2021-11-15T12:11:36-06:00 2020-12-31 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2020-01-01 941105628 KAISER FOUNDATION HOSPITALS % CHIEF ACCOUNTING OFFICER KAIS 5102716611 ONE KAISER PLAZA 15L OAKLAND CA 94612 MICHAEL P WALTON CHIEF TAX OFFICER 5102716611 2021-11-10 MICHAEL P WALTON 999009999 ROBERT W FRIZ P00438748 2673303000 2021-10-22 2 2020 2022-09-23 18:48:47Z GREGORY A ADAMS ONE KAISER PLAZA 15L OAKLAND CA 94612 55943450218 false X www.kp.org X 1948 CA to provide high-quality, affordable health care services to improve the health of our members and the communities we serve. 13 12 83682 7214 -25216151 0 131322546 156348548 27250671562 26979591079 3025251168 3050908231 37535661 24662724 30444780937 30211510582 435125101 226800353 0 0 9541165664 10382377093 0 0 0 16734037145 16499507373 26710327910 27108684819 3734453027 3102825763 52964463128 56349630157 23090642829 25041404826 29873820299 31308225331 X TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE. false false 23085411867 19250861 25538439315 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. 2039063926 0 1297265487 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 2020, OVER 908,000 INDIVIDUALS WERE RECEIVING ACCESS TO INPATIENT AND EMERGENCY CARE AT KFH'S FACILITIES UNDER MEDICAID MANAGED CARE PROGRAMS IN THE STATES OF CALIFORNIA, HAWAII 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. 322769662 0 9624967 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 2020, THIS PROGRAM ASSISTED APPROXIMATELY 232,000 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. APPROXIMATELY, 5,000 PATIENTS WERE RECEIVING ACCESS TO COMPREHENSIVE HEALTH CARE THROUGH THESE PROGRAMS AT THE END OF 2020. 548779101 207549492 134261310 See part iii, line 4a-d description 548779101 207549492 134261310 25996024556 true true false false false false false false false true true true false false true false false true false false true true false false false false true true true false true true true false false false false false false false true false false false false false true true true true false false true X 2572 0 true 83682 true true true true AE AR BD BR CI CH CO EZ EG GR false false false false false false false false true false X 13 12 true false false false false false false true true false false true true true true true true true true false CA GA OR X X CHIEF ACCOUNTING OFFICER 5102716611 ONE KAISER PLAZA 15L OAKLAND CA 94612 X Gregory Adams Chairman & CEO 14.9 35.1 X X 0 12266743 5001317 Richard Daniels EVP, Chief Information Officer 25.0 25.0 X 0 6502025 172935 Janet Liang EVP, Group President & COO 14.0 36.0 X 0 2862430 2717903 Kathryn Lancaster EVP & CFO 14.5 35.5 X 0 4540316 546340 Arthur Southam EVP, Health Plan Ops & CGO 5.0 45.0 X 0 4357301 529054 Julie Miller-Phipps Region President - SCAL 24.5 25.5 X 0 3823298 820475 Kimberly Horn EVP, Group President, MOC 14.0 36.0 X 0 2242456 2057739 Mark Zemelman SVP, General Counsel & Secy 20.0 30.0 X 0 2902465 214679 Anthony Barrueta SVP, Government Relations 24.5 25.5 X 0 2625176 257705 Chuck Bevilacqua SVP, Health Plan Svc & Admin 10.0 40.0 X 0 2127037 430186 Wade Overgaard SVP, Health Plan Ops - CA 10.0 40.0 X 0 2037891 322461 Susan Mullaney Region President - WA 0.0 50.0 X 0 1542164 795472 Michael Rowe SVP, Chf Bus Dev & Strat Exec 10.0 40.0 X 0 2177496 159727 Ruth Williams-Brinkley Region President 0.0 50.0 X 0 1828768 464435 Michael Ramseier Region President - Colorado 0.0 50.0 X 0 1402436 808688 Christian Meisner SVP, Chief HR Officer 25.0 25.0 X 0 1270577 770324 Arlene Peasnall SVP, HR & Labor Relations 25.0 25.0 X 0 1724499 287413 George Disalvo SVP, CFO - SCAL 25.0 25.0 X 0 1799164 210627 Paul Swenson EVP, Chief Admin Officer 5.0 45.0 X 0 1740483 189239 Thomas Meier SVP, Corporate Treasurer 18.0 32.0 X 0 1595486 297294 Wendy Lee SVP, Bold Move Personal Health 50.0 0.0 X 0 1573873 244403 Laurel Junk SVP, Enterprise Shared Svcs 10.0 40.0 X 0 1431233 324601 Thomas Hanenburg Interim Regional President-NCA 25.0 25.0 X 0 1510924 237156 Roland Lyon SVP, Natl Del System Strategy 0.0 50.0 X 0 1439151 308759 Lisa Caplan SVP, Care Delivery Tech Svcs 50.0 0.0 X 0 1507436 162868 Ronald Vance Interim Regional President -HI 25.0 25.0 X 0 1650000 0 Bechara Choucair SVP, Chief Health Officer 25.0 25.0 X 0 1245799 394182 Chandrika Bhalla SVP, CFO - NCAL 25.0 25.0 X 0 1352946 273481 Yazdi Bagli EVP, Enterprise Business Svcs 25.0 25.0 X 0 1543574 45411 James Simpson Region President - GA 0.0 50.0 X 0 1204630 342517 Pratabkumar Vemana SVP, Chief Digital Officer 50.0 0.0 X 0 1293420 238627 William Caswell SVP, Operations 50.0 0.0 X 0 1307431 178395 Vanessa Benavides SVP,Chf Compliance & Priv. Off 20.0 30.0 X 0 1166556 272477 Lazaro Garcia VP, IMG Customer Plng & Mgmt 50.0 0.0 X 0 1192924 220434 Alfonse Upshaw SVP,Corporate Controller & CAO 15.0 35.0 X 0 1180405 227497 Diane Comer EVP, Chief Info & Tech Officer 25.0 25.0 X 0 1208701 165795 Janet O'Hollaren VP, COO 0.0 50.0 X 0 957258 403176 Lesley Wille SVP, Operations 50.0 0.0 X 0 1012705 325304 Jeffrey Collins Regional President - Northwest 0.0 50.0 X 0 1166951 155040 Kathleen Scheirman SVP, IT Operations 50.0 0.0 X 0 1158375 151657 Greg Christian Regional President - HI 25.0 25.0 X 0 959871 317368 Donald Orndoff SVP, NFS 14.0 36.0 X 0 1110954 152897 Patrick Courneya EVP, Chief Medical Officer 22.0 28.0 X 0 1142952 88649 Michelle Gaskill SVP,Health Plan &Hospital Opns 50.0 0.0 X 0 1005410 161058 Patricia Harvey SVP, Qlty, Reg, & Clinical Ops 50.0 0.0 X 0 773096 250436 John Yamamoto Assistant Secretary 25.0 25.0 X 0 748108 270961 Charles Columbus SVP, Chief HR Officer 0.0 0.0 X 0 975011 15117 Catherine Tirey SVP Chf Communications Officer 25.0 25.0 X 0 657118 291047 Kathryn Beiser SVP Chf Communications Officer 4.5 45.5 X 0 892139 4170 Philip Young Jr Assistant Secretary 25.0 25.0 X 0 659004 223949 Marty Ardron SVP, Operations 50.0 0.0 X 0 710219 157624 Max Villalobos COO - North County 50.0 0.0 X 0 583091 220064 Matthew Weber Assistant Secretary 25.0 25.0 X 0 567589 149816 Hong-Sze Yu VP, Brd & Corp Gov & Asst Secy 13.5 36.5 X 0 458777 251549 Tami Lamp SVP, Chief HR Officer 0.0 0.0 X 0 671778 20513 Ryan Jenson Interim Corp Controller & CAO 16.0 34.0 X 0 544581 142453 Carrie Plietz Region President - NCAL 25.0 25.0 X 0 423497 196156 Kristin Bear Assistant Secretary 17.0 33.0 X 0 419263 193015 Frank Richardson Assistant Secretary 25.0 25.0 X 0 331973 204077 David Underriner Region President - HI 0.0 0.0 X 0 507856 5263 Bernice Gould Assistant Secretary 20.5 29.5 X 0 259292 173702 Rochelle Roth Assistant Secretary 0.0 50.0 X 0 228454 157431 Judith A Johansen JD Director 3.0 6.0 X 0 257524 51468 Margaret E Porfido JD Director 1.25 2.25 X 0 299093 7619 Andrew Bindman EVP, Chief Medical Officer 25.0 25.0 X 0 285623 19163 Cynthia A Telles PHD Director 3.2 6.5 X 0 277494 7082 Leslie S Heisz Director 2.4 3.6 X 0 258631 24949 David F Hoffmeister Director 4.1 5.9 X 0 263629 17039 Gerald McCall SVP, Operations 0.0 0.0 X 0 271719 0 Jeffrey E Epstein Director 3.0 5.5 X 0 256558 7003 Maryann Bodayle Assistant Secretary 22.0 28.0 X 0 190927 71587 Ramon F Baez Director 1.2 2.55 X 0 240629 17909 Richard P Shannon MD Director 2.0 4.0 X 0 228500 24093 A Eugene Washington MD Director 3.15 4.15 X 0 235500 12117 Regina M Benjamin MD MBA Director 3.0 5.5 X 0 192274 48629 David J Barger Director 3.5 6.5 X 0 218000 16678 Matthew T Ryan Director 3.5 5.0 X 0 223000 0 Kim J Kaiser Director 0.0 0.5 X 0 39414 0 Edward YW Pei Director 0.0 0.0 X 0 14281 0 William Graber Director 0.0 0.0 X 0 10593 0 0 68830828 18331800 36845 true true true ROSE INTERNATIONAL INC 16305 SWINGLEY RIDGE RD STE 350 CHESTERFIELD MO 63017 STAFFING SERVICES 531808965 CARDINAL HEALTH 5426 LANDERS RD SHERWOOD AR 72117 CONSULTING SERVICES 441296545 BLACKSTONE CONSULTING INC 11726 SAN VICENTE BLVD LOS ANGELES CA 90049 CONSULTING SERVICES 205217319 ORACLE AMERICA INC 500 ORACLE PKWY REDWOOD SHORES CA 94085 CONSULTING SERVICES 165453104 COGNIZANT TECHNOLOGY SOLUTIONS 500 FRANK W BURR BLVD TEANECK NJ 07666 DIGITAL TECHNOLOGY 151853892 327 136365336 19983212 156348548 HOSPITAL SERV REV 622110 23436485858 23436485858 0 0 NON-PLAN & IND REV 622110 867056972 867056972 0 0 OTHR PRGM SERV REV 622110 2221997127 2221199625 797502 0 MEDICARE PAYMENTS 622110 454051122 454051122 0 26979591079 1025161473 -28459335 1053620808 0 0 1847610 1847610 0 1847610 1847610 27753927611 3758783 25724729463 7210173 2029198148 -3451390 2025746758 2025746758 0 0 0 0 0 0 0 0 0 CAFETERIA 722310 14515699 0 0 14515699 PARKING GARAGES 812930 5566252 0 305698 5260554 MANAGEMENT FEE 900099 2070940 0 2070940 0 662223 0 69044 593179 22815114 30211510582 26978793577 -25216151 3101584608 226783219 226783219 0 17134 17134 0 0 402221 379556 22665 7299790648 6888441353 411349295 0 1254463204 1183773155 70690049 0 1326074259 1251348868 74725391 0 501646761 473378547 28268214 0 0 877282 0 877282 0 3209346 0 3209346 0 0 0 68298342 0 68298342 0 0 4802749 0 4802749 0 111452507 105172065 6280442 0 1431813095 1351129232 80683863 0 0 400426938 377862546 22564392 0 15783172 14893777 889395 0 0 11029041 0 11029041 0 643747600 607471885 36275715 0 0 1072177250 1011759167 60418083 0 75421574 71171505 4250069 0 PURCHASED MEDICAL SERVICES 4815749052 4815749052 0 0 BASIC CONTRACTUAL PAYMENTS 3798178988 3798178988 0 0 MEDICAL & OTHER SUPPLIES 2175519303 2052926975 122592328 0 PURCHASED NON-MEDICAL SVC 657867220 620795853 37071367 0 1213153914 1144791679 68362235 27108684819 25996024556 1112660263 0 X 0 0 519270127 243926620 0 0 527150692 526904548 0 0 0 0 2838084045 3233571794 514691337 926063942 637129017 828132031 40575821885 22058588001 18065725276 18517233884 18462356061 17940147894 9773569998 12930614144 0 0 0 0 1626486575 1203035300 52964463128 56349630157 3422091586 2861944023 0 0 248756704 403529655 5257410000 5247410000 0 0 0 0 0 0 0 0 14162384539 16528521148 23090642829 25041404826 X 0 0 52869875 53370329 29820950424 31254855002 29873820299 31308225331 52964463128 56349630157 X 3102825763 11657762 -1680078493 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 185760 5403 5403 185760 185760 5130 5130 185760 185760 4271 4271 185760 185760 3522 3522 185760 185760 3052 3052 185760 0.00000 1.00000 0.00000 false false false 1053451016 1053451016 26371815155 13314993287 13056821868 333380827 235742895 97637932 3835488178 3213213029 622275149 8981686709 5294638790 3687047919 18517233884 ABSOLUTE RETURN FUNDS 2820233957 F PRIVATE EQUITY FUNDS 10110380187 F RISK PARITY FUNDS 0 F 12930614144 0 DUE TO AFFILIATE ORGANIZATIONS 5517686097 PROFESSIONAL & OTHER INSURED LIABILITIES 