave
Los Angeles,CA90001 		95-4492570 501(c)(3)   14,364 Cost Medical Supplies Support for Public Health
(168) Central City Concern
232 Nw 6th Ave
Portland,OR97209 		93-0728816 501(c)(3) 10,000       Community Volunteer Corps
(169) Central Coast Alliance United For Economy
2021 Sperry Ave 9
Ventura,CA93003 		77-0578864 501(c)(3) 10,000       Health For All Access Project
(170) Central Valley Health Network Inc
1451 River Park Dr216
Sacramento,CA95815 		68-0429643 501(c)(3) 225,000       2022 Consortia Core Support
(171) Centro Community Partners
825 Washington St 228
Oakland,CA94607 		45-2992960 501(c)(3) 90,000       Catalyze Business Ownership Amongst Women And Mino
(172) Centro La Familia Advocacy Services Inc
302 Fresno St 102
Fresno,CA93706 		77-0310310 501(c)(3) 75,000       Covid-19 Vaccine Equity In Fresno County
(173) Centro La Familia Advocacy Services Inc
302 Fresno St 102
Fresno,CA93706 		77-0310310 501(c)(3)   14,184 Cost Medical Supplies Covid-19 Vaccine Equity In Fresno County
(174) Ceres Community Project
Po Box 1562
Sebastopol,CA95473 		26-2250997 501(c)(3) 12,000       Healing Meals Program
(175) Chabot-las Positas Community College
25555 Hesperian Blvd
Hayward,CA94545 		94-1670563 Government 25,000       Economic Security: Chabot College Calfresh Employm
(176) Chaffey College Foundation
5885 Haven Ave
Rancho Cucamonga,CA91737 		95-4095445 501(c)(3) 10,000       Radiologic Technology
(177) Charitable Ventures Of Orange County
1505 E 17th St 101
Santa Ana,CA92705 		20-8756660 501(c)(3) 25,000       Healthy Teen Collective - Orange County
(178) Charles Drew University Of Medicine&Science
1731 E 120th St
Los Angeles,CA90059 		95-6151774 501(c)(3) 60,000       Bmhce: Improving Birth Outcomes Through Midwifery
(179) Chemeketa Community College Foundation
Po Box 14007
Salem,OR97309 		93-6097106 501(c)(3) 20,000       Scholarship
(180) Child & Family Center
21545 Centre Pointe Pkwy
Santa Clarita,CA91350 		95-3941342 501(c)(3) 15,000       Mental Health Treatment For Adults
(181) Child Abuse Council Of Sacramento
4700 Roseville Rd102
North Highlands,CA95660 		94-2833431 501(c)(3) 25,000       Unite4kids
(182) Child Advocates Of Placer County
3715 Atherton Rd 1
Rocklin,CA95765 		77-0620948 501(c)(3) 25,000       Placer Casa Serving Foster, Delinquency And Csec Y
(183) Child Advocates Of San Bernardino County
Po Box 519
Rialto,CA92377 		33-0362613 501(c)(3) 24,900       Improving The Mental And Behavioral Health Of Fost
(184) Childrens Center Of The Antelope Valley
45111 Fern Ave
Lancaster,CA93534 		95-4212759 501(c)(3) 24,500       Economic Sustainability In Lancaster
(185) Childrens Fund Inc
348 W Hospitality Ln110
San Bernardino,CA92408 		33-0193286 501(c)(3) 50,000       Emergency Needs Program
(186) Childrens Home Society Of Washington
Po Box 15190
Seattle,WA98115 		91-0575955 501(c)(3) 24,500       Sw Washington Community-clinic Integration
(187) Children's Hospital & Research Center
747 52nd Street
Oakland,CA94609 		94-0382330 501(c)(3)   7,760 Cost Medical Supplies Support for Public Health
(188) Childrens Network Of Solano County
827 Missouri St 5
Fairfield,CA94533 		68-0014506 501(c)(3) 25,000       Improving Economic Security With The Family Streng
(189) Christian Outreach Appeal
515 E 3rd St
Long Beach,CA90802 		33-0008271 501(c)(3) 12,995       Hot Meals And Food Bank Program
(190) Chula Vista Elementary School District
84 E J St
Chula Vista,CA91910 		95-6000613 Government 20,000       Cvesd Physical Education Livestream Library
(191) Citrus Counseling Services Inc
101 E Redlands Blvd215
Redlands,CA92373 		33-0063237 501(c)(3) 24,500       Behavioral Health Service Capacity
(192) City Of Azusa
213 E Foothill Blvd
Azusa,CA91702 		95-6000670 Government 26,876       All In For Azusa's Seniors And Teens: Emotional We
(193) City Of Fontana
8353 Sierra Ave
Fontana,CA92335 		95-6004770 Government 14,000       The Awareness Project
(194) City Of Ontario
303 East B Street
Ontario,CA91764 		95-6000754 Government 29,900       Ontario Mental Health Small Steps Project/El Proye
(195) City Of Perris
101 N D St
Perris,CA92570 		95-6000761 Government 24,500       Grow Perris Youth Development
(196) City Of Portland Oregon
1120 Sw 5th Ave 800
Portland,OR97204 		93-6002236 Government 110,000       Portland Sunday Parkways
(197) City Of Rialto
150 S Palm Ave
Rialto,CA92376 		95-6000768 Government 20,000       Nutrition Program 2022
(198) City Of Selma
1710 Tucker St
Selma,CA93662 		94-6000431 Government 25,000       Senior Center Meals/Food Distribution
(199) City Of South San Francisco
400 Grand Ave
South San Francisco,CA94080 		94-6000435 Government 29,750       Covid-19 Vaccine Equity In South San Francisco
(200) City Surf Project Inc
1633 Valencia St
San Francisco,CA94110 		47-2091985 501(c)(3) 25,000       Building Resilience: Healthy Bodies, Minds & Commu
(201) City Year Inc
2331 Alhambra Blvd 300
Sacramento,CA95817 		22-2882549 501(c)(3) 100,000       Whole School Whole Child Team Sponsorship At Fern
(202) Clackamas Service Center Inc
8800 Se 80th Ave
Portland,OR97206 		93-0626175 501(c)(3) 100,000       A New Food Hub And Community Resources For Food Se
(203) Clark College
1933 Fort Vancouver Way
Vancouver,WA98663 		91-0824167 Government 7,500       Scholarship
(204) Clark County Volunteer Lawyers Program
1104 Main St 1
Vancouver,WA98660 		91-1477518 501(c)(3) 24,500       Access To Justice
(205) Cleveland Clinic Foundation
Po Box 931517
Cleveland,OH44193 		34-0714585 501(c)(3) 21,644       Research
(206) Clovis Unified School District
1450 Herndon Ave
Clovis,CA93611 		94-2840774 Government   187,569 Cost Medical Supplies Support for Public Health
(207) Coachella Valley Volunteers In Medicine
Po Box 10090
Indio,CA92202 		26-3312826 501(c)(3) 24,500       Improving Access To Primary Healthcare
(208) Coalition For Humane Immigrant Rights
2533 W Third St101
Los Angeles,CA90057 		95-4421521 501(c)(3) 19,250       Leadership And Empowerment For United Communities
(209) Coastal Kids Home Care
1172 S Main St 125
Salinas,CA93901 		20-2549984 501(c)(3) 25,000       Pediatric Home Health And Palliative Care
(210) Coastal Roots Farm
441 Saxony Rd
Encinitas,CA92024 		47-1570910 501(c)(3) 25,000       On-site And Virtual Equitable Environmental Stem &
(211) Coastside Hope
Po Box 1089
El Granada,CA94018 		51-0199747 501(c)(3) 120,000       Covid-19 Vaccine Equity On The Coastside
(212) Collabria Care
414 S Jefferson St
Napa,CA94559 		68-0393144 501(c)(3) 20,000       Strengthening Collabria Care?S Information & Assis
(213) College Of The Canyons Foundation
26455 Rockwell Canyon Rd
Santa Clarita,CA91355 		95-3574259 501(c)(3) 150,000       Mental Health Pipeline
(214) Colton Joint Unified School District
1212 Valencia Dr
Colton,CA92324 		95-2414439 Government 24,900       Cjusd Behavioral And Mental Health Internship Prog
(215) Columbia University Medical Ctr
Po Box 29789
New York,NY10087 		13-5398093 501(c)(3) 132,198       Research
(216) Columbia Wellness
921 14th Ave
Longview,WA98632 		91-0598130 501(c)(3) 24,500       Columbia Wellness Integrated Referral Partnership
(217) Communicare Health Centers
1590 Drew Ave
Davis,CA95618 		94-2188574 501(c)(3) 10,000       Population Health Management Solutions Initiative
(218) Community Action Board Of Santa Cruz
406 Main St 207
Watsonville,CA95076 		94-2523780 501(c)(3) 75,000       South County Family Health Initiative
(219) Community Action Marin
555 Northgate Dr 201
San Rafael,CA94903 		94-6136365 501(c)(3) 25,000       Ece Family Childcare Workforce Project Year Two
(220) Community Action Of Napa Valley
2521 Old Sonoma Rd
Napa,CA94558 		94-1610851 501(c)(3) 20,000       School Pantry Network
(221) Community Action Partnership Of Madera
1225 Gill Ave
Madera,CA93637 		94-1612823 501(c)(3) 25,000       Housing For Health Program
(222) Community Action Partnership Of Madera
1225 Gill Ave
Madera,CA93637 		94-1612823 501(c)(3)   5,224 Cost Medical Supplies Housing For Health Program
(223) Community Action Partnership Of Orange Cty
11870 Monarch St
Garden Grove,CA92841 		95-2452787 501(c)(3) 50,000       Building Organizational Capacity To Support Cap Oc
(224) Community Action Partnership Of San
696 S Tippecanoe Ave
San Bernardino,CA92408 		95-2376882 501(c)(3) 50,000       Homeless Community Outreach
(225) Community Against Sexual Harm
3101 1st Ave
Sacramento,CA95817 		46-1498182 501(c)(3) 25,000       Resilient Women
(226) Community Bridges
519 Main St
Watsonville,CA95076 		94-2460211 501(c)(3) 165,000       Equity And Economic Justice Initiative
(227) Community Child Care Council Of Sonoma
131 A Stony Cir300
Santa Rosa,CA95401 		94-2274620 501(c)(3) 25,000       4cs Child Care Initiative Project Expansion To Add
(228) Community Clinic Association Of La County
445 S Figueroa St2100
Los Angeles,CA90071 		95-4576023 501(c)(3) 20,000       2021 Annual Southern California Health Care Sympos
(229) Community Clinic Consortium
3720 Barrett Ave
Richmond,CA94805 		20-0782029 501(c)(3) 225,000       Community Clinic Consortium Core Support
(230) Community Coalition For Substance Abuse
8101 S Vermont Ave
Los Angeles,CA90044 		95-4298811 501(c)(3) 50,000       Promoting A Just And Racially-equitable Covid-19 R
(231) Community Family Guidance Center
10929 South St 208b
Cerritos,CA90703 		95-3083776 501(c)(3) 50,000       Cfgc Mental Health Training Program
(232) Community Foundation Of San Joaquin Inc
6731 Herndon Pl
Stockton,CA95219 		26-1476916 501(c)(3) 95,000       Covid-19 Vaccine Equity In San Joaquin County
(233) Community Health Alliance Of Pasadena
455 W Montana St
Pasadena,CA91103 		95-4536824 501(c)(3) 10,000       Annual Fundraising Dinner
(234) Community Health Center
101 Callan Ave 300
San Leandro,CA94577 		94-3253662 501(c)(3) 450,000       Bay Area Community Health-south Epic Electronic He
(235) Community Health Clinic Ole
1141 Pear Tree Ln 100
Napa,CA94558 		23-7221695 501(c)(3) 288,000       Covid-19 Vaccine Equity In Napa
(236) Community Health Initiative Napa County
2140 Jefferson St D
Napa,CA94559 		25-1924934 501(c)(3) 25,000       Reducing Barriers To Affordable Healthcare Coverag
(237) Community Health Initiative Of Orange
1505 E 17th St121
Santa Ana,CA92705 		47-2671013 501(c)(3) 80,000       Community Health Access Program: Calfresh/Wic Outr
(238) Community Health Partners
Po Box 2853
Longview,WA98632 		91-2016542 501(c)(3) 18,000       Covid-19 Free Health Clinic Programs
(239) Community House On Broadway
1105 Broadway
Longview,WA98632 		94-3067129 501(c)(3) 24,500       Community House Community Clinic Integration Initi
(240) Community Initiatives
1000 Broadway 480
Oakland,CA94607 		94-3255070 501(c)(3) 25,000       Healthier Futures Through Academic Attainment
(241) Community Institute For Psychotherapy
1330 Lincoln Ave201
San Rafael,CA94901 		94-2499583 501(c)(3) 10,000       Strengthening Families Healing Individuals Through
(242) Community Link Capital Region
8001 Folsom Blvd
Sacramento,CA95826 		94-1201196 501(c)(3) 170,000       2021 Bloc Cohort
(243) Community Living Campaign
1663 Mission St525
San Francisco,CA94103 		26-1697250 501(c)(3) 90,000       Community Connections For Social Health And Wellbe
(244) Community Medical Centers Inc
7210 Murray Dr
Stockton,CA95210 		94-2437106 501(c)(3) 87,000       Covid-19 Vaccine Equity In Dixon
(245) Community Now
28604 Maranda Ct
Moreno Valley,CA92555 		46-2624331 501(c)(3) 24,500       Coaching For Cultural Success: Mental Wellness
(246) Community Partners
1000 N Alameda St240
Los Angeles,CA90012 		95-4302067 501(c)(3) 130,500       Fresh Ideas For Calfresh In Action
(247) Community Seniorserv Inc
1200 N Knollwood Cir
Anaheim,CA92801 		95-2771715 501(c)(3) 50,000       Meals On Wheels For Food Insecure & Isolated Older
(248) Community Services Agency
204 Stierlin Rd
Mountain View,CA94043 		94-1422465 501(c)(3) 25,000       Emergency Rental Assisance Program
(249) Community Solutions For Children
9015 Murray Ave 100
Gilroy,CA95020 		23-7351215 501(c)(3) 25,000       Celebrating Families! Program
(250) Community Solutions International Inc
60 Broad St Fl 24 2422
New York,NY10004 		27-3523909 501(c)(3) 75,000       Supporting An End To Chronic And Veteran Homelessn
(251) Community Support Network
1410 Guerneville Rd14
Santa Rosa,CA95403 		94-2159583 501(c)(3) 25,000       Sanctuary House And Sanctuary Villas
(252) Community Youth Center Of San Francisco
1038 Post St
San Francisco,CA94109 		94-1728818 501(c)(3) 50,000       Bayview Multicultural Engagement Services: Healing
(253) Community's Child Inc
25520 Woodward Ave
Lomita,CA90717 		20-2871854 501(c)(3) 10,000       Healthy Bags Covid19 Nutrition & Support Program
(254) Compass Family Services
37 Grove St
San Francisco,CA94102 		94-1156622 501(c)(3) 25,000       Homelessness Prevention And Housing Search Support
(255) Comprehensive Community Health Centers
801 S Chevy Chase Dr 20
Glendale,CA91205 		42-1553807 501(c)(3) 10,000       Population Health Management Solutions Initiative
(256) Conejo Valley Senior Concerns
401 Hodencamp Rd
Thousand Oaks,CA91360 		95-2992927 501(c)(3) 30,000       Supportive Services To Improve The Health And Well
(257) Construction Industry Educational
5370 Elvas Ave
Sacramento,CA95819 		20-0595531 501(c)(3) 7,500       Cief Trades Day & Design Build Southern California
(258) Consumer Voices Are Born
Po Box 1707
Vancouver,WA98668 		91-1727234 501(c)(3) 24,500       Pier 360 Running Club
(259) Contra Costa Crisis Center
POBox 3364
Walnut Creek,CA94598 		94-1747227 501(c)(3) 25,000       211 Housing For Health-east Bay
(260) Contra Costa Health Services
1220 Morello Ave 200
Martinez,CA94553 		94-6000509 Government 140,000       Covid-19 Adult Ambassadors
(261) Contra Costa Interfaith Transitional
399 Taylor Blvd115
Pleasant Hill,CA94523 		91-1797391 501(c)(3) 25,000       Permanent Affordable Housing And Supportive Servic
(262) Contra Costa Regional Health Foundation
50 Douglas Drive 320c
Martinez,CA94553 		20-0555977 501(c)(3) 170,000       Covid-19 Vaccine Equity In Contra Costa County
(263) Contra Costa Society Of St Vincent De Paul
2210 Gladstone Dr
Pittsburg,CA94565 		94-1448577 501(c)(3) 25,000       Core Support For Access To Care - Rotacare Pittsbu
(264) Cooperative Housing Foundation
5151 Murphy Canyon Rd 320
San Diego,CA92123 		52-0846183 501(c)(3) 40,000       Healthy Start San Diego (Hssd) Birth Worker Initia
(265) Cope Family Center
707 Randolph St
Napa,CA94559 		94-2322399 501(c)(3) 25,000       Cope Family Center: Parents As Teachers Home Visit
(266) Core Health
Po Box 2394
Longview,WA98632 		82-2081669 501(c)(3) 24,500       Core Health Community Clinic Integration Initiativ
(267) Cornerstone Community Development
1395 Bancroft Ave
San Leandro,CA94577 		94-3100741 501(c)(3) 20,000       General Operating Support
(268) Corporation Of Gonzaga University
502 E Boone Ave
Spokane,WA99258 		91-0236600 501(c)(3) 7,500       Scholarship
(269) Council For The Homeless
2500 Main St
Vancouver,WA98660 		91-2001828 501(c)(3) 10,000       Staff Mentorship Program
(270) Council On Aging Southern California
2 Executive Cir 175
Irvine,CA92614 		95-2874089 501(c)(3) 75,000       Capacity Building To Increase Access To Care
(271) County Of Alameda
1404 Franklin Street 200
Oakland,CA94612 		94-6000501 Government   61,180 Cost Medical Supplies Support for Public Health
(272) County Of Placer Health And Human Services
3091 County Center Dr 290
Auburn,CA95603 		94-6000527 Government 50,000       211 Placer: Strengthening Information And Referral
(273) County Of Solano
3375 Sonoma Blvd 30
Vallejo,CA94590 		94-6000538 Government 25,000       Family Navigation Program To Provide Information/R
(274) County Of Stanislaus
917 Oakdale Rd
Modesto,CA95355 		94-6000540 Government 85,000       Vaccinate Stanislaus
(275) County Of Ventura
3170 Loma Vista Rd
Ventura,CA93003 		95-6000944 Government 15,000       Vc Family Justice Center-dv/Sa Emergency Shelter P
(276) Court Appointed Advocates Of Santa Cruz
813 Freedom Blvd
Watsonville,CA95076 		77-0305354 501(c)(3) 25,000       Advocacy And Mentorship Of Children And Youth In T
(277) Court Appointed Special Advocates Of Fresno
2300 Tulare St 210
Fresno,CA93721 		77-0401361 501(c)(3) 25,000       Adverse Childhood Experience (Aces) Screening Fost
(278) Covenant House California
1325 N Western Ave
Los Angeles,CA90027 		13-3391210 501(c)(3) 84,999       Covenant House Ca - La Animation School And Studio
(279) Cowlitz Wahkiakum Legal Aid
1338 Commerce Ave F
Longview,WA98632 		91-1945347 501(c)(3) 24,500       Families First
(280) Crenshaw Subway Coalition
3818 Crenshaw Blvd314
Los Angeles,CA90008 		32-0347876 501(c)(3) 50,000       Crenshaw Subway Coalition Racial Justice Land Use
(281) Crisis Support Services Of Alameda
Po Box 3120
Oakland,CA94609 		94-1635658 501(c)(3) 25,000       Resilience-based Community Education
(282) Curry Senior Center
315 Turk St
San Francisco,CA94102 		23-7362588 501(c)(3) 25,000       2021- 2022 Dedicated Connection To Care For Homele
(283) Cypress College Foundation
9200 Valley View St
Cypress,CA90630 		23-7197703 501(c)(3) 10,000       Radiologic Technology
(284) Daily Bowl
525 H St
Union City,CA94587 		81-3341265 501(c)(3) 25,000       Glean And Distribute Food
(285) Dana-farber Cancer Institute
450 Brookline Avenue
Boston,MA02215 		04-2263040 501(c)(3) 179,359       Research / Project Support
(286) Davis Street Family Resource Center
3081 Teagarden St
San Leandro,CA94577 		94-3121699 501(c)(3) 100,000       Covid 19 Prevention And Response Efforts
(287) De La Salle North Catholic High School
4300 Ne Killingsworth St
Portland,OR97218 		93-1287554 501(c)(3) 10,000       Financial Aid Program
(288) Delta Health Care And Management
4662 Precissi Ln 200
Stockton,CA95207 		94-2529117 501(c)(3) 75,000       Resiliency Education And Community Healing (Reach)
(289) Denver Health & Hospital Authority
777 Bannock Street
Denver,CO80204 		84-1343242 Government 114,823       Research
(290) Dientes Community Dental Care
1830 Commercial Way
Santa Cruz,CA95065 		77-0311752 501(c)(3) 85,000       Increasing Access To Dental Care Through Outreach
(291) Dig For Kids
3503 Palm Drive
Hermosa Beach,CA90254 		95-4783266 501(c)(3)   10,647 Cost Medical Supplies Support for Public Health
(292) Diversity In Health Training Institute
310 8th St 303
Oakland,CA94607 		35-2432876 501(c)(3) 90,000       Healthcare Career Pathways Initiative
(293) Dixon Family Services
155 N 2nd St
Dixon,CA95620 		68-0041829 501(c)(3) 25,000       Dfs Access To Care And Basic Needs
(294) Dolores C Huerta Foundation
Po Box 2087
Bakersfield,CA93303 		91-2145992 501(c)(3) 25,000       Increasing Participation In School Meals In The Sa
(295) Donate Life Northwest
1515 Sw 5th Ave 655
Portland,OR97201 		93-0867552 501(c)(3) 10,000       Diversity, Equity, & Inclusion Initiative
(296) Doves Of Big Bear Valley Inc
Po Box 3646
Big Bear Lake,CA92315 		33-0109115 501(c)(3) 20,400       Transitional Living Program
(297) Downtown Streets Inc
1671 The Alameda 306
San Jose,CA95126 		20-5242330 501(c)(3) 95,000       Psychosocial Rehabilitation And Housing Retention
(298) Dress For Success Oregon
1532 Ne 37th Ave
Portland,OR97232 		93-1250115 501(c)(3) 10,000       Workforce Development Programs
(299) Duke University
2024 W Main St
Durham,NC27705 		56-0532129 501(c)(3) 13,486       Research
(300) East Los Angeles Womens Center
1431 S Atlantic Blvd
Los Angeles,CA90022 		51-0204577 501(c)(3) 50,000       Support Thrive Local Community Network Development
(301) East San Gabriel Valley Coalition
Po Box 93256
City Of Industry,CA91715 		95-4508436 501(c)(3) 26,876       Esgvch Serves The Hungry, Vulnerable, And Unhoused
(302) East Side Riders Bike Club
218 W 121st Pl
Los Angeles,CA90061 		27-1119835 501(c)(3) 20,000       Esr Holiday Giveback 2021
(303) Easter Seals Southern California Inc
1063 Mcgaw Ave 100
Irvine,CA92614 		94-3068149 501(c)(3) 26,876       Closing The Gap In Autism Services Health Disparit
(304) Ecology Center
2530 San Pablo Ave H
Berkeley,CA94702 		94-1703351 501(c)(3) 75,000       California Farmers? Market Ebt Access & Capacity B
(305) Economic Roundtable
244 S San Pedro St 506
Los Angeles,CA90012 		95-4313202 501(c)(3) 15,000       Realization Employment Project: Human Empowerment
(306) Eden United Church Of Christ
21455 Birch St
Hayward,CA94541 		94-1265059 501(c)(3) 24,750       Community Navigators' Direct Outreach Campaign
(307) Eden Youth & Family Center
680 W Tennyson Rd
Hayward,CA94544 		94-2442586 501(c)(3) 35,000       Project New Start Tattoo Removal Program
(308) Education And Leadership Foundation
4290 E Ashlan Ave
Fresno,CA93726 		26-0417563 501(c)(3) 75,000       Farmworker Covid-19 Equity (Fce)
(309) El Camino College Foundation
16007 Crenshaw Blvd
Torrance,CA90506 		95-3874302 501(c)(3) 10,000       Radiologic Technology
(310) El Centro Family Health
538 N Paseo De Onate
Espanola,NM87532 		85-0244558 501(c)(3)   6,106 Cost Medical Supplies Support for Public Health
(311) El Concilio
445 N San Joaquin St
Stockton,CA95202 		94-1677202 501(c)(3) 170,000       El Concilio California Vaccine Equity Project For
(312) El Nido Family Centers
440 Shatto Pl 417
Los Angeles,CA90020 		95-3186429 501(c)(3) 65,150       Supporting Thrive Local Community Network Developm
(313) El Proyecto Del Barrio Inc
8932 Woodman Ave
Arleta,CA91331 		95-2662606 501(c)(3) 45,000       Celebrating 50 Years Of Hope & Heroes
(314) El Sol Neighborhood Educational Center
766 N Waterman Ave
San Bernardino,CA92410 		33-0552297 501(c)(3) 62,000       Community Access Project
(315) Elderhelp Of San Diego
5095 Murphy Canyon Rd 100
San Diego,CA92123 		95-2880426 501(c)(3) 40,000       Capacity Development
(316) Elevate Your Game
2019 E 120th St
Los Angeles,CA90059 		68-0533404 501(c)(3) 40,000       Mentoring For Academic Uplift For Lifelong Improve
(317) Elimu Informatics Inc
Po Box 541
El Cerrito,CA94530 		82-1991727 For-profit 57,183       Research
(318) Elk Grove Food Bank Services
POBox 1447
Elk Grove,CA95759 		38-3664737 501(c)(3) 25,000       Kaiser Community Connection Program
(319) Elk Grove Unified School District
9510 Elk Grove-florin Rd
Elk Grove,CA95624 		94-6002501 Government 100,000       Egusd Thriving Schools
(320) Emergency Food Bank
7 W Scotts Ave
Stockton,CA95203 		68-0002165 501(c)(3) 25,000       Healthy Food Rx Project
(321) Emergency Support Shelter
1330 11th Ave
Longview,WA98632 		91-1074716 501(c)(3) 24,500       Domestic Violence And Crime Victim Services
(322) Emeryville Citizens Assistance Program
3610 San Pablo Ave
Emeryville,CA94608 		46-1492603 501(c)(3) 25,000       Ecap Feeding Those Off The Grid
(323) Emory University
200 Dowman Dr Ne Ste 300
Atlanta,GA30322 		58-0566256 501(c)(3) 6,747       Scholarship
(324) Emotional Health Association
6666 Green Valley Cir
Culver City,CA90230 		95-6092809 501(c)(3) 50,000       Gateway Cities Home To Employment Program
(325) Encompass Community Services
380 Encinal St 200
Santa Cruz,CA95060 		23-7275290 501(c)(3) 200,000       Encompass Si Se Puede Behavioral Health Center In
(326) Encore Org
1007 General Kennedy Ave 227
San Francisco,CA94129 		94-3274339 501(c)(3) 95,000       Encore Physicians
(327) End 68 Hours Of Hunger
1273 Needham Dr
Vacaville,CA95687 		45-0998251 501(c)(3) 20,000       Feeding Our Students 2021-2022
(328) Entrenous Youth Empowerment Services Inc
Po Box 7205
Long Beach,CA90807 		45-5621689 501(c)(3) 45,000       Impactful Bites Hospitality Training/Culinary Prog
(329) Esperanza Community Housing Corporation
3655 South Grand Ave280
Los Angeles,CA90007 		95-4230345 501(c)(3) 50,000       Regional Coordination To Prevent Health Impacts Of
(330) Essentia Institute Of Rural Health
502 E 2nd Street
Duluth,MN55805 		27-1291124 501(c)(3) 21,095       Research / Project Support
(331) Essential Access Health
3600 Wilshire Blvd600
Los Angeles,CA90010 		95-2564024 501(c)(3) 65,000       Rac: Strengthening The Role Of Community Health Ce
(332) Ethnic Support Council
309 Oak St A
Kelso,WA98626 		91-1591153 501(c)(3) 24,500       Equitable Access To Heathcare
(333) Every Neighborhood Partnership
2044 E Nees Ave
Fresno,CA93720 		87-0814198 501(c)(3) 25,000       Enp Surrounds: Providing Educational, Emotional An
(334) Eviction Defense Network
1930 Wilshire Blvd208
Los Angeles,CA90057 		56-2380231 501(c)(3) 50,000       Support Thrive Local Community Network Development
(335) Exceptional Parents Unlimited Inc
4440 N First St
Fresno,CA93726 		77-0263702 501(c)(3) 75,000       Disability Equity Project Coalition Outreach
(336) Faith In The Valley
2027 E Harding Way
Stockton,CA92505 		77-0635938 501(c)(3) 25,000       Faith And Community Outreach For Covid Vaccine Edu
(337) Familias Unidas
205 - 39th St
Richmond,CA94805 		94-2751073 501(c)(3) 50,000       Youth Matters
(338) Families Forward Inc
8 Thomas
Irvine,CA92618 		33-0086043 501(c)(3) 95,000       Families Forward's Housing Program To Prevent And
(339) Family Assistance Ministries
1030 Calle Negocio
San Clemente,CA92673 		33-0864870 501(c)(3) 50,000       Hunger And Homeless Prevention
(340) Family Assistance Program
15075 Seventh St
Victorville,CA92395 		33-0107971 501(c)(3) 24,900       Our House/ My Place Youth Shelters
(341) Family Forward Oregon
Po Box 15146
Portland,OR97293 		80-0436735 501(c)(3) 10,000       Expanding Latinx Outreach For Oregon Mamas Lead
(342) Family Foundations Counseling Services
2610 W Shaw Ln 104
Fresno,CA93711 		27-3301215 501(c)(3) 50,000       Thriving Schools: Addressing Schools Mental Health
(343) Family Health Care Centers Of Greater La
6501 S Garfield Ave
Bell Gardens,CA90201 		95-1641454 501(c)(3) 20,000       Fhccgla, Inc 2021 Gala
(344) Family Health Centers Of San Diego
3959 Lockridge St
San Diego,CA92102 		95-2833205 501(c)(3)   188,375 Cost Medical Supplies Support for Public Health
(345) Family Healthcare Network
305 E Center Ave
Visalia,CA93291 		94-2525145 501(c)(3) 95,000       2021 Bloc Cohort
(346) Family Resource And Referral Center
509 W Weber Ave 104
Stockton,CA95203 		94-1691503 501(c)(3) 150,000       211sj-maximizing Thrive Local Network
(347) Family Service Agency Of The Central
104 Walnut Ave 208
Santa Cruz,CA95060 		94-1716354 501(c)(3) 25,000       Pathway To Personal Healing
(348) Family Service Association
