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KAISER FOUNDATION HOSPITALS: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
KAISER FOUNDATION HOSPITALS (EIN 94-1105628)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-13
IRS object ID
202013189349300041
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-13T07:17:32-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1800AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN941105628EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KAISER FOUNDATION HOSPITALSBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% CHIEF ACCOUNTING OFFICERInCareOfNm
Business Name ControlKAISBusinessNameControlTxt
Phone5102716611PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE KAISER PLAZA 15LAddressLine1Txt
CityOAKLANDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94612ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL P WALTONPersonNm
Person TitleVP & CHIEF TAX OFFICERPersonTitleTxt
Phone5102716611PhoneNum
Signature2020-10-26SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT W FRIZPreparerPersonNm
PTINP00438748PTIN
Phone2673303000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address155.201.35.65IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id23522320203185000002FederalOriginalSubmissionId
Federal Original Submission Id2020-11-13FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id96D298EEFAA49CAFA55784A527D7E90F72BA6D7BAtSubmissionCreationDeviceId
At Submission Filing Device IdC9D900096142CB839109172147C67BACA754734EAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGREGORY A ADAMSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE KAISER PLAZA 15LAddressLine1Txt
CityOAKLANDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94612ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$48,220,994,960GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.kp.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1948FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or Missionto provide high-quality, affordable health care services to improve the health of our members and the communities we serve.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee87092TotalEmployeeCnt
Total Volunteers11101TotalVolunteersCnt
Total Gross UBI$1,220,259TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$136,210,181PYContributionsGrantsAmt
CY Contributions Grants$131,322,546CYContributionsGrantsAmt
PY Program Service Revenue$26,270,046,242PYProgramServiceRevenueAmt
CY Program Service Revenue$27,250,671,562CYProgramServiceRevenueAmt
PY Investment Income$1,855,957,653PYInvestmentIncomeAmt
CY Investment Income$3,025,251,168CYInvestmentIncomeAmt
PY Other Revenue$35,436,930PYOtherRevenueAmt
CY Other Revenue$37,535,661CYOtherRevenueAmt
PY Total Revenue$28,297,651,006PYTotalRevenueAmt
CY Total Revenue$30,444,780,937CYTotalRevenueAmt
PY Grants And Similar Paid$133,361,309PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$435,125,101CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,300,950,001PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,541,165,664CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$15,853,581,525PYOtherExpensesAmt
CY Other Expenses$16,734,037,145CYOtherExpensesAmt
PY Total Expenses$25,287,892,835PYTotalExpensesAmt
CY Total Expenses$26,710,327,910CYTotalExpensesAmt
PY Revenues Less Expenses$3,009,758,171PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,734,453,027CYRevenuesLessExpensesAmt
Total Assets BOY$51,713,833,331TotalAssetsBOYAmt
Total Assets EOY$52,964,463,128TotalAssetsEOYAmt
Total Liabilities BOY$25,122,934,454TotalLiabilitiesBOYAmt
Total Liabilities EOY$23,090,642,829TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$26,590,898,877NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$29,873,820,299NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$22,699,339,371ExpenseAmt
Grant$3,962,425GrantAmt
Revenue$25,947,846,693RevenueAmt
DescPROVIDES 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.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,819,607,679ExpenseAmt
Grant$0GrantAmt
Revenue$1,159,482,673RevenueAmt
DescMEDICAID 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 2019, OVER 791,000 INDIVIDUALS WERE RECEIVING ACCESS TO INPATIENT AND EMERGENCY CARE AT KFH'S FACILITIES UNDER MEDICAID MANAGED CARE PROGRAMS IN THE STATES OF CALIFORNIA, HAWAII, OREGON, AND WASHINGTON 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.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$321,188,439ExpenseAmt
Grant$0GrantAmt
Revenue$9,624,917RevenueAmt
DescCHARITY 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 2019, THIS PROGRAM ASSISTED OVER 246,000 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, 15,000 PATIENTS WERE RECEIVING ACCESS TO COMPREHENSIVE HEALTH CARE THROUGH THESE PROGRAMS AT THE END OF 2019.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$776,504,561ExpenseAmt
Grant$431,162,676GrantAmt
Revenue$133,717,279RevenueAmt
DescSee part iii, line 4a-d descriptionDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$776,504,561TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$431,162,676TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$133,717,279TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$25,616,640,050TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgYes (true)MoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsYes (true)InvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document2722IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee87092EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryBDForeignCountryCd
Foreign CountryBRForeignCountryCd
Foreign CountryCIForeignCountryCd
Foreign CountryCHForeignCountryCd
Foreign CountryCOForeignCountryCd
Foreign CountryEZForeignCountryCd
Foreign CountryEGForeignCountryCd
Foreign CountryGRForeignCountryCd
Foreign CountryHKForeignCountryCd
Foreign CountryHUForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCHIEF ACCOUNTING OFFICERPersonNm
Phone5102716611PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE KAISER PLAZA 15LAddressLine1Txt
CityOAKLANDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94612ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (84 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Bernard Tyson
Chairman & CEO15.035.0Yes (X)Yes (X)$0$16,114,729$19,364,810
Kathryn Lancaster
EVP & CFO14.535.5Yes (X)$0$6,221,959$498,376
Gregory Adams
Chairman & CEO14.935.1Yes (X)Yes (X)$0$5,505,365$707,892
Arthur Southam
EVP, Health Plan Operations5.045.0Yes (X)$0$5,331,038$506,745
Richard Daniels
EVP, Chief Information Officer25.025.0Yes (X)$0$2,586,247$1,372,683
Julie Miller-Phipps
Region President - SCAL24.525.5Yes (X)$0$2,265,177$1,411,757
Janet Liang
Regional President - NCAL25.025.0Yes (X)$0$2,155,864$1,386,842
Kimberly Horn
Regional President - MAS5.045.0Yes (X)$0$1,607,411$1,896,063
Patrick Courneya
EVP, Chief Medical Officer22.028.0Yes (X)$0$1,751,323$1,238,244
Charles Columbus
SVP, Chief HR Officer25.025.0Yes (X)$0$2,568,164$192,629
Mark Zemelman
SVP, General Counsel & Secy17.033.0Yes (X)$0$2,074,271$328,680