722576305 PENSION AND OTHER RETIREMENT LIABILITIES 2119209303 OPERATING LEASE LIABILITIES 304110824 LOANS PAYABLE TO RELATED ORGS 1865362672 LOANS PAYABLE TO EXTRNL ENTITY 4438086859 SECURITIES LENDING PAYABLE 423491414 BROKER PAYABLES 41190370 OTHER CURRENT LIABILITIES 560273635 OTHER LONG-TERM LIABILITIES 536533669 16528521148 Schedule D, Part X ASC 740 Footnote: The organization's financial statements do not include a footnote under ASC 740. true South America Investments 152528000 East Asia and the Pacific Investments 435990000 Europe (Including Iceland and Greenland) Investments 783381000 Russia and the Newly Independent States Investments 1806000 Middle East and North Africa Investments 25005000 North America Investments 3084000 South Asia Investments 2604000 Sub-Saharan Africa Investments 2077000 Central America and the Caribbean Investments 5983398000 7389873000 7389873000 North America Research 17134 MANNER OF DI DESCRIPTION OF NONCA METHOD OF VALUATION 1 0 true false true true true false true true X true X 350. false true true false true true 322769662 9624967 313144696 0.01160 2037061871 1296138382 740923488 0.02730 2002056 1127105 874951 0.00000 2361833589 1306890454 1054943135 0.03890 38915239 0 38915239 0.00140 158828051 25271553 133556497 0.00490 0 0 0 0.00000 143486319 108989757 34496562 0.00130 207549492 0 207549492 0.00770 548779101 134261310 414517790 0.01530 2910612690 1441151764 1469460925 0.05420 true 0 0 384831856 540400882 -155569026 X true true 42 1 KAISER FDN HOSPITAL - LOS ANGELES 4867 SUNSET BLVD LOS ANGELES CA 90027 http://www.kp.org 930000077 X X X X X A 2 KAISER FOUNDATION HOSPITAL- ROSEVILLE 1600 Eureka Rd Roseville CA 95661 http://www.kp.org 550001681 X X X X X F 3 KAISER FOUNDATION HOSPITAL - FONTANA 9961 SIERRA AVE FONTANA CA 92335 http://www.kp.org 240000159 X X X X X A 4 KAISER FDN HOSPITAL - SANTA CLARA 700 LAWRENCE EXPRESSWAY SANTA CLARA CA 95051 http://www.kp.org 070000661 X X X X X A 5 KAISER FOUNDATION HOSPITAL - OAKLAND 275 W MACARTHUR BLVD OAKLAND CA 94611 http://www.kp.org 140000052 X X X X X A 6 MAUI MEMORIAL MEDICAL CENTER 221 Mahalani Street Wailuku HI 96793 mauihealthsystem.org 3-H X X X B 7 KAISER FDN HOSP - SUNNYSIDE MED CTR 10180 SOUTHEAST SUNNYSIDE RD CLACKAMAS OR 97015 http://www.kp.org 1073 X X X X C 8 KAISER FOUNDATION HOSPITAL - DOWNEY 9333 IMPERIAL HIGHWAY DOWNEY CA 90242 http://www.kp.org 930000078 X X X X X A 9 KAISER FDN HOSPITAL- SOUTH SACRAMENTO 6600 BRUCEVILLE RD SOUTH SACRAMENTO CA 95823 http://www.kp.org 030000228 X X X X X A 10 KAISER FDN HOSPITAL - SD (Clairemont) 9455 CLAIREMOMT MESA BLVD SAN DIEGO CA 92123 http://www.kp.org 080000062 X X X X X D 11 KAISER FOUNDATION HOSPITAL - HONOLULU 3288 MOANALUA RD HONOLULU HI 96819 http://www.kp.org OHCA#31-H X X X X D 12 KAISER FDN HOSPITAL - SAN FRANCISCO 2425 GEARY BLVD SAN FRANCISCO CA 94115 http://www.kp.org 220000188 X X X X X A 13 KAISER FOUNDATION HOSPITAL - ANAHEIM 3440 E LA PALMA AVE ANAHEIM CA 92806 http://www.kp.org 060000091 X X X X X D 14 KAISER FDN HOSPITAL - SACRAMENTO 2025 MORSE AVE SACRAMENTO CA 95825 http://www.kp.org 030000052 X X X X X A 15 KAISER FDN HOSPITAL - WALNUT CREEK 1425 S MAIN ST WALNUT CREEK CA 94596 http://www.kp.org 140000290 X X X X X A 16 KAISER FOUNDATION HOSPITAL - VALLEJO 975 SERENO DR VALLEJO CA 94589 http://www.kp.org 110000026 X X X X X A 17 KAISER FDN HOSPITAL - SAN LEANDRO 2500 MERCED ST SAN LEANDRO CA 94577 http://www.kp.org 550002678 X X X X X A 18 KAISER FOUNDATION HOSPITAL- RIVERSIDE 10800 MAGNOLIA AVE RIVERSIDE CA 92505 http://www.kp.org 250000327 X X X X X A 19 KAISER FOUNDATION HOSPITAL - ONTARIO 2295 S VINEYARD AVE ONTARIO CA 91761 http://www.kp.org 240000159 X X X X X A 20 KAISER FOUNDATION HOSPITAL - SAN JOSE 250 HOSPITAL PARKWAY SAN JOSE CA 95119 http://www.kp.org 070000117 X X X X X A 21 KAISER FDN HOSPITAL - BALDWIN PARK 1011 BALDWIN PARK BLVD BALDWIN PARK CA 91706 http://www.kp.org 930000920 X X X X X E 22 KAISER FOUNDATION HOSPITAL - MODESTO 4601 DALE RD MODESTO CA 95356 http://www.kp.org 030000393 X X X X X E 23 KAISER FDN HOSPITAL - SOUTH BAY 25825 S VERMONT AVE HARBOR CITY CA 90710 http://www.kp.org 930000079 X X X X X A 24 KAISER FOUNDATION HOSPITAL - IRVINE 6640 ALTON PARKWAY IRVINE CA 92618 http://www.kp.org 060000091 X X X X X D 25 KAISER FOUNDATION HOSPITAL - FRESNO 7300 N FRESNO ST FRESNO CA 93720 http://www.kp.org 040000384 X X X X X A 26 KAISER FDN HOSPITAL - SANTA ROSA 401 BICENTENNIAL WAY SANTA ROSA CA 95403 http://www.kp.org 110000213 X X X X X A 27 KAISER FDN HOSPITAL - W LOS ANGELES 6041 CADILLAC AVE LOS ANGELES CA 90034 http://www.kp.org 930000081 X X X X X D 28 KAISER FDN HOSPITAL- SAN DIEGO(ZION) 4647 ZION AVE SAN DIEGO CA 92120 http://www.kp.org 080000062 X X X X X D 29 KAISER FDN HOSPITAL - PANORAMA CITY 13652 CANTARA ST PANORAMA CITY CA 91402 http://www.kp.org 930000080 X X X X X D 30 KAISER FDN HOSPITAL - WOODLAND HILLS 5601 DE SOTO AVE WOODLAND HILLS CA 91367 http://www.kp.org 930000358 X X X X X D 31 KAISER FOUNDATION HOSPITAL - ANTIOCH 4501 SAND CREEK RD ANTIOCH CA 94531 http://www.kp.org 550000614 X X X X X A 32 KAISER FDN HOSPITAL - REDWOOD CITY 1100 VETERANS BLVD REDWOOD CITY CA 94063 http://www.kp.org 220000021 X X X X X A 33 KAISER WESTSIDE MEDICAL CENTER 2875 NW STUCKI ROAD HILLSBORO OR 97124 http://www.kp.org 14-1472 X X X X C 34 KAISER FOUNDATION HOSPITAL- VACAVILLE 1 QUALITY DR VACAVILLE CA 95688 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 CA 94080 http://www.kp.org 220000022 X X X X X A 36 KAISER FOUNDATION HOSPITAL - FREMONT 39400 PASEO PADRE PARKWAY FREMONT CA 94538 http://www.kp.org 140000053 X X X X X A 37 KAISER FDN HOSPITAL - MORENO VALLEY 27300 IRIS AVE MORENO VALLEY CA 92555 http://www.kp.org 550000810 X X X X X A 38 KAISER FDN HOSPITAL - SAN RAFAEL 99 MONTECILLO RD SAN RAFAEL CA 94903 http://www.kp.org 110000357 X X X X X A 39 KAISER FOUNDATION HOSPITAL - RICHMOND 901 NEVIN ST RICHMOND CA 94801 http://www.kp.org 140000052 X X X X X A 40 KAISER FOUNDATION HOSPITAL - MANTECA 1777 W YOSEMITE AVE MANTECA CA 95337 http://www.kp.org 030000393 X X X X X A 41 KULA HOSPITAL 100 Keokea Place Kula HI 96790 mauihealthsystem.org 25-H X X X X B 42 LANAI COMMUNITY HOSPITAL 628 SEVENTH STREET LANAI CITY HI 96763 mauihealthsystem.org 28-H X X X X B A-26 Facilities - See Part V Sec C false false true X X X X X X X X X 19 true true true true X http://www.kp.org/chna X true 20 true http://www.kp.org/chna false true X 350. 0. X true true X X X X true X http://www.kp.org/mfa/ X http://www.kp.org/mfa/ X http://www.kp.org/mfa/ X X X X X X true X false X X X X true X false false B-3 Facilities - See Part V Sec C false false true X X X X X X X X X 19 true true false true X http://www.kp.org/chna X true 20 true http://www.kp.org/chna false true X 250. 0. X true true X X X X true X http://www.kp.org/mfa/ X http://www.kp.org/mfa/ X http://www.kp.org/mfa/ X X X X X X true X false X X X true X false false C-2 Facilities See Part V Sec C false false true X X X X X X X X X 19 true true true true X http://www.kp.org/chna X true 20 true http://www.kp.org/chna false true X 350. 0. X true true X X X X true X http://www.kp.org/mfa/ X http://www.kp.org/mfa/ X http://www.kp.org/mfa/ X X X X X X true X false X X X X true X false false D-8 Facilities See Part V Sec C false false true X X X X X X X X X 19 true true false true X http://www.kp.org/chna X true 20 true http://www.kp.org/chna false true X 350. 0. X true true X X X X true X http://www.kp.org/mfa/ X http://www.kp.org/mfa/ X http://www.kp.org/mfa/ X X X X X X true X false X X X X true X false false E-2 Facilities See Part V Sec C false false true X X X X X X X X X 19 true false true true X http://www.kp.org/chna X true 20 true http://www.kp.org/chna false true X 350. 0. X true true X X X X true X http://www.kp.org/mfa/ X http://www.kp.org/mfa/ X http://www.kp.org/mfa/ X X X X X X true X false X X X X true X false false F-1 Facilities See Part V Sec C false false true X X X X X X X X X 19 true false false true X http://www.kp.org/chna X true 20 true http://www.kp.org/chna false true X 350. 0. X true true X X X X true X http://www.kp.org/mfa/ X http://www.kp.org/mfa/ X http://www.kp.org/mfa/ X X X X X X true X false X X X X true X false false 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) 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. 11 KAISER PERMANENTE POST ACUTE CARE CENTER 1440 168TH AVE SAN LEANDRO CA 94578 SKILLED NURSING MENTAL HEALTH CENTER 765 W COLLEGE ST LOS ANGELES CA 90012 MENTAL HEALTH SUNNYBROOK SURGICAL CENTER 10180 SOUTHEAST SUNNYSIDE RD CLACKAMAS OR 97015 AMBULATORY SURGERY INTERSTATE SURGICAL CENTER 3500 N INTERSTATE AVE PORTLAND OR 97227 AMBULATORY SURGERY SANTA CLARA PHF 3840 HOMESTEAD RD SANTA CLARA CA 95051 MENTAL HEALTH SKYLINE SURGICAL CENTER 5135 SKYLINE ROAD SOUTH SALEM OR 97306 AMBULATORY SURGERY BROOKSIDE RESIDENTIAL TREATMENT CENTER 10180 SOUTHEAST SUNNYSIDE RD Clackamas OR 97015 INPATIENT MENTAL HEALTH SVCS KULA HOSPITAL - 35N 100 KEOKEA PLACE KULA HI 96790 SKILLED NURSING & INTERMEDIATE CARE FACILITY LANAI COMMUNITY HOSPITAL 43-N 628 SEVENTH STREET LANAI CITY HI 96763 SKILLED NURSING & INTERMEDIATE CARE FACILITY KULA HOSPITAL - IMR-7 100 KEOKEA PLACE KULA HI 96790 IMMEDIATE CARE FACILITY FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES CENTER FOR HEALTH RESEARCH 3800 N INTERSTATE AVE PORTLAND OR 97227 RESEARCH CENTER 1 - Part I Line 3c ********************************************************************** There are three distinct eligibility criteria for free 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: 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 financial assistance. Note: Assets are not used in eligibility determination. High Medical Expenses: A patient of any household income level with incurred out-of-pocket medical and pharmacy expenses for eligible services over a 12 month period greater than or equal 10% of annual household income is eligible for financial assistance. Prequalification: A patient is presumed to meet the program eligibility criteria and is not required to provide personal, financial and other information to verify financial status when he or she: 1. Is enrolled in a Community MFA (CMFA) program to which patients have been referred and prequalified through (1) federal, state or local government, (2) a partnering community-based organization, or (3) at a KFH sponsored community health event, or 2. Is enrolled in a KP Community Benefit program designed to support access to care for low-income patients and prequalified by designated KFH/HP personnel, or 3. Is enrolled in a credible means-tested health coverage program (e.g., Medicare Low Income Subsidy Program), or 4. Was granted a prior medical financial assistance award within the last 30 days. 1 - Part I Line 7 ********************************************************************** THE LOSSES ATTRIBUTED TO PROVIDING CHARITY CARE (MEDICAL FINANCIAL ASSISTANCE AND CHARITABLE HEALTH COVERAGE) AND PARTICIPATION IN SELECT GOVERNMENT OR COMMUNITY SPONSORED HEALTH COVERAGE PROGRAMS ARE CALCULATED USING A COST-BASED METHODOLOGY FOR PATIENTS IN THOSE PROGRAMS. THE COST-BASED LOSS IS GENERATED THROUGH THE STANDARD SYSTEMS USED TO REPORT ON MARKET SEGMENTS FOR KFHP/KFH'S COMMERCIAL BUSINESS LINES. 