21250 Box Springs Rd 212
Moreno Valley,CA92557 		95-1803694 501(c)(3) 90,000       Support Social Health Thrive Local Community Netwo
(349) Family Service Association Of Redlands
612 Lawton St
Redlands,CA92374 		95-1655614 501(c)(3) 24,900       Housing Assistance/ Advocacy Program For Safe And
(350) Fathers & Families Of San Joaquin
338 E Market St
Stockton,CA95202 		32-0171398 501(c)(3) 25,000       Reaching The Unreachable...
(351) Feeding America Riverside & San Bernardino
2950 Jefferson St A
Riverside,CA92504 		33-0072922 501(c)(3) 24,500       Nutrition Markets
(352) Fighting Back Partnership
505 Santa Clara St Fl 3
Vallejo,CA94590 		68-0298092 501(c)(3) 34,000       Expanding Capacity: Mental Wellness And Family Str
(353) Filipino Advocates For Justice
523 41st St 309
Oakland,CA94609 		94-2218907 501(c)(3) 25,000       Student Re-entry Support Project
(354) Fillmore Unified School District
425 Orchard St
Fillmore,CA93015 		95-2493401 Government 20,000       Fillmore Unified Sd Thriving Schools Playbook Acti
(355) First 5 Alameda County
1115 Atlantic Ave
Alameda,CA94501 		83-0383617 Government 10,000       Pop-up Vaccination Site & Backpack Giveaway
(356) First 5 Santa Cruz County
4450 Capitola Rd 106
Capitola,CA95010 		94-6000534 Government 80,000       Baby Gateway Newborn Enrollment Program
(357) First Christian Church Of Downey
10909 New St
Downey,CA90241 		95-1803687 501(c)(3) 30,000       Foodhelp Food Bank Healthy Alternatives Food Insec
(358) First Step Housing
Po Box 188228
Sacramento,CA95818 		35-2537631 501(c)(3) 25,000       Fsc Mental Health Clinician Program 2021-22
(359) Fontana Unified School District
9680 Citrus Ave
Fontana,CA92335 		95-6001357 Government 20,000       Fontana Unified School District - Thriving Schools
(360) Food Bank Of Contra Costa & Solano
4010 Nelson Ave
Concord,CA94520 		94-2418054 501(c)(3) 275,000       2021-22 Food Bank Food For Life And Thriving Schoo
(361) Food Finders Inc
10539 Humbolt St
Los Alamitos,CA90720 		33-0412749 501(c)(3) 10,000       Food Rescue & Hunger Relief
(362) Food Forward
7412 Fulton Ave 3
North Hollywood,CA91605 		90-0678872 501(c)(3) 94,958       Improving Fresh Produce Access Through Food Recove
(363) Food Share Inc
4156 Southbank Rd
Oxnard,CA93036 		77-0018162 501(c)(3) 10,000       Emergency Food Box Program
(364) Foodbank Of Southern California The
1444 San Francisco Ave
Long Beach,CA90813 		95-3557056 501(c)(3) 50,000       General Operating Support
(365) Foodwhat Incorporated
1156 High St
Santa Cruz,CA95064 		81-2590280 501(c)(3) 25,000       Empowerment-based Healthy Food Access For Marginal
(366) Foothill Family Service
2500 E Foothill Blvd300
Pasadena,CA91107 		95-1690990 501(c)(3) 52,775       Building Affinity And Strength Through Engagement
(367) Foothill Family Shelter Inc
1501 W 9th St D
Upland,CA91786 		33-0341818 501(c)(3) 24,900       Housing, Food And Mental Health For Families Facin
(368) Foundation For California Community
1102 Q St 4800
Sacramento,CA95811 		68-0412350 501(c)(3) 25,000       The California Medicine Scholars Program Pilot
(369) Fred Hutchinson Cancer Research Ctr
1100 Fairview Ave N
Seattle,WA98109 		23-7156071 501(c)(3) 400,835       Research / Project Support
(370) Free Clinic Of Sw Wa
4100 Plomondon St
Vancouver,WA98668 		91-1707542 501(c)(3) 43,000       Project Access Program
(371) Freemont Family Resource Center
POBox 5006
Fremont,CA94537 		94-3333831 501(c)(3) 55,000       Afghan Refugee Help Fund
(372) Fresh Approach
5060 Commercial Circle C
Concord,CA94520 		26-2438206 501(c)(3) 75,000       Increasing Purchasing Power For Nutritionally-dens
(373) Fresh Lifelines For Youth Inc
568 Valley Way
Milpitas,CA95035 		52-2234595 501(c)(3) 25,000       Fly Law & Leadership Programs
(374) Fresno Building Healthy Communities
367 N 1st St
Fresno,CA93702 		81-3711032 501(c)(3) 75,000       Covid-19 Vaccine Equity In Fresno
(375) Fresno County Economic
1920 Mariposa Mall 300
Fresno,CA93721 		94-1606519 501(c)(3) 100,000       Covid-19 Vaccine Equity In Communities Of Color
(376) Fresno Metropolitan Ministry
3845 N Clark St 101
Fresno,CA93726 		94-2181848 501(c)(3) 185,000       2021 Bloc Cohort
(377) Fresno Unified School District
2309 Tulare St
Fresno,CA93721 		94-6002206 Government 75,000       Wellness Coordinator Initiative
(378) Friends In Deed
444 E Washington Blvd
Pasadena,CA91104 		95-1644608 501(c)(3) 10,000       Online Event
(379) Friends Of The Los Angeles Free Clinic
8405 Beverly Blvd
Los Angeles,CA90048 		95-3433824 501(c)(3) 9,400       45th Annual Dinner Gala
(380) Friendship House Assoc Of American Of SF
56 Julian Ave
San Francisco,CA94103 		23-7097915 501(c)(3) 25,000       Aces Screening For Ai/An Youth And Adults
(381) Friendship Shelter Inc
Po Box 4252
Laguna Beach,CA92652 		33-0219404 501(c)(3) 62,500       Hhoc Housing Navigation And Supportive Services
(382) Fullerton Interfaith Emergency Service
Po Box 6326
Fullerton,CA92834 		33-0147739 501(c)(3) 50,000       Housing And Food For Health And Wellness In North
(383) Future Leaders Of America
Po Box 51637
Oxnard,CA93031 		77-0071036 501(c)(3) 15,000       Youth Leadership & Education Project
(384) Gathering Inn
201 Berkeley Ave
Roseville,CA95678 		84-1657746 501(c)(3) 105,000       Mental Wellness And Interim Care, Greater Sacramen
(385) Geisinger Clinic
100 North Academy Ave
Danville,PA17822 		23-6291113 501(c)(3) 68,729       Research / Project Support
(386) Geisinger Health Plan
100 N Academy Ave
Danville,PA17822 		26-0812968 501(c)(3) 15,863       Research / Project Support
(387) George Fox University
414 N Meridian St6129
Newberg,WA97132 		93-0386839 501(c)(3) 30,000       Scholarship
(388) George Washington University
1922 F St Nw 4fl
Washington,DC20052 		53-0196584 501(c)(3) 268,409       Health, Housing & Justice: Helping Communities Thr
(389) Georgetown University
37th And O Sts Nw
Washington,DC20007 		53-0196603 501(c)(3) 24,270       Research
(390) Get In Motion Entrepreneurs
41550 Eclectic St
Palm Desert,CA92260 		36-4866953 501(c)(3) 10,000       Podcast En Espaol Para Negocios
(391) Girl Scouts Of Northern California
1650 Harbor Bay Parkway100
Alameda,CA94502 		94-1551410 501(c)(3) 25,000       Got Choices
(392) Girls Inc Of The Pacific Northwest
4800 Sw Macadam Ave309
Portland,OR97239 		54-2073930 501(c)(3) 10,000       Girls Groups: Girls' Empowerment Programs To Equip
(393) Girls On The Run Of The Bay Area Inc
3543 18th St 31
San Francisco,CA94110 		71-0890558 501(c)(3) 25,000       Confident, Active, Healthy San Francisco Girls!
(394) Give An Hour Nonprofit Corporation
23541 Rolling Fork Way
Gaithersburg,MD20882 		61-1493378 501(c)(3) 20,000       Restablecer A La Resistencia (Reset To Resilience
(395) Give Every Child A Chance
322 Sun West Pl
Manteca,CA95337 		68-0399384 501(c)(3) 25,000       Food For Life
(396) Glad Tidings Community Development
907 W Tennyson Rd
Hayward,CA94544 		68-0276554 501(c)(3) 95,000       Kp Vaccination Project
(397) Glendale Unified School District
223 N Jackson St
Glendale,CA91206 		95-6001464 Government 20,000       Glendale Usd Thriving Schools Playbook Activation
(398) Glendale Youth Alliance
1255 S Central Ave
Glendale,CA91204 		95-4453585 501(c)(3) 24,999       Gya Intense Case Management
(399) Golden Valley Health Centers
737 W Childs Ave
Merced,CA95341 		94-2196086 501(c)(3) 24,500       Population Health Management Solutions Initiative
(400) Goodwill
800 W Pacific Coast Hwy
Long Beach,CA90806 		95-1644017 501(c)(3) 50,000       Financial Literacy: A Stepping Stone On The Path T
(401) Goodwill Southern California
342 N San Fernando Rd
Los Angeles,CA90031 		95-1641441 501(c)(3) 95,000       Developing Financial Health And Sustainable Career
(402) Grace Resources Inc
45134 Sierra Hwy
Lancaster,CA93534 		95-4309251 501(c)(3) 30,000       Feeding The Antelope Valley
(403) Grail Family Services
2003 E San Antonio St
San Jose,CA95116 		77-0397354 501(c)(3) 24,000       Strengthening Families
(404) Greater Hope Foundation For Children Inc
Po Box 1477
Victorville,CA92393 		90-0111715 501(c)(3) 24,900       Behavioral Health Treatment
(405) Grimm Family Education Foundation
11001 River Run Blvd101
Bakersfield,CA93311 		27-3194151 501(c)(3) 25,000       Bakersfield College Edible Education Garden - A So
(406) Gryd Foundation
1933 S Broadway 1111
Los Angeles,CA90007 		45-4927250 501(c)(3) 110,000       Summer Night Lights & Youth Squad 360 Wealth To He
(407) Habitat For Humanity EastbaySilicon Valley
2619 Broadway
Oakland,CA94612 		94-3053687 501(c)(3) 25,000       Home Preservation Serving Populations Vulnerable T
(408) Habitat For Humanity Of Ventura County
1850 Eastman Ave
Oxnard,CA93030 		77-0120376 501(c)(3) 30,000       Healthier Living Through Habitat Home Repair
(409) Habitat For Humanity Portland Metro East
1478 Ne Killingsworth
Portland,OR97211 		93-0801200 501(c)(3) 70,000       Habitat For Humanity Public Campaign
(410) Hacienda La Puente Unified School
15959 Gale Ave
City Of Industry,CA91745 		95-2623262 Government 20,000       High School Wellness Centers
(411) Hamilton Families
273 9th St
San Francisco,CA94103 		94-3055602 501(c)(3) 25,000       Ending Family Homelessness In The San Francisco Ba
(412) Harbor Community Clinic Inc
593 W 6th Street
San Pedro,CA90731 		23-7103245 501(c)(3) 20,000       Case Management Program
(413) Harbor Interfaith Services Inc
670 W 9th St
San Pedro,CA90731 		33-0031099 501(c)(3) 50,000       Reducing Homelessness Through Service Equity
(414) Harvard Pilgrim Health Care Inc
133 Brookline Avenue
Boston,MA02215 		04-2452600 501(c)(3) 152,429       Research / Project Support
(415) Hathaway-sycamores Child And Family
100 W Walnut St375
Pasadena,CA91124 		95-1691005 501(c)(3) 45,000       Peer Violence Prevention Program
(416) Haven Hills Inc
Po Box 260
Canoga Park,CA91305 		95-3196247 501(c)(3) 50,000       Support Thrive Local Community Network Development
(417) Hayward Unified School District
24411 Amador St
Hayward,CA94544 		94-1693499 Government 100,000       Hayward Unified School District Thriving Schools P
(418) Heal Project
PO Box 3051
Half Moon Bay,CA94019 		27-0192940 501(c)(3) 25,000       Farm2family (F2f)
(419) Health Care Integrated School Based Svcs
2220 Otay Lakes Rd502-121
Chula Vista,CA91915 		47-3399074 501(c)(3) 20,000       Healthcare Integrated Services For K-12 Students
(420) Health Career Connection Inc
300 Frank Ogawa Plz243
Oakland,CA94612 		25-1904312 501(c)(3) 90,000       Internships For Central Valley Students
(421) Health Education Council
3950 Industrial Blvd600
West Sacramento,CA95691 		68-0249296 501(c)(3) 410,000       Cultivating Health And Well-being In Greater Sacra
(422) Health Improvement Partnership Santa Cruz
343 Soquel Ave 343
Santa Cruz,CA95062 		01-0826156 501(c)(3) 75,000       Advancing Health Equity In The Safety Net
(423) Health Research Inc
PO Box 2966
Buffalo,NY14240 		14-1402155 501(c)(3) 382,821       Research / Project Support
(424) Healthier Kids Foundation Santa Clara Cty
4040 Moorpark Ave
San Jose,CA95117 		77-0545774 501(c)(3) 25,000       10 Steps To A Healthier You! Class Series For Pare
(425) Healthpartners Institute
8170 33rd Avenue S
Minneapolis,MN55440 		41-1670163 501(c)(3) 175,522       Research
(426) Healthpartners Inc
Po Box 1524
Minneapolis,MN55440 		41-1693838 501(c)(4) 162,248       Research
(427) Healthy African American Families Ii
4305 Degnan Blvd 105
Los Angeles,CA90008 		95-4872179 501(c)(3) 13,088       Research
(428) Healthy Aging Association
3500 Coffee Rd 19
Modesto,CA95355 		77-0546574 501(c)(3) 45,000       ""Go Green For Seniors"" ""Young At Heart'
(429) Healthy Community Forum For Sacramento
819 19th St 220
Sacramento,CA95811 		68-0377256 501(c)(3) 228,000       2021 Bloc Cohort
(430) Healthy Schools Campaign
2545 W Diversey Ave 214
Chicago,IL60647 		36-4308068 501(c)(3) 15,000       Expanding Health Services For California Children
(431) Help Me Help You
620 W 16th St B
Long Beach,CA90813 		71-0898124 501(c)(3) 15,000       Food Security Pantry Program
(432) Helping Hands Senior Foundation
18305 Sherman Way 19
Reseda,CA91335 		47-4275323 501(c)(3) 62,500       Homeless Prevention Through Flexible Funding For O
(433) Helpline Youth Counseling Inc
14181 Telegraph Rd
Whittier,CA90604 		23-7113824 501(c)(3) 50,000       Homeless Services Manager At Helpline Youth Counse
(434) Henry Ford Health System
One Ford Place
Detroit,MI48202 		38-1357020 501(c)(3) 14,318       Research
(435) Henry Ford Health System Foundation
1 Ford Place 2f
Detroit,MI48202 		23-7383042 501(c)(3) 57,182       Research / Project Support
(436) Hidden Harvest Corp
Po Box 266
Coachella,CA92236 		33-0821743 501(c)(3) 20,000       Free, Fresh Produce For Low Income Seniors & Famil
(437) Hi-desert Memorial Health Care District
6530 La Contenta Rd 100
Yucca Valley,CA92284 		95-2281302 Government 24,500       Lift Non-emergency Medical Transportation Program
(438) High Desert Homeless Services Inc
14049 Amargosa Rd
Victorville,CA92392 		33-0459227 501(c)(3) 24,900       Homeless Shelter And Shelter Related Services
(439) Hillsboro School District 1j
3083 Ne 49th Pl
Hillsboro,OR97124 		93-6001037 Government 24,999       Hillsboro School District - Thriving Schools Playb
(440) Hillsides
815 Colorado Blvd300
Los Angeles,CA90041 		95-1644002 501(c)(3) 53,600       Youth Moving On (Ymo)
(441) Hispanas Organized For Political Equality
634 S Spring St
Los Angeles,CA90014 		95-4718409 501(c)(3) 74,040       Hope Youth & College Leadership Programs
(442) Hispanic Scholarship Fund
1411 W 190th St 700
Gardena,CA90248 		52-1051044 501(c)(3) 1,290,000       Grant
(443) Hiv Alliance
1195a City View St
Eugene,OR97402 		93-0963546 501(c)(3) 10,000       Reducing Housing-related Barriers To Wellness For
(444) Hollywood Chamber Of Commerce Community
6255 W Sunset Blvd 150
Los Angeles,CA90028 		95-4557923 501(c)(6) 24,999       Hollywood 4wrd - Capacity Building For Community H
(445) Hollywood Community Housing Corp
5020 Santa Monica Blvd
Los Angeles,CA90029 		95-4198215 501(c)(3) 50,000       Hchc's Trauma-informed Care (Tic) Focused Resident
(446) Home Ownership For Personal Empowerment
21231 Hawthorne Blvd
Torrance,CA90503 		33-0618316 501(c)(3) 20,000       2021 Housing Services Program
(447) Homeboy Industries Inc
130 W Bruno St
Los Angeles,CA90012 		95-4800735 501(c)(3) 24,450       Lo Maximo Awards
(448) Homeless Prenatal Program Inc
2500 18th St
San Francisco,CA94110 		94-3146280 501(c)(3) 25,000       Community Health Worker (Chw) Apprenticeship Progr
(449) Hope Centers United Dba Folsoms Hope
1100 Blue Ravine Rd
Folsom,CA95630 		46-3748740 501(c)(3) 25,000       Stars After School Program
(450) Hope Dementia Support
9901 Ne 7th Ave Bldg A
Vancouver,WA98685 		45-4580665 501(c)(3) 24,500       Hope Uniteus Connections
(451) Hope Services
30 Las Colinas Ln
San Jose,CA95119 		94-1399287 501(c)(3) 24,000       Training And Employment Programs
(452) Hope Through Housing Foundation
9421 Haven Ave
Rancho Cucamonga,CA91730 		33-0802554 501(c)(3) 50,000       Economic Empowerment To Prevent Homelessness In Th
(453) Hospice Of Santa Cruz County
940 Disc Dr
Scotts Valley,CA95066 		94-2497618 501(c)(3) 25,000       Patient Access Through Awareness, Excellence, And
(454) House Of Ruth Inc
Po Box 459
Claremont,CA91711 		95-3276033 501(c)(3) 24,900       House Of Ruth Fontana Transitional Support Center
(455) Howard University
2400 Sixth St Nw
Washington,DC20059 		53-0204707 501(c)(3) 15,000       Scholarship
(456) Huckleberry Youth Programs Inc
361 3rd St G
San Rafael,CA94901 		94-1687559 501(c)(3) 25,000       Huckleberry's Teen Care Continuum
(457) Human Options
Po Box 53745
Irvine,CA92619 		95-3667817 501(c)(3) 50,000       Therapeutic Services For Domestic Violence Survivo
(458) Human Services Association
6800 Florence Ave
Bell Gardens,CA90201 		95-1816054 501(c)(3) 26,876       Home And Community Based Services For Multipurpose
(459) Human Services Council
120 Ne 136th Ave 215
Vancouver,WA98684 		91-0786572 501(c)(3) 24,500       2021 Southwest Washington Community-clinic Integra
(460) Hunger Action Los Angeles
961 S Mariposa Ave205
Los Angeles,CA90006 		20-5142259 501(c)(3) 50,000       Ending Hunger And Promoting Healthy Eating
(461) Impact Foundry
2030 W El Camino Ave210
Sacramento,CA95833 		68-0173440 501(c)(3) 25,000       Cultural Intelligence Training Series I
(462) Improve Your Tomorrow
3780 Rosin Ct 240
Sacramento,CA95834 		46-2981774 501(c)(3) 50,000       Improve Your Tomorrow: College Access And Graduati
(463) Imtasik Family Counseling Services Inc
6809 Indiana Ave 201
Riverside,CA92506 		46-5525893 501(c)(3) 49,400       Community Mental Health Outreach Program
(464) Inadvance
900 Alice St 400
Oakland,CA94607 		26-0728941 501(c)(3) 22,500       Vaccine Outreach
(465) Inclusive Action For The City
2900 E Cesar E Chavez Ave
Los Angeles,CA90033 		27-0584116 501(c)(3) 24,999       The Semi?A Fund: Increasing Access To Capital For
(466) Indian Health Center Of Santa Clara Valley
1211 Meridian Ave
San Jose,CA95125 		94-2476242 501(c)(3) 145,000       Covid-19 Vaccine Equity In San Jose Community
(467) Indiana University
509 E 3rd Street
Bloomington,IN47401 		33-0100208 Government 37,603       Research / Project Support
(468) Info Line Of San Diego County
3860 Calle Fortunada101
San Diego,CA92123 		33-1029843 501(c)(3) 112,500       Equitable Access To Care By Leveraging The Communi
(469) Inglewood Usd
401 S Inglewood Ave
Inglewood,CA90301 		95-6001676 Government 20,000       Attendance Campaign
(470) Initiative For A Competitive Inner City
Po Box 191297
Roxbury,MA02119 		13-3772904 501(c)(3) 360,000       Inner City Capital Connections Program In Ncal And
(471) Inland Caregiver Resource Center
1430 E Cooley Dr 240
Colton,CA92324 		33-0460833 501(c)(3) 80,000       Icrc Expansion Project
(472) Inland Counties Regional Center Inc
1365 S Waterman Ave
San Bernardino,CA92408 		23-7121672 501(c)(3) 90,000       Another Way's Safety-net And Quality Of Life Proje
(473) Inland Southern California 211
9624 Hermosa Ave
Rancho Cucamonga,CA91730 		95-2287250 501(c)(3) 20,000       Financial Health For People With Low-income
(474) Innovative Housing Opportunities Inc
501 N Golden Circle Dr 100
Santa Ana,CA92705 		95-3068902 501(c)(3) 20,000       Financial Well-being Program
(475) Innovative Services Nw
9414 Ne 4th Plain Rd
Vancouver,WA98662 		91-0782136 501(c)(3) 10,000       Pediatric Therapy Access For Low-income Children
(476) Insure The Uninsured Project
1107 9th St 1025
Sacramento,CA95814 		27-4159194 501(c)(3) 20,000       Itup 26th Annual Conference--california Disrupted:
(477) Interface Children Family Services
4001 Mission Oaks BlvdI
Camarillo,CA93012 		95-2944459 501(c)(3) 24,000       Mental Health & Trauma Treatment
(478) Interfaith Ministries Of Greater Modesto
120 Kerr Ave
Modesto,CA95354 		94-1496168 501(c)(3) 25,000       Fig's Market Mobile Farm Stand
(479) International Children Assistance
532 Valley Way
Milpitas,CA95035 		77-0541211 501(c)(3) 25,000       Covid-19 Vaccine Equity In The Vietnamese American
(480) International Rescue Committee Inc
5348 University Ave205
San Diego,CA92105 		13-5660870 501(c)(3) 125,000       Afghan Resettlement
(481) International Trade Education Programs
2417 E Carson St 200
Carson,CA90810 		74-3161465 501(c)(3) 24,999       Preparing The Next Generation Workforce To Ensure
(482) Jacobs Heart Childrens Cancer Support
680 W Beach St
Watsonville,CA95076 		68-0413822 501(c)(3) 75,000       Comprehensive Support For Medically Fragile Childr
(483) Jamboree Housing Corporation
17701 Cowan 200
Irvine,CA92614 		33-0413518 501(c)(3) 112,500       Housing For Health Oc (Hhoc)
(484) Jefferson Union High School
699 Serramonte Blvd 100
Daly City,CA94015 		94-3083772 Government 50,000       Supporting Resiliency At Jefferson Union High Scho
(485) Jenesse Center Inc
Po Box 8476
Los Angeles,CA90008 		95-3652529 501(c)(3) 50,000       Intervention And Prevention Services For The Victi
(486) Jewish Community Free Clinic
50 Montgomery Dr
Santa Rosa,CA95404 		94-3386103 501(c)(3) 25,000       Responding To Emerging Needs And The Integration O
(487) Jewish Family & Children Service
3801 E Willow St
Long Beach,CA90815 		95-2273033 501(c)(3) 20,000       Low-income Counseling Program
(488) Jewish Family & Community Svces East Bay
2484 Shattuck Ave 210
Berkeley,CA94704 		94-3250304 501(c)(3) 95,000       Afghan Refugee Resettlement
(489) Jewish Family And Childrens Services
Po Box 159004
San Francisco,CA94115 		94-1156528 501(c)(3) 25,000       Dream Program: Preventing Homelessness Among Low-i
(490) Jewish Family Service Of The Desert
490 S Farrell Dr C208
Palm Springs,CA92262 		33-0613083 501(c)(3) 30,000       Increasing Access To Mental Health Services For Co
(491) John F Kennedy Memorial Foundation
73 555 San Gorgonio Way
Palm Desert,CA92260 		33-0071613 501(c)(3) 24,500       Ophelia Project Teen Mentoring Program
(492) Johns Hopkins University
1101 E 33rd Street
Baltimore,MD21218 		52-0595110 501(c)(3) 204,352       Research
(493) Jovenes Inc
1208 Pleasant Ave
Los Angeles,CA90033 		95-4342434 501(c)(3) 50,000       The Mariposa House At Los Padrinos
(494) Juma Ventures Inc
815 S St 201
Sacramento,CA95811 		94-3203203 501(c)(3) 25,000       Juma Sacramento Youthconnect
(495) Keaton's Child Cancer Alliance
2260 Douglas Blvd 140
Roseville,CA95661 		68-0406980 501(c)(3) 25,000       Building Resilience Through Family Navigator Progr
(496) Kern Community Foundation
3300 Truxtun Ave 220
Bakersfield,CA93301 		77-0555874 501(c)(3) 50,000       Kern Connected Community Network
(497) Kerosene Lamp Foundation
174 Crestview Dr
Orinda,CA94563 		01-0857784 501(c)(3) 10,000       Outreach Efforts
(498) Kidango Inc
44000 Old Warm Springs Blvd
Fremont,CA94538 		94-2581686 501(c)(3) 25,000       Kidango Early Childhood Mental Health Consultation
(499) Kids Community Clinic Of Burbank
400 W Elmwood Ave
Burbank,CA91506 		95-4791296 501(c)(3) 24,999       Dental Treatments And Education For Low Income Chi
(500) Kids First
124 Main St
Roseville,CA95678 		68-0195225 501(c)(3) 25,000       Mental Wellness Group Therapy
(501) Kingdom Causes Bellflower
16429 Bellflower Blvd
Bellflower,CA90706 		95-4849998 501(c)(3) 132,500       Homeless Prevention Through Flexible Funding For O
(502) Kitchens For Good
2799 Health Center Dr
San Diego,CA92123 		46-3278605 501(c)(3) 47,530       Culinary And Hospitality Apprenticeship For Job Se
(503) Kiva Microfunds
986 Mission St 400
San Francisco,CA94103 		71-0992446 501(c)(3) 90,000       Strengthening Kiva?S Capacity In Northern Californ
(504) Korean Health Education Info& Research Ctr
3727 W 6th St 210
Los Angeles,CA90020 		95-4074660 501(c)(3) 15,000       Kheir 35th Anniversary Fundraising Dinner & Awards
(505) Kp Bernard J Tyson School Of Medicine
100 S Los Robles Ave
Pasadena,CA91101 		81-4053028 501(c)(3) 85,293,308       General Operating Support
(506) L A Family Housing Corp
7843 Lankershim Blvd
North Hollywood,CA91605 		95-3920560 501(c)(3) 29,640       Healthy Homes
(507) La Clinica De La Raza Inc
Po Box 22210
Oakland,CA94623 		94-1744108 501(c)(3) 195,000       Covid-19 Vaccine Equity In Contra Costa And Solano
(508) La Familia Counseling Center Inc
5523 34th St
Sacramento,CA95820 		94-2270786 501(c)(3) 195,000       Vaccine Equity Grants: Child And Targeted Communit
(509) La Familia Counseling Service
24301 Southland Dr 300
Hayward,CA94545 		94-2297155 501(c)(3) 164,750       Covid-19 Vaccine Equity In Central Alameda County
(510) La Luz Center
17560 Greger St
Sonoma,CA95476 		68-0228235 501(c)(3) 175,000       Covid-19 Vaccine Equity In Sonoma Valley
(511) La Promise Fund
1933 S Broadway 1108
Los Angeles,CA90007 		20-4562686 501(c)(3) 8,000       Girlsbuild National Virtual Summit
(512) Lacuna Loft
2323 Broadway
Oakland,CA94612 		47-3741634 501(c)(3) 7,025       Research / Project Support
(513) Lancaster School District
44711 N Cedar Ave
Lancaster,CA93534 		95-6001815 Government 20,000       Healthy Families, Healthy Students!
(514) Lao Family Community Empowerment Inc
6135 Tam O Shanter Dr 1
Stockton,CA95210 		68-0142838 501(c)(3) 25,000       Covid-19 Community Health Access Project
(515) Larkin Street Youth Services
134 Golden Gate Ave
San Francisco,CA94102 		94-2917999 501(c)(3) 85,000       Larkin Street?S Covid-19 Vaccine Clinic
(516) Las Best
200 N Spring StM 120
Los Angeles,CA90012 		95-4311058 501(c)(3) 115,000       Return To Wellness
(517) Latino Leadership Council
2945 Bell Road 274
Auburn,CA95603 		27-0970476 501(c)(3) 180,000       Creer En Tu Salud
(518) Latino Service Providers
1015a Center St
Santa Rosa,CA95403 		46-4107589 501(c)(3) 75,000       Covid-19 Vaccine Equity
(519) Lavender Youth Recreation & Information
127 Collingwood St
San Francisco,CA94114 		94-3227296 501(c)(3) 25,000       Health Access For Transgender/Gender Non-conformin
(520) Lawndale Christian Health Center
3808 West Ogden Av
Chicago,IL60623 		36-3308953 501(c)(3)   7,060 Cost Medical Supplies Support for Public Health
(521) Leadership Counsel For Justice & Accountabi
2210 San Joaquin St
Fresno,CA93721 		46-1517800 501(c)(3) 75,000       Covid-19 Vaccine Equity In Communities
(522) Legacy La Youth Development Corporation
1350 San Pablo St
Los Angeles,CA90033 		01-0960970 501(c)(3) 24,999       Live Your Legacy
(523) Legal Aid Society Of San Mateo County
330 Twin Dolphin Dr 123
Redwood City,CA94065 		94-1451894 501(c)(3) 25,000       Libre: Linking Immigrants To Benefits, Resources,
(524) License To Freedom
131 Avocado Ave
El Cajon,CA92020 		20-1057775 501(c)(3) 40,000       Voice And Choice 2022
(525) Lifelong Medical Care
2344 Sixth St
Berkeley,CA94710 		94-2502308 501(c)(3) 25,000       Core Support Grant - West County Wellness: Access
(526) Lifemoves
181 Constitution Dr
Menlo Park,CA94025 		77-0160469 501(c)(3) 25,000       Behavioral Health Screening And Care For Homeless
(527) Lifeworks Of Sonoma County
1260 N Dutton Ave 105
Santa Rosa,CA95401 		68-0375462 501(c)(3) 25,000       El Puente
(528) Lighthouse Counseling And Family
110 Gateway Dr 210
Lincoln,CA95648 		35-2252834 501(c)(3) 100,000       Thrive Local Champion: Expanding Placer County Frc
(529) Lincoln
1266 14th St
Oakland,CA94607 		94-1156501 501(c)(3) 25,000       Trauma-informed Schools