Wade Overgaard
SVP, Health Plan Ops - CA10.040.0Yes (X)$0$1,826,621$415,863
Paul Swenson
SVP, Chief Strategy Officer5.045.0Yes (X)$0$1,943,187$155,186
Kathryn Beiser
SVP Chf Communications Officer4.545.5Yes (X)$0$1,567,330$478,464
Chuck Bevilacqua
SVP, Health Plan Svc & Admin10.040.0Yes (X)$0$1,664,238$376,489
Ruth Williams-Brinkley
Region President - NW25.025.0Yes (X)$0$1,571,747$415,575
James Simpson
Region President - GA5.045.0Yes (X)$0$1,647,644$322,345
George Disalvo
SVP, CFO - SCAL25.025.0$0$1,646,585$242,502Yes (X)
Susan Mullaney
Region President - WA5.045.0Yes (X)$0$1,152,270$671,616
Anthony Barrueta
SVP, Government Relations24.525.5Yes (X)$0$1,277,566$456,601
Donald Orndoff
SVP, NFS14.036.0Yes (X)$0$1,556,215$176,921
Michael Rowe
SVP, Chf Bus Dev & Strat Exec10.040.0$0$1,420,058$292,114Yes (X)
Diane Comer
SVP, Business Info Officer50.00.0$0$1,477,242$201,858Yes (X)
Roland Lyon
SVP, Natl Del System Strategy0.050.0$0$1,259,869$319,706Yes (X)
Vita Willett
SVP, Area Manager - Riverside50.00.0$0$1,151,198$413,692Yes (X)
Michael Sutten
SVP Info Technology & CTO50.00.0$0$1,454,365$96,278Yes (X)
Michael Ramseier
Region President - Colorado5.045.0Yes (X)$0$1,251,141$262,203
Thomas Hanenburg
SVP, Chief Operating Officer25.025.0$0$1,248,508$255,713Yes (X)
Kathleen Scheirman
SVP, IT Operations50.00.0$0$1,295,367$173,530Yes (X)
Jeffrey Collins
SVP,Health Plan &Hospital Opns50.00.0$0$1,251,808$187,418Yes (X)
Arlene Peasnall
Interim SVP, Chief HR Officer25.025.0Yes (X)$0$1,091,088$347,414
Thomas Meier
SVP, Corporate Treasurer18.032.0Yes (X)$0$1,177,748$260,343
Ron Groepper
SVP, Area Manager - Greater SF50.00.0$0$1,234,432$157,553Yes (X)
Mark Costa
SVP, Area Manager Large50.00.0$0$1,160,768$200,992Yes (X)
William Caswell
SVP, Operations50.00.0$0$1,144,707$212,272Yes (X)
Chandrika Bhalla
SVP, CFO - NCAL25.025.0$0$1,040,064$305,846Yes (X)
Corwin Harper
SVP, Area Mgr - Central Valley50.00.0$0$1,106,277$227,261Yes (X)
Laurel Junk
SVP, Enterprise Shared Svcs10.040.0Yes (X)$0$1,039,388$282,228
Vanessa Benavides
SVP,Chf Compliance & Priv. Off20.030.0Yes (X)$0$1,058,543$257,086
Bechara Choucair
SVP, Chief Cmty Health Officer25.025.0Yes (X)$0$983,868$326,601
Janet O'Hollaren
VP, COO0.050.0$0$799,487$510,108Yes (X)
Colleen Mckeown
SVP, Area Manager Large50.00.0$0$947,021$347,486Yes (X)
Christine Robisch
SVP,Operations-Op Strat &Impln50.00.0$0$884,891$406,646Yes (X)
Elizabeth Finley
SVP, Area Manager - San Diego50.00.0$0$776,896$410,614Yes (X)
Ronald Vance
Interim Regional President -HI20.030.0Yes (X)$0$1,186,875$0
Greg Christian
SVP, Area Mgr - San Bernadino50.00.0$0$859,365$323,456Yes (X)
Christopher Boyd
SVP, Area Manager Large50.00.0$0$1,000,194$168,385Yes (X)
Alfonse Upshaw
SVP,Corporate Controller & CAO15.035.0Yes (X)$0$948,792$200,172
Tami Lamp
SVP, Chief HR Officer25.025.0Yes (X)$0$1,111,557$25,770
Lesley Wille
SVP, Operations50.00.0$0$788,885$327,744Yes (X)
Patricia Harvey
SVP, Qlty, Reg, & Clinical Ops50.00.0$0$744,071$293,376Yes (X)
David Underriner
Region President - HI25.025.0Yes (X)$0$987,719$19,237
Michelle Gaskill
SVP,Health Plan &Hospital Opns50.00.0$0$828,997$171,410Yes (X)
John Yamamoto
Assistant Secretary25.025.0$0$657,242$337,340Yes (X)
Philip Young Jr
Assistant Secretary25.025.0Yes (X)$0$606,595$273,517
Gerald A Mccall
SVP, Operations50.00.0$0$817,677$25,008Yes (X)
Max Villalobos
COO - North County50.00.0$0$507,734$297,992Yes (X)
Matthew Weber
Assistant Secretary25.025.0Yes (X)$0$549,146$209,093
Hong-Sze Yu
VP, Brd & Corp Gov & Asst Secy13.536.5Yes (X)$0$383,934$286,903
Frank Richardson
Assistant Secretary - HI25.025.0Yes (X)$0$384,859$230,842
Kristin Bear
Assistant Secretary17.033.0Yes (X)$0$369,075$214,980
Cesar Villalpando
SVP, Enterprise Shared Svcs0.00.0$0$211,698$268,565Yes (X)
Bernice Gould
Assistant Secretary20.529.5Yes (X)$0$234,945$198,256
Judith Coffey
SVP, Area Manager Group - NCAL50.00.0$0$353,140$71,494Yes (X)
Deborah Friberg
Bus Planning & Corp Dev't Exec0.050.0$0$302,967$120,193Yes (X)
Rochelle Roth
Assistant Secretary14.036.0$0$225,154$146,499Yes (X)
Margaret E Porfido J
Director2.04.0Yes (X)$0$301,762-$23,196
Edward YW Pei
Director3.04.5Yes (X)$0$252,531$19,000
Cynthia A Telles PHD
Director3.26.5Yes (X)$0$270,608-$6,498
Leslie S Heisz
Director2.03.0Yes (X)$0$253,287$8,494
Judith A Johansen JD
Director3.06.0Yes (X)$0$272,875-$13,027
Regina M Benjamin MD
Director3.05.5Yes (X)$0$219,168$36,843
Ramon F Baez
Director2.03.9Yes (X)$0$250,030$1,555
Maryann Bodayle
Assistant Secretary22.028.0Yes (X)$0$177,929$69,541
Richard P Shannon MD
Director2.03.5Yes (X)$0$235,500$8,391
David J Barger
Director3.56.5Yes (X)$0$227,000$4,554
David F Hoffmeister
Director4.05.5Yes (X)$0$234,880-$3,793
Jeffrey E Epstein
Director3.05.5Yes (X)$0$251,395-$26,164
A Eugene Washington
Director3.04.0Yes (X)$0$232,045-$8,669
Raymond Baxter
SVP, CB Research & Hlth Policy0.00.0$0$115,609$39,447Yes (X)
Mary Ann Barnes
Region President - HI0.00.0$0$153,060$0Yes (X)
Daniel Garcia
SVP, Chief Compliance Officer0.00.0$0$58,564$0Yes (X)
Kim J Kaiser
Director0.00.5$0$39,460$0Yes (X)
William Graber
Director0.00.0$0$10,284$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$69,343,318TotReportableCompRltdOrgAmt
Total Other Compensation$33,843,653TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K35822IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (true)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CARDINAL HEALTH
5426 LANDERS RDSHERWOODAR72117CONSULTING SERVICES$435,701,040
ROSE INTERNATIONAL INC
16305 SWINGLEY RIDGE RD STE 350CHESTERFIELDMO63017STAFFING SERVICES$433,657,992
COGNIZANT TECHNOLOGY SOLUTIONS
500 FRANK W BURR BLVDTEANECKNJ07666DIGITAL TECHNOLOGY$167,309,620
BLACKSTONE CONSULTING INC
11726 SAN VICENTE BLVDLOS ANGELESCA90049CONSULTING SERVICES$165,374,851
ORACLE AMERICA INC
500 ORACLE PKWYREDWOOD SHORESCA94085CONSULTING SERVICES$119,925,667
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K315CntrctRcvdGreaterThan100KCnt
Fundraising$0FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$110,148,632GovernmentGrantsAmt
All Other Contributions$21,173,914AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$131,322,546TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
HOSPITAL SERV REV622110$22,993,152,035$22,993,152,035$0$0
NON-PLAN & IND REV622110$913,459,220$913,459,220$0$0
OTHR PRGM SERV REV622110$2,896,880,729$2,894,757,433$2,123,296$0
MEDICARE PAYMENTS622110$447,179,578$447,179,578$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$27,250,671,562TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,775,084,932TotalRevenueColumnAmt
Unrelated Business Revenue-$3,955,724UnrelatedBusinessRevenueAmt
Exclusion$1,779,040,656ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,379,723RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,379,723RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,379,723TotalRevenueColumnAmt
Exclusion$2,379,723ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$19,024,181,201SecuritiesAmt
Other$2,199,058OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$17,770,393,053SecuritiesAmt
Other$5,820,970OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,253,788,148SecuritiesAmt