1 - Part III Line 8 ********************************************************************** None of the amounts reported on Part III, line 7 has been treated as community benefit. The Medicare hospital cost reports are the source document to capture the Medicare revenue and Medicare allowable costs. To determine the direct costs, the cost report takes inputs from the general ledger by hospital location and applies a step-down methodology to allocate overhead costs. The costs are then passed through additional cost report computations to determine allowable Medicare costs. The total allowable Medicare cost is subtracted from the total revenue by region to determine the Medicare surplus or shortfall. 1 - Part III Line 9b ********************************************************************** When a patient/guarantor indicates an inability to pay (charity care), the patient/guarantor will be evaluated for charity care in accordance with established criteria outlined in the Medical Financial Assistance (MFA) 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), AND OREGON EACH KFH MEDICAL CENTER IS REQUIRED TO CONDUCT A COMMUNITY NEEDS ASSESSMENT EVERY THREE YEARS. THE ASSESSMENTS MAY BE CONDUCTED INDIVIDUALLY BY EACH HOSPITAL OR IN COLLABORATION WITH OTHER HOSPITALS, COMMUNITY-BASED AGENCIES AND PUBLIC SERVICE ORGANIZATIONS. EACH NEEDS ASSESSMENT PROVIDES A SUMMARY OF THE NEEDS ASSESSMENT PROCESS UNDERTAKEN INCLUDING THE METHODOLOGIES AND DATA SOURCES UTILIZED, INDIVIDUALS AND ORGANIZATIONS CONSULTED, A COMPLETE LISTING OF THE NEEDS IDENTIFIED AND DESCRIPTION OF THE METHOD USED TO PRIORITIZE NEEDS FOR INCLUSION IN THE INDIVIDUAL COMMUNITY BENEFIT PLANS. THE MOST RECENT NEEDS ASSESSMENTS WERE COMPLETED IN 2019. 3 - patient education of eligibility for assistance ********************************************************************** IN CALIFORNIA, HAWAII, AND OREGON 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 ********************************************************************** KAISER FOUNDATION HOSPITALS (KFH) SERVES COMMUNITIES IN CALIFORNIA, HAWAII (INCLUDING THE MAUI HEALTH SYSTEM), AND OREGON. THE COMMUNITIES WE SERVE ARE DIVERSE AND INCLUDE BOTH LESS POPULOUS AND DENSELY POPULATED CITIES AND COUNTIES. OUR COMMUNITIES ARE DIVERSE IN MANY WAYS INCLUDING INCOME, RATE OF UNINSURED, HIGH SCHOOL GRADUATION AND LIMITED ENGLISH PROFICIENCY. OUR FACILITIES AND THE PEOPLE WHO WORK WITHIN THEM ARE LOCATED WITHIN AND ARE PART OF OUR COMMUNITIES. KFH OWNS AND OPERATES 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. Ncal scal Hawaii nw ---- ---- ------ -- Total population in area (mil)** 12.5 22.3 1.4 3.5 Median Household Income**** $98,609 $78,287 $84,196 $75,110 below 100% fpl* 13.2% 15.10% 10.30% 14.00% w/o public or private health ins** 5.90% 9.90% 4.10% 6.80% Limited English Proficiency* 16.40% 20.40% 12.50% 6.60% High School Graduation Rate** 85.9% 80.20% 91.80% 90.8% Unemployment Rate (%)*** 14.8% 16.4% 19.4% 10.8% * US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY: 2013-17 ** US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY: 2014-18 *** KAISER PERMANENTE UTILITY FOR CARE DATA ANALYSIS, ESRI 2020 KAISER PERMANENTE'S COMMITMENT TO THE COMMUNITY AND PROMOTION OF COMMUNITY HEALTH SINCE OUR BEGINNINGS, WE HAVE BEEN COMMITTED TO HELPING SHAPE THE FUTURE OF HEALTH CARE. KAISER PERMANENTE IS DEDICATED TO CARE INNOVATIONS, CLINICAL RESEARCH, HEALTH EDUCATION AND THE SUPPORT OF COMMUNITY HEALTH. KFH IS COMMITTED TO THE BELIEF THAT GOOD HEALTH IS A FUNDAMENTAL RIGHT SHARED BY ALL, AND WE RECOGNIZE THAT GOOD HEALTH EXTENDS BEYOND THE DOCTOR'S OFFICE AND THE HOSPITAL. LIKE OUR APPROACH TO MEDICINE, OUR WORK IN THE COMMUNITY TAKES A PREVENTION-FOCUSED, EVIDENCE-BASED APPROACH. WE GO BEYOND TRADITIONAL CORPORATE PHILANTHROPY OR GRANT-MAKING TO LEVERAGE FINANCIAL RESOURCES WITH MEDICAL RESEARCH, PHYSICIAN EXPERTISE, AND CLINICAL PRACTICES. HISTORICALLY, WE HAVE FOCUSED OUR INVESTMENTS IN THREE AREAS-HEALTH ACCESS, HEALTHY COMMUNITIES, AND HEALTH 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 SUCH AS OBESITY, ACCESS TO CARE, AND VIOLENCE. WE HAVE CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) TO BETTER UNDERSTAND EACH COMMUNITY'S UNIQUE NEEDS AND RESOURCES. THE CHNA PROCESS INFORMS OUR COMMUNITY INVESTMENTS AND HELPS US DEVELOP STRATEGIES AIMED AT MAKING LONG-TERM, SUSTAINABLE CHANGE-AND IT ALLOWS US TO DEEPEN THE STRONG RELATIONSHIPS WE HAVE WITH OTHER ORGANIZATIONS THAT ARE WORKING TO IMPROVE COMMUNITY HEALTH. THE KFHP/KFH BOARD HAS A STANDING COMMUNITY BENEFIT COMMITTEE OF THE BOARD OF DIRECTORS TO OVERSEE THE PROGRAM-WIDE COMMUNITY BENEFIT PROGRAM. KAISER PERMANENTE ALSO HAS A NATIONAL EXECUTIVE OF KFHP AND KFH TO LEAD KAISER PERMANENTE'S COMMUNITY BENEFIT PROGRAM AS A FULL-TIME ASSIGNMENT. 5 - promotion of community health ********************************************************************** KFH's principal purpose is to provide hospital, medical, and surgical care, including emergency services, extended care and home health care to members of the public without regard to age, sex, race, religion or national origin, or to the individual's ability to pay. KFH shares THE KAISER PERMANENTE mission, of providing affordable high quality health care to our members, and improving the health of our members and the communities we serve. KFH's general community benefits include: Emergency departments - KFH operates full-time emergency departments in each of its 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. true 10000 DEGREES 1650 LOS GAMOS DR 110 SAN RAFAEL CA 94903 953667812 501(c)(3) 25000 10,000 Degrees College Access, Success and Fellows 3RD STREET YOUTH CENTER & CLINIC 1728 BANCROFT AVE SAN FRANCISCO CA 94124 942917999 501(c)(3) 25000 Mental Health First Aid Training 3STRANDS GLOBAL INC 3941 PARK DR20-200 EL DORADO HILLS CA 95762 274594317 501(c)(3) 25000 Employ + Empower Program A BETTER WAY INC 3200 ADELINE ST BERKELEY CA 94703 931190792 501(c)(3) 98000 Resilience Initiative: COVID Response A NEW WAY OF LIFE RE-ENTRY PROJECT PO BOX 875288 LOS ANGELES CA 90087 954782503 501(c)(3) 50000 Safe Housing Program A WORLD FIT FOR KIDS 678 S LA FAYETTE PARK PL LOS ANGELES CA 90057 330550994 501(c)(3) 95000 Changing Lives through Physical Activity ABC RECOVERY CENTER INC 44359 PALM ST INDIO CA 92201 751006381 501(c)(3) 20000 Improving Internal Communication to better serve c ABODE SERVICES 40849 FREMONT BLVD FREMONT CA 94538 943087060 501(c)(3) 500000 Project RoomKey Exits ACCESS INSTITUTE FOR 110 GOUGH ST SAN FRANCISCO CA 94102 010595862 501(c)(3) 60000 John Muir Elementary - In-school Mental Health Ser ACKNOWLEDGE ALLIANCE 2483 OLD MIDDLEFIELD WAY208 MOUNTAIN VIEW CA 94043 770393676 501(c)(3) 75000 Collaborative Counseling Program ADELANTE YOUTH ALLIANCE 805 N MADISON AVE PASADENA CA 91104 154819333 501(c)(3) 7500 26th Annual Adelante Mujer Latina (AML) College & ADOLESCENT COUNSELING SERVICES INC 643 BAIR ISLAND RD301 REDWOOD CITY CA 94063 510192551 501(c)(3) 25000 Mental Health Access for Youth Initiative ADOPT-A-CLASSROOM INC 401 2ND AVE N 305 MINNEAPOLIS MN 55401 650828272 501(c)(3) 24500 Watts Network of Schools - STEAM Education Support AFGHAN COALITION 39155 LIBERTY ST D460 FREMONT CA 94538 943398311 501(c)(3) 25000 Mental Health Services for Afghan Immigrant Refuge AFRICAN AMERICAN ALLIANCE FOR 825 NE 20TH AVE 225 PORTLAND OR 97232 743140832 501(c)(3) 35000 Social & Equitable Justice for Black Communities AFRICAN AMERICAN CHAMBER OF COMMERCE 42 N SUTTER ST 218 STOCKTON CA 95202 300667359 501(c)(3) 25000 Improving Economic Security Through Business Techn AFRICAN AMERICAN COMMUNITY SERVICE 304 N 6TH ST SAN JOSE CA 95112 942494728 501(c)(3) 25000 Family Health Services AGE WELL SENIOR SERVICES INC 23101 LAKE CENTER DR325 LAKE FOREST CA 92630 931163563 501(c)(3) 24500 Meals on Wheels for South Orange County Seniors AIDS LEGAL REFERRAL PANEL 1663 MISSION ST500 SAN FRANCISCO CA 94103 943111738 501(c)(3) 25000 AIDS Housing Advocacy Project (AHAP): Preventing H AL WOOTEN JR YOUTH AND ADULT CULTURAL 9106 S WESTERN AVE LOS ANGELES CA 90047 954295918 501(c)(3) 52500 Core Operating Support ALAMEDA CITY UNIFIED SCHOOL DISTRICT 2060 CHALLENGER DR ALAMEDA CA 94501 946002061 Government 45000 Mental Health Supports for Alameda Youth ALAMEDA COUNTY ADULT DAY SERVICES 510 17TH St 200 OAKLAND CA 94612 204704743 501(c)(3) 40000 Rapid Response Case mangement pilot ALAMEDA COUNTY COMMUNITY FOOD BANK 7900 EDGEWATER DR OAKLAND CA 94621 942960297 501(c)(3) 180000 2020 BLOC Cohort ALAMEDA COUNTY DEPUTY SHERIFFS 16378 E 14TH ST 102 SAN LEANDRO CA 94578 830410537 501(c)(3) 200000 Dig Deep Farms Food Hub Expansion: Increasing Food ALAMEDA COUNTY FAMILY JUSTICE CENTER INC 470 27TH ST OAKLAND CA 94612 261141080 501(c)(3) 190000 STEP-UP and STEP-UP 2 WORK ALAMEDA COUNTY HEALTH PATHWAY 1000 SAN LEANDRO BLVD200 SAN LEANDRO CA 94577 820767399 501(c)(3) 25000 Alameda County Health Coach Program ALAMEDA HEALTH CONSORTIUM 101 CALLAN AVE300 SAN LEANDRO CA 94577 510189590 501(c)(3) 470000 Advance High-Quality, Equitable Health Care for Al ALAMEDA POINT COLLABORATIVE 677 W RANGER AVE ALAMEDA CA 94501 943361464 501(c)(3) 25000 The Employment and Education Program ALBINA HEAD START INC 3417 NE 7TH AVE PORTLAND OR 97212 921069936 501(c)(3) 40000 Address Health/Economic Needs of AHS' Low Income ALLIANCE AGAINST FAMILY VIOLENCE AND 1921 19TH ST BAKERSFIELD CA 93301 953604240 501(c)(3) 20000 Child Abuse Treatment Program Support: Addressing ALLIANCE FOR A HEALTHIER GENERATION INC 2525 SW 1ST AVE 120 PORTLAND OR 97201 272028308 501(c)(3) 414528 Healthier Generation: HEAL 2.0, PO - Grants splits ALLIANCE FOR HOUSING & HEALING 825 COLORADO BLVD100 LOS ANGELES CA 90041 954147364 501(c)(3) 45000 Safe at Home ALMADEN VALLEY COUNSELING SERVICE 6529 CROWN BLVD D SAN JOSE CA 95120 942775534 501(c)(3) 25000 Counseling for Children and Youth ALTAMED HEALTH SERVICES CORP 