(530) Linfield University
900 Se Baker A484
Mcminnville,OR97128 		93-0391586 501(c)(3) 36,667       Scholarship
(531) Livermore Valley Joint
685 E Jack London Blvd
Livermore,CA94551 		94-2175582 Government 25,000       Parent Outreach Coordinator
(532) Loaves And Fishes Of Contra Costa
835 Ferry St
Martinez,CA94553 		68-0018077 501(c)(3) 25,000       Nourishing Lives In Contra Costa
(533) Local Initiatives Support Corporation
28 Liberty St Fl 34
New York,NY10005 		13-3030229 501(c)(3) 50,000       City Heights Youth Mental Health Initiative
(534) Logan Heights Community Development
3040 Imperial Ave
San Diego,CA92102 		33-0677938 501(c)(3) 25,000       Logan Heights Emergent Entrepreneurship Program (L
(535) Loma Linda University
11145 Anderson St205
Loma Linda,CA92354 		95-1816009 501(c)(3) 10,000       Radiologic Technology
(536) Los Angeles City College Foundation
855 N Vermont Ave
Los Angeles,CA90029 		95-6207819 501(c)(3) 10,000       Radiologic Technology
(537) Los Angeles Cty Alliance For Boys & Girls
578 Washington Blvd199
Marina Del Rey,CA90292 		46-5058473 501(c)(3) 15,000       Kollab Workforce Development Program
(538) Los Angeles Free Clinic- Saban Community
8405 Beverly Blvd
Los Angeles,CA90048 		95-2539105 501(c)(3) 24,999       Saban Community Clinic Grief & Trauma Support Prog
(539) Los Angeles Gay & Lesbian Ctr
1118 N Mccadden Pl
Los Angeles,CA90038 		95-3567895 501(c)(3) 15,000       All Of Me:Healthcare For All Your Healthcare Needs
(540) Los Angeles Philharmonic Association
151 South Grand Ave
Los Angeles,CA90012 		95-1696734 501(c)(3) 46,000       Research
(541) Los Rios Foundation
1919 Spanos Ct
Sacramento,CA95825 		94-2506591 501(c)(3) 275,000       Promise To Work Construction Fund
(542) Love In The Name Of Christ Of Cowlitz
3609 Columbia Heights Rd
Longview,WA98632 		27-3261065 501(c)(3) 24,500       Love In The Name Of Christ
(543) Love Overwhelming
Po Box 1670
Longview,WA98632 		46-4721592 501(c)(3) 24,500       Southwest Washington Community-clinic Integration
(544) Lower Columbia School Gardens
Po Box 785
Longview,WA98632 		46-4549009 501(c)(3) 10,000       Building Resilience And Wellness Through Elementar
(545) Lundquist Institute For Biomedical
1124 W Carson St
Torrance,CA90502 		95-2138184 501(c)(3) 18,288       Research
(546) Lutheran Community Services Northwest
210 W Sprague Ave
Spokane,WA99201 		93-0386860 501(c)(3) 24,500       Lcsnw Unite Washington Referral Project
(547) Lynwood Partners Educational Foundation
11321 Bullis Rd 100
Lynwood,CA90262 		47-3028270 501(c)(3) 35,000       Health Science Pathway Work-based Learning Initiat
(548) Lynwood Unified School District
11321 Bullis Rd
Lynwood,CA90262 		95-2798626 Government 20,000       Lynwood Unified - Playbook Activation Project
(549) Lyon Martin Health Services
1748 Market St 201
San Francisco,CA94102 		94-2597707 501(c)(3)   16,191 Cost Medical Supplies Support for Public Health
(550) Maac
1355 3rd Ave
Chula Vista,CA91911 		95-2457354 501(c)(3) 100,000       Addressing Health Inequities By Improving Economic
(551) Madera County Food Bank
225 S Pine St101
Madera,CA93637 		77-0513488 501(c)(3) 25,000       Supplemental Produce Program
(552) Madera Rescue Mission Inc
1305 Clinton St
Madera,CA93638 		77-0144133 501(c)(3) 25,000       Helping Hands Ministry
(553) Madera Rescue Mission Inc
1305 Clinton St
Madera,CA93638 		77-0144133 501(c)(3)   10,346 Cost Medical Supplies Helping Hands Ministry
(554) Making Hope Happen Foundation
777 N F St
San Bernardino,CA92410 		33-0122847 501(c)(3) 24,900       Youth Mental Health First Aid
(555) Manteca Unified School District
2271 W Louise Ave
Manteca,CA95337 		94-1054800 Government 24,630       Diabetic Day Camp/Farmers Markets
(556) Mar Vista Family Center
5075 S Slauson Ave
Culver City,CA90230 		95-2647443 501(c)(3) 50,000       Child/Youth Education
(557) Marin County Probation Department
3501 Civic Center Dr 265
San Rafael,CA94903 		94-6000519 Government 20,000       Probation Partner Unite Us Referral Pilot
(558) Marin Horizon School Inc
305 Montford Ave
Mill Valley,CA94941 		94-2427732 501(c)(3) 25,000       Trauma-informed Early Childhood Education
(559) Marin Link Inc
5800 Northgate Mall 250
San Rafael,CA94903 		20-0879422 501(c)(3) 25,000       Covid-19 Vaccine Ambassador
(560) Marin Promise Partnership
101 Lucas Valley Rd 360
San Rafael,CA94903 		84-4138362 501(c)(3) 20,000       Backbone Support To The Marin Community Advisory C
(561) Marin Villages
4340 Redwood Hwy142
San Rafael,CA94903 		27-0281669 501(c)(3) 10,000       Healthy Mind & Body Begins @ Home
(562) Marion County School District 24j
2450 Lancaster Dr Ne
Salem,OR97305 		93-6000763 Government 24,999       Kaiser Permanente Nw - Thriving Schools
(563) Marjaree Mason Center Community Svc Ctr
1600 M St
Fresno,CA93721 		94-1156639 501(c)(3) 25,000       Food For Families
(564) Marthas Village And Kitchen Inc
83791 Date Ave
Indio,CA92201 		33-0777892 501(c)(3) 24,500       Martha?S Homeless Housing With Health & Wraparound
(565) Martin Luther King Jr Community Health Fdn
1680 E 120th St
Los Angeles,CA90059 		45-4433505 501(c)(3) 24,300       The Dream Show 2022: A Salute To South La
(566) Marys Mercy Center Inc
Po Box 7563
San Bernardino,CA92411 		33-0632426 501(c)(3) 15,000       Mary's Table
(567) Massachusetts General Hospital
399 Revolution Drive
Somerville,MA02145 		04-1564655 501(c)(3) 105,764       Research / Project Support
(568) Matter Of Trust Inc
99 Saint Germain Ave
San Francisco,CA94114 		06-1530091 501(c)(3) 25,000       ""Market Match"" & Food Access Program
(569) Maui Health Foundation
221 Mahalani St
Wailuku,HI96793 		99-0330698 501(c)(3) 8,500       Kokua 4 A Cause
(570) Maui Nurses Scholarship Fndtn
310 Kaahumanu Avd
Kahului,HI96732 		99-0284701 501(c)(3) 7,500       Maui Nurses Ball Drop 2021
(571) Mayo Clinic
Po Box 860334
Minneapolis,MN55486 		41-6011702 501(c)(3) 37,620       Research / Project Support
(572) Mcs Economic Development Corporation
3333 Wilshire Blvd 405
Los Angeles,CA90010 		47-2926205 501(c)(3) 50,000       Increasing Employment Outcomes Through Community C
(573) Meals On Wheels Of San Francisco Inc
1375 Fairfax Ave
San Francisco,CA94124 		94-1741155 501(c)(3) 25,000       Homebound Senior Essential Nutrition
(574) Meals On Wheels Of Solano County
95 Marina Center
Suisun,CA94585 		94-2453452 501(c)(3) 25,000       Senior Nutrition Program
(575) Meals-on-wheels Greater San Diego Inc
2254 San Diego Ave 200
San Diego,CA92110 		95-2660509 501(c)(3) 30,000       Calfresh Expansion
(576) Medical Education Cooperation With Cuba
1714 Franklin St 100 282
Oakland,CA94612 		31-1603765 501(c)(3) 50,000       Md Pipeline To Community Service 2022
(577) Medical University Of South Carolina
18 Bee Street Msc 450
Charleston,SC29425 		57-6028985 501(c)(3) 48,378       Research
(578) Memorial Sloan Kettering Cancer Center
Po Box 27084
New York,NY10087 		13-1924236 501(c)(3) 99,383       Research / Project Support
(579) Mend-meet Each Need With Dignity
10641 N San Fernando Rd
Pacoima,CA91331 		23-7306337 501(c)(3) 37,000       2021 Dignity Awards Gala
(580) Mental Health America Of Los Angeles
200 Pine Ave 400
Long Beach,CA90802 		95-1881491 501(c)(3) 44,500       Operation Healthy Homecoming For Veterans And Thei
(581) Mentis
709 Franklin St
Napa,CA94559 		94-1236934 501(c)(3) 25,000       Building Teen Resiliency In Our Schools Initiative
(582) Mentoring Center
672 13th St 200
Oakland,CA94612 		94-3167241 501(c)(3) 44,750       Direct Outreach To Our Residents Vaccine Outreach
(583) Mercy College Of Health Sciences
928 6th Ave
Des Moines,IA50309 		42-1511682 501(c)(3) 10,000       Scholarship
(584) Mercy Foundation Bakersfield
Po Box 119
Bakersfield,CA93302 		77-0201321 501(c)(3) 25,000       Finding My Strength Within To Support My Community
(585) Mercy House Living Centers
Po Box 1905
Santa Ana,CA92702 		33-0315864 501(c)(3) 102,400       Housing For Health Orange County (Hhoc)
(586) Mf Place Inc
Po Box 3867
Hollywood,CA90078 		95-4834034 501(c)(3) 24,999       Health And Well-being Program For Youth Experienci
(587) Michelles Place Breast Cancer Resource
41669 Winchester Rd 101
Temecula,CA92590 		33-0951216 501(c)(3) 24,500       Cancer Care Program
(588) Midnight Mission
601 S San Pedro St
Los Angeles,CA90014 		95-1691293 501(c)(3) 20,000       Creating Self-sufficiency Through Recovery
(589) Mid-peninsula Boys & Girls Club
200 North Quebec St
San Mateo,CA94143 		94-1431583 501(c)(3) 25,000       Mpbgc Social And Emotional Learning For Youth Ages
(590) Millionaire Mind Kids
13554 Delaware Rd
Apple Valley,CA92308 		20-4418118 501(c)(3) 14,000       Mmk-roc Stem, Civil Engagement & Covid Education F
(591) Milpitas Food Pantry
1440 S Main St
Milpitas,CA95035 		77-0254042 501(c)(3) 24,000       Milpitas Food Pantry
(592) Mind Oc
18650 Macarthur Blvd 220
Irvine,CA92612 		82-3901590 501(c)(3) 50,000       Be Well Orange Campus
(593) Mindful Life Project
124 Washington Ave B
Richmond,CA94801 		47-5066819 501(c)(3) 75,000       Mindfulness In East Contra Costa Schools
(594) Mission Language & Vocational School
2929 19th St 2nd Fl
San Francisco,CA94110 		94-2174237 501(c)(3) 85,000       Latino Task Force Community Education And Outreach
(595) Mixteco Indigena Community Organizing
Po Box 20543
Oxnard,CA93034 		30-0045901 501(c)(3) 10,000       Voz De La Mujer Indigena (Voice Of The Indigenous
(596) Modesto Gospel Mission Inc
1400 Yosemite Blvd
Modesto,CA95354 		94-6102833 501(c)(3) 25,000       Nutritious Breakfast To Start The Day
(597) Monarch Services Servicios Monarca
233 E Lake Ave
Watsonville,CA95076 		94-2462783 501(c)(3) 75,000       Housing Solutions For Domestic Violence And Sexual
(598) Montclair Community Foundation Inc
5111 Benito St
Montclair,CA91763 		26-4180900 501(c)(3) 10,000       Montclair To College: Increasing Economic Prosperi
(599) Monument Crisis Center
1990 Market St
Concord,CA94520 		41-2111171 501(c)(3) 25,000       Looking Forward In 2021-22
(600) Monument Impact
1760 Clayton Rd
Concord,CA94520 		94-3370919 501(c)(3) 25,000       Mentes Positivas En Accion
(601) Moorpark College Foundation
7075 Campus Rd
Moorpark,CA93021 		95-3533986 501(c)(3) 10,000       Radiologic Technology
(602) Morehouse College
830 Westview Dr Sw
Atlanta,GA30314 		58-0566205 501(c)(3) 10,000       Bill Coggins Community Leadership Award Treatments for the Latino Community, Emerging Best Practices for Prevention, Early Treatment and Recovery
(603) Moreno Valley Unified School District
25634 Alessandro Blvd
Moreno Valley,CA92553 		52-1770792 Government 20,000       Social Emotional Well-being
(604) Mountain Communities Boys & Girls Inc
Po Box 2228
Crestline,CA92325 		33-0653707 501(c)(3) 10,000       Project Learn
(605) Mt San Antonio College Foundation
1100 North Grand Ave
Walnut,CA91789 		95-6196020 501(c)(3) 10,000       Radiologic Technology
(606) Mujeres Unidas Y Activas
3543 18th St 23
San Francisco,CA94110 		20-2986926 501(c)(3) 30,000       Sanando El Alma (Healing The Soul)
(607) Multicultural Integrated Kidney
9155 Sw Barnes Rd219
Portland,OR97225 		45-0520604 501(c)(3) 10,000       Mentored Health Education In Underserved Schools (
(608) My Sisters House
3053 Freeport Blvd120
Sacramento,CA95818 		68-0464114 501(c)(3) 25,000       Preventing And Mitigating Aces In Our Asian/Pacifi
(609) Nami California
425 University Ave 222
Sacramento,CA95825 		94-2676057 501(c)(3) 15,000       2021 Annual Nami California Conference
(610) Nami Santa Clara County
1150 S Bascom Ave24
San Jose,CA95128 		94-2430956 501(c)(3) 25,000       Faithnet
(611) Nami Sonoma County
182 Farmers Ln 202
Santa Rosa,CA95405 		68-0041644 501(c)(3) 25,000       Mental Health Awareness, Education & Support
(612) Nami Western Riverside County
Po Box 4145
Riverside,CA92514 		33-0162977 501(c)(3) 24,500       Western Riverside County
(613) Nami-ventura County
Po Box 1613
Camarillo,CA93011 		77-0037450 501(c)(3) 15,000       Equipping Families For Mental Health
(614) Napa Emergency Womens Services
1141 Pear Tree Lane 220
Napa,CA94558 		94-2745889 501(c)(3) 25,000       Domestic Violence Housing First (Dvhf)
(615) Napa Valley Child Advocacy Network Inc
1909 Jefferson St
Napa,CA94559 		56-2498308 501(c)(3) 20,000       Care Coordination And Connection Project For Napa
(616) Napa Valley Educational Foundation
2425 Jefferson St
Napa,CA94558 		68-0005743 501(c)(3) 50,000       Napa Valley Wellness Center Initiative Expansion
(617) National Council For Mental Wellbeing
1400 K St Nw 400
Washington,DC20005 		23-7092671 501(c)(3) 150,000       Building Mhfa Instructor Capacity In Northern Cali
(618) National Health Care For The Homeless Council
604 Gallatin Ave N
Nashville,TN37206 		62-1475145 501(c)(3)   17,482 Cost Medical Supplies Support for Public Health
(619) National Hispanic Health Foundation
1920 L St Nw 725
Washington,DC20036 		26-0051902 501(c)(3) 10,000       Annual Hispanic Health Professional Student Schola
(620) National Jewish Center
1400 Jackson St Rm K926
Denver,CO80206 		74-2044647 501(c)(3) 35,807       Research
(621) National Latina Business Women Association
9551 Pittsburgh Ave
Rancho Cucamonga,CA91730 		47-2719595 501(c)(3) 35,000       Business Management & Leadership Academy--emerging
(622) National Medical Fellowships Inc
12 E 46th St Fl 5e
New York,NY10017 		01-0963657 501(c)(3) 10,000       2021 Los Angeles Nmf Champions Of Health Awards
(623) Native American Health Center Inc
2920 International Blvd
Oakland,CA94601 		23-7135928 501(c)(3) 24,500       Population Health Management Solutions Initiative
(624) Native American Health Center Inc
2920 International Blvd
Oakland,CA94601 		23-7135928 501(c)(3)   19,525 Cost Medical Supplies Population Health Management Solutions Initiative
(625) Neighborhood Health
2711 Foster Ave
Nashville,TN37210 		62-1032792 501(c)(3)   11,196 Cost Medical Supplies Support for Public Health
(626) Neighborhood Healthcare
425 N Date St
Escondido,CA92025 		95-2796316 501(c)(3) 20,000       Population Health Management Solutions Initiative
(627) Neighborhood Housing Services
3926 Wilshire Blvd200
Los Angeles,CA90010 		95-3938955 501(c)(3) 132,500       Homeless Prevention Through Flexible Funding For H
(628) Neighborhood Medical Center Inc
872 West Orange Av
Tallahassee,FL32310 		23-7422549 501(c)(3)   9,178 Cost Medical Supplies Support for Public Health
(629) New Directions For Youth Inc
7315 N Lankershim Blvd
North Hollywood,CA91605 		95-2973008 501(c)(3) 17,500       Ndy Mental Health Services
(630) New Haven Unified School District
725 Whipple Rd
Union City,CA94587 		94-1717886 Government 175,000       Unite Us Thrive Local Union City
(631) New Venture Fund
1201 Connecticut Ave Nw 300
Washington,DC20036 		20-5806345 501(c)(3) 750,000       Hope And Heal Fund - The Northern California Gun V
(632) Next Door Solutions To Domestic
234 E Gish Rd200
San Jose,CA95112 		94-2420708 501(c)(3) 25,000       Advancing The Well-being Of Children And Youth
(633) Niroga Institute
111 Fairmount Ave
Oakland,CA94611 		20-2620278 501(c)(3) 25,000       Trauma-informed Mindfulness For Stress Resilience
(634) Nonprofit Association Of Oregon
5100 Sw Macadam Ave360
Portland,OR97239 		93-0685385 501(c)(3) 24,500       Referral-based Technical Assistance Program
(635) North Bay Childrens Center Inc
932 C St
Novato,CA94949 		94-3024246 501(c)(3) 50,000       Nbcc School Readiness Program
(636) North Country Healthcare Inc
5200 E Courtland Blvd A1
Flagstaff,AZ86004 		86-0663432 501(c)(3)   79,670 Cost Medical Supplies Support for Public Health
(637) North County Health Project Inc
150 Valpreda Rd
San Marcos,CA92069 		95-2847102 501(c)(3) 13,000       Increasing Access To Care At Truecare Perris Throu
(638) North County Lifeline Inc
3142 Vista Way400
Oceanside,CA92056 		95-2794253 501(c)(3) 30,000       Mental Wellness Programs For Homeless Youth
(639) North East Medical Services
2171 Junipero Serra Blvd
Daly City,CA94014 		94-1722562 501(c)(3) 25,000       Nems Santa Clara County Covid-19 Vaccine Outreach
(640) North Marin Community Services
680 Wilson Ave
Novato,CA94947 		94-1735064 501(c)(3) 25,000       Novato Teen Clinic: Road To Resilience For Novato
(641) North Valley Caring Services Inc
15435 Rayen St
North Hills,CA91343 		95-4444561 501(c)(3) 15,000       Combating Food Insecurity In North Valley
(642) Northern California Center For
101 Brookwood AveA
Santa Rosa,CA95404 		93-1144835 501(c)(3) 25,000       Utilizing Chws To Improve Access To Resources And
(643) Northern California Institute For Research
4150 Clement St
San Francisco,CA94121 		94-3084159 501(c)(3) 136,080       Research / Project Support
(644) Northwest Family Services
6200 Se King Rd
Portland,OR97222 		93-0841022 501(c)(3) 24,500       Nwfs Project Access Network Specialty Care Program
(645) Northwest Housing Alternatives
2316 Se Willard St
Milwaukie,OR97222 		93-0814473 501(c)(3) 10,000       Supporting Educational Success
(646) Northwestern University
6933 Clark St Rm G 547
Evanston,IL60208 		36-2167817 501(c)(3) 99,782       Research
(647) Nuestra Casa De East Palo Alto
2396 University Ave
East Palo Alto,CA94303 		46-4040538 501(c)(3) 95,000       Covid-19 Vaccine Equity In East Palo Alto And Bell
(648) Ny Presbyterian Hospital Columbia Universit
116th And Broadway
New York,NY10027 		80-0496512 501(c)(3) 116,549       Research
(649) Oak Grove Institute Foundation Inc
24275 Jefferson Ave
Murrieta,CA92562 		33-0470446 501(c)(3) 24,500       Inside Out
(650) Oakland California Youth Outreach Inc
Po Box 19500
Oakland,CA94619 		27-4707108 501(c)(3) 40,000       Healthy, Wealthy, & Wise
(651) Oakland Elizabeth House
6423 Colby St
Oakland,CA94618 		94-3225949 501(c)(3) 10,000       Mental Health Counseling
(652) Oakland Natives Give Back Fund Inc
2934 Telegraph Ave
Oakland,CA94609 		46-5710681 501(c)(3) 10,000       Attend And Achieve- Back-to-school
(653) Oakland Parents Together
10328 Point Reyes Cir
Stockton,CA95209 		68-0589067 501(c)(3) 22,500       Covid Outreach Project
(654) Oakland Police Activities League
Po Box 6788
Oakland,CA94603 		94-2826718 501(c)(3) 50,000       Oakland Midnight Basketball League
(655) Oakland Unified School District
1000 Broadway 450
Oakland,CA94607 		94-6000385 Government   747,266 Cost Medical Supplies Support for Public Health
(656) Oasis Institute
5500 Grossmont Center Dr 269
La Mesa,CA91942 		30-0403895 501(c)(3) 25,000       Bridging The Digital Divide
(657) Ochin Inc
1881 Sw Naito Parkway
Portland,OR97201 		20-0195556 501(c)(3) 993,292       Research
(658) Olive Crest
2130 E 4th St 200
Santa Ana,CA92705 		95-2877102 501(c)(3) 24,500       Transitional Housing: Improving Health/Outcomes, A
(659) On The Move
780 Lincoln Ave
Napa,CA94558 		75-3149095 501(c)(3) 20,000       Voices Solano: Supporting The Well-being Of Transi
(660) One Generation
17400 Victory Blvd
Van Nuys,CA91406 		95-4066979 501(c)(3) 112,500       Onegeneration Homeless Prevention Aging Services P
(661) One In Long Beach Inc
2017 E 4th St
Long Beach,CA90814 		95-3523149 501(c)(3) 20,000       Lgbtq Mental Health Services
(662) One Step A La Vez
Po Box 192
Fillmore,CA93016 		45-4604852 501(c)(3) 18,450       One Step A La Vez
(663) Onefuture Coachella Valley
41550 Eclectic St 200e
Palm Desert,CA92260 		81-3653698 501(c)(3) 75,000       Bridge To Careers: College And Career Success
(664) Oneoc
1901 E 4th St 100
Santa Ana,CA92705 		95-2021700 501(c)(3) 25,000       Medically Tailored Meal Program
(665) On-site Dental Care Foundation Inc
3180 Newberry Dr 200
San Jose,CA95118 		77-0495262 501(c)(3) 25,000       Oral Health For All
(666) Ontario-montclair School District
950 W D Street
Ontario,CA91762 		95-6002267 Government   35,523 Cost Medical Supplies Support for Public Health
(667) Open Heart Kitchen Of Livermore Inc
1141 Catalina Dr 137
Livermore,CA94550 		94-3396038 501(c)(3) 25,000       Hot Meals Program
(668) Open Paths Counseling Center
400 Corporate Pointe 300
Culver City,CA90230 		95-3221061 501(c)(3) 96,000       Care Through Counseling Collaborative
(669) Operation Safe House Inc
9685 Hayes St
Riverside,CA92503 		33-0326090 501(c)(3) 50,000       Main Street Transitional Living And Permanent Supp
(670) Opica Adult Day Program & Counseling
11759 Missouri Ave
Los Angeles,CA90025 		95-3493725 501(c)(3) 30,000       Caring For The Caregiver
(671) Opportunity Junction Inc
3102 Delta Fair Blvd
Antioch,CA94509 		68-0459131 501(c)(3) 75,000       Quality Jobs & Careers In Contra Costa
(672) Opportunity Stanislaus
1625 I St
Modesto,CA95354 		20-5186517 501(c)(3) 50,000       Volt On The Go
(673) Orange Coast College Foundation
2701 Fairview Rd
Costa Mesa,CA92628 		33-0071349 501(c)(3) 10,000       Radiologic Technology
(674) Orangewood Foundation
1575 E 17th St
Santa Ana,CA92705 		95-3616628 501(c)(3) 50,000       Mental Health For Transitional Age Youth
(675) Oregon Childrens Foundation
101 Sw Market St
Portland,OR97201 		93-1051724 501(c)(3) 10,000       Sponsor A Smart School In Kaiser Permanente Servic
(676) Oregon College Of Oriental Medicine
75 Nw Couch
Portland,OR97209 		93-0845182 501(c)(3) 10,000       Expanding Health Care Access To Low Income Communi
(677) Oregon Community Foundation The
1221 Sw Yamhill100
Portland,OR97205 		23-7315673 501(c)(3) 150,000       Health Systems Access To Care Fund
(678) Oregon Food Bank Inc
7900 Ne 33rd Dr
Portland,OR97211 		93-0785786 501(c)(3) 20,000       Community Giving Campaign Donation
(679) Oregon Health & Science University
3181 Sw Sam Jackson Prk
Portland,OR97239 		93-1176109 501(c)(3) 69,137       Research
(680) Oregon Humane Society
1067 Ne Columbia Blvd
Portland,OR97211 		93-0386880 501(c)(3) 10,000       Helping Pets In Need
(681) Oregon Institute Of Technology
3201 Campus Dr
Klamath Falls,OR97601 		47-2893144 Government 7,500       Scholarship
(682) Oregon Public Broadcasting
7140 Sw Macadam Ave
Portland,OR97219 		93-0814638 501(c)(3) 10,000       General Support
(683) Oregon State Hospital Museum Of Mental Hlth
Po Box 851
Salem,OR97308 		27-1850784 501(c)(3) 10,000       Addressing Stigma
(684) Oregon State University
312 Kerr
Corvallis,OR97331 		61-1730890 Government 113,398       Research
(685) Oregon State University
Po Box 1086
Corvallis,OR97339 		48-1278540 Government 52,500       Scholarship
(686) Our Lady Of The Rosary Church
703 C St
Union City,CA94587 		94-1450794 501(c)(3) 22,500       Vaccination Equity Program
(687) Outsidersinn
5301 Ne 56th Ave
Vancouver,WA98661 		81-3259312 501(c)(3) 24,500       Project Hope Outreach
(688) Pacific Center For Human Growth
2712 Telegraph Ave
Berkeley,CA94705 		94-2287492 501(c)(3) 25,000       Building Resilience In Lgbtqia+ And Qtbipoc Transi
(689) Pacific Clinics
800 S Santa Anita Ave
Arcadia,CA91006 		95-1644034 501(c)(3) 154,380       ""The Way Forward""
(690) Pacific Gateway Workforce Partnership
4811 Airport Plaza Dr200
Long Beach,CA90815 		27-5567825 501(c)(3) 50,000       Pacific Gateway's Coordinated System For Youth
(691) Pacific Hearing Connection
496 1st St 120
Los Altos,CA94022 		81-2591375 501(c)(3) 20,000       Hearing Health Care For Lower Income Children And
(692) Pacific Islander Community Association
33710 9th Ave S 1
Federal Way,WA98003 		84-2470123 501(c)(3) 24,500       Pasifika Family Wellness
(693) Pacific University
2043 College Way
Forest Grove,OR97116 		93-0386892 501(c)(3) 27,500       Scholarship
(694) Pacifica Resource Center
1809 Palmetto Ave
Pacifica,CA94044 		81-1496989 501(c)(3) 25,000       Unhoused On The Coast (Uc) Outreach
(695) Pajaro Valley Shelter Services
115 Brennan St
Watsonville,CA95076 		94-1393418 501(c)(3) 80,000       Thriving, Healthy Families: From Homelessness To P
(696) Pajaro Valley Unified School District
294 Green Valley Rd
Watsonville,CA95076 		77-0375541 Government 25,000       Parent Engagement And Wellness Center
(697) Paramount Care Foundation
8303 Alondra Blvd
Paramount,CA90723 		68-0497737 501(c)(3) 20,000       Provide Food And Daily Essentials To Low-income In
(698) Parent Teacher Home Visit Project Inc
2411 15th StA
Sacramento,CA95818 		51-0477445 501(c)(3) 25,000       Supporting Mental Health And Well-being Through Ho
(699) Parents Helping Parents Inc
1400 Parkmoor Ave100
San Jose,CA95126 		94-2814246 501(c)(3) 24,000       Coping And Support For Families
(700) Parkview Legacy Foundation
3890 Orange St 111
Riverside,CA92502 		95-3290732 501(c)(3) 75,000       30/30/30: Addressing Housing Affordability, Homele
(701) Partners In Care Foundation
732 Mott St 150
San Fernando,CA91340 		95-3954057 501(c)(3) 26,876       Improving Health Outcomes In The San Gabriel Valle
(702) Partners In Careers
3210 Ne 52nd St
Vancouver,WA98663 		91-1537912 501(c)(3) 24,500       Community-clinic Integration Grant Initiative
(703) Partnership For Children And Youth
Po Box 2847
El Cerrito,CA94530 		04-3653529 501(c)(3) 25,000       Helping California Schools Maximize Federal And St
(704) Partnerships For Trauma Recovery
1936 University Ave 191
Berkeley,CA94704 		47-3948973 501(c)(3) 15,000       Partnerships For Trauma Recovery - Mosaic Healing
(705) Pasadena College Foundation
1570 E Colorado Blvd
Pasadena,CA91106 		95-3434226 501(c)(3) 10,000       Radiologic Technology
(706) Path Of Life Ministries
Po Box 1445
Riverside,CA92502 		33-0724945 501(c)(3) 30,000       Strategic Communications Initiative For Path Of Li
(707) Peninsula Family Service
24 Second Ave
San Mateo,CA94401 		94-1186169 501(c)(3) 25,000       Fair Oaks Nutrition And Wellness Programs: Caf Sa
(708) Pennsylvania State University
227 Beaver Ave
State College,PA16801 		24-6000376 Government 44,844       Research
(709) Pennsylvania State University
500 University Drive
Hershey,PA17033 		27-4628784 Government 95,084       Research / Project Support
(710) Penny Lane Centers
15305 Rayen St
North Hills,CA91343 		95-2633765 501(c)(3) 17,500       Penny Lane Centers: Increasing Access To Sud Treat
(711) People Assisting The Homeless
340 N Madison Ave
Los Angeles,CA90004 		95-3950196 501(c)(3) 100,000       San Diego River Outreach
(712) Petaluma People Services Center
1500 A Petaluma Blvd S
Petaluma,CA94952 		94-2271299 501(c)(3) 20,000       Aging Well Together, Delivering Programs That Prov
(713) Physicians Medical Forum
6114 La Salle Ave 601