Other-$3,621,912OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,250,166,236TotalRevenueColumnAmt
Exclusion$1,250,166,236ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA722310$23,725,837$0$23,725,837
PARKING GARAGES812930$8,798,705$0$8,377,414$421,291
KP VENTURES900099$2,631,396$0$0$2,631,396
FieldValueIRS element (for citing)
Other Revenue Total$35,155,938OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,444,780,937TotalRevenueColumnAmt
Related Or Exempt Func Income$27,248,548,266RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,220,259UnrelatedBusinessRevenueAmt
Exclusion$3,063,689,866ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$433,926,623TotalAmt
Program Services$433,926,623ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$1,158,000TotalAmt
Program Services$1,158,000ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$40,478TotalAmt
Program Services$40,478ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$582,599TotalAmt
Program Services$550,920ProgramServicesAmt
Management And General$31,679ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,916,822,506TotalAmt
Program Services$6,540,722,168ProgramServicesAmt
Management And General$376,100,338ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$876,588,696TotalAmt
Program Services$828,924,425ProgramServicesAmt
Management And General$47,664,271ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,262,955,249TotalAmt
Program Services$1,194,282,402ProgramServicesAmt
Management And General$68,672,847ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$484,216,614TotalAmt
Program Services$457,887,468ProgramServicesAmt
Management And General$26,329,146ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$471,974TotalAmt
Program Services$0ProgramServicesAmt
Management And General$471,974ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,969,739TotalAmt
Program Services$0ProgramServicesAmt
Management And General$3,969,739ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$90,731,752TotalAmt
Program Services$0ProgramServicesAmt
Management And General$90,731,752ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,685,847TotalAmt
Management And General$5,685,847ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$421,138,110TotalAmt
Program Services$398,238,840ProgramServicesAmt
Management And General$22,899,270ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,166,219,926TotalAmt
Program Services$1,102,807,036ProgramServicesAmt
Management And General$63,412,890ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$456,392,957TotalAmt
Program Services$431,576,714ProgramServicesAmt
Management And General$24,816,243ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$17,817,531TotalAmt
Program Services$16,848,708ProgramServicesAmt
Management And General$968,823ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$16,274,009TotalAmt
Management And General$16,274,009ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$994,608,540TotalAmt
Program Services$940,526,972ProgramServicesAmt
Management And General$54,081,568ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,017,733,997TotalAmt
Program Services$962,394,988ProgramServicesAmt
Management And General$55,339,009ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$70,813,130TotalAmt
Program Services$66,962,685ProgramServicesAmt
Management And General$3,850,445ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PURCHASED MEDICAL SERVICES$4,605,291,647$4,605,291,647$0$0
BASIC CONTRACTUAL PAYMENTS$3,593,064,090$3,593,064,090$0$0
MEDICAL & OTHER SUPPLIES$2,548,883,277$2,410,288,444$138,594,833$0
PURCHASED NON-MEDICAL SVC$626,901,986$592,814,361$34,087,625$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,098,038,633TotalAmt
Program Services$1,038,333,081ProgramServicesAmt
Management And General$59,705,552ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$26,710,327,910TotalAmt
Program Services$25,616,640,050ProgramServicesAmt
Management And General$1,093,687,860ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$318,017,493BOYAmt
EOY$519,270,127EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$533,652,487BOYAmt
EOY$527,150,692EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,812,474,736BOYAmt
EOY$2,838,084,045EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$473,052,659BOYAmt
EOY$514,691,337EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$719,234,877BOYAmt
EOY$637,129,017EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$38,745,834,388LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$20,680,109,112LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$17,858,613,936BOYAmt
EOY$18,065,725,276EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$19,215,262,848BOYAmt
EOY$18,462,356,061EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$8,636,049,253BOYAmt
EOY$9,773,569,998EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,147,475,042BOYAmt
EOY$1,626,486,575EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$51,713,833,331BOYAmt
EOY$52,964,463,128EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,234,469,783BOYAmt
EOY$3,422,091,586EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$313,288,761BOYAmt
EOY$248,756,704EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,117,070,000BOYAmt
EOY$5,257,410,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,458,105,910BOYAmt
EOY$14,162,384,539EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$25,122,934,454BOYAmt
EOY$23,090,642,829EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$56,982,009BOYAmt
EOY$52,869,875EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$26,533,916,868BOYAmt
EOY$29,820,950,424EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$26,590,898,877BOYAmt
EOY$29,873,820,299EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$51,713,833,331BOYAmt
EOY$52,964,463,128EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,734,453,027ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$986,296,263NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$534,764,658OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,050,846,363OtherCostOrOtherBasisAmt
Book Value$1,050,846,363BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,090,237,247OtherCostOrOtherBasisAmt
Depreciation$12,368,085,848DepreciationAmt
Book Value$12,722,151,399BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$335,857,857OtherCostOrOtherBasisAmt
Depreciation$238,558,375DepreciationAmt
Book Value$97,299,482BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,767,128,900OtherCostOrOtherBasisAmt
Depreciation$3,083,815,675DepreciationAmt
Book Value$683,313,225BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,501,764,021OtherCostOrOtherBasisAmt
Depreciation$4,989,649,214DepreciationAmt
Book Value$3,512,114,807BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$18,065,725,276TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
ABSOLUTE RETURN FUNDS$2,272,560,910F
PRIVATE EQUITY FUNDS$6,563,522,865F
RISK PARITY FUNDS$937,486,223F
FieldValueIRS element (for citing)