2040 Camfield Avenue Los Angeles CA 90040 952810095 501(c)(3) 35899 Project Support ALUM ROCK COUNSELING CENTER 777 N 1ST ST 444 SAN JOSE CA 95112 237367637 501(c)(3) 25000 Ocala Mentoring Program ALWAYS KNOCKING INC 4600 47TH AVE 106 SACRAMENTO CA 95824 264635991 501(c)(3) 26110 Multi-Component Health Care System ALZHEIMERS ASSOCIATION 1455 RESPONSE RD 190 SACRAMENTO CA 95815 133039601 501(c)(3) 25000 Alzheimer's Public Education and Awareness-Sacrame ALZHEIMERS DISEASE ASSOCIATION OF KERN PO BOX 22108 BAKERSFIELD CA 93390 770017561 501(c)(3) 15000 Alzheimer's and Dementia Care Force ALZHEIMERS ORANGE COUNTY 2515 MCCABE WAY 200 IRVINE CA 92614 953702013 501(c)(3) 50000 Dementia Care Coordination Project AMERICAN CANCER SOCIETY INC 5333 MISSION CENTER RD105 SAN DIEGO CA 92108 131788491 501(c)(3) 32000 Road to Recovery transportation assistance for can AMERICAN DIABETES ASSOCIATION 3460 WILSHIRE BLVD900 LOS ANGELES CA 90010 131623888 501(c)(3) 6585 Los Angeles Political Roast AMERICAN FAMILY HOUSING 15161 JACKSON ST MIDWAY CITY CA 92655 330071782 501(c)(3) 50000 American Family Housing's End to Homelessness AMERICAN HEART ASSOCIATION INC 9404 GENESEE AVE 240 LA JOLLA CA 92037 135613797 501(c)(3) 50000 School Vaping Response Project American Online Giving Foundation Inc 40 East Main St 887 Newark DE 19711 810739440 501(c)(3) 174422 Board of Director Matching Donation AMERICAN RED CROSS 3131 N VANCOUVER AVE PORTLAND OR 97227 530196605 501(c)(3) 450000 Oregon Wildifres Relief AMERICAN SCORES BAY AREA 1885 MISSION ST SAN FRANCISCO CA 94103 481272959 501(c)(3) 25000 America SCORES Bay Area: Healthy Bodies, Healthy M ANAHEIM UNION HIGH SCHOOL DISTRICT 501 N CRESCENT WAY ANAHEIM CA 92801 956000120 Government 20000 Thriving Schools Playbook Activation ANN & ROBERT H LURIE CHILDRENS HOSPITAL 225 E Chicago Ave Chicago IL 60611 362170833 501(c)(3) 8026 Research ANTELOPE VALLEY DOMESTIC VIOLENCE PO BOX 2980 LANCASTER CA 93539 953582588 501(c)(3) 20000 Taking Flight ANTELOPE VALLEY PARTNERS FOR HEALTH 44226 10TH ST W LANCASTER CA 93534 470957404 501(c)(3) 25000 Thrive Local Initiative, Antelope Valley ANTIOCH UNIFIED SCHOOL DISTRICT 510 G ST ANTIOCH CA 94509 861134505 Government 95000 Mental Health & Wellness Initiative ANTI-RECIDIVISM COALITION 1414 K ST 150 SACRAMENTO CA 95814 462140915 501(c)(3) 50000 Sacramento Mental Health Program APPLE CORE PROJECT INC 1916 G ST BAKERSFIELD CA 93301 460601245 501(c)(3) 20000 BCSD Pantry Partners Project ARTS AND HEALING INITIATIVE 2626 33RD ST SANTA MONICA CA 90405 261485541 501(c)(3) 17500 Healing and Resilience through Social Emotional Ar ASHBY VILLAGE INC 1821 CATALINA AVE BERKELEY CA 94707 272174330 501(c)(3) 80000 The Berkeley Continuum ASHLAND FREE MEDICAL CLINIC 1757 CLEMENS RD OAKLAND CA 94602 680554276 501(c)(3) 40000 Access to Care for the Uninsured ASIAN AMERICANS ADVANCING JUSTICE 1145 WILSHIRE BLVD LOS ANGELES CA 90017 953854152 501(c)(3) 10000 37th Anniversary Virtual Celebration ASIAN AMERICANS FOR COMMUNITY 2400 MOORPARK AVE 300 SAN JOSE CA 95128 942292491 501(c)(3) 50000 AACI Patient Navigation Program (PNP) ASIAN HEALTH SERVICES 101 8TH ST 100 OAKLAND CA 94607 942235908 501(c)(3) 1050000 Enhancing Child, Family, and Oral Health ASSISTANCE LEAGUE OF SAN BERNARDINO 580 W 6TH ST SAN BERNARDINO CA 92410 956065105 501(c)(3) 25000 Expanding Children's Access to Dental Health Servi AT Still University 800 W Jefferson St Kirksville MO 65301 430356250 501(c)(3) 10000 scholarship AVALON-CARVER COMMUNITY CENTER 4920 AVALON BLVD LOS ANGELES CA 90011 951690963 501(c)(3) 50000 More than a Home AVIVA FAMILY & CHILDRENS SERVICES 7120 FRANKLIN AVE LOS ANGELES CA 90046 951693616 501(c)(3) 30000 Access to Care: Health IT Infrastructure Upgrade P AXIS COMMUNITY HEALTH INC 4361 RAILROAD AVE PLEASANTON CA 94566 942232394 501(c)(3) 50000 Supporting Complex Patients with Case Management S AXIS FOUNDATION INC 1100 MARIGOLD DR PERRIS CA 92571 261818786 501(c)(3) 10000 Self-Sufficiency Advocacy - Emergency Savings BAKERSFIELD CITY SCHOOL DISTRICT 1300 BAKER ST BAKERSFIELD CA 93305 956000671 Government 20000 Project Expand Mental Health and Well-Being BALDWIN BETHANY COMMUNITY DEVELOPMENT 4115 W MARTIN LUTHER KING JR BLVD LOS ANGELES CA 90008 300144624 501(c)(3) 25000 Thankful Thursdays Winter Campaign BARTZ-ALTADONNA COMMUNITY HEALTH CENTER 43322 GINGHAM AVE 103-105 LANCASTER CA 93535 273261289 501(c)(3) 20000 Maternal Antelope Valley Engagement Network (MAVEN BATTLE GROUND HEALTHCARE 11117 NE 189TH ST BATTLEGROUND WA 98604 273148590 501(c)(3) 8000 Kaiser MLK Day Service Clinics BAY AREA COMMUNITY RESOURCES 171 CARLOS DRIVE SAN RAFAEL CA 94903 942346815 501(c)(3) 148000 Strengthening Youth Resilience During SIP BAY AREA COMMUNITY SERVICES 390 40TH ST OAKLAND CA 94609 941708069 501(c)(3) 125000 Project Upward Mobility: Economic Empowerment thro BAY AREA OUTREACH AND RECREATION 3075 ADELINE ST 200 BERKELEY CA 94703 942324340 501(c)(3) 13000 Adaptive Sports & Recreation Facility/Accessible H BAYLOR COLLEGE OF MEDICINE PO BOX 301207 Dallas TX 75303 741613878 501(c)(3) 23629 Project Support BAYLOR RESEARCH INSTITUTE 4236 Lowes Drive Temple AZ 76502 751921898 501(c)(3) 81756 Research / Project Support BEATS RHYMES AND LIFE 450 SANTA CLARA AVE OAKLAND CA 94610 452382705 501(c)(3) 75000 Hip Hop Therapy (HHT) Services for Covid/Mental He BECKMAN RESEARCH INSTITUTE 1500 East Duarte Road Duarte CA 91010 953432210 501(c)(3) 6425 Research BERKELEY FOOD AND HOUSING PROJECT 3225 ADELINE ST BERKELEY CA 94703 942979073 501(c)(3) 25000 Russell Street Residence BERKELEY FOOD NETWORK 1569 SOLANO AVE UNIT 243 BERKELEY CA 94707 814942342 501(c)(3) 25000 BFN Mobile Pantry Program Expansion BERKELEY YOUTH ALTERNATIVES 1255 ALLSTON WAY BERKELEY CA 94702 941711728 501(c)(3) 25000 Steps2Success BIENESTAR HUMAN SERVICES INC 5326 E BEVERLY BLVD LOS ANGELES CA 90022 954505737 501(c)(3) 30000 Tele-Bienestar BIG JOHN KARES PO BOX 44532 LOS ANGELES CA 90044 821623895 501(c)(3) 30000 Big John Kares Education & Training Program BIG SUNDAY 6111 MELROSE LOS ANGELES CA 90038 421765317 501(c)(3) 15000 MOBS (aka A Month of Big Sundays BILL WILSON CENTER 3490 THE ALAMEDA SANTA CLARA CA 95050 942221849 501(c)(3) 25000 Center for Living with Dying BLACK PARENT INITIATIVE 2915 NE MARTIN LUTHER KING JR BLVD PORTLAND OR 97212 205686374 501(c)(3) 35000 BPI COVID-19 Response & Gen. 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Health - Ultrasound WEST VALLEY COMMUNITY SERVICES 10104 VISTA DRIVE CUPERTINO CA 95014 942211685 501(c)(3) 55000 West Valley on Wheels - New Mobile Food Pantry WESTCARE CALIFORNIA INC 1900 N GATEWAY BLVD FRESNO CA 93727 237368450 501(c)(3) 25000 Built for Zero Flex Funds WESTERN OREGON UNIVERSITY 345 N MONMOUTH AVE MONMOUTH OR 97361 936001786 Government 42500 Scholarship WESTERN UNIVERSITY 309 E SECOND St POMONA CA 91766 953127273 501(c)(3) 16000 Pomona Health Career Ladder (PHCL) program WESTMONT COUNSELING CENTER 1704 W MANCHER AVE202A LOS ANGELES CA 90047 821236510 501(c)(3) 15000 Community Resilience Groups WESTSIDE FOOD BANK 1710 22ND ST SANTA MONICA CA 90404 953685875 501(c)(3) 60000 Food Purchases for COVID-19 Relief WHAT WOULD JESUS DO MINISTRIES INC 236 S SANTA CRUZ AVE A MODESTO CA 95354 272849449 501(c)(3) 25000 Shower and Laundry Shuttle WHOLE CHILD MENTAL HEALTH & HOUSING 10155 COLIMA RD WHITTIER CA 90603 952031148 501(c)(3) 50000 Enhanced Service Delivery WILMINGTON COMMUNITY CLINIC 1009 N AVALON BLVD WILMINGTON CA 90744 953137803 501(c)(3) 12500 General Operating Support WIND YOUTH SERVICES 815 S ST SACRAMENTO CA 95811 237348227 501(c)(3) 25000 Connections Mental and Behavioral Health Program WISE & HEALTHY AGING 1527 4TH ST 2ND FL SANTA MONICA CA 90401 952788014 501(c)(3) 40000 Community-Based Health Partnerships for Senior Ser WOMEN AGAINST GUN VIOLENCE 10401 VENICE BLVD723 LOS ANGELES CA 90034 954738754 501(c)(3) 9080 Annual Leadership Awards Brunch and Silent Auction WOMENS EMPOWERMENT 1590 A ST SACRAMENTO CA 95811 030520643 501(c)(3) 25000 Empowering Homeless Women with Economic Opportunit WOMENS RECOVERY SERVICES A UNIQUE PLACE PO BOX 1356 SANTA ROSA CA 95402 510178620 501(c)(3) 20000 Increase WRS?s organizational capabilities and cap WOODCRAFT RANGERS 340 E 2ND ST 200 LOS ANGELES CA 90012 951729319 501(c)(3) 30000 Lifecraft Career Incubator WORKSITE WELLNESS LOS ANGELES 5955 S WESTERN AVE LOS ANGELES CA 90047 550802354 501(c)(3) 25000 Community health and social services program fundi WOUNDED WARRIOR HOMES INC 1145 LINDA VISTA DR104 SAN MARCOS CA 92078 271537405 501(c)(3) 20000 Delivering Transitional Housing Plus Re-Integrativ YALE UNIVERSITY 150 Munson Street New Haven CT 06520 060646973 501(c)(3) 61516 Research / Project Support Year Up Inc 45 Milk Street Boston MA 02109 043534407 501(c)(3) 39780 Donation for 3 Year Up Internship Seats YES 2 KOLLEGE EDUCATIONAL RESOURCES 5200 8TH AVE SACRAMENTO CA 95820 680485994 501(c)(3) 25000 Minority Health Professions Mentor Program (MHPMP) YES NATURE TO NEIGHBORHOODS 3029 MACDONALD AVE RICHMOND CA 94804 030458294 501(c)(3) 50000 Trauma-Informed Nature Immersion Training for Rich YMCA OF SAN FRANCISCO 1486 HUNTINGTON AVE100 SOUTH SAN FRANCISCO CA 94080 940997140 501(c)(3) 50000 YMCA Community Resource Center - Behavioral Health YMCA OF SILICON VALLEY 80 SARATOGA AVE SANTA CLARA CA 95051 941156318 501(c)(3) 50000 Enhancing Mental Health and Well-Being Through Car YOLO COUNTY CHILDRENS 600 A ST Y DAVIS CA 95616 680526185 501(c)(3) 120000 2020 BLOC Cohort YOLO COUNTY EMS 137 N COTTONWOOD ST1300 WOODLAND CA 95695 946000548 Government 50000 2020-2021 NCAL 2-1-1 Grants Program. YOLO FOOD BANK 233 HARTER AVE WOODLAND CA 95776 237111782 501(c)(3) 10000 Truck Repair Funding YOLO HEALTHY AGING ALLIANCE 600 A ST C DAVIS CA 95616 461075195 501(c)(3) 25000 Access to Services for at Risk Older Adults YOUNG MENS CHRISTIAN ASSOCIATION 3820 SANTA ROSALIA DR LOS ANGELES CA 90008 951644052 501(c)(3) 60000 Crenshaw YMCA Social Needs Program YOUNG MENS CHRISTIAN ASSOCIATION OF THE 2111 MARTIN LUTHER KING JR WAY BERKELEY CA 94704 941156635 501(c)(3) 155000 Early Childhood Education, Training, and Response YOUTH ALIVE 3300 ELM ST OAKLAND CA 94609 943143254 501(c)(3) 103000 YA Advocates YOUTH FORWARD 2411 15TH ST A SACRAMENTO CA 95818 815343876 501(c)(3) 50000 Supporting the Mental Health of Sacramento Black Y YWCA PO BOX 3506 SANTA ROSA CA 95402 942347428 501(c)(3) 25000 Counseling Services for Victims of Domestic Violen YWCA GREATER LOS ANGELES 1020 S OLIVE ST FL 7 LOS ANGELES CA 90015 951652919 501(c)(3) 30000 Pathways to Health YWCA OF GLENDALE 735 E LEXINGTON DR