Oakland,CA94611 		30-0086728 501(c)(3) 75,000       Doctors On Board Program & Community Health Intern
(714) Pink Ribbon Girls
32 E Main St
Tipp City,OH45371 		32-0020270 501(c)(3) 20,000       Implement Unite Us For Prg Bay Area
(715) Placer County Office Of Education
360 Nevada St
Auburn,CA95603 		94-6002096 Government 25,000       Trauma Informed Pbis Technical Assistance
(716) Placer Food Bank
8284 Industrial Ave
Roseville,CA95678 		94-1740316 501(c)(3) 175,000       2021 Bloc Cohort
(717) Planned Parenthood
2333 Lake Ave 2nd Flr
Altadena,CA91001 		95-1916050 501(c)(3) 26,876       Planned Parenthood Baldwin Park: A Home Base For M
(718) Planned Parenthood Los Angeles
400 W 30th St
Los Angeles,CA90007 		95-2408623 501(c)(3) 24,999       Planned Parenthood La?S Behavioral Health Services
(719) Planned Parenthood Mar Monte Inc
1746 The Alameda
San Jose,CA95126 		94-1583439 501(c)(3) 25,000       Kern County Sex Ed Virtual Outreach
(720) Planned Parenthood Shasta Diablo
2185 Pacheco St
Concord,CA94520 		94-1575233 501(c)(3) 20,000       Case Management Program: Addressing Covid-19 Relat
(721) Pogo Park
2604 Roosevelt Ave
Richmond,CA94804 		32-0318691 501(c)(3) 25,000       Healthy Food At Elm Playlot
(722) Portland Community College
Po Box 19000
Portland,OR97280 		93-0575187 Government 35,000       Scholarship
(723) Portland Leadership Foundation
809 N Russell St203
Portland,OR97227 		26-4224606 501(c)(3) 70,000       Igniting Diverse Leaders In Healthcare (2021)
(724) Portland Public Schools
501 N Dixon
Portland,OR97227 		93-6000830 Government 24,999       Portland Public Schools - Thriving Schools Playboo
(725) Portland State University
Po Box 751
Portland,OR97207 		36-4776757 Government 154,856       Research
(726) Portland Street Medicine
825 Ne Multnomah St 240
Portland,OR97232 		82-4209837 501(c)(3) 10,000       Critical Staffing For The Delivery Of Street Medic
(727) Portland Va Research Foundation
Po Box 19832
Portland,OR97280 		94-3090170 501(c)(3) 62,659       Research
(728) Portland Workforce Alliance
7100 Se Division St
Portland,OR97206 		27-2964874 501(c)(3) 10,000       Pwa Pathways To Health Careers
(729) Portuguese Organization For Social
1115 E Santa Clara StA
San Jose,CA95116 		51-0187655 501(c)(3) 25,000       Senior Nutrition Program
(730) Positive Alternative Recreation Program
2576 Gumdrop Dr
San Jose,CA95148 		76-0832431 501(c)(3) 25,000       Parti Leadership Mentorship Career Readiness
(731) Postpartum Health Alliance
Po Box 927231
San Diego,CA92192 		68-0306790 501(c)(3) 40,000       Perinatal Mood And Anxiety Disorders (Pmads) Preve
(732) Poverello House
412 F St
Fresno,CA93706 		77-0007985 501(c)(3) 25,000       Continuing Providing Safe Beds, Outreach And Clien
(733) President And Fellows Of Harvard College
677 Huntington Ave
Boston,MA02115 		04-2103580 501(c)(3) 26,666       Research / Project Support
(734) Pride Industries
10030 Foothills Blvd
Roseville,CA95747 		94-1650529 501(c)(3) 25,000       Workforce Training For People With Disabilities
(735) Primary School East Palo Alto The
1765 E Bayshore RdA2
East Palo Alto,CA94303 		47-3334579 501(c)(3) 200,000       The Primary School-hayward
(736) Private Industry Council Of Solano
500 Chadbourne Rd A
Fairfield,CA94534 		94-2807817 501(c)(3) 20,000       Restaurant Resiliency Program
(737) Project Access Now
Po Box 10953
Portland,OR97296 		20-8928388 501(c)(3) 590,833       The Community Care Collaborative (Ccc)
(738) Project Angel Food
922 Vine St
Los Angeles,CA90038 		95-4115863 501(c)(3) 75,000       Medically Tailored Meals And Nutrition Services Fo
(739) Project Sister Family Services
Po Box 1369
Pomona,CA91769 		23-7116161 501(c)(3) 24,900       Mental Health Counseling For Survivors Of Sexual &
(740) Project Understanding At San
2734 Johnson Dr E
Ventura,CA93003 		95-3246871 501(c)(3) 30,000       First Step Program At Project Understanding
(741) Project We Hope
1854 Bay Rd
East Palo Alto,CA94303 		94-3342713 501(c)(3) 25,000       Mobile Homeless Services To Vehicle Dwellers And E
(742) Prospera Community Development
1072 60th St Apt 3
Oakland,CA94608 		77-0373186 501(c)(3) 75,000       Advancing Financial Literacy To Strengthen Access
(743) Proyecto Pastoral
135 N Mission Rd
Los Angeles,CA90033 		95-3213958 501(c)(3) 24,999       Meeting The Health And Wellness Needs Of The Disad
(744) Public Health Foundation Enterprises Inc
13300 Crossroads Pkwy N450
City Of Industry,CA91746 		95-2557063 501(c)(3) 20,000       Phfe Wic, Cinnamoms And Kaiser Permanente: Increas
(745) Public Health Institute
555 12th St
Oakland,CA94607 		94-1646278 501(c)(3) 224,589       Project Support
(746) Puente De La Costa Sur
620 North St
Pescadero,CA94060 		37-1484262 501(c)(3) 25,000       Access To Trauma Prevention And Screening For The
(747) Puertas Abiertas Community Resource
952 Napa St
Napa,CA94559 		20-3126333 501(c)(3) 20,000       La Cultura Cura
(748) Pv Community Health Trust
85 Neilson St
Watsonville,CA95076 		94-1149702 501(c)(3) 25,000       Cht Medical Nutrition Program
(749) Quest Center For Integrative Health
2901 E Burnside
Portland,OR97214 		93-1121778 501(c)(3) 10,000       Behavioral Healthcare For Marginalized Individuals
(750) Rafiki Coalition For Health & Wellness
601 Cesar Chavez
San Francisco,CA94124 		94-3098879 501(c)(3) 85,000       Bayview Hunters Point Vaccine Equity Coordina
(751) Rahabs Sisters
Po Box 90234
Portland,OR97290 		26-1675500 501(c)(3) 10,000       Capacity Building To Sustain Expanded Programming.
(752) Rainbow Labs Mentoring Inc
1037 N Gardner St
West Hollywood,CA90046 		86-3680722 501(c)(3) 24,999       Harnessing The Power Of Mentoring To Heal Lgbtq+ Y
(753) Raizes Collective
Po Box 8606
Santa Rosa,CA95407 		47-3129493 501(c)(3) 50,000       Covid Health Fair Event Series
(754) Rand Corp
1776mainstPobox2138
Santa Monica,CA90407 		95-1958142 501(c)(3) 395,919       Research
(755) Reach Out West End
1126 W Foothill Blvd 250
Upland,CA91786 		95-2642747 501(c)(3) 20,000       Healthy Jurupa Valley
(756) Reading And Beyond
4670 E Butler Ave
Fresno,CA93702 		77-0508471 501(c)(3) 45,000       Food For Life-meal/Nutrition Distribution
(757) Reading And Beyond
4670 E Butler Ave
Fresno,CA93702 		77-0508471 501(c)(3)   5,395 Cost Medical Supplies Food For Life-meal/Nutrition Distribution
(758) Rebekah Childrens Services
290 Ioof Ave
Gilroy,CA95020 		94-1167402 501(c)(3) 25,000       Building Resilient Families
(759) Rebuilding Together Silicon Valley
1701 S 7th St 10
San Jose,CA95112 		77-0289381 501(c)(3) 25,000       Safe & Healthy Housing
(760) Recovery Cafe San Jose Inc
80 S 5th St
San Jose,CA95112 		45-4496745 501(c)(3) 24,000       School For Recovery: Changing Lives
(761) Redwood City 2020
1017 Middlefield Rd
Redwood City,CA94063 		94-6001116 Government 95,000       Covid-19 Vaccine Equity In Redwood City/North Fair
(762) Redwood Community Health Coalition
1310 Redwood Way135
Petaluma,CA94954 		94-3220029 501(c)(3) 369,000       Core Operating Support 2022
(763) Redwood Empire Food Bank
3990 Brickway Blvd
Santa Rosa,CA95403 		68-0121855 501(c)(3) 25,000       Increasing Access To Calfresh (Snap) In Sonoma Cou
(764) Regents University Of CaliforniaSanta Cruz
1111 Franklin St12/F
Oakland,CA94607 		94-1539563 501(c)(3) 233,405       Research
(765) Regents University Of California UCSF
3333 California St
San Francisco,CA94143 		94-6036493 Government 2,135,549       Research / Project Support
(766) Regents University Of California Davis
Po Box 989062
West Sacramento,CA95798 		94-6036494 Government 408,664       Research / Project Support
(767) Regents University Of California UCLA
Po Box 741816
Los Angeles,CA90074 		95-6006143 501(c)(3) 137,268       Research / Project Support
(768) Regents University Of California San Diego
9500 Gilman Drive
La Jolla,CA92093 		95-6006144 Government 10,000       Oliver Goldsmith Scholarship
(769) Regents Of The University Of Michigan
3003 S State St
Pittsburgh,PA15251 		38-6006309 Government 389,414       Research / Project Support
(770) Regents University Of California
1111 Franklin St12/F
Oakland,CA94607 		94-3067788 501(c)(3) 128,547       Research
(771) Regents of University Of California Ivine
405 Hilgard Ave
Irvine,CA92697 		95-2226406 Government 97,193       Research / Project Support
(772) Regional Task Force On The Homeless Inc
4699 Murphy Canyon Rd
San Diego,CA92123 		11-3723093 501(c)(3) 50,000       Racial Equity Committee Support And Regional Expan
(773) Reimagine Mack Road Foundation
75 Quinta CtD
Sacramento,CA95823 		46-4193875 501(c)(3) 100,000       Reimagine Community C.A.R.E (Connect, Activate, Re
(774) Renaissance Entrepreneurship Center
275 5th St
San Francisco,CA94103 		94-2793122 501(c)(3) 95,000       Leveraging Technology And Adapting To Covid-19 And
(775) Rescue Mission Alliance
315 North A St
Oxnard,CA93030 		23-7278002 501(c)(3) 24,900       Victor Valley Rescue Mission
(776) Research Triangle Institute
Po Box 900002
Raleigh,NC27675 		56-0686338 501(c)(3) 109,616       Research
(777) Resiliency Center Of Fresno
3845 N Clark St 201
Fresno,CA93726 		84-4989478 501(c)(3) 45,000       Proactive Approach To Mental Health, Trauma Interv
(778) Richmond Community Foundation
3260 Blume Dr 110
Richmond,CA94806 		94-3337754 501(c)(3) 170,000       Covid Vaccine For Children
(779) Richmond Main Street
1600 Nevin Plz
Richmond,CA94801 		68-0481132 501(c)(3) 25,000       Ensuring Success For Richmond Entrepreneurs
(780) Rim Family Services Inc
Po Box 578
Skyforest,CA92385 		33-0496148 501(c)(3) 24,900       Delivery Of Virtual Services
(781) Rio School District
1800 Solar Dr Fl 3
Oxnard,CA93030 		95-6002550 Government 10,000       Farmers' Market Cooking And Nutrition Harvest Cele
(782) Rio Vista Care Inc
628 Montezuma St
Rio Vista,CA94571 		68-0063763 501(c)(3) 45,000       Prevention And Mitigation Of Aces And Trauma In Ru
(783) Rising Sun Center For Opportunity
1116 36th St
Oakland,CA94608 		77-0359133 501(c)(3) 25,000       Opportunity Build: A Pathway To Quality Jobs And E
(784) River City Food Bank
Po Box 160204
Sacramento,CA95816 		91-1851398 501(c)(3) 25,000       Calfresh Outreach Program
(785) River To Coast Childrens Services
Po Box 16
Guerneville,CA95446 		94-2378459 501(c)(3) 25,000       Kindergym - Supporting The Healthy Development Of
(786) Riverside Area Rape Crisis Center
1845 Chicago Ave A
Riverside,CA92507 		95-3245057 501(c)(3) 24,500       Youth Prevention - Community Education & Outreach
(787) Riverside Free Clinic
Po Box 1648
Riverside,CA92502 		46-5407059 501(c)(3) 20,000       Comprehensive Health Services For The Underserved
(788) Riverside Medical Clinic Charitable
Po Box 2605
Riverside,CA92516 		30-0796418 501(c)(3) 24,500       Reimagine-bullying Prevention Curriculum
(789) Roads Foundation Inc
121 S Long Beach Blvd
Compton,CA90221 		45-0572757 501(c)(3) 20,000       Integrating Community Health Workers
(790) Robert F Kennedy Institute Of Community
544 N Avalon Blvd309
Wilmington,CA90744 		33-0531975 501(c)(3) 20,000       Health Connect
(791) Roberts Family Development Center
770 Darina Ave
Sacramento,CA95815 		68-0470557 501(c)(3) 25,000       Rfdc Youth Development Initiative
(792) Roots Community Health Center
7272 Macarthur Blvd
Oakland,CA94605 		26-2583954 501(c)(3) 95,000       Covid-19 Vaccine Equity In Oakland And San Jose
(793) Roseville Joint Union High
1750 Cirby Way
Roseville,CA95661 		94-6002478 501(c)(3) 25,000       School Wellness Centers
(794) Rotacare Bay Area Inc
514 Valley Way
Milpitas,CA95035 		77-0328723 501(c)(3) 50,000       Rotacare Clinic Of San Rafael
(795) Rubicon Programs Inc
2500 Bissell Ave
Richmond,CA94804 		94-2301550 501(c)(3) 125,000       Quality Jobs & Careers In Contra Costa
(796) Rutgers University Foundation
33 Knightsbridge Rd
Piscataway,NJ08854 		23-7318742 501(c)(3) 139,099       Research
(797) Ryse Inc
205 41st St
Richmond,CA94805 		26-0692904 501(c)(3) 25,000       Building Beloved Community
(798) Sacramento Area Congregations Together
2701 Del Paso Rd 130- 601
Sacramento,CA95835 		94-3146791 501(c)(3) 170,000       North Area Vaccine Equity Coalition
(799) Sacramento Childrens Home
2750 Sutterville Rd
Sacramento,CA95820 		94-1156588 501(c)(3) 25,000       Crisis Nursery Program
(800) Sacramento City Unified School
5735 47th Ave
Sacramento,CA95824 		94-6002491 Government 25,000       Providing Resilience, Identity, Diversity & Educat
(801) Sacramento Food Bank & Family Services
3333 Third Ave
Sacramento,CA95817 		94-3315566 501(c)(3) 150,000       2021 Bloc Cohort
(802) Sacramento Habitat For Humanity
819 N 10th St
Sacramento,CA95811 		68-0085804 501(c)(3) 25,000       Habitat For Humanity ""Cornerstone Affordable Hous
(803) Sacramento Lgbt Community Center
1015 20th St
Sacramento,CA95811 		94-2502229 501(c)(3) 25,000       Lgbtq Economic Security
(804) Sacramento Native American Health Center
2020 J St
Sacramento,CA95811 		20-4287737 501(c)(3) 25,000       Sacramento Native American Health Center (Snahc) C
(805) Sacramento Steps Forward
2150 River Plaza Dr385
Sacramento,CA95833 		27-4907397 501(c)(3) 25,000       Built For Zero Enhancement - Policy & Communicatio
(806) Sacred Heart Community Service
1381 South First St
San Jose,CA95110 		23-7179787 501(c)(3) 50,000       Covid-19 Vaccine Equity And Outreach
(807) Safe & Sound
1757 Waller St
San Francisco,CA94117 		94-2455072 501(c)(3) 25,000       Strengthening San Francisco Families Through Traum
(808) Safe Alternatives To Violent Environments
1900 Mowry Ave
Fremont,CA94538 		94-2520559 501(c)(3) 30,000       Empowerment Center
(809) Safe Passage Youth Foundation
482 Greenmeadow Ave
Thousand Oaks,CA91361 		82-4462446 501(c)(3) 26,943       Micro Community Children Of Color Educational Adva
(810) Safe Passages
250 Frank Ogawa Plz6306
Oakland,CA94612 		20-4535835 501(c)(3) 310,000       Safe Passages Vaccine Access Project (Spvap)
(811) Salem Free Medical Clinic
1300 Broadway St Ne104
Salem,OR97301 		20-3549992 501(c)(3) 18,000       Free Access To Care For The Uninsured And Underins
(812) Salud Para La Gente
Po Box 1870
Watsonville,CA95077 		94-2705747 501(c)(3) 100,000       Expanding Access To Care, Covid-19 Outreach, Educa
(813) Salvation Army
925 W 10th St
San Bernardino,CA92411 		94-1156347 501(c)(3) 135,000       Continuum Of Care At Hospitality House
(814) Samaritan Counseling Center
1126 W Foothill Blvd110
Upland,CA91786 		95-3160005 501(c)(3) 24,900       Affordable Mental Health Counseling For Underserve
(815) Samaritan House
4031 Pacific Blvd
San Mateo,CA94403 		23-7416272 501(c)(3) 25,000       Free Clinic Of Redwood City - Total Health Collabo
(816) Samuel Dixon Family Health Center Inc
25115 W Avenue StanfordA 104
Valencia,CA91355 		95-4278726 501(c)(3) 10,000       Eyeglasses For The Low Income And Uninsured
(817) San Bernardino City Unified School
777 N F St
San Bernardino,CA92410 		95-2285577 Government 99,600       Low-cost 21st Century Job Training For Disenfranch
(818) San Diego Community College District
3375 Camino Del Rio S
San Diego,CA92108 		95-2644299 Government 25,000       The Integration Of Health And Behavioral Health To
(819) San Diego County Office Of Education
5304 Metro St
San Diego,CA92111 		95-0600935 Government   163,739 Cost Medical Supplies Support for Public Health
(820) San Diego Housing Federation
3939 Iowa St 1
San Diego,CA92104 		33-0522932 501(c)(3) 60,000       Homeless-experienced Advocacy And Leadership Netwo
(821) San Diego Regional Economic Development
530 B St 700
San Diego,CA92101 		33-0992658 Government 60,000       Student Internship Support
(822) San Fernando Community Hospital
732 Mott St 100-110
San Fernando,CA91340 		51-0142144 501(c)(3) 20,000       Identify Social Determinants That Impact Engagemen
(823) San Fernando Valley Community Mental
16360 Roscoe Blvd
Van Nuys,CA91406 		95-6194487 501(c)(3) 17,500       Building Capacity To Develop And Sustain An Aces A
(824) San Francisco Aids Foundation
1035 Market St 400
San Francisco,CA94103 		94-2927405 501(c)(3) 75,000       Covid-19 Vaccine Equity In San Francisco And Oakla
(825) San Francisco Community Clinic
2720 Taylor St430
San Francisco,CA94133 		94-2897258 501(c)(3) 225,000       Consortium Core Support
(826) San Francisco Marin Food Bank
900 Pennsylvania Ave
San Francisco,CA94107 		94-3041517 501(c)(3) 150,000       2021 Bloc Cohort
(827) San Gabriel Valley Consortium On Homeless
4900 Rivergrade RdA120
Irwindale,CA91706 		27-0711034 501(c)(3) 50,000       Sgv Homeless Collective Impact Response
(828) San Joaquin County Clinics
500 W Hospital Rd
French Camp,CA95231 		45-4464197 501(c)(3) 120,000       Vaccine Equity Grants: Child And Targeted Communit
(829) San Joaquin County Public Health Services
1601 E Hazelton Ave
Stockton,CA95205 		94-6000531 Government 175,000       Covid-19 Vaccine Equity In San Joaquin County
(830) San Jose Evergreen Community College
40 S Market St
San Jose,CA95113 		77-0100756 Government 25,000       Roar Farmers Market Days At San Jose City College
(831) San Leandro Unified School
835 E 14th St 200
San Leandro,CA94577 		94-6002608 Government 25,000       Trauma-informed Healing-centered Engagement For Me
(832) San Lorenzo Unified School District
15510 Usher St
San Lorenzo,CA94580 		94-1693852 Government 95,000       Vaccine Equity Grants: Child And Targeted Communit
(833) San Mateo Police Activities
200 Franklin Parkway
San Mateo,CA94403 		31-1593896 501(c)(3) 25,000       San Mateo Pal Prevention And Intervention Program
(834) San Pablo Economic Development Corp
1000 Gateway Ave Fl1
San Pablo,CA94806 		27-5395012 501(c)(3) 50,000       Removing Barriers To Build Back Stronger
(835) Santa Clarita Valley Boys And Girls Club
24909 Newhall Ave
Newhall,CA91321 		95-2572622 501(c)(3) 10,000       Health And Fitness Program
(836) Santa Cruz Community Health Centers
125 Water St A2
Santa Cruz,CA95060 		23-7428303 501(c)(3) 220,000       Santa Cruz Community Health?S Core Priorities - 20
(837) Santa Monica-malibu Education
1645 16th St
Santa Monica,CA90404 		95-3787674 501(c)(3) 20,000       Mindfulness Mental Health Program
(838) Santa Rosa Community Health
3569 Round Barn Cir
Santa Rosa,CA95403 		68-0365296 501(c)(3) 10,000       Population Health Management Solutions Initiative
(839) Santa Rosa Junior College
1501 Mendocino Ave
Santa Rosa,CA95401 		94-6033759 Government 25,000       Hope Center Support Grant
(840) Saugus Union School District
24930 Avenue Stanford
Santa Clarita,CA91355 		95-6002879 Government 12,626       Let's Thrive: Resilience In Educators
(841) Scholar Fund
Po Box 45406
Seattle,WA98145 		81-3153433 501(c)(3) 24,999       Lulac Services Outreach
(842) Scholarship America
1 Scholarship Way
St Peter,MN56082 		04-2296967 501(c)(3) 744,400       Scholarship
(843) School Health Clinics Of Santa Clara
6840 Via Del Oro210
San Jose,CA95119 		77-0031679 501(c)(3) 120,000       Covid-19 Vaccine Equity In San Jose And Gilroy
(844) Scotts Valley Educational Foundation
5610 Scotts Valley DrB-173
Scotts Valley,CA95066 		77-0006718 501(c)(3) 25,000       Svusd Mental Health For Students
(845) Seattle Childrens Hospital
2001 Eighth Avenue
Seattle,WA98121 		91-1156519 501(c)(3) 147,799       Research
(846) Seattle Institute For Biomedical Research
1660 S Columbian Way
Seattle,WA98108 		91-1452438 501(c)(3) 7,839       Research / Project Support
(847) Second Harvest Food Bank Of Orange County
8014 Marine Way
Irvine,CA92618 		32-0362611 501(c)(3) 50,000       Food To Support Sustained Levels Of Covid-induced
(848) Second Harvest Food Bank Of San Joaquin
1220 Vanderbilt Cir
Manteca,CA95337 		68-0376587 501(c)(3) 25,000       Fresh Food 4 Kids/Pantry
(849) Second Harvest Food Bank Of Santa Clara
750 Curtner Ave
San Jose,CA95125 		94-2614101 501(c)(3) 300,000       2021 Bloc Cohort
(850) Second Harvest Food Bank Santa Cruz
800 Ohlone Pkwy
Watsonville,CA95076 		77-0326685 501(c)(3) 150,000       2021 Bloc Cohort
(851) Self Help Graphics & Art
1300 E 1st St
Los Angeles,CA90033 		23-7311837 501(c)(3) 24,999       Addressing Mental Health Disparities And Social Ex
(852) Self-help For The Elderly
731 Sansome St100
San Francisco,CA94111 		94-1750717 501(c)(3) 25,000       Senior Escort Program
(853) Seniors First
Po Box 6090
Auburn,CA95604 		68-0430154 501(c)(3) 25,000       Senior Cafs & Home-delivered Groceries
(854) Sequoia Union High School District
480 James Ave
Redwood City,CA94062 		94-3084148 Government 7,000       Digital Wellbeing Task Force
(855) Set For Life
256 E Fig Ave
Monrovia,CA91016 		20-5123504 501(c)(3) 10,000       Covid Vaccine Access For Minorities
(856) Sfmade Inc
150 Hooper St 200
San Francisco,CA94107 		27-2850703 501(c)(3) 90,000       Build Back Stronger Through Manufacturing Equity A
(857) Shanti Project Inc
3170 23rd St Fl 3
San Francisco,CA94110 		94-2297147 501(c)(3) 25,000       Women?S Cancer Program: Case Management & Coordina
(858) Share Inc
2306 Ne Andresen Rd
Vancouver,WA98661 		91-1205119 501(c)(3) 10,000       Improving Social Health Outcomes In Clark County T
(859) Share Our Selves Corporation
20151 Sw Birch St100
Newport Beach,CA92660 		95-3222316 501(c)(3) 10,000       Population Health Management Solutions Initiative
(860) Sharefest Community Development Inc
638 S Beacon St 700
San Pedro,CA90731 		20-5651596 501(c)(3) 15,002       Workforce Development For Continuation High School
(861) Shelter Care
499 W 4th Ave
Eugene,OR97401 		23-7115003 501(c)(3) 10,000       Non-billable Medical Supports
(862) Shelter Inc Of Contra Costa County
Po Box 5368
Concord,CA94524 		68-0117241 501(c)(3) 50,000       Ending Homelessness For The Low-income (31-50% Ami
(863) Shelter Partnership Inc
520 S Grand Ave695
Los Angeles,CA90071 		95-3976214 501(c)(3) 15,000       32nd Annual Gala
(864) Shepherds Pantry
657 E Arrow Hwy J
Glendora,CA91740 		20-8277679 501(c)(3) 43,159       Fresh Produce For Seniors
(865) Short Term Emergency Aid Committee
1712 Picasso Ave D
Davis,CA95618 		94-6138684 501(c)(3) 25,000       Rental Assistance Program
(866) Side By Side
300 Sunnyhills Dr 5
San Anselmo,CA94960 		94-1156301 501(c)(3) 50,000       Youthrive Races Unidas New Immigrant Intervention
(867) Sierra College Foundation
5100 Sierra College Blvd
Rocklin,CA95677 		23-7241877 501(c)(3) 25,000       Overcoming Barriers
(868) Sierra Vista Child And Family Services
100 Poplar Ave
Modesto,CA95354 		94-2158023 501(c)(3) 90,000       North Modesto/Salida Behavioral Health Program
(869) Silicon Valley Independent Living Center
25 N 14th St 1000
San Jose,CA95112 		94-2332246 501(c)(3) 40,000       Disability Inclusion And Health Project
(870) Sister-to-sister 2 Incorporated
2363a San Pablo Ave
Oakland,CA94612 		27-1885809 501(c)(3) 7,500       Direct Outreach To Clients, Unhoused Residents And
(871) Social Advocates For Youth
2447 Summerfield Rd
Santa Rosa,CA95405 		94-1711490 501(c)(3) 25,000       Housing And Wraparound Supports For Sonoma County
(872) Social Good Fund
12651 San Pablo Ave5473
Richmond,CA94805 		46-1323531 501(c)(3) 45,000       Dnnc Steps To Success Sustainability Project For B
(873) Social Science Services Inc
18612 Santa Ana Ave
Bloomington,CA92316 		95-2914237 501(c)(3) 20,000       Maple House Women And Children: Playground For Act
(874) Social Work Action Group
301 N Spring St
Lake Elsinore,CA92530 		82-2556816 501(c)(3) 30,000       Perris Outreach
(875) Sola I Can Foundation
8529 S Vermont Ave
Los Angeles,CA90044 		82-4698211 501(c)(3) 50,000       Professional Development Program
(876) Solano Advocates For Victims Of Violence
1652 W Texas St 135
Fairfield,CA94533 		61-1582626 501(c)(3) 20,000       Savv Victims Of Violence Shelter Assistance
(877) Solano Community College Education
4000 Suisun Valley Rd
Fairfield,CA94534 		94-2985548 501(c)(3) 20,000       Soar Solano County Project
(878) Solano County Office Of Education
5100 Business Center Dr
Fairfield,CA94533 		94-6002197 Government 75,000       Positive Behavioral Interventions And Supports
(879) Solano District Council
7597 Elizabeth Rd
Vacaville,CA95688 		47-3175154 501(c)(3) 9,000       Nonroutine Needs
(880) Sonoma County Health Services
1450 Neotomas Ave 200
Santa Rosa,CA95405 		94-6000539 Government 45,000       Built For Zero Sonoma County
(881) Sonoma Technology Inc
1450 N Mcdowell Blvd 200
Petaluma,CA94954 		94-2824807 For-profit 127,669       Research
(882) Sonrisas Dental Health Inc
430 N El Camino Real
San Mateo,CA94401 		94-3390196 501(c)(3) 25,000       Access To Oral Health Care San Mateo County Reside
(883) Sourcewise
3100 De La Cruz Blvd310
Santa Clara,CA95054 		94-2256503 501(c)(3) 24,000       Senior And Caregiver Support Programs
(884) South Bay Family Health Care
23430 Hawthorne Blvd 210
Torrance,CA90505 		23-7049937 501(c)(3)   66,516 Cost Medical Supplies Support for Public Health
(885) South Bay Workforce Investment Board Inc
11539 Hawthorne Blvd500
Hawthorne,CA90250 		01-0611872 501(c)(3) 50,000       Career And Job Placement Services For The South Ba
(886) South County Community Health Center Inc
1885 Bay Rd
East Palo Alto,CA94303 		94-3372130 501(c)(3) 25,000       Provide Access To Care During The Pandemic, Includ
(887) South County Compassion Center
370 Tomkins Ct F
Gilroy,CA95020 		45-2189365 501(c)(3) 24,000       Safe Parking Program
(888) South County Outreach
7 WhatneyB
Irvine,CA92618 		33-0330233 501(c)(3) 50,000       Hunger & Homeless Prevention
(889) South Sacramento Christian Center
7710 Stockton Blvd
Sacramento,CA95823 		68-0186235 501(c)(3) 89,000       Vaccinate Valley Hi Project
(890) Southern Ca Association Of N-profit Housing
340 E 2nd St 406
Los Angeles,CA90012 		95-4019655 501(c)(3) 7,000       Scanph Annual Conference 2021
(891) Southern California Health & Rehabilitation
2610 Industry Way A
Lynwood,CA90262 		95-4482413 501(c)(3) 50,000       Scharp Family Engagement Workshops In Lynwood
(892) Southside Coalition Of Community Health Ctr
1400 S Grand Ave 711
Los Angeles,CA90015 		20-8892311 501(c)(3)   7,851 Cost Medical Supplies Support for Public Health
(893) Southwest Care Center
901 W Alameda St
Santa Fe,NM87501 		85-0397444 501(c)(3)   5,974 Cost Medical Supplies Support for Public Health
(894) Sow A Seed Community Foundation
42 W 8th St
Tracy,CA95376 		11-3821058 501(c)(3) 50,000       Full Circle Mental Health Connects