Total Book Value Securities$9,773,569,998TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDescAmtAmt
DUE TO RELATED ENTITIES$4,803,779,192
LOANS PAYABLE TO EXTRNL ENTITY$4,462,730,999
POST RETIREMENT LIABILITIES$2,728,217,340
OTHER LONG-TERM LIABILITIES$452,722,908
RESERVE FOR WORKERS COMP RISKS$426,344,921
COMMERCIAL PAPER$380,930,871
OPERATING LEASE LIABILITIES$352,131,059
RESERVE FOR PROF/PUBLIC LIAB$262,642,408
OTHER CURRENT LIABILITIES$193,799,324
BROKER PAYABLES$99,085,517
FieldValueIRS element (for citing)
Total Liability$14,162,384,539TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part XFormAndLineReferenceDesc
ExplanationASC 740 Footnote: The organization's financial statements do not include a footnote under ASC 740.ExplanationTxt

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (8 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
South AmericaInvestments$198,358,000
East Asia and the PacificInvestments$312,547,000
Europe (Including Iceland and Greenland)Investments$444,262,000
Russia and the Newly Independent StatesInvestments$2,362,000
Middle East and North AfricaInvestments$23,623,000
South AsiaInvestments$2,486,000
Sub-Saharan AfricaInvestments$1,437,000
Central America and the CaribbeanInvestments$6,124,469,000
FieldValueIRS element (for citing)
Subtotal Spent$7,109,544,000SubtotalSpentAmt
Total Spent$7,109,544,000TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (2 entries)

RegionRegionTxtPurpose Of GrantPurposeOfGrantTxtCash GrantCashGrantAmt
North AmericaResearch$20,303
North AmericaResearch$20,175
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (true)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (true)ForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other350.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$321,188,440TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,624,918DirectOffsettingRevenueAmt
Net Community Benefit Expns$311,563,522NetCommunityBenefitExpnsAmt
Total Expense0.01170TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,815,901,650TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,157,859,172DirectOffsettingRevenueAmt
Net Community Benefit Expns$658,042,478NetCommunityBenefitExpnsAmt
Total Expense0.02460TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,706,029TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,623,501DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,082,528NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,140,796,119TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,169,107,591DirectOffsettingRevenueAmt
Net Community Benefit Expns$971,688,528NetCommunityBenefitExpnsAmt
Total Expense0.03640TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$51,157,924TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$51,157,924NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$143,825,469TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,282,995DirectOffsettingRevenueAmt
Net Community Benefit Expns$120,542,474NetCommunityBenefitExpnsAmt
Total Expense0.00450TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$150,507,493TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$110,434,284DirectOffsettingRevenueAmt
Net Community Benefit Expns$40,073,209NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$431,320,265TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$431,320,265NetCommunityBenefitExpnsAmt
Total Expense0.01610TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$776,811,151TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$133,717,279DirectOffsettingRevenueAmt
Net Community Benefit Expns$643,093,872NetCommunityBenefitExpnsAmt
Total Expense0.02410TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,917,607,270TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,302,824,870DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,614,782,400NetCommunityBenefitExpnsAmt
Total Expense0.06050TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$0BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$384,011,808ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$477,603,444CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$93,591,636MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities42HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (42 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdCritical Access HospitalCriticalAccessHospitalInd
KAISER FDN HOSPITAL - LOS ANGELES
14867 SUNSET BLVDLOS ANGELESCA90027http://www.kp.org930000077Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
KAISER FOUNDATION HOSPITAL- ROSEVILLE
21600 Eureka RdRosevilleCA95661http://www.kp.org550001681Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)B
KAISER FOUNDATION HOSPITAL - FONTANA
39961 SIERRA AVEFONTANACA92335http://www.kp.org240000159Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
KAISER FDN HOSPITAL - SANTA CLARA
4700 LAWRENCE EXPRESSWAYSANTA CLARACA95051http://www.kp.org070000661Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
KAISER FOUNDATION HOSPITAL - OAKLAND
5275 W MACARTHUR BLVDOAKLANDCA94611http://www.kp.org140000052Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
KAISER FDN HOSP - SUNNYSIDE MED CTR
610180 SOUTHEAST SUNNYSIDE RDCLACKAMASOR97105http://www.kp.org1073Yes (X)Yes (X)Yes (X)Yes (X)F
KAISER FOUNDATION HOSPITAL - DOWNEY
79333 IMPERIAL HIGHWAYDOWNEYCA90242http://www.kp.org930000078Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
MAUI MEMORIAL MEDICAL CENTER
8221 Mahalani StreetWailukuHI96793mauihealthsystem.org3-HYes (X)Yes (X)Yes (X)E
KAISER FDN HOSPITAL - SD (Clairemont)
99455 CLAIREMOMT MESA BLVDSAN DIEGOCA92123http://www.kp.org080000062Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)C
KAISER FDN HOSPITAL- SOUTH SACRAMENTO
106600 BRUCEVILLE RDSOUTH SACRAMENTOCA95823http://www.kp.org030000228Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
KAISER FDN HOSPITAL - SAN FRANCISCO
112425 GEARY BLVDSAN FRANCISCOCA94115http://www.kp.org220000188Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
KAISER FOUNDATION HOSPITAL - HONOLULU
123288 MOANALUA RDHONOLULUHI96819http://www.kp.orgOHCA#31-HYes (X)Yes (X)Yes (X)Yes (X)G
KAISER FOUNDATION HOSPITAL - ANAHEIM
133440 E LA PALMA AVEANAHEIMCA92806http://www.kp.org060000091Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)C
KAISER FOUNDATION HOSPITAL - VALLEJO
14975 SERENO DRVALLEJOCA94589http://www.kp.org110000026Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
KAISER FDN HOSPITAL - SACRAMENTO
152025 MORSE AVESACRAMENTOCA95825http://www.kp.org030000052Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
KAISER FDN HOSPITAL - WALNUT CREEK
161425 S MAIN STWALNUT CREEKCA94596http://www.kp.org140000290Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
KAISER FDN HOSPITAL - SAN LEANDRO
172500 MERCED STSAN LEANDROCA94577http://www.kp.org550002678Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
KAISER FOUNDATION HOSPITAL- RIVERSIDE
1810800 MAGNOLIA AVERIVERSIDECA92505http://www.kp.org250000327Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
KAISER FOUNDATION HOSPITAL - MODESTO
194601 DALE RDMODESTOCA95356http://www.kp.org030000393Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)D