GLENDALE CA 91206 951644057 501(c)(3) 30000 Girls Empowerment and Violence Prevention Programm YWCA OF SAN GABRIEL VALLEY 943 N GRAND AVE COVINA CA 91724 951641967 501(c)(3) 24500 General Operating Funds - Social Determinants of H ZERO BREAST CANCER 30 N San Pedro Rd San Rafael CA 94903 680386016 501(c)(3) 39695 Research / Project Support HABITAT FOR HUMANITY EAST BAY 2619 BROADWAY 205 Oakland CA 94612 943053687 501(c)(3) 1899900 Appraisal Real Property To support Affordable Housing OAKLAND COMMUNITY LAND TRUST 101 BROADWAY 205 Oakland CA 94607 320285788 501(c)(3) 1709900 Appraisal Real Property To support Affordable Housing 966 2 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. true true false false false false false true true true Gregory Adams Chairman & CEO 0 1795822 0 9815109 0 655812 0 4974642 0 26675 0 17268060 0 1275042 Richard Daniels EVP, Chief Information Officer 0 424849 0 3678541 0 2398635 0 141323 0 31612 0 6674960 0 1195563 Janet Liang EVP, Group President & COO 0 1174318 0 1641472 0 46640 0 2682300 0 35603 0 5580333 0 0 Kathryn Lancaster EVP & CFO 0 1209519 0 2903812 0 426985 0 530154 0 16186 0 5086656 0 0 Arthur Southam EVP, Health Plan Ops & CGO 0 1208676 0 2705847 0 442778 0 496913 0 32141 0 4886355 0 0 Julie Miller-Phipps Region President - SCAL 0 989320 0 1495611 0 1338367 0 796955 0 23520 0 4643773 0 993157 Kimberly Horn EVP, Group President, MOC 0 1024135 0 1154427 0 63894 0 2024950 0 32789 0 4300195 0 0 Mark Zemelman SVP, General Counsel & Secy 0 792767 0 1820701 0 288997 0 176727 0 37952 0 3117144 0 0 Anthony Barrueta SVP, Government Relations 0 506295 0 887806 0 1231075 0 234555 0 23150 0 2882881 0 1137875 Chuck Bevilacqua SVP, Health Plan Svc & Admin 0 826923 0 1008803 0 291311 0 404093 0 26093 0 2557223 0 212697 Wade Overgaard SVP, Health Plan Ops - CA 0 825236 0 1008803 0 203852 0 290356 0 32105 0 2360352 0 0 Susan Mullaney Region President - WA 0 739499 0 759222 0 43443 0 769099 0 26373 0 2337636 0 0 Michael Rowe SVP, Chf Bus Dev & Strat Exec 0 674199 0 832038 0 671259 0 128287 0 31440 0 2337223 0 766274 Ruth Williams-Brinkley Region President 0 741804 0 992778 0 94186 0 441178 0 23257 0 2293203 0 0 Michael Ramseier Region President - Colorado 0 857287 0 498497 0 46652 0 778278 0 30410 0 2211124 0 184322 Christian Meisner SVP, Chief HR Officer 0 505183 0 700000 0 65394 0 733865 0 36459 0 2040901 0 0 Arlene Peasnall SVP, HR & Labor Relations 0 590334 0 842539 0 291626 0 268087 0 19326 0 2011912 0 104386 George Disalvo SVP, CFO - SCAL 0 681656 0 929922 0 187586 0 181166 0 29461 0 2009791 0 70101 Paul Swenson EVP, Chief Admin Officer 0 743007 0 799834 0 197642 0 160737 0 28502 0 1929722 0 0 Thomas Meier SVP, Corporate Treasurer 0 535771 0 940826 0 118889 0 263145 0 34149 0 1892780 0 0 Wendy Lee SVP, Bold Move Personal Health 0 426691 0 506081 0 641101 0 218131 0 26272 0 1818276 0 0 Laurel Junk SVP, Enterprise Shared Svcs 0 666588 0 595134 0 169511 0 308013 0 16588 0 1755834 0 109064 Thomas Hanenburg Interim Regional President-NCA 0 812405 0 655927 0 42592 0 210671 0 26485 0 1748080 0 0 Roland Lyon SVP, Natl Del System Strategy 0 531518 0 684643 0 222990 0 281798 0 26961 0 1747910 0 131214 Lisa Caplan SVP, Care Delivery Tech Svcs 0 447146 0 605896 0 454394 0 148318 0 14550 0 1670304 0 0 Ronald Vance Interim Regional President -HI 0 1650000 0 0 0 0 0 0 0 0 0 1650000 0 0 Bechara Choucair SVP, Chief Health Officer 0 562376 0 632374 0 51049 0 370637 0 23545 0 1639981 0 0 Chandrika Bhalla SVP, CFO - NCAL 0 627792 0 705169 0 19985 0 244453 0 29028 0 1626427 0 0 Yazdi Bagli EVP, Enterprise Business Svcs 0 154423 0 1350000 0 39151 0 36516 0 8895 0 1588985 0 0 James Simpson Region President - GA 0 582441 0 436212 0 185977 0 302596 0 39921 0 1547147 0 0 Pratabkumar Vemana SVP, Chief Digital Officer 0 531113 0 724434 0 37873 0 222339 0 16288 0 1532047 0 0 William Caswell SVP, Operations 0 608115 0 560617 0 138699 0 154824 0 23571 0 1485826 0 0 Vanessa Benavides SVP,Chf Compliance & Priv. Off 0 483561 0 633565 0 49430 0 252700 0 19777 0 1439033 0 0 Lazaro Garcia VP, IMG Customer Plng & Mgmt 0 176877 0 233132 0 782915 0 197269 0 23165 0 1413358 0 0 Alfonse Upshaw SVP,Corporate Controller & CAO 0 509048 0 563086 0 108271 0 203777 0 23720 0 1407902 0 49196 Diane Comer EVP, Chief Info & Tech Officer 0 529702 0 575181 0 103818 0 139820 0 25975 0 1374496 0 0 Janet O'Hollaren VP, COO 0 511539 0 284485 0 161234 0 379713 0 23463 0 1360434 0 81693 Lesley Wille SVP, Operations 0 569288 0 349494 0 93923 0 300301 0 25003 0 1338009 0 54677 Jeffrey Collins Regional President - Northwest 0 638658 0 359405 0 168888 0 129188 0 25852 0 1321991 0 0 Kathleen Scheirman SVP, IT Operations 0 489167 0 577420 0 91788 0 125860 0 25797 0 1310032 0 0 Greg Christian Regional President - HI 0 509045 0 426967 0 23859 0 293069 0 24299 0 1277239 0 0 Donald Orndoff SVP, NFS 0 474973 0 506957 0 129024 0 123350 0 29547 0 1263851 0 0 Patrick Courneya EVP, Chief Medical Officer 0 187418 0 803817 0 151717 0 81375 0 7274 0 1231601 0 143484 Michelle Gaskill SVP,Health Plan &Hospital Opns 0 557832 0 378471 0 69107 0 132871 0 28187 0 1166468 0 0 Patricia Harvey SVP, Qlty, Reg, & Clinical Ops 0 397229 0 334291 0 41576 0 230097 0 20339 0 1023532 0 0 John Yamamoto Assistant Secretary 0 371165 0 309597 0 67346 0 241663 0 29298 0 1019069 0 0 Charles Columbus SVP, Chief HR Officer 0 0 0 975011 0 0 0 15117 0 0 0 990128 0 0 Catherine Tirey SVP Chf Communications Officer 0 412600 0 225806 0 18712 0 261877 0 29170 0 948165 0 0 Kathryn Beiser SVP Chf Communications Officer 0 65496 0 250000 0 576643 0 1520 0 2650 0 896309 0 122435 Philip Young Jr Assistant Secretary 0 350569 0 291019 0 17416 0 195466 0 28483 0 882953 0 0 Marty Ardron SVP, Operations 0 438482 0 233686 0 38051 0 130757 0 26867 0 867843 0 0 Max Villalobos COO - North County 0 358044 0 147122 0 77925 0 196772 0 23292 0 803155 0 46083 Matthew Weber Assistant Secretary 0 299151 0 252307 0 16131 0 123609 0 26207 0 717405 0 0 Hong-Sze Yu VP, Brd & Corp Gov & Asst Secy 0 286096 0 155214 0 17467 0 224875 0 26674 0 710326 0 0 Tami Lamp SVP, Chief HR Officer 0 0 0 0 0 671778 0 0 0 20513 0 692291 0 0 Ryan Jenson Interim Corp Controller & CAO 0 289969 0 238664 0 15948 0 113040 0 29413 0 687034 0 0 Carrie Plietz Region President - NCAL 0 121016 0 300084 0 2397 0 194113 0 2043 0 619653 0 0 Kristin Bear Assistant Secretary 0 265444 0 136319 0 17500 0 171888 0 21127 0 612278 0 0 Frank Richardson Assistant Secretary 0 270709 0 44761 0 16503 0 174138 0 29939 0 536050 0 0 David Underriner Region President - HI 0 0 0 0 0 507856 0 0 0 5263 0 513119 0 0 Bernice Gould Assistant Secretary 0 222678 0 34304 0 2310 0 163148 0 10554 0 432994 0 0 Rochelle Roth Assistant Secretary 0 195300 0 31030 0 2124 0 139069 0 18362 0 385885 0 0 Judith A Johansen JD Director 0 248000 0 0 0 9524 0 51468 0 0 0 308992 0 0 Margaret E Porfido JD Director 0 279000 0 0 0 20093 0 7619 0 0 0 306712 0 0 Andrew Bindman EVP, Chief Medical Officer 0 83492 0 200000 0 2131 0 18224 0 939 0 304786 0 0 Cynthia A Telles PHD Director 0 264000 0 0 0 13494 0 7082 0 0 0 284576 0 0 Leslie S Heisz Director 0 240500 0 0 0 18131 0 24949 0 0 0 283580 0 0 David F Hoffmeister Director 0 250500 0 0 0 13129 0 17039 0 0 0 280668 0 0 Gerald McCall SVP, Operations 0 0 0 261375 0 10344 0 0 0 0 0 271719 0 0 Jeffrey E Epstein Director 0 248000 0 0 0 8558 0 7003 0 0 0 263561 0 0 Maryann Bodayle Assistant Secretary 0 172819 0 16023 0 2085 0 61453 0 10134 0 262514 0 0 Ramon F Baez Director 0 227500 0 0 0 13129 0 17909 0 0 0 258538 0 0 Richard P Shannon MD Director 0 228500 0 0 0 0 0 24093 0 0 0 252593 0 0 A Eugene Washington MD Director 0 235500 0 0 0 0 0 12117 0 0 0 247617 0 0 Regina M Benjamin MD MBA Director 0 184000 0 0 0 8274 0 48629 0 0 0 240903 0 0 David J Barger Director 0 218000 0 0 0 0 0 16678 0 0 0 234678 0 0 Matthew T Ryan Director 0 223000 0 0 0 0 0 0 0 0 0 223000 0 0 Kim J Kaiser Director 0 26000 0 0 0 13414 0 0 0 0 0 39414 0 0 Edward YW Pei Director 0 0 0 0 0 14281 0 0 0 0 0 14281 0 0 William Graber Director 0 0 0 0 0 10593 0 0 0 0 0 10593 0 0 Schedule J, Part I, Line 3 METHODS USED TO ESTABLISH COMPENSATION OF CEO/EXECUTIVE DIRECTOR: THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS DESCRIBED BELOW TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF A RELATED ORGANIZATION. SCHEDULE J, PART I, LINE 4A - Severance Payments - Richard Daniels $ 746,337 Wendy Lee 49,564 Lazaro Garcia 236,189 Kathryn Beiser 574,000 Tami Lamp 673,077 David Underriner 507,692 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 $ 461,220 Richard Daniels 1,613,959 Kathryn Lancaster 375,052 Arthur Southam 390,827 Julie Miller-Phipps 1,307,650 Mark Zemelman 232,683 Anthony Barrueta 1,186,905 Chuck Bevilacqua 266,903 Wade Overgaard 174,284 Michael Rowe 645,738 Arlene Peasnall 59,455 George Disalvo 142,174 Paul Swenson 141,696 Thomas Meier 74,737 Wendy Lee 570,610 Laurel Junk 143,977 Roland Lyon 158,964 Lisa Caplan 411,544 James Simpson 141,287 William Caswell 86,753 Lazaro Garcia 500,559 Alfonse Upshaw 69,455 Diane Comer 61,510 Janet O'Hollaren 117,300 Lesley Wille 74,512 Jeffrey Collins 70,897 Kathleen Scheirman 61,868 Donald Orndoff 95,724 John Yamamoto 47,939 Max Villalobos 48,387 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 I, LINE 8 CERTAIN AMOUNTS REPORTED IN FORM 990, PART VII, WERE PAID OR ACCRUED PURSUANT TO A CONTRACT THAT WAS SUBJECT TO THE INITIAL CONTRACT EXCEPTION DESCRIBED IN REGULATIONS SECTION 53.4958-4(A)(3). FIXED PAYMENTS WERE PAID TO OR ACCRUED FOR FIVE OFFICERS IN 2020. 