(895) Special Service For Groups
905 E 8th St
Los Angeles,CA90021 		95-1716914 501(c)(3) 184,999       Homeless Prevention Through Flexible Funding For O
(896) Spirit Of Santa Paula
Po Box 728
Santa Paula,CA93061 		27-0005506 501(c)(3) 30,000       Spirit's Homeless Shelter Staff Caring For Our Nei
(897) Spur
654 Mission St
San Francisco,CA94105 		94-1498232 501(c)(3) 25,000       Double Up Food Bucks California- Healthy Food Ince
(898) St Johns Program For Real Change
2443 Fair Oaks Blvd369
Sacramento,CA95825 		68-0132934 501(c)(3) 35,000       Psychotropic And C.A.R.E. Program Support For Form
(899) St Barnabas Senior Services
675 S Carondelet St
Los Angeles,CA90057 		95-1641435 501(c)(3) 112,500       Homeless Prevention Services For Los Angeles Senio
(900) St Francis Center
1835 S Hope St
Los Angeles,CA90015 		95-4479271 501(c)(3) 50,000       Support Thrive Local Community Network Development
(901) St Francis Center Of Redwood City
151 Buckingham Ave
Redwood City,CA94063 		94-3052056 501(c)(3) 25,000       Coaching Low Income Families And Youth For Improve
(902) St Jeanne De Lestonnac Free Clinic
1215 E Chapman Ave
Orange,CA92866 		95-3499011 501(c)(3) 79,500       Connection To Care For Oc
(903) St Johns Well Child & Family Center Inc
808 W 58th St
Los Angeles,CA90037 		95-4067758 501(c)(3) 24,500       Population Health Management Solutions Initiative
(904) St Johns Well Child & Family Center Inc
808 W 58th St
Los Angeles,CA90037 		95-4067758 501(c)(3)   29,533 Cost Medical Supplies Population Health Management Solutions Initiative
(905) St Joseph Center
204 Hampton Dr
Venice,CA90291 		95-3874381 501(c)(3) 20,000       Keyskills: Increasing Employment For People Experi
(906) St Josephs Foundation Of San Joaquin
1800 N California St
Stockton,CA95204 		51-0432777 501(c)(3) 13,347,059       Health Care Services
(907) St Marys Center
925 Brockhurst St
Oakland,CA94608 		68-0172229 501(c)(3) 25,000       Strengthening Access To Health Services
(908) St Vincent De Paul Society Of Marin Co
Po Box 150527
San Rafael,CA94915 		94-1207701 501(c)(3) 45,000       Built For Zero Accelerator Project
(909) Stand Up Placer Inc
Po Box 5462
Auburn,CA95604 		94-2578871 501(c)(3) 25,000       Violence Intervention, Prevention And Aces Mitigat
(910) Stanford Health Care
3160 Porter Drive
Palo Alto,CA94304 		94-1156365 501(c)(3) 184,735       Research / Project Support
(911) Starvista
610 Elm St 212
San Carlos,CA94070 		94-3094966 501(c)(3) 50,000       Transitional Youth Services: Housing And Services
(912) Step Up On Second Street Inc
11693 San Vicente Blvd 902
Los Angeles,CA90049 		95-4109386 501(c)(3) 95,000       Step Up Inland Empire Housing First Program
(913) Store To Door
7730 Sw 31st Ave
Portland,OR97219 		94-3105555 501(c)(3) 10,000       Providing Nourishment, Connection And Dignity To H
(914) Strategic Concepts In Organizing And
1715 W Florence Ave
Los Angeles,CA90047 		95-4635737 501(c)(3) 50,000       Environmental Justice For A Healthier South Los An
(915) Street Level Health Project
3125 E 15th St
Oakland,CA94601 		56-2324355 501(c)(3) 75,000       Covid-19 Vaccine Equity In Fruitvale And East Oakl
(916) Student Health Services Support Fund Inc
333 S Beaudry Ave
Los Angeles,CA90017 		95-4262448 501(c)(3) 10,000       The L.A. Trust Salute To Student Health
(917) Students For Eco-education And
Po Box 1461
Ojai,CA93024 		37-1639971 501(c)(3) 10,000       Ventura County Child Wellness Initiative
(918) Students Run America
5252 Crebs Ave
Tarzana,CA91356 		95-4430502 501(c)(3) 15,000       Running Toward Mental & Physical Health
(919) Studio Ludo
4800 Springfield Ave
Philadelphia,PA19143 		81-0746306 501(c)(3) 325,487       Research
(920) Sunnyvale Community Services
725 Kifer Rd
Sunnyvale,CA94086 		94-1713897 501(c)(3) 25,000       Prepared Foods To Streamline Meal Preparation By L
(921) Sunshine Division Inc
687 N Thompson St
Portland,OR97227 		93-0429354 501(c)(3) 180,000       Martin Luther King, Jr. Day Of Distribution
(922) SupplybankOrg
7730 Pardee Ln
Oakland,CA94621 		51-0671019 501(c)(3)   25,805,393 Cost Medical Supplies Support for Public Health
(923) Sutter West Bay Hospitals
2200 River Plaza Dr
Sacramento,CA95833 		94-0562680 501(c)(3) 29,976       Research
(924) Sv At Home
350 W Julian St Bldg 5
San Jose,CA95110 		81-4755729 501(c)(3) 25,000       Keeping Vulnerable Santa Clara County Community Me
(925) Sylvan Union School District
605 Sylvan Ave
Modesto,CA95350 		32-0454900 Government 25,000       Sylvan Union School District Staff Wellness
(926) Symba Center
20601 Us Highway 18 171
Apple Valley,CA92307 		84-3729902 501(c)(3) 15,000       Chronic Disease Management For Uninsured High Dese
(927) THE Clinic Inc
3834 S Western Ave
Los Angeles,CA90062 		23-7351622 501(c)(3)   12,660 Cost Medical Supplies Support for Public Health
(928) Take A Stand Committee
5159 E Tower Ave
Fresno,CA93725 		45-4733562 501(c)(3)   5,371 Cost Medical Supplies Support for Public Health
(929) Tenemos Que Reclamar Y Unidos Salvar
4331 S Main St
Los Angeles,CA90037 		42-1687057 501(c)(3) 50,000       Trust South La
(930) The Bread Project
1615 University Ave
Berkeley,CA94703 		94-3363920 501(c)(3) 25,000       Food Prep & Baking Job Training & Placement Progra
(931) The Center
Po Box 3357
San Diego,CA92163 		23-7332048 501(c)(3) 50,000       Enhancing The Utilization Of Healthcare Services F
(932) The Diversity Center
1117 Soquel Ave
Santa Cruz,CA95062 		77-0212967 501(c)(3) 25,000       The Diversity Center: Lgbtq+ Well-being
(933) The Foundation Fcoe Inc
1111 Van Ness 3rd Fl
Fresno,CA93721 		80-0381096 501(c)(3) 95,000       Increasing Covid-19 Vaccination Rates In School-ag
(934) The Greenhouse
Po Box 348138
Sacramento,CA95834 		30-0116551 501(c)(3) 25,000       Real Achievers Youth Project
(935) The Health Trust
3180 Newberry Dr200
San Jose,CA95118 		94-6050231 501(c)(3) 50,000       Food For Life: Providing Ethnic Meals For Meals On
(936) The Leaven
2220 Boynton Ave A
Fairfield,CA94533 		26-3653717 501(c)(3) 40,700       Academic Recovery From Covid-19 Distance Learning
(937) The Living Room Center
1207 Cleveland Ave
Santa Rosa,CA95401 		58-2675876 501(c)(3) 25,000       The Living Room Homeless Street Outreach Program
(938) The People Concern
2116 Arlington Ave 100
Los Angeles,CA90018 		95-6143865 501(c)(3) 24,500       Kensington Interim Housing And Wellness
(939) The Translatin Coalition
3055 Wilshire Blvd350
Los Angeles,CA90010 		27-3801872 501(c)(3) 51,500       Hope Housing
(940) The Unity Council
1900 Fruitvale Ave 2a
Oakland,CA94601 		94-1670490 501(c)(3) 95,000       Covid-19 Vaccine Equity In East Oakland And Fruitv
(941) Think Together
2101 E 4th St 200b
Santa Ana,CA92705 		33-0781751 501(c)(3) 49,500       Think Together Trauma-informed Care Program - Newa
(942) Tiburcio Vasquez Health Center
22331 Mission Blvd
Hayward,CA94541 		23-7118361 501(c)(3) 245,000       Safety Net: Covid-19 Prevention And Response In Th
(943) Tides Center
1012 Torney Ave
San Francisco,CA94129 		94-3213100 501(c)(3) 25,000       Williams Brotherhood Park Playground Rebuild
(944) Tlc Child & Family Services
1800 Gravenstein Hwy
Sebastopol,CA95473 		68-0008634 501(c)(3) 25,000       Rapid Rehousing Of Transition Age Youth Experienci
(945) Toberman Neighborhood Center Inc
131 N Grand Ave
San Pedro,CA90731 		95-1643387 501(c)(3) 20,000       Toberman Neighborhood Center Food Distribution
(946) Todec Legal Center Perris
Po Box 1733
Perris,CA92572 		33-0711527 501(c)(3) 24,500       Sembrando Prevencion
(947) Tomkat Ranch Educational Foundation
Po Box 726
Pescadero,CA94060 		26-2782200 501(c)(3) 50,000       Growing The Table
(948) Touro University California
1310 Club Dr
Vallejo,CA94592 		13-3838740 501(c)(3) 170,000       Increasing Pediatric Covid-19 Vaccine Access In Un
(949) Tracy Interfaith Ministries
311 W Grant Line Rd
Tracy,CA95378 		94-3150638 501(c)(3) 25,000       Healthy Meal/Nutrition Distribution
(950) Transitional Living & Community Support
650 Howe Ave 400-a
Sacramento,CA95825 		94-2777955 501(c)(3) 25,000       Hope Cooperative Calaim Provider Readiness
(951) Tree Fresno
3150 East Barstow Ave
Fresno,CA93740 		77-0160804 501(c)(3) 10,000       Trees For Better Health
(952) Tri-city Health Center
40910 Fremont Blvd
Fremont,CA94538 		23-7255435 501(c)(3) 195,000       Covid Promotores Program
(953) Trinity Center Walnut Creek
Po Box 126
Walnut Creek,CA94597 		37-1706813 501(c)(3) 25,000       Bridges To Opportunity
(954) Trustees Of Dartmouth College
7 Lebanon St302
Hanover,NH03755 		02-0222111 501(c)(3) 12,500       Scholarship
(955) Trustees Of The University Of
Po Box 785541
Philadelphia,PA19178 		23-1352685 501(c)(3) 30,639       Research
(956) Trybe Inc
3542 Fruitvale Ave 135
Oakland,CA94602 		46-4328520 501(c)(3) 22,500       Vaccination Equity
(957) Tufts Medical Center Inc
800 Washington Street
Boston,MA02111 		04-2720360 501(c)(3) 18,772       Research / Project Support
(958) Turning Point Foundation
Po Box 24397
Ventura,CA93002 		77-0213467 501(c)(3) 15,000       Homeless 2 Home (H2h) Peer Health Navigator
(959) Turning Point Of Central California Inc
615 S Atwood St
Visalia,CA93277 		94-1719862 501(c)(3) 7,750       Point In Time Homeless Count
(960) Union Station Homeless Services
825 E Orange Grove Blvd
Pasadena,CA91104 		95-3958741 501(c)(3) 59,000       Union Station Homeless Services General Operating
(961) United Cambodian Community
2201 E Anaheim St200
Long Beach,CA90804 		95-3442295 501(c)(3) 10,000       Cambodia Town Food Security Project
(962) United Health Centers Of The
PO Box 790
Parlier,CA93648 		94-1732538 501(c)(3) 125,000       Uhc Covid-19 Transmission Reduction
(963) United Negro College Fund Inc
1805 7th St Nw
Washington,DC20001 		13-1624241 501(c)(3) 1,285,000       Kaiser Permanente Uncf Scholars Program
(964) United Samaritans Foundation
220 South Broadway
Turlock,CA95380 		77-0393321 501(c)(3) 25,000       Food Equity Distribution And Service
(965) United States Veterans Initiative
800 W 6th St1505
Los Angeles,CA90017 		95-4382752 501(c)(3) 124,500       Medical Billing Project
(966) United Way Fresno And Madera Counties
4949 E Kings Canyon Rd
Fresno,CA93727 		94-1156514 501(c)(3) 50,000       2021-2023 211 United Way Fresno And Madera Counti
(967) United Way Of Greater Los Angeles
1150 S Olive StT500
Los Angeles,CA90015 		95-2274801 501(c)(3) 22,800       Walk United La
(968) United Way Of San Joaquin
777 N Pershing Ave 2b
Stockton,CA95203 		94-1279805 501(c)(3) 20,000       Connected Community Network Outreach And Advocacy
(969) United Way Of Santa Cruz County
4450 Capitola Rd 106
Capitola,CA95010 		94-1422471 501(c)(3) 65,000       Thrive Local Champion - Promoting Network Growth
(970) United Way Of The Stanislaus Area
422 Mchenry Ave
Modesto,CA95354 		94-1212129 501(c)(3) 75,000       211 Stanislaus/Unite Us 2021-2023 Partnership
(971) United Way Of Ventura County
702 County Square Dr 100
Ventura,CA93003 		95-1945833 501(c)(3) 75,000       United To End Homelessness - Landlord Engagement P
(972) Unity Health Care Inc
1100 Newjerseyave 500
Washington,DC20003 		52-1572431 501(c)(3) 249,507       Research
(973) Unity Health Care Inc
1100 Newjerseyave 500
Washington,DC20003 		52-1572431 501(c)(3)   10,863 Cost Medical Supplies Research
(974) University Muslim Medical AssociationInc
711 West Florence Ave
Los Angeles,CA90044 		95-4666712 501(c)(3)   5,833 Cost Medical Supplies Support for Public Health
(975) University Of Alabama
1720 Second Ave South
Birmingham,AL35294 		63-6005396 Government 39,333       Research
(976) University Of Ca Berkeley
1608 4th Street
Berkeley,CA94710 		94-6002123 Government 254,659       Research / Project Support
(977) University Of Chicago
6030 S Ellis
Chicago,IL60637 		36-2177139 501(c)(3) 100,032       Research / Project Support
(978) University Of Hawaii
E440 Campus Road
Honolulu,HI96822 		99-6000354 Government 26,615       Research
(979) University Of Illinois
28395 Network Pl
Chicago,IL60673 		37-6000511 Government 15,800       Research
(980) University Of Kentucky Research
500 S Limestone
Lexington,KY40526 		61-6001218 Government 12,630       Research
(981) University Of Massachusetts
55 Lake Ave North
Worcester,MA01655 		04-3167352 Government 6,775       Research
(982) University Of Massachusetts
55 Lake Ave North
Worcester,MA01655 		04-6013152 Government   97,337     Research / Project Support
(983) University Of North Carolina
Po Box 402420
Atlanta,GA30384 		56-6001393 Government 123,532       Research / Project Support
(984) University Of Oregon
1278 University Of Oregon
Eugene,OR97403 		46-4727800 Government 17,500       Scholarship
(985) University Of Pittsburgh
123 University Place
Pittsburgh,PA15213 		25-0965591 501(c)(3) 155,304       Research / Project Support
(986) University Of Portland
5000 N Willamette Blvd
Portland,OR97203 		93-0401259 501(c)(3) 65,000       Scholarship
(987) University Of San Diego
5998 Alcala Park
San Diego,CA92110 		95-2544535 Government   777,431 Cost Medical Supplies Support for Public Health
(988) University Of South Florida
4202 E Fowler Ave Alc100
Tampa,FL33620 		59-0879015 Government 81,368       Research
(989) University Of Southern California
3551trousdale Pkwy160
Los Angeles,CA90089 		95-1642394 501(c)(3) 415,204       Research
(990) University Of Texas At Austin
Po Box 7159
Austin,TX78713 		74-6000203 Government 51,591       Research / Project Support
(991) University Of Texas Southwestern
5323 Harry Hines Blvd
Dallas,TX75390 		75-2556007 Government 703,014       Research / Project Support
(992) University Of Utah
201 S Presidents Circle
Salt Lake,UT84112 		87-6000525 Government 106,430       Research
(993) University Of Washington
4333 Brooklyn Ave Ne
Seattle,WA98195 		91-6001537 Government 307,741       Research
(994) University Of Washington Foundation
146 North Canal St 200
Seattle,WA98103 		94-3079432 501(c)(3) 102,389       Research
(995) Upvalley Family Centers
1440 Spring St
Saint Helena,CA94574 		80-0023012 501(c)(3) 20,000       Upvalley Family Centers Senior Wellness Program
(996) Urban Scholar Academy
8473 S Van Ness Ave 107
Inglewood,CA90305 		81-1212513 501(c)(3) 15,000       Promoting Health Equity Through Homework Assistanc
(997) Vacaville Neighborhood Boys
100 Holly Lane
Vacaville,CA95688 		13-4223488 501(c)(3) 20,000       Trauma Talks Project - Supporting Youth Reintegrat
(998) Vacaville Social Services Corporation
Po Box 6593
Vacaville,CA95688 		68-0364021 501(c)(3) 23,600       Youth Rising Outreach Tay Case Manager
(999) Val Verde Unified School District
975 Morgan St
Perris,CA92571 		58-1997491 Government 20,000       Healthy Val Verde
(1000) Valley Care Community Consortium
7515 Van Nuys Blvd
Van Nuys,CA91405 		20-5569606 501(c)(3) 15,000       Stronger Together At Home: Mental Health First Aid
(1001) Valley Family Center
302 S Brand Blvd
San Fernando,CA91340 		95-4105054 501(c)(3) 15,000       Child And Family Counseling Program
(1002) Valley Health Team Inc
21890 W Colorado Ave
San Joaquin,CA93660 		94-2217261 501(c)(3) 125,000       Vht Ongoing Covid-19 Response
(1003) Vanderbilt University
2301 Vanderbilt Place
Nashville,TN37235 		62-0476822 501(c)(3) 29,257       Research
(1004) Verity Compassion Safety Support
835 Piner Rd D
Santa Rosa,CA95403 		94-2437947 501(c)(3) 50,000       Verity Trauma Counseling
(1005) Vets Advocacy Inc
12400 Wilshire Blvd 1275
Los Angeles,CA90025 		47-3380520 501(c)(3) 75,000       Critical Infrastructure Advocacy At Va West Los An
(1006) Victor Valley Community Services Council
Po Box 1992
Victorville,CA92393 		95-2041473 501(c)(3) 30,000       Senior And Disabled Needs Programs
(1007) Victor Valley Family Resource Center
12351 Dandelion Way
Victorville,CA92392 		26-4539631 501(c)(3) 24,500       Vvfrc Housing And Supportive Services Program
(1008) Vietnamese American Community
655 International Blvd
Oakland,CA94606 		20-5358946 501(c)(3) 25,000       Mobile Meal Program: Nutritious And Culturally Rel
(1009) Village Family Services Inc
6736 N Laurel Canyon Blvd200
North Hollywood,CA91606 		95-4625826 501(c)(3) 100,000       The Village Family Services East Los Angeles Hunti
(1010) Village-connect
1250a Fairmont Dr317
San Leandro,CA94578 		27-0955890 501(c)(3) 22,500       Vaccination Equity Community Navigator Program
(1011) Villages Nw-metro
Po Box 33642
Portland,OR97292 		46-4190513 501(c)(3) 10,000       Villages Nw: Successful Aging At Home
(1012) Vision Y Compromiso
15808 Hesperian Blvd 708
San Lorenzo,CA94580 		32-0071651 501(c)(3) 110,000       The Network Of Promotoras And Community Workers (N
(1013) Vista Community Clinic
1000 Vale Terrace
Vista,CA92084 		95-2815615 501(c)(3) 24,500       Increasing Access To Care For Low-income People In
(1014) Voices For Children
2851 Meadow Lark Dr
San Diego,CA92123 		95-3786047 501(c)(3) 10,000       Access To Care Through Riverside County Court Appo
(1015) Volunteer Center
1740 17th Ave
Santa Cruz,CA95062 		94-1702678 501(c)(3) 25,000       Healthy Connections
(1016) Volunteers In Medicine
2260 Marcola Rd
Springfield,OR97477 		93-1276816 501(c)(3) 8,000       Operating Support For Primary And Behavioral Healt
(1017) Volunteers In Medicine Sf Clinic
4877 Mission St
San Francisco,CA94112 		26-2593712 501(c)(3) 25,000       Clinic By The Bay Food As Medicine Program
(1018) Volunteers In Medicine The Founders Clinic
700 Molalla Ave
Oregon City,OR97045 		37-1621141 501(c)(3) 8,000       Mlk Day Kaiser Volunteer Program
(1019) Volunteers Of America Northern
3434 Marconi Ave
Sacramento,CA95821 		94-6001984 501(c)(3) 45,000       Built For Zero Accelerator Project
(1020) Wake Forest University Health Sciences
Medical Ctr Blvd
Winstonsalem,NC27157 		22-3849199 501(c)(3) 16,801       Research
(1021) Walnut Avenue Family & Womens Center
303 Walnut Ave
Santa Cruz,CA95060 		94-1186197 501(c)(3) 25,000       Survivors' Advocacy & Prevention Of Interpersonal
(1022) Warming Center Program
Po Box 462
Santa Cruz,CA95061 		82-2706806 501(c)(3) 25,000       Mobility And Mental Health Challenge Access To She
(1023) Warner Pacific University
2219 Se 68th Ave
Portland,OR97215 		93-0386890 501(c)(3) 12,500       Scholarship
(1024) Washington State University
Po Box 641024
Pullman,WA99164 		91-6001108 Government 158,826       Improving Social And Academic Success Through Trau
(1025) Washington University School
700 Rosedale Avenue
Saint Louis,MO63112 		43-0653611 Government 79,484       Research
(1026) Water Of Life Community Church
14418 Miller AveK
Fontana,CA92336 		33-0454978 501(c)(3) 30,000       Emergency Shelter - Supportive Services & Medical
(1027) Weave Inc
1900 K St
Sacramento,CA95811 		94-2493158 501(c)(3) 100,000       Celebrating Families
(1028) Weill Medical College Of Cornell
575 Lexington Avenue
New York,NY10022 		13-1623978 501(c)(3) 240,605       Research / Project Support
(1029) Wellness & Prevention Foundation
700 Avenida Pico
San Clemente,CA92673 		47-2443093 501(c)(3) 24,500       Greater Access To Mental Health Care For Youth In
(1030) Wellspace Health Inc
777 12th St 250
Sacramento,CA95814 		94-1713704 501(c)(3) 205,000       Triage, Transport, Treatment (T3) Foothills
(1031) West Angeles Community Development
6028 Crenshaw Blvd
Los Angeles,CA90043 		95-4486925 501(c)(3) 10,000       28th Annual Unity Award Gala
(1032) West County Community Services
16390 Main St
Guerneville,CA95446 		94-2277740 501(c)(3) 50,000       Crisis Support Program
(1033) West County Health Centers Inc
Po Box 1449
Guerneville,CA95446 		23-7310613 501(c)(3) 10,000       Population Health Management Solutions Initiative
(1034) West Covina Unified School District
1717 W Merced Ave
West Covina,CA91790 		95-6003481 Government 13,292       Garden Gourmets
(1035) West Fresno Health Care Coalition
1350 E Annadale Ave
Fresno,CA93706 		77-0577093 501(c)(3) 70,000       Youth Empowerment Solutions (Yes)
(1036) West Fresno Health Care Coalition
1350 E Annadale Ave
Fresno,CA93706 		77-0577093 501(c)(3)   8,763 Cost Medical Supplies Youth Empowerment Solutions (Yes)
(1037) West Modesto Community Collaborative
601 S Martin Luther King Dr
Modesto,CA95351 		31-1751288 501(c)(3) 275,000       Vaccine Equity Grants: Child And Targeted Communit
(1038) West Oakland Health Council Inc
700 Adeline St
Oakland,CA94607 		94-1667294 501(c)(3) 50,000       Covid-19 Vaccine Equity In West And East Oakland
(1039) West Valley Community Services
10104 Vista Drive
Cupertino,CA95014 		94-2211685 501(c)(3) 25,000       Wvcs Food Programs Expansion
(1040) Western Center On Law & Poverty Inc
3701 Wilshire Blvd208
Los Angeles,CA90010 		95-2897721 501(c)(3) 10,000       2021 Garden Party
(1041) Western Oregon University
345 N Monmouth Ave
Monmouth,OR97361 		93-6001786 Government 50,000       Scholarship
(1042) Western University Of Health Sciences
309 E Second Street
Pomona,CA91766 		95-3127273 501(c)(3) 26,876       Pomona Health Career Ladder
(1043) Westminster Free Clinic
2673 San Miguel Cir
Thousand Oaks,CA91360 		77-0563241 501(c)(3) 74,000       Thrive Local Community Network Development
(1044) Westside Family Health Center
3861 Sepulveda Blvd
Culver City,CA90230 		95-2931931 501(c)(3) 20,000       Enhancing Telehealth At Wfhc Through Technology Up
(1045) Whittier Area Chamber Of Commerce
8158 Painter Ave
Whittier,CA90602 		92-0142887 501(c)(6) 15,000       Research
(1046) Whittier Area First Day Coalition
12426 Whittier Blvd
Whittier,CA90602 		93-1141844 501(c)(3) 50,000       Homeless Health Services Navigation
(1047) Whole Child Mental Health & Housing
10155 Colima Rd
Whittier,CA90603 		95-2031148 501(c)(3) 50,000       Housing And Services Enhancement For Families And
(1048) William Temple House
2023 Nw Hoyt St
Portland,OR97209 		93-0559964 501(c)(3) 10,000       Expanding Access To Culturally Relevant Counseling
(1049) Wilmington Community Clinic
1009 N Avalon Blvd
Wilmington,CA90744 		95-3137803 501(c)(3) 20,000       Diabetes Outreach, Education, And Treatment
(1050) Wind Youth Services
815 S St
Sacramento,CA95811 		23-7348227 501(c)(3) 25,000       Connections Mental And Behavioral Health Program
(1051) Wise & Healthy Aging
1527 4th St
Santa Monica,CA90401 		95-2788014 501(c)(3) 55,000       Support Thrive Local Community Network Development
(1052) Women Against Gun Violence
10401 Venice Blvd723
Los Angeles,CA90034 		95-4738754 501(c)(3) 9,500       Annual Leadership Awards Event
(1053) Womens Economic Ventures
21 E Canon Perdido St 301
Santa Barbara,CA93101 		95-3674624 501(c)(3) 20,000       Equity In Entrepreneurship Initiative: Tackling So
(1054) Womens Empowerment
1590 A St
Sacramento,CA95811 		03-0520643 501(c)(3) 25,000       Empowering Homeless Women With Economic Opportunit
(1055) Womens Recovery Services A Unique Place
PO Box 1356
Santa Rosa,CA95402 		51-0178620 501(c)(3) 25,000       Continue To Improve Our Organizational Capabilitie
(1056) Working Partnerships Usa
2302 Zanker Rd
San Jose,CA95131 		77-0387535 501(c)(3) 25,000       Community Assistance With Resources, Education, An
(1057) Worksite Wellness Los Angeles
5955 S Western Ave
Los Angeles,CA90047 		55-0802354 501(c)(3) 20,000       Community Health And Social Services-access Progra
(1058) World Relief Corp
4616 Roseville Rd 107
North Highlands,CA95660 		23-6393344 501(c)(3) 150,000       Direct Support For New Afghans
(1059) Write Around Portland
133 Sw 2nd Ave 304
Portland,OR97204 		84-1482706 501(c)(3) 7,500       Building Resilience: Providing Expressive Writing
(1060) Yale University
270 Masonic Ave
San Francisco,CA94118 		86-0098929 501(c)(3) 62,569       Research / Project Support
(1061) Yes 2 Kollege Educational Resources
5200 8th Ave
Sacramento,CA95820 		68-0485994 501(c)(3) 25,000       Minority Health Professions Mentor Program (Mhpmp)
(1062) Yes Nature To Neighborhoods
3029 Macdonald Ave
Richmond,CA94804 		03-0458294 501(c)(3) 25,000       Yes Wellness Training, Therapy, & Case Management
(1063) Ymca Of Metropolitan Los Angeles
6901 Lennox Ave
Van Nuys,CA91405 		95-1644052 501(c)(3) 109,999       Support Thrive Local Community Network Development
(1064) Ymca Of San Francisco
50 California St650
San Francisco,CA94111 		94-0997140 501(c)(3) 50,000       Ymca Community Resource Center - Behavioral Health
(1065) Ymca Of Silicon Valley Project Cornerstone
80 Saratoga Ave
Santa Clara,CA95051 		94-1156318 501(c)(3) 25,000       Enhancing Mental Health And Well-being Through Car
(1066) Yolo County Childrens
600 A St Y
Davis,CA95616 		68-0526185 501(c)(3) 130,000       2021 Bloc Cohort
(1067) Yolo County Ems
137 N Cottonwood St1300
Woodland,CA95695 		94-6000548 Government 50,000       Yolo County Thrive 211 Partnership 2021
(1068) Yolo Healthy Aging Alliance
600 A St C
Davis,CA95616 		46-1075195 501(c)(3) 25,000       Isolated Older Adults-connecting To Services
(1069) Young & Healthy
136 W Peoria St
Pasadena,CA91103 		95-4527969 501(c)(3) 7,750       The Cosmopolitan Club
(1070) Young Scholars For Academic
4164 Brockton Ave A
Riverside,CA92501 		26-2350778 501(c)(3) 24,500       Expanding Behavioral Health Access Through Telehea
(1071) Youth And Family Link
907 Douglas St
Longview,WA98632 		91-0726260 501(c)(3) 24,500       Community Engagement And Referral
(1072) Youth Forward
2411 15th St A
Sacramento,CA95818 		81-5343876 501(c)(3) 25,000       Mental Health Supports For Youth Of Color
(1073) Youth Villages Inc
Po Box 368
Marylhurst,OR97036 		58-1716970 501(c)(3) 10,000       Promoting Resilience For Foster Youth Through Life
(1074) Ywca
Po Box 3506
Santa Rosa,CA95402 		94-2347428 501(c)(3) 25,000       Counseling Services For Victims Of Domestic Violen
(1075) Ywca Clark County
3609 Main St
Vancouver,WA98663 		91-0569882 501(c)(3) 10,000       Empowerment-based Mental Health Support For Sexual
(1076) Ywca Glendale & Pasadena
735 E Lexington Dr
Glendale,CA91206 		95-1644057 501(c)(3) 28,499       Girls' Empowerment Programs
(1077) Ywca Of San Gabriel Valley
943 N Grand Ave
Covina,CA91724 		95-1641967 501(c)(3) 20,000       Project Community Access
(1078) Zero Breast Cancer
30 N San Pedro Rd
San Rafael,CA94903 		68-0386016 501(c)(3) 57,010       Research / Project Support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
1064
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
6
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021