KAISER FOUNDATION HOSPITAL - SAN JOSE
20250 HOSPITAL PARKWAYSAN JOSECA95119http://www.kp.org070000117Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
KAISER FOUNDATION HOSPITAL - ONTARIO
212295 S VINEYARD AVEONTARIOCA91761http://www.kp.org240000159Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
KAISER FDN HOSPITAL - SOUTH BAY
2225825 S VERMONT AVEHARBOR CITYCA90710http://www.kp.org930000079Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
KAISER FOUNDATION HOSPITAL - IRVINE
236640 ALTON PARKWAYIRVINECA92618http://www.kp.org060000091Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)C
KAISER FDN HOSPITAL - BALDWIN PARK
241011 BALDWIN PARK BLVDBALDWIN PARKCA91706http://www.kp.org930000920Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)D
KAISER FDN HOSPITAL- SAN DIEGO(ZION)
254647 ZION AVESAN DIEGOCA92120http://www.kp.org0800062Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)C
KAISER FDN HOSPITAL - SANTA ROSA
26401 BICENTENNIAL WAYSANTA ROSACA95403http://www.kp.org110000213Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
KAISER FDN HOSPITAL - W LOS ANGELES
276041 CADILLAC AVELOS ANGELESCA90034http://www.kp.org930000081Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)C
KAISER FDN HOSPITAL - PANORAMA CITY
2813652 CANTARA STPANORAMA CITYCA91402http://www.kp.org930000080Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)C
KAISER FOUNDATION HOSPITAL - FRESNO
297300 N FRESNO STFRESNOCA93720http://www.kp.org040000384Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
KAISER FDN HOSPITAL - REDWOOD CITY
301100 VETERANS BLVDREDWOOD CITYCA94063http://www.kp.org220000021Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
KAISER FDN HOSPITAL - WOODLAND HILLS
315601 DE SOTO AVEWOODLAND HILLSCA91367http://www.kp.org930000358Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)C
KAISER WESTSIDE MEDICAL CENTER
322875 NW STUCKI ROADHILLSBOROOR97124http://www.kp.org14-1472Yes (X)Yes (X)Yes (X)Yes (X)F
KAISER FOUNDATION HOSPITAL- VACAVILLE
331 QUALITY DRVACAVILLECA95688http://www.kp.org550001207Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
KAISER FOUNDATION HOSPITAL - ANTIOCH
344501 SAND CREEK RDANTIOCHCA94531http://www.kp.org550000614Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
KAISER FDN HOSP - SOUTH SAN FRANCISCO
351200 EL CAMINO REALSOUTH SAN FRANCISCOCA94080http://www.kp.org220000022Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
KAISER FDN HOSPITAL - SAN RAFAEL
3699 MONTECILLO RDSAN RAFAELCA94903http://www.kp.org110000357Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
KAISER FOUNDATION HOSPITAL - FREMONT
3739400 PASEO PADRE PARKWAYFREMONTCA94538http://www.kp.org140000053Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
KAISER FDN HOSPITAL - MORENO VALLEY
3827300 IRIS AVEMORENO VALLEYCA92555http://www.kp.org550000810Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
KAISER FOUNDATION HOSPITAL - RICHMOND
39901 NEVIN STRICHMONDCA94801http://www.kp.org140000052Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
KAISER FOUNDATION HOSPITAL - MANTECA
401777 W YOSEMITE AVEMANTECACA95336http://www.kp.org030000393Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
KULA HOSPITAL
41100 Keokea PlaceKulaHI96790mauihealthsystem.org25-HYes (X)Yes (X)Yes (X)EYes (X)
LANAI COMMUNITY HOSPITAL
42628 SEVENTH STREETLANAI CITYHI96763mauihealthsystem.org28-HYes (X)Yes (X)Yes (X)EYes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (7 entries)

First Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndOther WebsiteOtherWebsiteIndOther Website URLOtherWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctOther CriteriaOtherCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndProvided Nonprofit ContactProvidedNonprofitContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicaid Medcr PrvtLookBackMedicaidMedcrPrvtIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndProspective Medicare MedicaidProspectiveMedicareMedicaidIndOther Actions TakenOtherActionsTakenIndLook Back MedicareLookBackMedicareInd
A-26 Facilities - See Part V Sec C
falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)19Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)http://www.kp.org/chnaYes (X)Yes (true)20Yes (true)http://www.kp.org/chnafalseYes (true)Yes (X)350.0.Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)http://www.kp.org/mfa/Yes (X)http://www.kp.org/mfa/Yes (X)http://www.kp.org/mfa/Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
B-1 FACILITY - SEE PART V SEC C
falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)19Yes (true)falsefalseYes (true)Yes (X)http://www.kp.org/chnaYes (X)Yes (true)20Yes (true)http://www.kp.org/chnafalseYes (true)Yes (X)350.0.Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)http://www.kp.org/mfa/Yes (X)http://www.kp.org/mfa/Yes (X)http://www.kp.org/mfa/Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
C-7 Facilities - See Part V Sec C
falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)19Yes (true)Yes (true)falseYes (true)Yes (X)http://www.kp.org/chnaYes (X)Yes (true)20Yes (true)http://www.kp.org/chnafalseYes (true)Yes (X)350.0.Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)http://www.kp.org/mfa/Yes (X)http://www.kp.org/mfa/Yes (X)http://www.kp.org/mfa/Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
D-2 Facilities See Part V Sec C
falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)19Yes (true)falseYes (true)Yes (true)Yes (X)http://www.kp.org/chnaYes (X)Yes (true)20Yes (true)http://www.kp.org/chnafalseYes (true)Yes (X)350.0.Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)http://www.kp.org/mfa/Yes (X)http://www.kp.org/mfa/Yes (X)http://www.kp.org/mfa/Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
E-3 Facilities See Part V Sec C
falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)19Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)http://www.kp.org/chnaYes (true)20Yes (true)http://www.kp.org/chnafalseYes (true)Yes (X)250.0.Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)http://www.mauihealth.orgYes (X)http://www.mauihealth.orgYes (X)http://www.mauihealth.orgYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (true)falsefalseYes (X)
F-2 Facilities See Part V Sec C
falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)19Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)http://www.kp.org/chnaYes (X)Yes (true)20Yes (true)http://www.kp.org/chnafalseYes (true)Yes (X)300.0.Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)http://www.kp.org/mfa/Yes (X)http://www.kp.org/mfa/Yes (X)http://www.kp.org/mfa/Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)falsefalseYes (X)Yes (X)
G-1 Facility See Part V Sec C
falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)19Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)http://www.kp.org/chnaYes (X)Yes (true)20Yes (true)http://www.kp.org/chnafalseYes (true)Yes (X)300.0.Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)http://www.kp.org/mfa/hawaiiYes (X)http://www.kp.org/mfa/hawaiiYes (X)http://www.kp.org/mfa/hawaiiYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalseYes (X)