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. PART VII, LINE 5 COMPENSATION FROM AN UNRELATED ORGANIZATION ONE OFFICER RECEIVED COMPENSATION FROM AN UNRELATED ORGANIZATION, ALVAREZ & MARSAL HOLDINGS, LLC. A 2003 CALIFORNIA STATEWIDE CMNTYS DEV AUTH 521598225 130911RW2 2003-08-06 213060000 PAR REFUNDING CHFFA 83,85,93 SER C false false false B 2004 CALIFORNIA STATEWIDE CMNTYS DEV AUTH 680164610 130911WF3 2004-03-30 1600000000 FINANCE HEALTH CARE FACILITIES false false false C 2006 CSCDA CHFFA Variable 521643828 13033FK74 2006-06-08 600000000 FINANCE HEALTH CARE FACILITIES false false false D 2008 CALIFORNIA STATEWIDE CMNTYS DEV AUTH 680164610 130795SZ1 2008-05-01 500000000 PAR REFUNDING 04A-D ARS BONDS& 04H false false false A 168620000 0 213060000 0 0 0 0 0 0 0 213060000 0 true false true true B 879480000 0 1639884612 0 88159219 0 6375000 10073543 0 1535276850 0 0 2009 false false true true C 73800000 0 602245615 0 5674726 0 0 0 0 596570889 0 0 2009 false false true true D 380000000 0 500000000 0 0 0 0 0 0 0 500000000 0 true false true true A 0 B false true true false true false 0 false false false true C false true true false true false 0 false false false true D false true true false true false 0 false false false true A false true true false 0 false 0 false true B false true true false 0 false 0 true true C false true true false 0 false 0 false true D false true true false 0 false 0 false true A true B true C true D true 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 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 A 2009 CALIFORNIA STATEWIDE CMNTYS DEV AUTH 680164610 130795D38 2009-06-03 1638437048 FINANCE HEALTH CARE FACILITIES false false false B 2008 CALIFORNIA STATEWIDE CMNTYS DEV AUTH 680164610 130795TP2 2009-05-29 149996162 REOFFERING OF 2008C CSCDA (PREMIUM false false false C 2012 CALIFORNIA STATEWIDE COMNTYS DEV AUTH 680164610 1307955G8 2012-04-18 1007791119 FINANCE HEALTH CARE FACILITIES false false false D 2017 CALIFORNIA HEALTH FACILITIES FINANCING AUTH 521643828 13032UMQ8 2017-05-03 1528834768 REFUNDING OF PROJECTS (2002C,2011, false false false A 894510000 0 1639188993 0 71262216 0 0 0 0 1567926777 0 0 2011 false false true true B 3131162 0 149996162 0 0 0 0 0 0 0 149996162 0 true false true true C 100000000 0 1007791119 0 0 0 0 0 0 1007791119 0 0 2014 false false true true D 0 0 1528834768 0 0 0 41768 0 0 0 1528793000 0 true false true true A false true true false true false 0 false false false true B false true true false true false 0 false false false true C false true true false true false 0 false false false true D false true true false true false 0 false false false true A false true true false 0 false 0 false true B false true true false 0 false 0 false true C false true true false 0 false 0 false true D false true true false 0 false 0 false true A true B true C true D true A 2017 CALIFORNIA HEALTH FACILITIES FINANCING AUTH 521643828 13032UMP0 2017-05-03 812493279 FINANCE HEALTH CARE FACILITIES false false false A 0 0 812511867 0 0 0 0 0 0 812511867 0 0 false false false true A false true true false true false 0 false false false true A false true false false 0 false 0 false true A true Phyllis Anderson FAMILY MEMBER OF KEY EMPLOYEE 402221 COMPENSATION false FORM 990, PART V, LINE 4B - FOREIGN COUNTRIES CONTINUED Hong Kong Hungary INDONESIA ISRAEL INDIA JAPAN KENYA SOUTH KOREA MALAYSIA NIGERIA Philippines Pakistan POLAND QATAR RUSSIA THAILAND TURKEY TAIWAN URUGUAY 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 member Jeff Epstein and Corporate Officer Alfonse Upshaw 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, and other employees in roles with elevated risk are required to complete a Conflicts of Interest Questionnaire (COIQ). 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 to 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 COIQ process and actions taken for Directors, Officers, and Key Employees. 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 $ 500,450 Change in inter-regional transfer (121,176,663) Non-Controlling Interest Adjustment 3,242,419 Change in Other Comprehensive Income (2,147,788,627) OTTI losses (737,251,327) Gain/loss on sale on investment - Book 3,351,593,403 Gain/loss on sale on investment - Tax (2,029,198,148) ------------------ TOTAL $ (1,680,078,493) FORM 990, PART III, LINES 4A-4D I. Introduction A. About Kaiser Permanente Founded in 1942 to serve employees of Kaiser Industries and opened to the public 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. For 75 years, 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 July 21, 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 12.4 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. We are committed to improving the health of our communities. We do that by ensuring health access, improving community conditions for health and equity, and advancing the future of community health through innovation. We also share our financial resources, research, nurses and physicians, and our clinical practices and knowledge through a variety of grantmaking and investment efforts. As we reflect on the past year, we must recognize that our communities - and the world - are coping with unprecedented challenges magnified by the coronavirus pandemic and a renewed struggle for racial equity and social justice. Through our continued focus on expanding our community health approach, 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 12.4 million members and the communities we serve. C. Kaiser Permanente's Total Contribution Kaiser Permanente provided $3.6 billion in 2020 to improve the health of our communities. The amounts attributable to Kaiser Foundation Hospitals is $1.5 billion as follows: * Financial Assistance at cost - $313 million * Medicaid - $741 million * Costs of other means-tested government programs - $875,000 * Community health improvement services and community benefit operations - $39 million * Health Professions Education - $133.6 million * Research - $34.5 million * Cash and in-kind contributions from community benefit - $207.5 million 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 two key vehicles: first, via our participation in government programs like Medicaid and the Children's Health Insurance Programs (CHIP), and second, 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). For Kaiser Foundation Hospitals, the main way to address health access challenges is by absorbing the cost of the care programs described above. In 2020, Kaiser Foundation Hospitals spent a total of $1.1 billion on our coverage and care programs (at cost, net of all related revenues). In addition, it provided $45.7 million in grants to help improve health access challenges, including but not limited to funding key safety-net partner organizations. 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 2020, Kaiser Foundation Hospitals was providing access to care to over 908,000 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 2020, Kaiser Foundation Hospitals was providing access to care to over 5,000 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 2020 due to Kaiser Permanente's participation in these government programs, Kaiser Foundation Hospitals also provided care to over 179,000 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 underserved 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. The MFA program is one of the most generous in the health care industry and is available to those patients in greatest need. 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 2020, Kaiser Foundation Hospitals subsidized care for approximately 232,000 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. 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 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. Kaiser Foundation Hospitals provided $2.25 million in core support grants to six safety net consortia that support 58 community clinics. These grants support the consortia's ability to meet the needs of their member clinics to grow and continue to serve their patients through advocacy, training, technical assistance, and quality improvement. In addition, these funds will support the community clinic consortia to provide direct support to their member clinics to effectively respond to the needs of their patients as a result of COVID-19, such as testing, contact tracing and vaccinations efforts. Federally Qualified Health Center (FQHCs) serve majority low-income populations within Kaiser Foundation Hospitals' service areas. As a result, FQHCs have been at the forefront of responding to the needs of communities most impacted by COVID-19. Kaiser Foundation Hospitals recognized the need to be responsive to their needs to help them respond to the pandemic as trusted health care providers. To that end, Kaiser Foundation Hospitals provided eleven health care safety net providers with grants totaling $1.4 million to directly help them respond to the COVID-19 pandemic. Grant funds are being used to support testing, purchase personal protective equipment, and outreach to patients disproportionately impacted by the pandemic to educate on risk reduction. Kaiser Foundation Hospitals is committed to not only building partnerships with the institutions that play a critical role in delivering health care for the uninsured and underserved but also in partnering with organizations that help connect this population to care and coverage. In 2020, Kaiser Foundation Hospitals provided $488,472 of funding in support of operations for Project Access NOW. This organization connects uninsured and underserved individuals and families to care, including pharmacy services, resources e.g., premium and cost sharing assistance programs, and coverage. Project Access NOW's suite of programs provide options for people who might otherwise be left behind, including low-income, immigrant, undocumented and non-English speaking community members. These programs can follow patients through their healthcare journey, help them navigate the complex medical system and ensure that they get the care they need. 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 social health and equity in the community by addressing the root causes of health, such as food insecurity, economic opportunity, affordable housing, and safe and supportive schools. 