Schedule I (Form 990) 2021
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
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(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 towards goals, impact to date, as well as financial accounting for how funds were used.
Schedule I (Form 990) 2021



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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
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 on 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 on 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 nonfixed
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
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
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, 1099-MISC compensation, and/or 1099-NEC (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
1Gregory Adams
Chairman & CEO 		(i)

(ii)		 0
-------------
1,949,013 		0
-------------
10,590,330 		0
-------------
743,758 		0
-------------
2,248,687 		0
-------------
30,436 		0
-------------
15,562,224 		0
-------------
3,067,941
2Arthur Southam
EVP, Health Plan Ops & CGO 		(i)

(ii)		 0
-------------
1,196,028 		0
-------------
3,042,244 		0
-------------
526,564 		0
-------------
427,557 		0
-------------
32,012 		0
-------------
5,224,405 		0
-------------
0
3Kathryn Lancaster
EVP & Chief Financial Officer 		(i)

(ii)		 0
-------------
1,197,032 		0
-------------
2,859,194 		0
-------------
524,128 		0
-------------
430,575 		0
-------------
16,984 		0
-------------
5,027,913 		0
-------------
0
4Janet Liang
EVP, Group President & COO 		(i)

(ii)		 0
-------------
1,187,802 		0
-------------
2,273,257 		0
-------------
543,354 		0
-------------
900,276 		0
-------------
34,654 		0
-------------
4,939,343 		0
-------------
373,405
5Kimberly Horn
EVP, Group President, MOC 		(i)

(ii)		 0
-------------
1,048,109 		0
-------------
1,460,250 		0
-------------
743,396 		0
-------------
1,442,280 		0
-------------
30,978 		0
-------------
4,725,013 		0
-------------
502,935
6Julie Miller-Phipps
Regional President - SCAL & HI 		(i)

(ii)		 0
-------------
997,052 		0
-------------
1,485,979 		0
-------------
752,555 		0
-------------
276,463 		0
-------------
23,554 		0
-------------
3,535,603 		0
-------------
376,803
7Mark Zemelman
SVP, General Counsel & Secy 		(i)

(ii)		 0
-------------
767,516 		0
-------------
1,741,934 		0
-------------
329,088 		0
-------------
96,689 		0
-------------
38,068 		0
-------------
2,973,295 		0
-------------
0
8Susan Mullaney
Regional President - WA 		(i)

(ii)		 0
-------------
744,016 		0
-------------
1,056,586 		0
-------------
246,967 		0
-------------
702,762 		0
-------------
27,023 		0
-------------
2,777,354 		0
-------------
142,079
9Ruth Williams-Brinkley
Regional President - MAS 		(i)

(ii)		 0
-------------
744,872 		0
-------------
1,424,131 		0
-------------
56,149 		0
-------------
383,559 		0
-------------
21,938 		0
-------------
2,630,649 		0
-------------
233,516
10Michael Ramseier
Regional President - CO 		(i)

(ii)		 0
-------------
845,797 		0
-------------
739,644 		0
-------------
46,805 		0
-------------
904,887 		0
-------------
33,131 		0
-------------
2,570,264 		0
-------------
0
11Chuck Bevilacqua
SVP, Health Plan Svc & Admin 		(i)

(ii)		 0
-------------
821,419 		0
-------------
1,208,100 		0
-------------
24,592 		0
-------------
358,936 		0
-------------
26,812 		0
-------------
2,439,859 		0
-------------
0
12Christian Meisner
SVP, Chief HR Officer 		(i)

(ii)		 0
-------------
695,065 		0
-------------
438,355 		0
-------------
601,551 		0
-------------
599,295 		0
-------------
69,070 		0
-------------
2,403,336 		0
-------------
359,290
13Wade Overgaard
SVP, Health Plan Ops - CA 		(i)

(ii)		 0
-------------
813,106 		0
-------------
1,099,775 		0
-------------
230,941 		0
-------------
137,952 		0
-------------
36,360 		0
-------------
2,318,134 		0
-------------
0
14Paul Swenson
EVP, Chief Admin Officer 		(i)

(ii)		 0
-------------
740,605 		0
-------------
993,953 		0
-------------
275,493 		0
-------------
157,944 		0
-------------
28,310 		0
-------------
2,196,305 		0
-------------
50,502
15Thomas Hanenburg
SVP, Hospital System Ops 		(i)

(ii)		 0
-------------
742,652 		0
-------------
897,847 		0
-------------
161,629 		0
-------------
237,518 		0
-------------
28,877 		0
-------------
2,068,523 		0
-------------
82,310
16Richard Daniels
EVP, Chief Information Officer 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		0
-------------
2,050,163 		0
-------------
-26,760 		0
-------------
0 		0
-------------
2,023,403 		0
-------------
28,704
17Roland Lyon
SVP, Strategy Implementation 		(i)

(ii)		 0
-------------
522,074 		0
-------------
628,972 		0
-------------
622,292 		0
-------------
107,210 		0
-------------
28,473 		0
-------------
1,909,021 		0
-------------
580,894
18Carrie Plietz
Regional President - NCAL 		(i)

(ii)		 0
-------------
895,332 		0
-------------
400,000 		0
-------------
116,715 		0
-------------
445,966 		0
-------------
37,050 		0
-------------
1,895,063 		0
-------------
147,222
19Vanessa Benavides
SVP, Chief Legal Officer 		(i)

(ii)		 0
-------------
484,886 		0
-------------
712,201 		0
-------------
417,482 		0
-------------
253,358 		0
-------------
18,749 		0
-------------
1,886,676 		0
-------------
273,264
20Laurel Junk
SVP, Market Operations Svcs 		(i)

(ii)		 0
-------------
655,755 		0
-------------
878,177 		0
-------------
25,773 		0
-------------
287,557 		0
-------------
17,042 		0
-------------
1,864,304 		0
-------------
0
21Yazdi Bagli
EVP, Enterprise Business Svcs 		(i)

(ii)		 0
-------------
796,655 		0
-------------
0 		0
-------------
356,067 		0
-------------
663,045 		0
-------------
45,081 		0
-------------
1,860,848 		0
-------------
0
22Anthony Barrueta
SVP, Government Relations 		(i)

(ii)		 0
-------------
498,843 		0
-------------
875,319 		0
-------------
254,512 		0
-------------
124,637 		0
-------------
24,726 		0
-------------
1,778,037 		0
-------------
0
23Thomas Meier
SVP, Corporate Treasurer 		(i)

(ii)		 0
-------------
545,140 		0
-------------
785,594 		0
-------------
131,103 		0
-------------
271,040 		0
-------------
30,351 		0
-------------
1,763,228 		0
-------------
0
24George Disalvo
SVP, CFO - SCAL 		(i)

(ii)		 0
-------------
676,298 		0
-------------
729,600 		0
-------------
210,565 		0
-------------
109,765 		0
-------------
30,039 		0
-------------
1,756,267 		0
-------------
0
25Chandrika Bhalla
SVP, CFO - CA Mkts & FP 		(i)

(ii)		 0
-------------
675,953 		0
-------------
593,490 		0
-------------
178,750 		0
-------------
248,902 		0
-------------
30,243 		0
-------------
1,727,338 		0
-------------
124,406
26Jeffrey Collins
Regional President - NW 		(i)

(ii)		 0
-------------
709,563 		0
-------------
550,846 		0
-------------
247,710 		0
-------------
89,324 		0
-------------
28,067 		0
-------------
1,625,510 		0
-------------
0
27Pratabkumar Vemana
SVP, Chief Digital Officer 		(i)

(ii)		 0
-------------
524,709 		0
-------------
837,969 		0
-------------
38,888 		0
-------------
138,848 		0
-------------
17,147 		0
-------------
1,557,561 		0
-------------
0
28Michael Rowe
SVP, Chf Bus Dev & Strat Exec 		(i)

(ii)		 0
-------------
659,066 		0
-------------
593,993 		0
-------------
161,028 		0
-------------
103,306 		0
-------------
27,632 		0
-------------
1,545,025 		0
-------------
0
29Diane Comer
EVP, Chief Info & Tech Officer 		(i)

(ii)		 0
-------------
558,438 		0
-------------
685,083 		0
-------------
161,142 		0
-------------
84,608 		0
-------------
27,708 		0
-------------
1,516,979 		0
-------------
0
30James Simpson
Regional President - GA 		(i)

(ii)		 0
-------------
573,043 		0
-------------
658,357 		0
-------------
175,801 		0
-------------
11,870 		0
-------------
39,948 		0
-------------
1,459,019 		0
-------------
0
31Arlene Peasnall
SVP, HR & Labor Relations 		(i)

(ii)		 0
-------------
540,477 		0
-------------
477,171 		0
-------------
113,265 		0
-------------
264,540 		0
-------------
18,862 		0
-------------
1,414,315 		0
-------------
0
32William Caswell
SVP, Operations (KFHP/H) 		(i)

(ii)		 0
-------------
523,828 		0
-------------
603,612 		0
-------------
147,850 		0
-------------
111,664 		0
-------------
24,640 		0
-------------
1,411,594 		0
-------------
0
33Michelle Gaskill
SVP, Operations (KFHP/H) 		(i)

(ii)		 0
-------------
589,975 		0
-------------
455,593 		0
-------------
166,204 		0
-------------
158,050 		0
-------------
29,198 		0
-------------
1,399,020 		0
-------------
101,235
34Alfonse Upshaw
SVP,Corporate Controller & CAO 		(i)

(ii)		 0
-------------
510,316 		0
-------------
601,573 		0
-------------
38,950 		0
-------------
177,877 		0
-------------
21,486 		0
-------------
1,350,202 		0
-------------
0
35Patricia Harvey
SVP, Qlty, Reg, & Clinical Ops 		(i)

(ii)		 0
-------------
374,696 		0
-------------
351,060 		0
-------------
497,111 		0
-------------
89,379 		0
-------------
20,469 		0
-------------
1,332,715 		0
-------------
416,230
36Michael Rembis
CEO & Hospital Administrator 		(i)

(ii)		 0
-------------
580,839 		0
-------------
371,057 		0
-------------
32,320 		0
-------------
285,428 		0
-------------
31,901 		0
-------------
1,301,545 		0
-------------
24,966
37Greg Christian
Regional President - HI 		(i)

(ii)		 0
-------------
535,826 		0
-------------
317,664 		0
-------------
146,232 		0
-------------
229,155 		0
-------------
26,225 		0
-------------
1,255,102 		0
-------------
0
38Lesley Wille
SVP, Operations (KFHP/H) 		(i)

(ii)		 0
-------------
567,263 		0
-------------
423,308 		0
-------------
22,088 		0
-------------
205,907 		0
-------------
25,900 		0
-------------
1,244,466 		0
-------------
0
39Donald Orndoff
SVP, NFS 		(i)

(ii)		 0
-------------
469,482 		0
-------------
517,692 		0
-------------
140,506 		0
-------------
68,245 		0
-------------
31,515 		0
-------------
1,227,440 		0
-------------
0
40George DeCesare
SVP, Chief Tech Risk Officer 		(i)

(ii)		 0
-------------
412,854 		0
-------------
443,777 		0
-------------
173,500 		0
-------------
144,014 		0
-------------
29,201 		0
-------------
1,203,346 		0
-------------
0
41William Grice
SVP, Area Manager - Large 		(i)

(ii)		 0
-------------
500,847 		0
-------------
321,179 		0
-------------
236,499 		0
-------------
82,721 		0
-------------
16,874 		0
-------------
1,158,120 		0
-------------
0
42Ha Luong
Staff Nurse II 		(i)

(ii)		 985,037
-------------
0 		1,500
-------------
0 		10,620
-------------
0 		68,548
-------------
0 		11,437
-------------
0 		1,077,142
-------------
0 		0
-------------
0
43Marty Ardron
SVP, Operations (KFHP/H) 		(i)

(ii)		 0
-------------
489,503 		0
-------------
227,454 		0
-------------
169,138 		0
-------------
145,582 		0
-------------
28,469 		0
-------------
1,060,146 		0
-------------
93,093
44Andrew Bindman
EVP, Chief Medical Officer 		(i)

(ii)		 0
-------------
720,179 		0
-------------
0 		0
-------------
29,010 		0
-------------
202,316 		0
-------------
12,348 		0
-------------
963,853 		0
-------------
0
45Catherine Hernandez Tirey
SVP, Chief Comms Officer 		(i)

(ii)		 0
-------------
411,462 		0
-------------
312,761 		0
-------------
23,864 		0
-------------
180,946 		0
-------------
24,559 		0
-------------
953,592 		0
-------------
0
46Philip Young
Assistant Secretary 		(i)

(ii)		 0
-------------
347,836 		0
-------------
260,918 		0
-------------
147,367 		0
-------------
152,909 		0
-------------
29,341 		0
-------------
938,371 		0
-------------
99,132
47John Yamamoto
Assistant Secretary 		(i)

(ii)		 0
-------------
367,378 		0
-------------
272,526 		0
-------------
73,902 		0
-------------
135,626 		0
-------------
30,012 		0
-------------
879,444 		0
-------------
0
48Ronald Vance
Interim Regional President 		(i)

(ii)		 0
-------------
870,325 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
870,325 		0
-------------
0
49Marie Alanna McKiernan
Assistant Secretary 		(i)

(ii)		 0
-------------
256,480 		0
-------------
84,592 		0
-------------
302,338 		0
-------------
106,464 		0
-------------
31,855 		0
-------------
781,729 		0
-------------
0
50Hong-Sze Yu
VP, Brd & Corp Gov & Asst Secy 		(i)

(ii)		 0
-------------
285,025 		0
-------------
147,406 		0
-------------
108,681 		0
-------------
170,997 		0
-------------
27,388 		0
-------------
739,497 		0
-------------
69,146
51Ryan Jenson
Interim Corp Controller & CAO 		(i)

(ii)		 0
-------------
299,001 		0
-------------
197,139 		0
-------------
110,554 		0
-------------
98,471 		0
-------------
27,494 		0
-------------
732,659 		0
-------------
66,215
52Jennifer Goldberg
Assistant Secretary 		(i)

(ii)		 0
-------------
341,637 		0
-------------
195,715 		0
-------------
16,914 		0
-------------
126,748 		0
-------------
36,388 		0
-------------
717,402 		0
-------------
0
53Janet O'Hollaren
VP, COO 		(i)

(ii)		 0
-------------
285,255 		0
-------------
361,522 		0
-------------
33,834 		0
-------------
14,500 		0
-------------
13,704 		0
-------------
708,815 		0
-------------
0
54Bechara Choucair
SVP, Chief Health Officer 		(i)

(ii)		 0
-------------
13,154 		0
-------------
639,375 		0
-------------
90,948 		0
-------------
-86,346 		0
-------------
0 		0
-------------
657,131 		0
-------------
129,323
55Kristin Bear
Assistant Secretary 		(i)

(ii)		 0
-------------
235,103 		0
-------------
151,767 		0
-------------
41,709 		0
-------------
89,342 		0
-------------
20,497 		0
-------------
538,418 		0
-------------
0
56Frank Richardson
Assistant Secretary 		(i)

(ii)		 0
-------------
20,782 		0
-------------
99,874 		0
-------------
303,539 		0
-------------
113,039 		0
-------------
1,142 		0
-------------
538,376 		0
-------------
0
57Charles Columbus
SVP, Chief HR Officer 		(i)

(ii)		 0
-------------
0 		0
-------------
515,637 		0
-------------
0 		0
-------------
-10,157 		0
-------------
0 		0
-------------
505,480 		0
-------------
0
58Bernice Gould
Assistant Secretary 		(i)

(ii)		 0
-------------
219,155 		0
-------------
35,438 		0
-------------
2,345 		0
-------------
93,938 		0
-------------
10,820 		0
-------------
361,696 		0
-------------
0
59Patrick Courneya
EVP, Chief Medical Officer 		(i)

(ii)		 0
-------------
0 		0
-------------
313,249 		0
-------------
0 		0
-------------
12,852 		0
-------------
0 		0
-------------
326,101 		0
-------------
0
60Maryann Bodayle
Assistant Secretary 		(i)

(ii)		 0
-------------
170,274 		0
-------------
18,502 		0
-------------
2,234 		0
-------------
44,738 		0
-------------
10,462 		0
-------------
246,210 		0
-------------
0
61Rochelle Roth
Assistant Secretary 		(i)

(ii)		 0
-------------
195,497 		0
-------------
35,129 		0
-------------
2,163 		0
-------------
-15,908 		0
-------------
18,998 		0
-------------
235,879 		0
-------------
0
62Ramon F Baez
Director 		(i)

(ii)		 0
-------------
223,552 		0
-------------
0 		0
-------------
13,707 		0
-------------
-12,291 		0
-------------
0 		0
-------------
224,968 		0
-------------
0
63Matthew T Ryan
Director 		(i)

(ii)		 0
-------------
207,000 		0
-------------
0 		0
-------------
13,855 		0
-------------
0 		0
-------------
0 		0
-------------
220,855 		0
-------------
0
64Margaret E Porfido JD
Director 		(i)

(ii)		 0
-------------
257,500 		0
-------------
0 		0
-------------
21,577 		0
-------------
-62,832 		0
-------------
0 		0
-------------
216,245 		0
-------------
0
65Leslie S Heisz
Director 		(i)

(ii)		 0
-------------
214,500 		0
-------------
0 		0
-------------
18,928 		0
-------------
-17,324 		0
-------------
0 		0
-------------
216,104 		0
-------------
0
66Judith A Johansen JD
Director 		(i)

(ii)		 0
-------------
267,600 		0
-------------
0 		0
-------------
9,870 		0
-------------
-61,490 		0
-------------
0 		0
-------------
215,980 		0
-------------
0
67Jeffrey E Epstein
Director 		(i)

(ii)		 0
-------------
222,000 		0
-------------
0 		0
-------------
8,934 		0
-------------
-16,869 		0
-------------
0 		0
-------------
214,065 		0
-------------
0
68Richard P Shannon MD
Director 		(i)

(ii)		 0
-------------
210,000 		0
-------------
0 		0
-------------
0 		0
-------------
3,503 		0
-------------
0 		0
-------------
213,503 		0
-------------
0
69David F Hoffmeister
Director 		(i)

(ii)		 0
-------------
216,500 		0
-------------
0 		0
-------------
13,707 		0
-------------
-18,455 		0
-------------
0 		0
-------------
211,752 		0
-------------
0
70A Eugene Washington MD
Director 		(i)

(ii)		 0
-------------
205,500 		0
-------------
0 		0
-------------
0 		0
-------------
1,267 		0
-------------
0 		0
-------------
206,767 		0
-------------
0
71David J Barger
Director 		(i)

(ii)		 0
-------------
199,500 		0
-------------
0 		0
-------------
0 		0
-------------
-357 		0
-------------
0 		0
-------------
199,143 		0
-------------
0
72Regina M Benjamin MD MBA
Director 		(i)

(ii)		 0
-------------
187,500 		0
-------------
0 		0
-------------
8,638 		0
-------------
-16,773 		0
-------------
0 		0
-------------
179,365 		0
-------------
0
73Gerald McCall
SVP, Operations (KFHP/H) 		(i)

(ii)		 0
-------------
0 		0
-------------
105,190 		0
-------------
12,407 		0
-------------
0 		0
-------------
0 		0
-------------
117,597 		0
-------------
0
74Edward YW Pei
Director 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		0
-------------
56,844 		0
-------------
0 		0
-------------
0 		0
-------------
56,844 		0
-------------
46,316
75Kim J Kaiser
Director 		(i)

(ii)		 0
-------------
25,400 		0
-------------
0 		0
-------------
14,004 		0
-------------
0 		0
-------------
0 		0
-------------
39,404 		0
-------------
0
76Marcus Hoffman
SVP, CFO - SCAL & Hawaii 		(i)

(ii)		 0
-------------
306,534 		0
-------------
221,294 		0
-------------
181,704 		0
-------------
100,670 		0
-------------
26,199 		0
-------------
836,401 		0
-------------
0
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
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 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 - Richard Daniels $ 2,021,071 Frank Richardson 296,831 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 $637,715 Arthur Southam 467,059 Kathryn Lancaster 464,623 Janet Liang 496,329 Kimberly Horn 313,188 Julie Miller-Phipps 721,399 Mark Zemelman 272,737 Susan Mullaney 203,298 Wade Overgaard 201,230 Paul Swenson 219,368 Thomas Hanenburg 115,800 Roland Lyon 580,894 Vanessa Benavides 367,762 Anthony Barrueta 210,265 Thomas Meier 86,733 George Disalvo 165,002 Chandrika Bhalla 155,994 Jeffrey Collins 123,745 Michael Rowe 135,468 Diane Comer 71,497 James Simpson 131,024 Arlene Peasnall 81,298 William Caswell 98,127 Michelle Gaskill 147,374 Patricia Harvey 435,755 Donald Orndoff 106,741 George DeCesare 152,919 William Grice 205,636 Marty Ardron 128,233 Philip Young 129,818 John Yamamoto 54,317 Marcus Hoffman 88,699 Hong-Sze Yu 91,157 Ryan Jenson 89,323 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 DISCRETIONARY BONUS PROGRAMS AND 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. THE PLANS' ORGANIZATIONAL PERFORMANCE GOALS INCLUDED: QUALITY OF CARE AND SERVICE, MEMBERSHIP GROWTH, OPERATING INCOME, PER MEMBER EXPENSE TREND, AND COMMUNITY BENEFIT. PLAN DESIGNS, PERFORMANCE, AND PAYOUT LEVELS, AS WELL AS INDIVIDUAL PAYMENTS TO CERTAIN PERSONS, WERE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, COMPRISED OF INDEPENDENT DIRECTORS.
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, PART II, COLUMN C THE ACTUARIAL VALUE FOR SOME INDIVIDUALS' DEFINED BENEFIT PLAN DECLINED IN 2021, RESULTING IN NEGATIVE VALUES IN COLUMN (C) IN SOME INSTANCES. CERTAIN BOARD MEMBERS ARE ELIGIBLE FOR A RETIREE MEDICAL BENEFIT FOLLOWING RETIREMENT FROM THE BOARD. THE ACTUARIAL INCREASE OR DECREASE IN VALUE MAY CHANGE FOR VARIOUS REASONS, INCLUDING CONTINUED SERVICE, AGE, AND CHANGES IN ASSUMPTIONS, RESULTING IN NEGATIVE VALUES IN COLUMN (C) IN SOME INSTANCES.
PART VII, LINE 5 ONE FORMER OFFICER RECEIVED COMPENSATION FROM AN UNRELATED ORGANIZATION, ALVAREZ & MARSAL HOLDINGS, LLC.
Schedule J (Form 990) 2021

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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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
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 CSCDA CHFFA Variable
  		52-1643828 13033FK74 06-08-2006 600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
D 2008 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795SZ1 05-01-2008 500,000,000 PAR REFUNDING 04A-D ARS BONDS& 04H            
2009 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795D38 06-03-2009 1,638,437,048 FINANCE HEALTH CARE FACILITIES   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
2012 CALIFORNIA STATEWIDE COMNTYS DEV AUTH
  		68-0164610 1307955G8 04-18-2012 1,007,791,119 FINANCE HEALTH CARE FACILITIES   X   X   X
2017 CALIFORNIA HEALTH FACILITIES FINANCING AUTH
  		52-1643828 13032UMQ8 05-03-2017 1,528,834,768 REFUNDING OF PROJECTS (2002C,2011,   X   X   X
2017 CALIFORNIA HEALTH FACILITIES FINANCING AUTH
  		52-1643828 13032UMP0 05-03-2017 812,493,279 FINANCE HEALTH CARE FACILITIES   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 168,620,000 879,480,000 73,800,000 390,000,000
2 Amount of bonds legally defeased .............. 0 0 0 0
3 Total proceeds of issue .................. 213,060,000 1,639,884,612 602,245,615 500,000,000
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 88,159,219 5,674,726 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 0 6,375,000 0 0
8 Credit enhancement from proceeds ............. 0 10,073,543 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 0 1,535,276,850 596,570,889 0
11 Other spent proceeds ............. 213,060,000 0 0 500,000,000
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2011 2009 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........ 		X     X   X X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, 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  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
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  
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          
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  
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
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? ........                
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 Variable have multiple issuers and therefore multiple EIN numbers. The EIN number reported matched the reported CUSIP.
PART I: 2003 CSCDA bonds refunded bonds issued from October 1983, November 1985, and May 1993.
PART I: 2008 CSCDA bonds refunded bonds issued March 2004.
PART I: 2017 CHHFA bonds refunded tax-exempt eligible project spending from bonds issued May 2002, June 2006, February 2007, May 2009, May 2011, and April 2012.
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, Lines 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
Schedule K (Form 990) 2021