Supplemental Information SupplementalInformationGrp (74 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
GlossaryAdverse Childhood Experiences (ACES) Community Based Organization (CBO) Community Benefits Advisory Council (CBAC) Community Health Impact Coalition (CHIC) Community Health Needs Assessment (CHNA) Federally Qualified Health Center (FQHC) Health Eating and Active Living (HEAL) Kaiser Permanente (KP) Maui Health System (MHS) Regional Occupational Program (ROP) A, 1, KFH - LOS ANGELES EXPLANATIONS PART V, SECTION B. Line 5: Residents, community leaders, and government and public health department representatives were selected for the CHNA sample. Selection criteria across these groups included (a) those best able to respond in rich detail to the strategic learning questions, (b) those who had expertise in local health needs, (c) those who resided and/or provided services in an under- resourced or medically underserved community, and (d) those able to represent the health needs of a given racial or ethnic minority group. Given the large size of the KFH-Los Angeles service area, community engagement efforts set out to target those geographies most under- resourced and where health outcomes were the poorest. Once selected for engagement, participants were provided the opportunity to share their perspective on targeted health needs and raise any additional health needs outside the strategic lines of inquiry. Line 6A: KFH-West Los Angeles Line 6B: 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 LA Promise Fund Los Angeles Christian Health Services Los Angeles Neighborhood Legal Services LURN Mayors Office of Resident Engagement Mi Centro/Latino Equality Alliance My Friends Place Office of Councilmember Mitch OFarrell Office of Councilmember Riu Office of Deputy Supervisor Sheila Kuehl Office of State Senator Maria Elena Durazo 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 Line 11: Health Need 1: Access to Care Long Term Goal All community members have access to timely, coordinated, high quality health care from a trained and diverse workforce. Strategic Priorities (intermediate goals) 1. Increase coverage, access and utilization of health care services for populations that are underserved, uninsured and/or underinsured. 2. Improve and build the current and emerging workforce to meet the primary care needs of the community. 3. Improve the capacity of healthcare systems to provide quality healthcare, including interventions to address the social determinants of health. Strategies & Sample Interventions 1. Provide access and comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. - The Kaiser Permanente Medicaid program provides high-quality medical care services to Medicaid eligible participants who would otherwise struggle to access care. - The Kaiser Permanente Medical Financial Assistance program provides temporary financial assistance to low-income individuals who receive care at Kaiser Permanente facilities and who cant afford medical expenses and/or cost sharing. - The Kaiser Permanente Charitable Health Coverage program provides access to comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. 2.1 Support access to care for underserved community members through grant- making and/or collaboration among community clinics, clinic networks, and other safety net providers. - With support of grant funding, Regional Associations of California (Essential Access Health) strengthen the capacity of California's community clinics and health centers and to advance local health delivery system transformation through statewide policy. - Through grant-making and/or collaboration, support efforts to provide care coordination for medically discharged, underserved patients, including the homeless, from hospitals emergency departments or inpatient facilities. - Through grant-making, support efforts to provide community-based, in-home supportive services to underserved, low-income individuals dealing with chronic disease. - Through grant-making and/or collaboration, support efforts to reduce non- critical emergency room use and help reduce hospital readmissions. 2.2 Support and implement physician and other pipeline and training programs, using evidence-based, culturally competent and patient-centered population management modules. - The Kaiser Permanente Graduate Medical Education (GME) recruits and prepares the physician workforce of the 21st century by optimizing the unique clinical and educational opportunities within Kaiser Permanentes integrated model of care, which is now considered the gold standard for improving the entire U.S. health care system. As part of their training, residents participate in rotations at school-based health centers, community clinics, and homeless shelters. - With the support of grant funding, the California Primary Care Association supports building capacity for the primary care workforce by developing a comprehensive curriculum and training program for health centers desiring to implement or sustain residency training programs and partnerships. - Through partnerships and collaborations, support health care pipeline and training programs. 3.1 Design, pilot and implement systems for screening community members with social (non-medical) needs and refer to community-based programs. - The Kaiser Permanente Thrive Local initiative integrates the social determinants of health into ongoing care plans by screening and connecting low-income individuals and families to community and government resources 3.2 Strengthen the capacity and infrastructure of community clinics to effectively prevent and manage chronic disease, including cardiovascular health and diabetes. - Transforming Cardiovascular Care in our Communities (TC3) supports community clinics, public hospitals and health systems to reduce cardiovascular disease by implementing innovative population health management practices. Health Need 2: Economic Opportunity Long Term Goal All community members experience improved economic security and access to social services, including affordable housing, educational attainment, training and employment, and healthy foods. Strategic Priorities (intermediate goals) 1. Reduce food insecurity in the community and improve access to healthy foods. 2. Preserve and improve the availability of affordable housing and improve care coordination to serve individuals experiencing homelessness and to prevent displacement. 3. Improve educational attainment and employment opportunities. Strategies & Sample Interventions 1. Design, pilot and implement programs and systems for promoting, screening and/or enrolling community members in food benefit programs. - The Kaiser Permanente Food for Life initiative delivers a multi-pronged approach to improve food security, such as the CalFresh enrollment campaign, which utilizes a multi-modal outreach to increase CalFresh enrollment for eligible community members. - With support of grant funding, the California Food Policy Advocates increases access to food sources for underserved community members by increasing the number of households and individuals that are enrolled in CalFresh and supporting the acceptance of this benefit among food retailers. 2. Support programs that procure, recover and/or redistribute food to food-insecure communities. - The Kaiser Permanente Food Recovery and Food Redistribution program envisions food services as a potential source of nutritious meals for the broader community by distributing food to food-insecure communities. - With support of grant funding, the California Association of Food Banks Farm to Family utilizes advocacy and outreach efforts to procure and provide fresh produce to food banks serving individuals and families who are food insecure. - Support the capacity of communities and anchor organizations to adopt and implement policies and programs to ensure access to healthy foods.