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. In 2020, Kaiser Foundation Hospitals spent a total of $162.6 million on charitable contributions designed to improve conditions for social health. A. Food for Life Rooted in the belief that nobody should go hungry in America, the nation's largest integrated, nonprofit health system is again going beyond traditional care delivery to tackle one of the most basic human needs - access to affordable, healthy food. Before COVID-19, 1 in 9 households in the United States were at risk for food insecurity, the lack of consistent access to adequate food because of limited resources. Feeding America now estimates this to be 1 in 6 adults and 1 in 4 children, with the potential to double as COVID-19 continues to unfold. Food for Life is a comprehensive approach for transforming the economic, social, and policy environments connected to food so that people across the nation have access to, and can afford, healthy food. Kaiser Permanente is supporting diverse community partners who are increasing purchasing power for food, providing meal and nutrition distribution with an emphasis on equity, and driving essential change in food system policy and research. The following demonstrates the range of community organizations supported through partnerships and funding to address the rising food security demands in response to the COVID-19 pandemic. Kaiser Foundation Hospitals funded $1.7 million to organizations across Northern California to ensure that all eligible individuals in our communities have access to governmental nutrition programs like CalFresh. This funding creates innovations for outreach and enrollment in the time of COVID-19, strategies that advance equity or target underserved communities, and allows for participation in national, state, and local policy activities that increase access to healthy, affordable food for at-risk populations. The impact will be measured both in how CalFresh enrollment is increased as well as desired sustainable policy and practice changes. Kaiser Foundation Hospitals supported Nourish California's "Fair access to food for a healthy life" project, which aims to address inequities in food access across the state of California. The target population is Californians below 200% of the Federal Poverty level. The partnership will also be used to address stark inequities faced by Black, Latinx, and immigrant households. Some of the work will address immediate needs emerging from the current health and economic crises but most of the efforts will focus on putting policy and system changes in place for the long term. Kaiser Foundation Hospitals funded $200,000 to Alameda County Sheriff's Deputy Activities League. The Dig Deep Farms Food Hub Expansion program will increase food security and economic empowerment. This program will create a network of integrated food businesses in the community that collectively improve access to healthy food, create jobs, incubate small businesses, and boost the livelihood of those who cultivate, grow and sustain local farms and local businesses. The grant will provide additional internships to workers reentering the community from incarceration; expand the number of hours available for urban farmers and "farmacy" staff for expanding Food as Rx operations; and grow food entrepreneurship among low income county residents while also distributing meals and produce to food-insecure residents. B. 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. In June 2020, we announced a series of actions to address systemic racism and lack of economic opportunities that have persisted for far too long and prevented communities of color, and especially Black communities, from achieving total health. As a critical step toward supporting communities in overcoming systemic and structural disadvantages, we committed to providing support to businesses owned by Black and other underrepresented people across the country. The following demonstrates our key efforts in 2020 to support economic opportunity: Kaiser Foundation Hospitals partnered with Inner-City Capital Connections (ICCC) to directly support small minority and women-owned businesses in the Central Valley including Fresno, Sacramento and Stockton, in San Diego, Riverside and San Bernardino counties, in the city of Portland, and throughout the State of Hawaii. This program aims to build their capacity for sustainable growth in revenue, profitability, and employment through a combination of in-person executive education, webinars, coaching, and connections to capital. The Inner-City Capital Connections program is a national scaling partner selected to achieve Kaiser Permanente's economic opportunity strategy of supporting small businesses in our communities, with a focus on businesses owned by Black/other People of Color. ICCC has responded to the pressing needs of small businesses in response to the pandemic by substantially changed its signature program of free executive training to small business owners by moving to a virtual platform and is maintaining updated educational materials through webinars and its website, to support small businesses navigate the rapidly changing environment. Small businesses, particularly those in under-resourced communities, are being hit the hardest by the economic impact of the COVID-19 crisis. Now, more than ever, they require access to capital, one-on-one coaching, and capacity-building education, which are fundamental components of the ICCC program. In addition, Kaiser Foundation Hospitals partnered with SFMade to support a vibrant manufacturing sector in the Bay Area. SFMade will strengthen Bay Area manufacturing resiliency by providing local manufacturers with one-on-one advising, access to capital and local resources so that they can survive, stay and grow in the area, and we will help them retain and hire diverse low-income individuals across the region to enable that growth. And through the Bay Area Urban Manufacturing Initiative, SFMade will leverage the Bay Area's interwoven economies and communities to grow manufacturing jobs and pathways to economic inclusion across all 9 Bay Area counties through city-to-city interactions, learning, and cooperation - particularly during the COVID-19 crisis. Kaiser Foundation Hospitals supported Bay Area Community Services with a $250,000 grant, of which $125,000 was paid in 2020. Bay Area Community Services is the lead agency in the "Keep Oakland Housed" collaborative. Bay Area Community Services' Project Upward Mobility program will provide economic empowerment through employment support and housing stabilization, will serve individuals and families that were identified and served through Keep Oakland Housed' targeted homeless prevention program and who have further instability caused by loss of employment, under-employment, and COVID-related impacts. The Project aims to deeply support these individuals and families with employment support by creating a formal Employment & Housing Stability Collaborative that will function to create and implement a system of care model. C. 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. COVID-19 continues to impact social health needs in our communities, and people experiencing homelessness or housing insecurity are at increased risk. Nationwide, people of color are more affected by homelessness and housing insecurity, made worse by the pandemic. The health crisis and economic fallout from the pandemic are hitting low-income and communities of color hardest and threaten to widen the health equity gap in our country even further. As Kaiser Permanente continues to respond on the front lines of the COVID-19 pandemic, we are accelerating efforts to increase affordable housing, address homelessness, and advance equity in the communities we serve. Kaiser Permanente's multipronged approach to increase affordable housing and address homelessness helps improve the health outcomes of the people who live in the communities we serve. The following demonstrates our key efforts in 2020 to support housing insecurity and homelessness: Kaiser Foundation Hospitals partnered with Enterprise Community Partners to support the California Housing Services & Operating Subsidy Fund for Project Homekey. The partnership will establish a fund to support operating costs and wraparound service supports for new state-acquired housing units, meeting a critical need of permanent housing for people experiencing homelessness across the state and providing vital wraparound services to ensure the state's most vulnerable families and individuals remain safely housed now, during the COVID-19 pandemic, and for the long-term. Kaiser Foundation Hospitals' leadership in this endeavor will highlight the importance of cross-sector partnerships and strategies to solve the housing and homelessness crisis. Leveraging private resources with public funding will allow increased flexibility and implementation of bold solutions for long-term success including creating key data analysis to advance models of care that result in social and physical environments that promote good health and positive outcomes. Kaiser Foundation Hospitals provided $5 million in grant funding to the City of Sacramento to support rehousing shelters. The rehousing shelters aim to reduce unsheltered homelessness among individuals and families living in Sacramento by lowering barriers to entry and providing on-site supportive services, case management, housing coordination and workforce training. The rehousing shelters will also support 24/7 hours of operations to allow guests to remain on-site during both daytime and nighttime, incorporating accommodations for guests with pets, allowing for partners and adult family configurations, allowing for storage of larger amounts of personal belongings, and co-location of robust on-site support services. Kaiser Foundation Hospitals provided support to the City of Oakland to meet a critical need for interim housing and additional wraparound services for up to 90 homeless adults at one time. About fifty percent of the population served will be frail elderly persons. While in the program, participants will be provided a safe, clean, warm, and resource-rich environment. This includes prepared meals, laundry facilities, substance abuse support, and computer access. Participants will be assisted with benefits advocacy, employment support, budgeting, rental assistance, and mental health care. When participants exit the program, they will receive up to six months of exit support including subsidies and case management services, which is critical to ensuring housing stability. D. Thriving Schools. Our efforts to support health in schools are part of how we are advancing our vision for total health - a holistic approach that emphasizes the social, environmental, behavioral, and clinical aspects that shape one's well-being. Schools are passionate about ensuring that all students succeed. They need strong partners to help them address health as part of their strategy. That's why Kaiser Permanente created Thriving Schools, our all-in engagement to improve health for students, staff, and teachers. Our vision is that every community can count on their school as a champion for good health that enables great learning. Thriving Schools is intentional about coordinating our own knowledge and existing work in school health with the good work of others. Through our valued partnerships with some of the country's most innovative organizations, we are able to provide concrete resources and pathways to health in schools. To create lasting change, we use our voice to advance local, regional, and national policies and a movement to make healthy schools the norm for everyone. Kaiser Foundation Hospitals partnered with the Alliance for Healthier Generation in 2020 to advance the RISE, Resilience in School Environments initiative, an