Additional Data


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Software Version:  


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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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
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 CSCDA CHFFA Variable
  		52-1643828 13033FK74 06-08-2006 600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
D 2008 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795SZ1 05-01-2008 500,000,000 PAR REFUNDING 04A-D ARS BONDS& 04H            
2009 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795D38 06-03-2009 1,638,437,048 FINANCE HEALTH CARE FACILITIES   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
2012 CALIFORNIA STATEWIDE COMNTYS DEV AUTH
  		68-0164610 1307955G8 04-18-2012 1,007,791,119 FINANCE HEALTH CARE FACILITIES   X   X   X
2017 CALIFORNIA HEALTH FACILITIES FINANCING AUTH
  		52-1643828 13032UMQ8 05-03-2017 1,528,834,768 REFUNDING OF PROJECTS (2002C,2011,   X   X   X
2017 CALIFORNIA HEALTH FACILITIES FINANCING AUTH
  		52-1643828 13032UMP0 05-03-2017 812,493,279 FINANCE HEALTH CARE FACILITIES   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 168,620,000 879,480,000 73,800,000 390,000,000
2 Amount of bonds legally defeased .............. 0 0 0 0
3 Total proceeds of issue .................. 213,060,000 1,639,884,612 602,245,615 500,000,000
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 88,159,219 5,674,726 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 0 6,375,000 0 0
8 Credit enhancement from proceeds ............. 0 10,073,543 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 0 1,535,276,850 596,570,889 0
11 Other spent proceeds ............. 213,060,000 0 0 500,000,000
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2011 2009 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........ 		X     X   X X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, 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  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
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  
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          
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  
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
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? ........                
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 Variable have multiple issuers and therefore multiple EIN numbers. The EIN number reported matched the reported CUSIP.
PART I: 2003 CSCDA bonds refunded bonds issued from October 1983, November 1985, and May 1993.
PART I: 2008 CSCDA bonds refunded bonds issued March 2004.
PART I: 2017 CHHFA bonds refunded tax-exempt eligible project spending from bonds issued May 2002, June 2006, February 2007, May 2009, May 2011, and April 2012.
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, Lines 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
Schedule K (Form 990) 2021

Additional Data


Software ID:  
Software Version:  


Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
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 CSCDA CHFFA Variable
  		52-1643828 13033FK74 06-08-2006 600,000,000 FINANCE HEALTH CARE FACILITIES   X   X   X
D 2008 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795SZ1 05-01-2008 500,000,000 PAR REFUNDING 04A-D ARS BONDS& 04H            
2009 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
  		68-0164610 130795D38 06-03-2009 1,638,437,048 FINANCE HEALTH CARE FACILITIES   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
2012 CALIFORNIA STATEWIDE COMNTYS DEV AUTH
  		68-0164610 1307955G8 04-18-2012 1,007,791,119 FINANCE HEALTH CARE FACILITIES   X   X   X
2017 CALIFORNIA HEALTH FACILITIES FINANCING AUTH
  		52-1643828 13032UMQ8 05-03-2017 1,528,834,768 REFUNDING OF PROJECTS (2002C,2011,   X   X   X
2017 CALIFORNIA HEALTH FACILITIES FINANCING AUTH
  		52-1643828 13032UMP0 05-03-2017 812,493,279 FINANCE HEALTH CARE FACILITIES   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 168,620,000 879,480,000 73,800,000 390,000,000
2 Amount of bonds legally defeased .............. 0 0 0 0
3 Total proceeds of issue .................. 213,060,000 1,639,884,612 602,245,615 500,000,000
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 88,159,219 5,674,726 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 0 6,375,000 0 0
8 Credit enhancement from proceeds ............. 0 10,073,543 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 0 1,535,276,850 596,570,889 0
11 Other spent proceeds ............. 213,060,000 0 0 500,000,000
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2011 2009 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........ 		X     X   X X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, 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  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
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  
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          
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  
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
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? ........                
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 Variable have multiple issuers and therefore multiple EIN numbers. The EIN number reported matched the reported CUSIP.
PART I: 2003 CSCDA bonds refunded bonds issued from October 1983, November 1985, and May 1993.
PART I: 2008 CSCDA bonds refunded bonds issued March 2004.
PART I: 2017 CHHFA bonds refunded tax-exempt eligible project spending from bonds issued May 2002, June 2006, February 2007, May 2009, May 2011, and April 2012.
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, Lines 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
Schedule K (Form 990) 2021

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990)
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.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
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 section 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 the 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) 2021
Schedule L (Form 990) 2021
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) Phyllis Anderson FAMILY MEMBER OF KEY EMPLOYEE 440,445 COMPENSATION   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990) 2021


Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990)

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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number

94-1105628
Return Reference Explanation
FORM 990, PART V, LINE 4B - FOREIGN COUNTRIES CONTINUED Indonesia Israel South Korea Kuwait Malaysia Nigeria Philippines Pakistan Poland Qatar Thailand Turkey Taiwan Vietnam FORM 990, PART VI, LINE 1A THE EXECUTIVE COMMITTEE, COMPOSED OF THE DIRECTORS THAT ARE THE CHAIRS OF THE BOARD'S OTHER STANDING COMMITTEES, HAS AUTHORITY TO ACT FOR THE BOARD BETWEEN MEETINGS EXCEPT IT HAS NO AUTHORITY TO: A. FILL VACANCIES ON THE BOARD OR THE COMMITTEE; B. FIX THE COMPENSATION OF DIRECTORS FOR SERVING ON THE BOARD OR ANY COMMITTEE; C. ADOPT, AMEND OR REPEAL BYLAWS; D. AMEND OR REPEAL ANY RESOLUTION OF THE BOARD WHICH BY ITS EXPRESS TERMS CANNOT BE AMENDED OR REPEALED BY THE EXECUTIVE COMMITTEE; E. APPOINT COMMITTEES OF THE BOARD OR APPOINT THE MEMBERS THEREOF; OR F. APPROVE ANY ASPECT OF A TRANSACTION INVOLVING THE COMPANY WHEN A DIRECTOR HAS A MATERIAL FINANCIAL INTEREST IN THAT TRANSACTION, EXCEPT AS EXPRESSLY PROVIDED BY THE LAW. Form 990, Part VI, Line 2 Family or Business Relationships Board members Eugene Washington, MD and Richard Shannon, MD have a business relationship. Board members Jeffrey Epstein and Jenny Ming have a business relationship. JAMES SIMPSON AND THOMAS MEIER HAVE A BUSINESS RELATIONSHIP
FORM 990, 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. Prior to finalization, the return is reviewed by an external tax advisor. 3. 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. 4. Copies are then provided to board members prior to filing.
FORM 990, PART VI, LINE 12C Ethics and Compliance Ongoing Monitoring and Enforcement Activities Kaiser Permanente regularly and consistently monitors and enforces compliance with the Conflicts of Interest policy in the following ways: Reporting Conflicts of Interest Concerns - The Kaiser Permanente Ethics and Compliance Hotline or Webline is available to all employees, vendors, contractors, and agents to anonymously report actual or perceived conflicts of interest. This process is managed by a third party; however, all reported allegations are provided to Ethics and Compliance for investigation, and if required, corrective action. Employees are prohibited from retaliating against or intimidating anyone who reports concerns in good faith or refuse to participate in wrongdoing. Annual Disclosure Process - Annually, Directors, Officers, Key Employees, Executives, and other employees in roles with elevated risk are required to complete a Conflicts of Interest Disclosure (COID). Responses are reviewed by Ethics and Compliance, Board Services, and / or the Governance, Accountability and Nominating Committee of the Kaiser Foundation Health Plan/Hospital Board of Directors. When actions are required, they are addressed in accordance with policies and written standards. Conflicts of interest responses and actions are maintained for tracking and reporting purposes. Ongoing Disclosure Process - In addition to the annual disclosure process and in accordance with the Conflicts of Interest policy, on an ongoing basis Ethics and Compliance receives, consults, and reports conflicts of interest matters. External Audit Review of Disclosures - Annually, as a part of the Kaiser Permanente external audit, an outside certified public accounting firm reviews the COID process and actions taken for Directors, Officers, Key Employees, and Executives. The results, inclusive of any findings, are presented to the Kaiser Foundation Health Plan/ Hospital Audit and Compliance Committee of the Board of Directors. Awareness and Enforcement - Kaiser Permanente adheres to the following general awareness and enforcement guidelines: - Annually, the Conflicts of Interest and Corrective / Disciplinary Action policies are provided and reviewed as a part of the general ethics and compliance training. - Represented employees are subject to corrective/disciplinary action provisions outlined in the regional or national collective bargaining agreements and applicable policies. - In the event disciplinary action is required due to failure to comply with applicable legal and regulatory requirements, Kaiser Permanente policies and procedures, the Code of Conduct (Principles of Responsibility), unsatisfactory performance, or misconduct disciplinary action includes, but is not limited to: * verbal discussion, coaching, and/or warning by the employee's immediate; supervisor or higher-level manager to correct the problem; * written notice, with or without final warning; * suspension, with or without final warning; or * termination of employment
FORM 990, 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, BENEFITS & HUMAN RESOURCES 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.
FORM 990, PART VI, LINE 18 Forms 990 are available on www.guidestar.org.
FORM 990, PART VI, LINE 19 Public Inspection Copy: GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST AS DISCLOSED TO OTHER REGULATORY BODIES. 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: NATIONAL COMMUNICATIONS - RM OPERATIONS KAISER FOUNDATION HEALTH PLAN AND HOSPITALS ONE KAISER PLAZA, 18TH FLOOR OAKLAND, CA 94612
FORM 990, PART VII, SECTION A, COLUMN B HOURS FOR RELATED ORGANIZATIONS 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.
FORM 990, PART XI, LINE 9 Other Changes in Net Assets or Fund Balances: Change in donated capital $ (17,296,173) Change in inter-regional transfer (360,531,222) Change in Other Comprehensive Income 4,305,036,592 OTTI losses (282,164,473) Gain/loss on sale on investment - Book 6,359,814,488 Gain/loss on sale on investment - Tax (2,186,796,893) Contributions to Affiliated Org 85,117,638 ------------------ TOTAL $ 7,903,179,957
FORM 990, PART III, LINES 4A-4D I. Introduction A. About Kaiser Permanente Founded in 1945, Kaiser Permanente is recognized as one of America's leading health care providers and nonprofit health plans. We were created to meet the challenge of providing American workers with medical care during the Great Depression and World War II, when most people could not afford to go to a doctor. Since our beginnings, we have been committed to helping shape the future of healthcare. Kaiser Permanente has influenced U.S. health care through its innovations in these areas: - Prepaid health plans, which spread the cost to make it more affordable - A focus on preventing illness and disease as much as on caring for the sick - An organized, coordinated system that puts as many services as possible under one roof-all connected by an electronic medical record Kaiser Permanente has been committed to shaping the future of health and health care - and helping our members, patients, and communities experience more healthy years. We are recognized as one of America's leading health care providers and not-for-profit health plans. Since 1945, Kaiser Permanente's mission has been to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve 12.5 million members in 8 states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists, and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery, and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education, and the support of community health. B. Kaiser Permanente's Approach to Community Health At Kaiser Permanente, we recognize that where we live and how we live has a big impact on our health and well-being. Our work is driven by our mission: to provide high-quality, affordable health care services and to improve the health of our members and our communities. It's also driven by our heritage of prevention and health promotion, and by our conviction that good health is a fundamental right. To be our healthiest we need more than high-quality medical care - we need to improve the conditions for health and equity in the communities we serve. What does that mean? It means addressing all the factors that affect health, such as having a safe place to live, enough money to pay the bills, access to healthy meals, and meaningful social connections. Kaiser Permanente is accelerating efforts to broaden the scope of our work - and ultimately create healthier, more equitable communities for all. Through our continued focus on expanding our community health approach, however, we laid the foundation for an acceleration of work to meet the challenges posed by the public health crises we now face. We dedicated ourselves to improving the social health of our 12.5 million members and the communities we serve. C. Kaiser Permanente's Total Contribution Kaiser Permanente provided $2.6 billion in 2021 to improve the health of our communities. The amounts attributable to Kaiser Foundation Hospitals is $956 million as follows: - Financial Assistance at cost - $217M - Medicaid - $338M - Costs of other means-tested government programs - $1.5M - Community health improvement services and community benefit operations - $39.3M - Health Professions Education - $143.1M - Research - $31.8M - Cash and in-kind contributions from community benefit - $185.4M In addition to our direct spend, we also leverage assets from across Kaiser Permanente to help us achieve our mission to improve the health of communities. This "Total Health" strategy includes our widely recognized activities around supplier diversity, socially responsible investing and environmental stewardship.
II.Health Access Ensuring health access means serving those most in need of health care through Medicaid, medical financial assistance, charitable health coverage, and other forms of subsidized care and coverage. It also means connecting people with wrap-around social services, healthy meals, affordable homes, safe playgrounds, and supportive schools. For many low-income people without access to health care coverage, or for those who lose their jobs and can't maintain health care coverage, an emergency room is often the only place they receive care. At Kaiser Permanente, we're working to change that with programs that lower financial barriers by providing deeply subsidized health coverage and medical financial assistance for care. We also provide information about how to access and qualify for public programs such as Medicaid and financial assistance through the marketplace to individuals who may be eligible. Kaiser Foundation Hospitals supports the health access needs of our communities through a combination of coverage and care programs. We provide coverage to low-income populations through our participation in government programs like Medicaid and the Children's Health Insurance Programs (CHIP) and via our own Charitable Health Coverage (CHC) program, which provides a premium subsidy for Kaiser Permanente coverage for qualified low-income families and children who do not have access to public or private health coverage. Similarly, we provide care to low-income populations through two key vehicles: first, via our treatment of Medicaid and CHIP enrollees, and second, via the Medical Financial Assistance (MFA) program, which is Kaiser Permanente's traditional charity care or financial assistance program (FAP). Kaiser Foundation Hospitals, the main way to address health access challenges is by absorbing the cost of the care programs described above.
A.Coverage Having health coverage means consistent access to comprehensive and continuous medical and preventative services for people to get and stay healthy, a much better alternative to episodic care at emergency departments. Coverage is good for the patient, good for Kaiser Permanente and good for the US overall because it helps people get and stay healthy and avoid costly hospital services. i. Coverage provided through Medicaid, CHIP and other government programs The Affordable Care Act has had a far-reaching impact on the landscape of government-sponsored programs, as these options have become a key source of health coverage for a significant portion of the US population. Kaiser Permanente has responded to this challenge by developing organizational strategies to enable low-income individuals to obtain and/or retain health coverage through Medicaid, CHIP or other government programs, even as their personal or financial circumstances may be changing. At the end of 2021, Kaiser Foundation Hospitals was providing access to care to over 1 million people through these government programs. ii. Coverage provided through CHC CHC is a unique approach to caring for low-income uninsured persons in the community. The program provides a premium subsidy for a KFHP off exchange plan to low-income individuals and families who are not eligible for other public or privately sponsored coverage. Eligible participants receive a regular KFHP membership card and have access to the same services and providers as other KFHP individual and family plan members. CHC members also receive cost sharing support that eliminates out of pocket costs for most covered services provided at Kaiser Permanente facilities. CHC provides individuals/families who would otherwise not have access to coverage, consistent access through the "front door" of the health delivery system, including a medical home and preventive services, better alternatives than episodic care. At the end of 2021, Kaiser Foundation Hospitals was providing access to care to over 3,800 people through the CHC program.
B.Care To get and/or stay healthy, people need access to high quality care by providers they trust. This care must include preventative services and required medications so that people can avoid ending up in the emergency room or requiring more extensive services down the line. Kaiser Permanente helps low income populations gain access to this type of care by leveraging the full scope of its integrated delivery system, including not only critical hospital-based services but also outpatient primary, specialty and pharmacy services. i. Care provided through Medicaid, CHIP and other government programs Kaiser Permanente provides a wide range of health care services to individuals enrolled in Medicaid, CHIP and other government programs, regardless of whether they are assigned to Kaiser Permanente or not. In addition to the individuals who received health coverage in 2021 due to Kaiser Permanente's participation in these government programs, Kaiser Foundation Hospitals also provided care to over 192,000 people who are enrolled in these programs but not formally assigned to Kaiser Permanente. ii. Care subsidized by MFA Medical Financial Assistance program (MFA) helps low-income, uninsured, and underinsured patients receive access to care. The program provides temporary financial assistance or free care to patients who receive health care services from our providers, regardless of whether they have health coverage or are uninsured. Eligibility is based on financial need. In general, patients whose household income is at or below 200 percent, and in some regions up to 400 percent, of the federal poverty guidelines are eligible for the MFA program. Patients who are experiencing high medical expenses as compared to their income may be eligible under high medical expenses criteria, regardless of household income. The MFA program covers emergency and medically necessary health care services, pharmacy services and products, and medical supplies provided at Kaiser Permanente facilities (i.e. hospitals, medical centers, and medical office buildings), at Kaiser Permanente outpatient pharmacies, or by Kaiser Permanente providers. Over the course of 2021, Kaiser Foundation Hospitals subsidized care for over 173,000 people through the MFA program.
C.Safety-Net Partnerships Safety net providers are a mix of public hospitals, community-based organizations such as federally qualified health centers, and other health care organizations. Safety-net health care providers have a legal mandate or explicit mission to provide care for patients who have low incomes and/or are uninsured regardless of their ability to pay. In Kaiser Permanente service areas, federally qualified health centers serve the uninsured, Medicaid, and other vulnerable populations. In addition to working families, children, the elderly, and the disabled, health centers serve students, homeless people, people living in public housing, agricultural workers, and veterans. Strengthening the safety net advances our mission to improve the health of the communities we serve as well as our equity agenda. Our communities' most vulnerable populations, including a disproportionate number of low-income people of color, rely on the safety net for their health care needs. Our support ensures that communities have access to a strong safety net that can equitably meet patients' needs and improve health outcomes. As we continue to confront COVID-19, ensuring that low-income patients and people experiencing homelessness continue to have access to high-quality health care is more important than ever. As part of Kaiser Permanente's $8.15 million commitment to COVID- 19 vaccine equity, Kaiser Foundation Hospitals provided funding of approximately $1.7 million in 2021 to multiple Federally Qualified Health Centers (FQHC) across California and Oregon. Efforts focused on serving the safety net population and connecting them to vaccines and aiding equitable vaccine access across disproportionately impacted communities. Kaiser Foundation Hospitals' support encouraged FQHC capacity to leverage federal support for vaccines. Kaiser Foundation Hospitals also approved $2,110,878 over 3 years, of which $590,833 was paid in 2021, to support Project Access NOW's Community Care Collaborative. The program provides outcome-focused, comprehensive, community-wide solutions strategically tailored to meet the changing needs of diverse communities across Oregon and Southwest Washington. Project Access NOW has proven to be an important partner and convener for all the health systems in Portland and will continue to play a role in addressing the social needs of low-income patients. Kaiser Foundation Hospitals supported the Community Health Center Network, a partnership of community health centers committed to enhancing the ability to provide comprehensive, quality health care in a manner respectful of community traditions and values. The community Health Center Network will partner with Bay Area Community Health, one of its member health centers, to convert its Santa Clara County sites' electronic health record system. The conversion will enable Bay Area Community Health care teams to provide improved patient-centered care for its patient population in Santa Clara County and will support a seamless exchange of health records among hospitals and specialists within the safety net.
III.Social Health Healthy individuals need healthy communities, and healthy communities need healthy people to thrive. At Kaiser Permanente, we are working to improve the conditions for health and equity in communities by addressing the root causes of health, such as healthy food, economic opportunity, affordable housing, and safe and supportive schools. We screen patients for social factors influencing their health and connect them to resources when needed - both community-based programs and Kaiser Permanente-funded initiatives. These improvements grow from our collaboration with each community to co-design and co-create solutions that truly make a positive impact. By engaging members, communities, our sizeable workforce, and all of our organization's considerable assets, we are working to create communities that are among the healthiest in the nation, and inspiring greater health for America and the world.
A.Economic Opportunity Inclusive economic growth is critical to both individual and community health. When there is a lack of economic opportunity in communities, the prospects for upward social mobility are diminished, often resulting in poorer health and higher mortality rates for people living in those communities. By contrast, economic growth and opportunity provides individuals with jobs, income, a sense of purpose, and opportunities to improve their economic circumstances overtime. As a large, influential institution in our communities, Kaiser Permanente also recognizes that the way we do business can support economic opportunity in local communities through how we hire, purchase, build our facilities and partner with communities. Some ways that we're helping revitalize and grow our communities by strengthening economic opportunity include: - Providing good jobs to individuals facing barriers to employment through high-impact hiring and workforce pipeline efforts. - Pursuing a social impact investment strategy to support impact investments aimed at addressing key social issues that have a significant impact on health. - Purchasing goods and services from local minority- and women-owned businesses and encouraging good employment practices by our vendor partners. - Building new facilities with an emphasis on positive local community impact, including local construction hiring, local and diverse purchasing, healthy and sustainable design features, neighborhood revitalization, and deep community engagement. - Partnering with community organizations to grow local business capacity, increase access to good jobs, and support stable, quality, affordable housing. Kaiser Permanente is also deepening its efforts to get at the heart of inequities, addressing systemic racism, breaking cycles of trauma, and creating economic opportunities for communities that have endured decades of underinvestment. We are working with communities striving to overcome systemic and structural economic disadvantage and supporting the resiliency of businesses owned by Black and other historically underrepresented individuals. We recognize that it will require sustained efforts to increase access to business capital and build capacity for growth. Success for these communities requires intentional, long-term investment, and ongoing work to dismantle racist systems that create barriers to success. Kaiser Foundation Hospitals provided funding of over $1 million to the Hispanic Scholarship Fund and United Negro College Fund Inc (UNCF) for the Health Equity Scholarship Program - a postsecondary, need-based scholarship and wrap-around services program designed to support college persistence and completion for low- to mid-incomes students. The contributions will serve African American and Latino students from communities within Kaiser Permanente's footprint. Through the delivery of college success coaching and professional development support, students in the program will be prepared to assume rewarding internship and early career opportunities within the healthcare industry. Scholars will be provided all the tools they need to do well in their course work, graduate, enter and excel in their profession. Kaiser Foundation Hospitals also provided funding of over $700,000 to five community-based organizations to support training and placement for people facing barriers to employment. Support services include intensive training, coaching, and technical assistance programs to prepare individuals including low-income students and immigrant women, to launch a new business or grow their business. Program participants will gain all the necessary education and skills to begin fulfilling careers. Students will also receive college and career navigation, workshops, college tours, and participant access to scholarships, internships, and other employment opportunities. Kaiser Foundation Hospitals supported the Initiative for a Competitive Inner City (ICIC) to implement their Inner-City Capital Connections (ICCC) program in Kaiser Permanente's Northern California and Southern California markets. The ICCC program supports entrepreneurs through three key drivers of business growth which include, access to capital; business and management education; and firm recognition. The training and access to capital provided by ICCC is relevant and needed as small businesses work to survive and develop resiliency to respond to the demands placed by the pandemic.
B.Housing for Health Without a safe place to call home, it's nearly impossible to focus on basic health and medical needs. Kaiser Permanente is leading efforts to end homelessness and preserve affordable housing by making strategic impact investments, shaping policy, and catalyzing innovative partnerships. The COVID-19 pandemic had a significant impact on social health needs in our communities, and people experiencing homelessness or housing insecurity were among the most vulnerable. Even in the absence of COVID-19, people experiencing homelessness face a higher risk of death than housed populations. Increasing affordable housing preserves homes that improve total health and lift residents socially and economically. Nationwide, people of color are disproportionately impacted by homelessness and housing insecurity, further exacerbated by COVID-19. The health crisis and economic fallout from the pandemic have hit low-income and communities of color hardest and threaten to widen the health equity gap in our country even further. Kaiser Permanente cannot solve the affordable housing and homelessness crisis alone. Only through innovative partnerships, strategic investments, and impactful storytelling can we move the needle for our most vulnerable communities. Kaiser Permanente will continue to drive national housing for health initiatives that create more healthy years for all. Kaiser Foundation Hospitals partnered with Community Solutions International, Inc. to help accelerate efforts to end chronic homelessness in communities within Kaiser Permanente's national footprint. Our partnership with Community Solutions includes supporting their capacity and ability to successfully conduct Built for Zero work in Kaiser Permanente communities. It also supports building the evidence base for validating the Built for Zero methodology and creating other models to help communities achieve quality data, an essential piece of the Built for Zero process. New proof points and shared learning around Built for Zero's success will help build out a roadmap to help any community reduce and end homelessness.
C.Thriving Schools At Kaiser Permanente, we're committed to not only delivering great health care but also creating communities where people can be healthy in all the places they live, learn, work, and play. Thriving Schools brings together Kaiser Permanente's extensive health care expertise and our partnerships with nationally recognized and trusted organizations working to support schools in becoming a beacon of health in their community. Thriving Schools takes an integrated approach to school health, curating the best thinking and guidance on how to keep students, staff, teachers, and families healthy across four dimensions of health: physical health, mental health, social health, and equity and access. Taking an integrated approach to health means supporting schools and districts in advancing their wellness and educational goals by incorporating health-related strategies into school and district improvement efforts. Like the communities in which they sit, schools often reflect a diversity of cultures, beliefs, and experiences. As such, the services and opportunities they provide must ensure that all students and staff are given the opportunity to reach their full potential. Thriving Schools' integrated approach explicitly addresses equity and inclusion, both in the assessment tools we use and in the resources we offer for school staff and district leaders. Kaiser Foundation Hospitals partnered with the Alliance for Healthier Generation to advance the RISE (Resilience in School Environments) initiative, an enterprise-wide effort. RISE is designed to empower schools and districts to create safe and supportive learning environments by cultivating practices that strengthen the social and emotional health of all students and school staff. RISE is the first national initiative of its kind specifically designed for schools and districts to improve safety, connectedness, and relationships among students and staff; increase skills related to social and emotional learning for students and staff; increase mental health supports; and increase job satisfaction, including reducing staff member stress. Kaiser Foundation Hospitals also partnered with The Los Angeles Trust for Children's Health (L.A. Trust) to support The Data xChange and Student Mental Health Initiative. The Data xChange is the only known database in the country to integrate student health data with academic data such as attendance, grades and graduation rates. Its unique design allows for scalability and the opportunity to serve as a national model. The Data xChange has already evidenced its impact, and when complete, will be used to guide efforts that increase access to programmatic and health services for low-income students of color and their families.
D.Thrive Local Social determinants of health -- the conditions in which people live, learn, work, and play - affect a wide range of health risks and outcomes. Access to quality health care is critical, but social factors, such as lack of safe housing and transportation, inadequate education or job opportunities, and poor access to good nutrition and physical activity, inevitably create barriers to health and wellbeing. While many social resources may exist in a community, they are often unknown to those most in need and disconnected from one another even when serving the same client, creating confusion and exacerbating stress for community members. Through the Thrive Local initiative, launched in late 2019, Kaiser Permanente is establishing bi-directional electronic community networks in every Kaiser Permanente service area. The networks enable health care providers, safety net clinics, social service agencies, government programs, and other participants to make, receive, and track patient and client referrals. Health care providers can refer patients to organizations that address social factors affecting their health, and social service providers can coordinate effectively among themselves to improve community-wide care delivery. Data aggregated through the network technology provides a robust source of information on local social needs and service gaps to drive collaborative community planning. Kaiser Permanente's Thrive Local contributions in 2021 facilitated growth of these community networks by funding community-based organizations to invest in change management, technology, or staffing to assist them in joining the network, as well as "anchor" social service organizations that participated in outreach to build the networks, ensuring they reflect the needs of their respective communities. Kaiser Foundation Hospitals awarded community-based organizations in Los Angeles County over of $1.9M and in Orange, Riverside, San Bernardino, and Ventura counties over $1.3M to assist community partners to join the community network and to serve as a "champion" to support outreach and on-boarding of local social service providers. These organizations will address a variety of needs including, housing insecurity and homelessness; health and behavioral health; child, youth, family, and senior services; nutrition and food insecurity; financial support and employment; and domestic and interpersonal violence. Funds will be used to provide much needed services to under-served communities and will include working in partnership with local employers, educators, government and community organizations. This effort will facilitate participation of key social service providers in the community networks.
E.Food for Life Food for Life is Kaiser Permanente's comprehensive approach to transforming the economic, social, and policy environments connected to food so that people across the nation have access to, and can afford, healthy food. It includes increasing individual and family purchasing power; providing enhanced nutrition to vulnerable and sick members; improving access to community resources; and advancing local and national food security efforts through research, policy advocacy, thought leadership and community support. Kaiser Permanente recognizes that solving for food security goes beyond just giving people food. People's attitudes toward food, the economic tradeoffs they must make, the stigma around food assistance, and social and culture dimensions all play an important role. Food insecurity is linked to a variety of adverse health outcomes, including poor chronic disease management, developmental and mental health problems, increased hospitalizations, and higher costs of care. Kaiser Foundation Hospitals awarded several community-based organizations over $1.7M in order to work collaboratively to ensure that all eligible individuals in Kaiser Permanente communities have access to governmental nutrition programs like CalFresh. This funding creates innovations for outreach and enrollment, especially during COVID-19, and includes use of strategies that advance equity or target underserved communities. Funding will also enable for participation in national, state, and local policy activities that increase access to healthy, affordable food for at-risk populations. Kaiser Foundation Hospitals also supported a number of efforts to end hunger across California and Oregon including supporting the California Association of Food Banks and the Clackamas Service Center with their efforts to ending the hunger crisis and strengthening the nutrition safety net. Food banks have long played a critical role in the nutritional safety net, yet the dual public health and economic crises caused by COVID-19 heightened their role in addressing hunger and food insecurity. The California Association of Food Banks continues to be uniquely positioned to not only meet the immediate demands, but also support longer term solutions, such as enrollment into CalFresh and policy and advocacy in support of Californians with greatest need. Additionally, the Clackamas Service Center is an inclusive, trauma-informed center where community members experiencing hunger and poverty can meet their needs and connect with supportive services.
IV.Policy and Systems A. Thriving Cities The places where we live, learn, work, and play - our cities and towns, our schools, our homes, our neighborhoods - have an enormous impact on our health. And how we shape those places, through public policy and the support for healthy environments, has the potential to make real, lasting impacts on our surroundings and our everyday quality of life. Through Kaiser Foundation Hospitals' ongoing partnerships with community organizations, municipal leaders, and public health champions, we are working to incorporate health, equity and sustainability considerations into public policy and the built environment in ways that influence how neighborhoods take shape and grow. In 2018, we joined forces with the de Beaumont Foundation, a leader in public health philanthropy, to help U.S. cities thrive through the CityHealth initiative. Created by the de Beaumont Foundation to promote practices that make cities healthier, CityHealth tracks and reports on proven policies, and works with cities to advance policies that achieve community health priorities. Through this relationship, Kaiser Foundation Hospitals will leverage its deep expertise in health policy, government relations, and community-based prevention to accelerate cities' efforts to improve people's health and quality of life. For Kaiser Foundation Hospitals, this partnership complements the organization's established approach to community health - bringing together health leaders, clinicians and community partners to help solve the social, economic and environmental health challenges facing the who live in the communities it serves. Policy menu includes: earned sick leave, high-quality accessible pre-Kindergarten, affordable housing/inclusionary zoning, complete streets, safer alcohol sales, Tobacco 21, smoke-free indoor air, food safety and restaurant inspection rating, healthy food procurement. Kaiser Foundation Hospitals also supported efforts to partner with the Vose River Charitable Fund, which is an organization that develops tools and collaborates with other nonprofit organizations and government health departments to support effective policies and the public health workforce. Our partnership with Vose River Charitable Fund will ensure the CityHealth initiative has sufficient staffing and consultants, policy-specific technical assistance, policy assessment research and communications support. Funding will also support a new policy menu and greater reach among cities in Kaiser Permanente's footprint. B. Environmental Stewardship At Kaiser Permanente, we believe it is our obligation as a health care provider to minimize our environmental impact. We work to be environmentally responsible throughout our organization - in how we power our facilities, purchase food and medical supplies and equipment, manage waste, and invest in our communities. We also prioritize partnerships with others to develop policies and systems that strengthen community health and protect our environment. Our mission to improve the total health of our members and the communities we serve compels us to take bold steps to reduce our impact on the climate and increase understanding of the connection between climate and health. We know one way to improve the health of the communities we serve is by improving their environmental conditions. In 2020, we became the first U.S. health system to become carbon neutral as an organization, completing the "last mile" toward this milestone through investment in carefully chosen carbon offset projects. By eliminating our carbon footprint, we have taken measurable action to improve conditions that lead to poor health, deepening our commitment to create more healthy years for all, and supporting the medical community's pledge to do no harm. In 2021, we also dedicated 26.62% of overall spending on products to items that met our Environmentally Preferable Purchasing standards and 100% of our overall operations were powered by renewable electricity.
C.Health Professionals Education Our Graduate Medical Education (GME) program 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. 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. In addition to GME, we provide a range of 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.
D.Research Kaiser Permanente's research efforts are core to the organization's mission to improve population health, and its commitment to continued learning. Kaiser Permanente researchers study critical health issues such as cancer, cardiovascular conditions, diabetes, behavioral and mental health, and health care delivery improvement. Kaiser Permanente's research is broadly focused on three themes: understanding health risks; addressing patients' needs and improving health outcomes; and informing policy and practice to facilitate the use of evidence-based care. Kaiser Permanente is uniquely positioned to conduct research due to its rich, longitudinal, electronic clinical databases that capture virtually complete health care delivery, payment, decision-making and behavioral data across inpatient, outpatient, and emergency department settings for its geographically and demographically diverse members. In 2021, Kaiser Foundation Hospitals engaged in over 1570 active studies (including 528 clinical trials) and published over 2,300 journal articles. Below is a summary of some of our published research. The Division of Research (DOR) was established in 1961. DOR's program is built on a base of rigorous epidemiologic investigation in a large, well-characterized population, and has made major contributions in risk factor identification, prevention, and drug safety. In 2021, the DOR published the following research: Safety surveillance of Covid-19 vaccines was critical to ensuring safety, maintaining trust, and informing policy, the DOR scientists monitored 23 serious health outcomes, such as pulmonary embolism and stroke, using comprehensive health records for a diverse population. Their analysis of surveillance data from 6.2 million persons who received 11.8 million doses of mRNA (Pfizer or Moderna) vaccine was published in JAMA. The researchers found no significant associations with the selected health outcomes within the first 21 days of receiving the vaccine The Department of Research & Evaluation was established in 1963 and focuses on conducting research with real-world implications and translating findings into practice. The department is expanding and building scientific expertise in new research areas, including health services and implementation science. In 2021, the Department of Research & Evaluation published the following research: The COVID-19 pandemic has been associated with weight gain among adults, but little is known about its effect on the weight of US children and adolescents. Research scientists evaluated pandemic-related changes in weight in youths aged 5 to 17. As explained in JAMA, they found that youths gained more weight during the COVID-19 pandemic than before the pandemic. The greatest increase occurred among 5- through 11-year-olds. The authors recommended that future research should monitor whether the observed weight gain persists and what long-term health consequences may emerge. The Center for Integrated Health Care Research was established in 1999 and is specially attuned to the health issues of the local population, which suffers disproportionately from several chronic diseases, primarily diabetes and heart disease. In 2021, the Center for Integrated Health Care Research published the following research: Vitamin D is important for immune function, mental health, and muscle strength. However, an estimated 20-100% of older adults in the US, Canada, and Europe have insufficient Vitamin D levels, and the proportion increases with age. Research scientists examined the major sources of vitamin D (sun exposure, diet, and supplements) and evaluated their collective role in rates of vitamin D deficiency/insufficiency among older adults. In a study published in the American Journal of Human Biology, over one third of the older adult sample was vitamin D deficient/insufficient, despite most of the participants living in Hawaii - a tropical climate with year-round access to sun as a vitamin D source. The authors concluded that sun exposure and supplement use, but not food intake, explained differences in Vitamin D deficiency/insufficiency in this population. The Center for Health Research (CHR) has been a leader in the field of health research since its founding in 1964. As the research landscape has shifted over that time, CHR has adapted and cultivated new strengths, while remaining true to its guiding mission of advancing knowledge to improve health for all. In 2021, the Center for Health Research published the following research: Chronic pain is common, disabling, and costly. Few clinical trials have examined cognitive behavioral therapy (CBT) interventions embedded in primary care settings to improve chronic pain among those receiving long-term opioid therapy. Research scientists sought to determine the effectiveness of a group-based CBT intervention for chronic pain. In a study published in the Annals of Internal Medicine, primary care-based CBT, using frontline clinicians, produced modest but sustained reductions in measures of pain and pain-related disability compared with usual care, but did not reduce use of opioid medication.
V.Pandemic Response After two years, the COVID-19 pandemic continues to be a significant risk in our communities, especially for people who are not yet vaccinated. We rapidly rolled out vaccines, and now boosters, and administered COVID-19 tests while managing new and unpredictable variants like delta and omicron as they surfaced. Due to COVID-19, Personal Protective Equipment (PPE) and cleaning supplies are important tools that schools, and homeless shelters can use to safeguard learning and living environments. The use of PPE, in combination with cleaning and sanitation, can help protect the physical and mental health and overall well-being of students, staff, and homeless individuals. In 2021, Kaiser Foundation Hospital donated $28.4 million worth of key supplies, including sanitary wipes, KN95 and N95 respirator masks, cloth face masks, hand sanitizer, protective gowns, and scrubs that were distributed to school districts, homeless shelters and other community organizations. Kaiser Permanente awarded grants to dozens of community-based organizations, safety net providers, and trusted messengers in every market we serve to expand public education and to create trusted messenger campaigns to increase education and to remove barriers for individuals and communities at highest risk for contracting COVID-19. Kaiser Permanente's COVID-19 Social Health Playbook provides care teams with guidance and tools for screening patients for social needs, connecting them to help, and following up to ensure their needs are met. The guidelines have a strong focus on addressing COVID-19 patients' social needs to improve their health outcomes and to prevent further transmission of the virus. Kaiser Permanente has been part of studies to improve our understanding of COVID-19 and develop tools to prevent and treat the disease, including clinical trials to determine the safety and effectiveness of coronavirus vaccines.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