- The Kaiser Permanente Thriving Schools Healthy Eating Active Living(HEAL) Initiative, in partnership with Alliance for a Healthier Generation, supports Title 1 schools with the adoption and implementation of policies and practices to continuously improve the schools culture and practices around health. 2.1 Enhance the infrastructure and capacity of service providers to serve individuals at-risk of or experiencing homelessness. - Through grant-making, support safety net services focused on permanent supportive housing, vocational training and placement, and supportive services for individuals experiencing mental health conditions, chronic illness and homelessness. - Through grant-making and collaboration, improve early identification and tracking of individuals at risk of homelessness or suffering from chronic homelessness. 2.2 Support and participate in collaboratives that coordinate resources and funding streams for individuals at risk or experiencing homelessness. - Kaiser Permanente, Southern California is a key partner in the United Way Funders Collaborative (Home for Good), which brings together stakeholders, funders, and leaders all working to address housing affordability and homelessness. The collaborative was a key contributor to the development of the countys Coordinated Entry System (CES) lead agencies that connect homeless individuals to services. 3.1 Support the long-term economic vitality of communities through procurement, hiring and workforce development, and/or small business development impact investing. - Hire and provide training to people who are striving to overcome employment barriers, including homelessness, incarceration, substance abuse, mental illness, and limited education. - The Kaiser Permanente, High Impact Hiring is a talent-sourcing strategy that aligns business needs with positive community impact. High Impact Hiring creates career opportunities for people with employment barriers, focusing on specific populations of disadvantaged people or specific geographic areas. - Through grant-making expand training and employment opportunities to vulnerable or marginalized populations including the disabled, and increase workers incomes, through efforts such as earned income tax credits and increasing the minimum wage. Health Need 3: Mental and Behavioral Health Long Term Goal All community members have optimal levels of mental health and well-being through improved equitable access to evidence- based, high quality, appropriate care and reduced effects of stigma. Strategic Priorities (intermediate goals) 1. Improve access and connection to mental healthcare in clinical and community settings. 2. Improve and build the current and emerging mental health workforce to meet community needs. 3. Reduce mental health stigma and improve knowledge, capacity and resilience in individuals, communities, and organizations. Strategies & Sample Interventions 1.1 Support the infrastructure and capacity building of community organizations and clinics to improve access to quality mental health care. - Through grant-making and collaboration, support efforts to improve and increase early detection using evidenced- based mental health screening tools in clinical settings, organizations, agencies and other community settings. - Through grant-making and collaboration, support efforts to improve access to high quality substance abuse treatment, including medication- assisted treatments, to decrease the burden of addiction and promote resiliency and recovery. 1.2 Support the integration of mental health care, case management, and navigation services into clinical care and community settings. - Through grant-making, increase access for the underserved to mental and behavioral health professionals using a variety of new, technology- based modalities, such as telehealth. - Through grant-making and collaboration, support efforts to link uninsured and underinsured families to medical, mental and other supportive services. 1.3 Support community-based, multi-sector collaborative efforts that support mental health and behavioral health for underserved, low-income individuals and their families. - Support access to outpatient and inpatient mental and behavioral health services for vulnerable low-income community members. 2.1 Support the education and training of licensed mental health professionals to be culturally competent. - Support training for group home foster care providers in Southern California so that they can become certified as Short Term Residential Therapeutic Programs (STRTP). - Support the utilization of pipeline and training programs to increase the number of licensed and diverse mental health professionals. - Support the expansion of mental and behavioral health certification and training programs to increase the availability of culturally and linguistically qualified practitioners. 3.1 Support efforts to improve the community and social support systems knowledge, attitudes, beliefs and perceptions about mental health, trauma and resilience. - Support efforts to educate individuals to reduce their misconceptions about mental health and learn about trauma, resilience, and resources, including proper use of medication. - Implement the Public Good Projects Action Minded campaign, a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners in reducing stigma towards mental health conditions. Health Need 4: Sexually Transmitted Infections/HIV Long Term Goal Improve health and quality of life through prevention, detection, and treatment of STIs/HIV and the associated risk factors. Strategic Priorities (intermediate goals) 1. Improve access to STI/HIV preventive and treatment services including affordable medications and behavioral counseling and support. Strategies & Sample Interventions 1.1 Build capacity for organizations to expand their offering of evidence-based programs addressing STI/HIV prevention and management, and behavioral and mental health services to populations at high risk for or with STIs/HIV. - Through grant-making and collaboration, support awareness of STIs/HIV risk factors and proactively offer on-demand STIs/HIV screenings and prophylactic treatment to vulnerable populations. - Through grant-making, promote and