enterprise-wide effort 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 increase job satisfaction, including reducing staff stress; improve safety, connectedness, and relationships among students and staff; increase skills related to social and emotional learning for students and staff and; increase mental health supports. As school communities address the twin pandemics of COVID-19 and racial equity, supporting social emotional health and resilience is more important now than ever. In fact, schools and districts have requested intensified RISE support and resources due to the significant effects COVID-19, racial injustice, and the economic recession are having on student, staff and teacher mental health. Additionally, Kaiser Foundation Hospitals awarded Alliance for a Healthier Generation over $829,000, of which $414,528 was paid in 2020 to expand the Health Eating, Active Living initiative to address the multidimensional health or social health needs of the school community. The initiative is designed to help schools and districts examine policies and practices to increase daily physical activity, access to nutritious food and access to and use of systems to support stable housing, food security, reliable transportation for students and school staff. The organization will leverage evidence-based strategies and best practices, including its proven six-step process to facilitate school- and district-level change and its online assessments (including the Healthy Schools Program (HSP) and the RISE Index) to create sustainable environmental change through connecting policy development and accountability at the district level to school level daily operations. Alliance for a Healthier Generation will work with the Nutrition Policy Institute to further refine and evaluate the program to ensure best practices/evidence-based strategies are deployed. Kaiser Foundation Hospitals granted $1.5 million to 34 community partners including schools, districts, and community organizations to support the activation of the Planning for the Next Normal at School Playbook. The playbook supports school leaders to maintain healthy school environments during the COVID-19 pandemic by providing a framework to understand, assess, and implement strategies for COVID-19 prevention, social drivers of health, physical activity and physical education, staff and teacher well-being, mental health and well-being, and funding. In Northern California the 34 community partners will promote the playbook and implement select playbook strategies to address the total health needs of the school community for in-person and virtual learning environments. 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 residents 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. B. Environmental Stewardship We believe it is our obligation as a health care provider to minimize our environmental impact. We embed efforts 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. In 2016, Kaiser Permanente adopted an ambitious set of environmental goals to guide the organization for the decade ahead. These goals have raised the bar on environmental responsibility, not just for Kaiser Permanente but for all health care organizations. Kaiser Permanente pledges that by 2025 it will: - Become "carbon net positive" by buying enough clean energy and carbon offsets to remove more greenhouse gases from the atmosphere than it emits. - Buy all of its food locally or from farms and producers that use sustainable practices, including using antibiotics responsibly. - Recycle, reuse or compost 100 percent of its non-hazardous waste. - Reduce the amount of water it uses by 25 percent per square foot of buildings. - Increase its purchase of products and materials that meet environmental standards to 50 percent. - Meet international standards for environmental management at all its hospitals. - Pursue new collaborations to reduce environmental risks to the foodsheds, watersheds and air basins supplying its communities. In September 2020, Kaiser Permanente, the nation's largest integrated, nonprofit health system, announced that it had become the first health care system in the United States to achieve carbon-neutral status. With its longstanding commitment to improving conditions that lead to poor health, Kaiser Permanente has prioritized sustainability to contribute to and catalyze a green future free of the extreme climate conditions currently harming so many Americans. This move to carbon neutrality eliminates the organization's 800,000-ton annual carbon footprint. The U.S. health care industry overall is responsible for roughly 10% of the country's greenhouse gas emissions. Climate change causes many conditions that drive poor health, including damaging extreme weather events such as wildfires, hurricanes, and droughts, increased rates of asthma and respiratory diseases, and the spread of infectious diseases such as malaria and Zika virus. Certified by the CarbonNeutral Protocol, the milestone comes as Kaiser Permanente has for decades embraced renewable energy and embedded sustainable practices throughout its business operations. In 2020, we also dedicated 23% of overall spending on products to items that met our Environmentally Preferable Purchasing standards and dedicated 41% of spending on food to items produced locally or from farms and producers that use sustainable practices, including using antibiotics responsibly. 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. Additionally, in January 2020, Kaiser Permanente and Service Employees International Union-United Healthcare Workers West (SEIU-UHW) partnered to establish Futuro Health, a new nonprofit organization dedicated to growing the largest network of certified health care workers. Efforts will start in California and spread throughout the nation. Futuro Health was established to improve the health and wealth of communities by investing in allied health education and skills training and retraining. Allied health care services, critical to delivering high-quality health care, are provided by a wide range of clinical, administrative, and support professionals including licensed vocational nurses, medical coders, health information technicians, radiologic technicians, and laboratory workers. Futuro Health will deliver a new education-to-work model that supports candidates through career exploration and coaching, education financing, and targeted education-to-work pathways toward their credential or licensure attainment. D. Research Kaiser Permanente has a long history of conducting health research related to both prevention and treatment of disease that benefits its members, the communities it serves and the nation. 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 2020, Kaiser Foundation Hospitals engaged in almost 1,600 active studies (including 530 clinical trials), and published 1,920 journal articles. Kaiser Foundation Hospitals' research center, the Division of Research (DOR) conducts research on a broad range of topics, including behavioral health and aging, cancer, cardiovascular and metabolic conditions, health care delivery and policy, and vaccines. Poor glycemic control can cause damage to various organs and lead to disabling and life-threatening complications such as cardiovascular disease, chronic kidney disease, and retinopathy (the most common cause of irreversible blindness in adults). Research findings presented at the 56th annual meeting of the European Association for the Study of Diabetes, suggest that housing insecurity may be a risk factor for poor blood sugar control. Researchers examined the relationship between housing insecurity and diabetes control in over 25,000 Northern California patients with type 2 diabetes. The researchers concluded that people with type 2 diabetes who have trouble paying rent, move frequently, stay with relatives, or spend the majority of household income on housing, may struggle with maintaining a routine, medication adherence, and prioritizing their diabetes management. Kaiser Foundation Hospitals' research center, the Department of Research & Evaluation conducts research on a broad range of topics including cancer, cardiovascular diseases, diabetes, health services research and implementation science, and obesity. Given the unique clinical features of COVID-19, physicians required targeted information to inform clinical decisions regarding patients with symptoms suspicious for COVID-19. A study published in the American Journal of Emergency Medicine reported on the developed tool, called COVAS, which looks at co-morbidities, obesity, vital signs, age, and sex. Researchers conducted a retrospective study of 26,600 emergency department visits by adults for symptoms suspicious for COVID-19 at 15 hospitals in Southern California between March 1, 2020 and April 30, 2020. This was a period of time when there was substantial community spread of COVID-19 but COVID-19 test results were not immediately available. The study concluded that physicians evaluating patients with pneumonia, COVID-19, or symptoms suspicious for COVID-19, can apply the COVAS score to assist with decisions to hospitalize or discharge patients during the COVID-19 pandemic. V. Pandemic Response Working together with our members, patients, communities, employees, and physicians, we can combat this virus. While the COVID-19 vaccine brings hope, COVID-19 still poses a dangerous risk, particularly for older individuals and people of any age with underlying health conditions. The virus continues to spread around the globe and within the United States. Given the continued growth in U.S. COVID-19 cases and the discovery of more contagious variants, Kaiser Permanente's infectious disease experts and clinicians agree that vaccinations, social distancing and masking remain the best way to protect yourself and others and decrease one's chance of getting and spreading the virus. 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 initial release of the guidelines has a strong focus on addressing COVID-19 patients' social needs to improve their health outcomes and to prevent further transmission of the virus. Nearly half of our outpatient care visits are now conducted virtually by video or phone call. Our teams have adjusted resources and services to meet the increased mail-to-home demand, which has gone from a third of all prescriptions before the pandemic to now half of all prescriptions we dispense. 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. 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