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 Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
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) MAUI HEALTH SYSTEM A KAISER FOUNDATION
ONE KAISER PLAZA 15L
OAKLAND,CA94612
81-1559375 		HEALTH CARE HI 17,332,378 208,148,335 KFH
 
(2) KAISER PERMANENTE VENTURES LLC SERIES A
ONE KAISER PLAZA 15L
OAKLAND,CA94612
27-2252521 		INVESTMENT DE 9,296,015 92,703,800 KFH
 
(3) KAISER PERMANENTE VENTURES LLC SERIES C
ONE KAISER PLAZA 15L
OAKLAND,CA94612
47-2924619 		INVESTMENT DE -2,057,992 41,224,594 KFH
 
(4) KAISER PERMANENTE VENTURES LLC SERIES E
ONE KAISER PLAZA 15L
Oakland,CA94612
84-2190194 		INVESTMENT DE 0 35,300,458 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 FOUNDATION HEALTH PLAN INC
ONE KAISER PLAZA 15L

OAKLAND,CA94612
94-1340523 		HEALTH CARE CA 501(C)(3) 10 NA
 
 
No
(2)KAISER FOUNDATION HEALTH PLAN OF CO
ONE KAISER PLAZA 15L

OAKLAND,CA94612
84-0591617 		HEALTH CARE CO 501(c)(3) 10 KFHP INC
 
Yes
 
(3)KAISER FOUNDATION HEALTH PLAN OF GA INC
ONE KAISER PLAZA 15L

OAKLAND,CA94612
58-1592076 		HEALTH CARE GA 501(c)(3) 10 KFHP INC
 
Yes
 
(4)KAISER FOUNDATION HEALTH PLAN OF THE MAS
ONE KAISER PLAZA 15L

OAKLAND,CA94612
52-0954463 		HEALTH CARE MD 501(c)(3) 10 KFHP INC
 
Yes
 
(5)KAISER FOUNDATION HEALTH PLAN OF THE NW
ONE KAISER PLAZA 15L

OAKLAND,CA94612
93-0798039 		HEALTH CARE OR 501(c)(3) 10 KFHP INC
 
Yes
 
(6)KAISER FDN HEALTH PLAN OF WASHINGTON
ONE KAISER PLAZA 15L

OAKLAND,CA94612
91-0511770 		HEALTH CARE WA 501(c)(3) 3 KFHPW HLDING
 
Yes
 
(7)KAISER HOSPITAL ASSET MANAGEMENT INC
ONE KAISER PLAZA 15L

OAKLAND,CA94612
94-3299125 		ASSET MGT CA 501(c)(3) 12-I KFH
 
Yes
 
(8)KAISER HEALTH PLAN ASSET MANAGEMENTINC
ONE KAISER PLAZA 15L

OAKLAND,CA94612
94-3299124 		ASSET MGT CA 501(c)(3) 12-I KFHP INC
 
Yes
 
(9)CAMP BOWIE SERVICE CENTER
ONE KAISER PLAZA 15L

OAKLAND,CA94612
94-3299123 		ADMIN CA 501(c)(3) 12-I KFHP INC
 
Yes
 
(10)LOKAHI ASSURANCE LTD
ONE KAISER PLAZA 15L

OAKLAND,CA94612
91-2171891 		WC PLACEMENT HI 501(c)(3) 12-I KFHP INC
 
Yes
 
(11)1800 HARRISON FOUNDATION
ONE KAISER PLAZA 15L

OAKLAND,CA94612
94-3317484 		FINANCING CA 501(c)(3) 12-I KFHP INC
 
Yes
 
(12)KAISER HOSPITAL ASSISTANCE CORPORATION
ONE KAISER PLAZA 15L

OAKLAND,CA94612
31-1779500 		FINANCING CA 501(c)(3) 12-I KFH
 
Yes
 
(13)KAISER HEALTH ALTERNATIVES
ONE KAISER PLAZA 15L

OAKLAND,CA94612
93-0954562 		HEALTH CARE OR 501(C)(3) 10 KFHP INC
 
Yes
 
(14)KP BERNARD J TYSON SCHOOL OF MEDICINE
ONE KAISER PLAZA 15L

OAKLAND,CA94612
81-4053028 		MEDICAL EDU CA 501(C)(3) 2 KFH
 
Yes
 
(15)KFHPW HOLDINGS
ONE KAISER PLAZA 15L

OAKLAND,CA94612
93-0480268 		HEALTH CARE WA 501(C)(3) 12-I KFHP INC
 
Yes
 
(16)GROUP HEALTH NORTHWEST
ONE KAISER PLAZA 15L

OAKLAND,CA94612
91-1216856 		INACTIVE WA 501(C)(3) 12-I KFHP OF WA
 
Yes
 
(17)GROUP HEALTH OF WASHINGTON
ONE KAISER PLAZA 15L

OAKLAND,CA94612
91-1314907 		inactive WA 501(C)(3) 12-I KFHP OF WA
 
Yes
 
(18)KAISER FDN FOR THE ADV OF INTEGRATED HC
ONE KAISER PLAZA 15L

oakland,CA94612
82-3819611 		ADVOCACY CA 501(C)(4) N/A KFHP INC
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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) AG KFHDL FUND LP

245 Park avenue 28th Floor
New York,NY10167
47-3496708 		INVESTMENT NY KFH
  		EXCL. UNDER SEC 512 1,179,574 14,263,878   No 0   No 98.971 %
(2) AG DIRECT LENDING FUND II LP

245 PARK AVE 26TH FLOOR
NEW YORK,NY10167
37-1830579 		INVESTMENT NY KFH
  		EXCL. UNDER SEC 512 8,422,404 93,102,100   No 198,570   No 98.464 %
(3) AHVF (TE AIV) LP

ONE MANHATTANVILLE ROAD STE 201
PURCHASE,NY10577
84-3957403 		INVESTMENT NY KFH
  		EXCL. UNDER SEC 512 182,443 3,131,227   No 0   No 60.606 %
(4) AHVF (CAYMAN TE AIV) LP

27 HOSPITAL ROAD
GEORGE TOWN,GRKY-9008
CJ
98-1548144 		INVESTMENT CJ KFH
  		EXCL. UNDER SEC 512 0 0   No 0   No 0 %
(5) AHVF (TE FC AIV) LP

27 HOSPITAL ROAD
GEORGE TOWN,GRKY-9008
CJ
98-1519129 		INVESTMENT CJ KFH
  		EXCL. UNDER SEC 512 2,875,594 19,620,019   No 0   No 60.606 %
(6) FORTRESS REAL ESTATE OPPORTUNITIES FUND

PO BOX 5098
NEW YORK,NY10185
61-1796658 		INVESTMENT NY KFH
  		EXCL. UNDER SEC 512 3,405,259 62,133,654   No 891,241   No 58.480 %
(7) HO FUND B LP

30 HUDSON STREET 38TH FLOOR
JERSEY CITY,NJ07302
46-4966204 		INVESTMENT NJ KFH
  		EXCL. UNDER SEC 512 87,703,087 985,943,069   No 7,208,354   No 99.214 %
(8) GV-KF FUND PH AIV LLC

30 HUDSON STREET 38TH FLOOR
JERSEY CITY,NJ07302
85-0667010 		INVESTMENT NJ KFH
  		EXCL. UNDER SEC 512 19,188,467 90,236,324   No 998,982   No 99.050 %
(9) GV-KF FUND VNT AIV LLC

30 HUDSON STREET 38TH FLOOR
JERSEY CITY,NJ07302
84-4866583 		INVESTMENT NJ KFH
  		EXCL. UNDER SEC 512 4,243,889 131,618,213   No 4,080,331   No 100.000 %
(10) HOUSING FOR HEALTH FUND LLP

11000 BROKEN LAND PARKWAY STE 700
COLUMBIA,MD21044
37-1913493 		INVESTMENT MD KFH
  		EXCL. UNDER SEC 512 0 0   No 0   No 0 %
(11) KFH ABSOLUTE LP

875 THIRD AVENUE
NEW YORK,NY10022
82-5076948 		INVESTMENT DE KFH
  		EXCL. UNDER SEC 512 6,813,493 490,854,549   No -472,822   No 100.000 %
(12) KFH STRATEGIC PRIVATE INVESTMENTS LP

555 CALIFORNIA STREET SUITE 3450
SAN FRANCISCO,CA94104
81-1186461 		INVESTMENT CA KFH
  		EXCL. UNDER SEC 512 101,597,620 466,237,746   No 17,914   No 100.000 %
(13) LAZARD KP EM SOLUTIONS FUND LLC

30 ROCKEFELLER PLAZA 55TH FLOOR
NEW YORK,NY10112
82-4364389 		INVESTMENT NY KFH
  		EXCL. UNDER SEC 512 100,670,871 410,979,901   No 0   No 99.999 %
(14) NXT CAPITAL SENIOR LOAN FUND ILLC

191 N Wacker Dr 30TH FLOOR
CHICAGO,IL60606
37-1651297 		INVESTMENT DE KFH
  		EXCL. UNDER SEC 512 17,890,627 299,934,493   No 0   No 99.131 %
(15) PANTHEON GLOBAL HO FUND LP

555 CALIFORNIA STREET SUITE 3450
SAN FRANCISCO,CA94104
80-0948707 		INVESTMENT DE KFH
  		EXCL. UNDER SEC 512 151,106,867 849,167,567   No 2,134,843   No 100.000 %
(16) PANTHEON GLOBAL REAL ASSETS HO FUND LP

555 CALIFORNIA STREET SUITE 3450
SAN FRANCISCO,CA94104
47-4226360 		INVESTMENT DE KFH
  		EXCL. UNDER SEC 512 58,246,837 344,723,520   No -3,688,668   No 100.000 %
(17) AGT CYBERCO CO-INVESTMENT LP

100 Matsonford Road Building 5 ST
Radnor,PA19087
86-3834191 		INVESTMENT DE KFH
  		EXCL. UNDER SEC 512 -291,518 73,327,726   No 0   No 99.978 %
(18) B CAPITAL ASCENT COINVEST FUND LP

PO BOX 309 UGLAND HOUSE
GRAND CAYMAN   KY1-1104
CJ
INVESTMENT CJ KFH
  		EXCL. UNDER SEC 512 -75,692 6,124,308   No 0   No 99.900 %
(19) CONSTRUCT CAPITAL SELECT FUND I LP

3516 CONNECTICUT AVENUE NW
WASHINGTON,DC20008
87-4002437 		INVESTMENT DE KFH
  		EXCL. UNDER SEC 512 0 3,300,947   No 0   No 66.000 %
(20) LEGACY K LLC

180 LYTTON AVE
PALO ALTO,CA94301
85-3904110 		INVESTMENT DE KFH
  		EXCL. UNDER SEC 512 -1,016,165 41,497,222   No 17,887   No 100.000 %
(21) LGF MARBLE CINEMA LP

8605 SANTA MONICA BLVD NUM 48490
WEST HOLLYWOOD,CA90069
87-1702590 		INVESTMENT DE KFH
  		EXCL. UNDER SEC 512 -2,832 10,097,168   No 0   No 98.474 %
(22) PL FUND IV A SERIES OF ARRAY FUNDS LP

PO BOX 3217
SEATTLE,WA98114
 INVESTMENT DE KFH
  		EXCL. UNDER SEC 512 0 10,000,000   No 0   No 99.960 %
(23) PANTHEON GLOBAL PRIVATE CRT HO FUND LP

555 CALIFORNIA STREET
SAN FRANCISCO,CA94104
85-2874582 		INVESTMENT DE KFH
  		EXCL. UNDER SEC 512 3,884,866 77,539,592   No 385,359   No 100.000 %
(24) REACH OS SPV I LP

474 BRYANT STREET
SAN FRANCISCO,CA94107
86-2047331 		INVESTMENT DE KFH
  		EXCL. UNDER SEC 512 -2,115 5,497,885   No 0   No 84.615 %
(25) SIGNALFIRE LIBERTY FUND LP

501 2ND STREET SUITE 100
SAN FRANCISCO,CA94107
87-2588044 		INVESTMENT DE KFH
  		EXCL. UNDER SEC 512 -50,334 10,949,666   No 0   No 99.010 %
(26) SIGNALFIRE VSS I-B LP

501 2ND STREET SUITE 100
SAN FRANCISCO,CA94107
86-3829192 		INVESTMENT DE KFH
  		EXCL. UNDER SEC 512 0 1,501,053   No 0   No 100.000 %
(27) UN FUND II A SERIES OF ARRAY FUNDS LP

PO Box 3217
Seatle,WA98114
61-2026268 		INVESTMENT DE KFH
  		EXCL. UNDER SEC 512 0 2,000,000   No 0   No 66.578 %
(28) 99 RHODE ISLAND LP

100 Matsonford Road Building 5 ST
RADNOR,PA19087
86-1861149 		INVESTMENT DE KFH
  		EXCL. UNDER SEC 512 -14,341 15,561,848   No 0   No 65.500 %
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) OAK TREE ASSURANCE LTD

ONE KAISER PLAZA 15L
OAKLAND,CA94612
03-0329760 		INSURANCE VT NA
  		C CORP 0 0   Yes  
(2) KAISER PERMANENTE INSURANCE COMPANY

ONE KAISER PLAZA 15L
OAKLAND,CA94612
94-3203402 		INSURANCE CA NA
  		C CORP 0 0   Yes  
(3) KAISER PERMANENTE INTERNATIONAL

ONE KAISER PLAZA 15L
OAKLAND,CA94612
94-3245176 		CONSULTING CA NA
  		C CORP -298,218 458,431 100.000 % Yes  
(4) GROUP HEALTH SERVICES INC

ONE KAISER PLAZA 15L
OAKLAND,CA94612
91-1392222 		INACTIVE WA NA
  		C CORP 0 0   Yes  
(5) KFHP OF WASHINGTON OPTIONS INC

ONE KAISER PLAZA 15L
OAKLAND,CA94612
91-1467158 		INSURANCE WA NA
  		C CORP 0 0   Yes  




Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
Yes
 
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
Yes
 
i Exchange of assets with related organization(s) ............................
1i
Yes
 
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
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

 I 187,853 PER AGREEMENT
(2) KAISER FOUNDATION HEALTH PLAN INC

 L 24,672,810,539 PER AGREEMENT
(3) KAISER FOUNDATION HEALTH PLAN INC

 M 4,490,210,049 PER AGREEMENT
(4) KAISER FOUNDATION HEALTH PLAN INC

 P 8,108,850,142 PER AGREEMENT
(5) KAISER FOUNDATION HEALTH PLAN INC

 Q 4,497,987,595 PER AGREEMENT
(6) KAISER FOUNDATION HEALTH PLAN INC

 R 115,097,488 PER AGREEMENT
(7) KAISER FOUNDATION HEALTH PLAN INC

 S 8,401,373 PER AGREEMENT
(8) KAISER FDN HEALTH PLAN OF COLORADO

 J 7,443,456 PER AGREEMENT
(9) KAISER FDN HEALTH PLAN OF COLORADO

 L 235,902,016 PER AGREEMENT
(10) KAISER FDN HEALTH PLAN OF COLORADO

 P 5,628,618 PER AGREEMENT
(11) KAISER FDN HEALTH PLAN OF COLORADO

 Q 5,053,956 PER AGREEMENT
(12) KAISER FDN HEALTH PLAN OF COLORADO

 R 1,295,889 PER AGREEMENT
(13) KAISER FDN HEALTH PLAN OF COLORADO

 S 432,110 PER AGREEMENT
(14) KAISER FDN HEALTH PLAN OF GEORGIA INC

 A 42,180,537 PER AGREEMENT
(15) KAISER FDN HEALTH PLAN OF GEORGIA INC

 D 275,000,000 PER AGREEMENT
(16) KAISER FDN HEALTH PLAN OF GEORGIA INC

 L 100,065,891 PER AGREEMENT
(17) KAISER FDN HEALTH PLAN OF GEORGIA INC

 P 577,212 PER AGREEMENT
(18) KAISER FDN HEALTH PLAN OF GEORGIA INC

 Q 3,458,825 PER AGREEMENT
(19) KAISER FDN HEALTH PLAN OF GEORGIA INC

 R 891,685 PER AGREEMENT
(20) KAISER FDN HEALTH PLAN OF GEORGIA INC

 S 289,364 PER AGREEMENT
(21) KFHP OF THE MID-ATLANTIC STATES INC

 A 2,878,556 PER AGREEMENT
(22) KFHP OF THE MID-ATLANTIC STATES INC

 D 81,000,000 PER AGREEMENT
(23) KFHP OF THE MID-ATLANTIC STATES INC

 L 240,638,433 PER AGREEMENT
(24) KFHP OF THE MID-ATLANTIC STATES INC

 P 5,019,394 PER AGREEMENT
(25) KFHP OF THE MID-ATLANTIC STATES INC

 Q 11,736,870 PER AGREEMENT
(26) KFHP OF THE MID-ATLANTIC STATES INC

 R 3,040,416 PER AGREEMENT
(27) KFHP OF THE MID-ATLANTIC STATES INC

 S 1,046,870 PER AGREEMENT
(28) KAISER FDN HEALTH PLAN OF THE NORTHWEST

 I 7,938,023 PER AGREEMENT
(29) KAISER FDN HEALTH PLAN OF THE NORTHWEST

 K 1,205,709 PER AGREEMENT
(30) KAISER FDN HEALTH PLAN OF THE NORTHWEST

 L 1,210,336,410 PER AGREEMENT
(31) KAISER FDN HEALTH PLAN OF THE NORTHWEST

 P 471,931,606 PER AGREEMENT
(32) KAISER FDN HEALTH PLAN OF THE NORTHWEST

 Q 1,500,438,099 PER AGREEMENT
(33) KAISER FDN HEALTH PLAN OF THE NORTHWEST

 R 3,307,140 PER AGREEMENT
(34) KAISER FDN HEALTH PLAN OF THE NORTHWEST

 S 1,262,337 PER AGREEMENT
(35) KFHPW HOLDINGS

 A 162,513 PER AGREEMENT
(36) KAISER FDN HEALTH PLAN OF WASHINGTON

 A 16,158 PER AGREEMENT
(37) KAISER FDN HEALTH PLAN OF WASHINGTON

 D 175,000,000 PER AGREEMENT
(38) KAISER FDN HEALTH PLAN OF WASHINGTON

 L 17,454,290 PER AGREEMENT
(39) KAISER FDN HEALTH PLAN OF WASHINGTON

 P 10,355,463 PER AGREEMENT
(40) KAISER FDN HEALTH PLAN OF WASHINGTON

 Q 37,173,055 PER AGREEMENT
(41) KAISER FDN HEALTH PLAN OF WASHINGTON

 R 1,288,181 PER AGREEMENT
(42) KAISER FDN HEALTH PLAN OF WASHINGTON

 S 554,603 PER AGREEMENT
(43) KAISER FDN HEALTH PLAN OF WASHINGTON OPTIONS

 A 2,770 PER AGREEMENT
(44) KAISER FDN HEALTH PLAN OF WASHINGTON OPTIONS

 D 30,000,000 PER AGREEMENT
(45) CAMP BOWIE SERVICE CENTER

 C 722,000 PER AGREEMENT
(46) CAMP BOWIE SERVICE CENTER

 P 21,248,477 PER AGREEMENT
(47) CAMP BOWIE SERVICE CENTER

 Q 1,395,428 PER AGREEMENT
(48) KAISER PERMANENTE INSURANCE COMPANY

 L 56,332 PER AGREEMENT
(49) KAISER PERMANENTE INSURANCE COMPANY

 M 23,619,505 PER AGREEMENT
(50) KAISER PERMANENTE INSURANCE COMPANY

 P 53,641 PER AGREEMENT
(51) KAISER PERMANENTE INSURANCE COMPANY

 Q 207,718 PER AGREEMENT
(52) LOKAHI ASSURANCE LTD

 A 236,278 PER AGREEMENT
(53) LOKAHI ASSURANCE LTD

 K 2,364,686 PER AGREEMENT
(54) LOKAHI ASSURANCE LTD

 L 12,104,644 PER AGREEMENT
(55) LOKAHI ASSURANCE LTD

 M 207,151,783 PER AGREEMENT
(56) LOKAHI ASSURANCE LTD

 P 204,037,592 PER AGREEMENT
(57) LOKAHI ASSURANCE LTD

 Q 126,893,480 PER AGREEMENT
(58) LOKAHI ASSURANCE LTD

 R 7,059,462 PER AGREEMENT
(59) LOKAHI ASSURANCE LTD

 S 4,770,476 PER AGREEMENT
(60) KAISER HOSPITAL ASSET MANAGEMENT INC

 H 7,504,326 PER AGREEMENT
(61) KAISER HOSPITAL ASSET MANAGEMENT INC

 K 202,688,710 PER AGREEMENT
(62) KAISER HOSPITAL ASSET MANAGEMENT INC

 P 656,675 PER AGREEMENT
(63) KAISER HOSPITAL ASSET MANAGEMENT INC

 R 4,847,915 PER AGREEMENT
(64) KAISER HOSPITAL ASSET MANAGEMENT INC

 S 12,165,789 PER AGREEMENT
(65) KP BERNARD J TYSON SCHOOL OF MEDICINE INC

 A 392,767 PER AGREEMENT
(66) KP BERNARD J TYSON SCHOOL OF MEDICINE INC

 B 85,293,308 PER AGREEMENT
(67) KP BERNARD J TYSON SCHOOL OF MEDICINE INC

 P 286,900 PER AGREEMENT
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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) 2021
Schedule R (Form 990) 2021
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) 2021

Additional Data


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