encourage referral to and provision of high-quality health care including specialty care for populations at high-risk for STIs/HIV and their partners. - Through grant-making, support STIs/HIV education, prevention and stigma reduction efforts. - Through grant-making, support efforts to integrate primary, mental and behavioral health to reduce transmission of STIs/HIV. Health needs KFH-Los Angeles does not intend to address While all the health needs prioritized in the 2019 Community Health Needs Assessment process are important to address, the implementation strategy planning process requires KFH-Los Angeles to conduct a selection process based on critical criteria including health need severity, magnitude, inequity, and the extent to which KFH-Los Angeles is in a position to meaningfully address the need. All of the selected health needs are those that meet this criteria an which KFH-Los Angeles is in a position to directly address. While structural exclusion has not been selected as a priority health need per se, many of the interventions have been developed to respond specifically to situations in which vulnerable populations (LGBTQ, immigrants, Latinos, African Americans and the homeless) have experienced structural exclusion. Therefore, a response to this health need has been woven throughout the implementation strategy outlined by KFH-Los Angeles. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT www.kp.org/mfa/scal
B, 2, KFH ROSEVILLE Explanations Part V, Section B.Line 5: Community input was provided by a broad range of community members through key informant interviews, group interviews, and focus groups. Individuals with the knowledge, information, and expertise relevant to the health needs of the community were consulted. These individuals included representatives from health departments, school districts, local non-profits, and other regional public and private organizations as well as community leaders, clients of local service providers, and other individuals representing medically underserved, low-income, and sub-populations that face unique barriers to health (e.g., race/ethnic minority populations, individuals experiencing homelessness). Line 11: Health need 1: Access to Care Long term goal All community members have access to high quality, culturally and linguistically appropriate health care services in coordinated delivery systems Intermediate goal(s) - Increase access to comprehensive health care coverage for low income individuals - Increase access to subsidized care for those facing financial barriers to health care - Increase access to social non-medical services for low income and vulnerable populations - Increase access to a diverse, culturally competent health care workforce - Improve the capacity of health care systems to provide quality health care services - Increase literacy and practice of healthy behaviors proven to reduce downstream chronic conditions Strategies - Support access to care for patients through collaboration among community clinics, clinic networks, and other safety net providers - Support school-based health centers - Increase access to health care coverage and access for underserved communities (e.g., low income, rural, Latinx/Hispanic), including targeted outreach, enrollment, and retention strategies - Train and support community health workers and promotoras, including those with lived experience, to help people navigate the system and use evidence-based tools - Participate in Medi-Cal Managed care - Provide Charitable Health Coverage - Provide Medical Financial Assistance - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members (Food For Life) - Support screening for social non-medical service needs and connect low income individuals and families to community and government resources (Thrive Local) - Provide workforce training programs to train current and future health care providers, including physicians, mental health practitioners, physical therapy, pharmacy, nurses, and allied health professionals, with the skills and linguistic and cultural competence to meet the health care needs of diverse communities - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers (KP LAUNCH) - School for Allied Health expanding access to training and certificate programs for underrepresented individuals - Support population health management approaches that improve health outcomes for safety net patients with diabetes and hypertension (PHASE) - Support community clinic consortia to develop programs and advocate for policies that improve access to quality health care for low income individuals - Support collaborations and partner with local community-based organizations to promote healthy behaviors that mitigate chronic diseases - Educate and raise public awareness of healthy lifestyles resources Expected outcomes - Increased number of low income individuals who have comprehensive health care coverage - Increased access to and utilization of individuals with health care subsidies - Increased referrals and coordination between healthcare providers and social non-medical services - Increased number of culturally and linguistically competent health care providers - Increased number of health care career pipelines, training, and certificate programs - Improved capacity of health systems to provide population health management - Ongoing advocacy efforts of community clinic consortia to improve quality health care access for low income individuals - Evidence of increased management of chronic diseases (e.g., diabetes, hypertension) in priority populations Health need 2: Economic Security Long term goal - All community members are economically secure in order to thrive Intermediate goal(s) - Improve economic vitality of local and diverse businesses - Improve job readiness for people with barriers to employment - Increase access to living-wage jobs for people with barriers to employment - Increase high school graduation for underrepresented youth - Increase availability of affordable housing - Increase connections to support services for individuals experiencing homelessness Strategies - Increase baseline spending for local and diverse businesses - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members (Food For Life) - Support adult and young adult vocational training; programs may include job search assistance, personal development resources, and other comprehensive support services (e.g., child care) during training - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers (KP LAUNCH) - Support the development of transitional jobs (time-limited, subsidized, paid jobs intended to provide a bridge to unsubsidized employment) - Provide educational attainment and pathway programs for youth focused on increasing high school graduation rates, college readiness, preparation for careers in Science, Technology, Engineering, and Mathematics (STEM), or health care workforce training - Support impact investing strategies to preserve, rehabilitate, and/or expand affordable housing - Enhance the infrastructure and capacity of service providers to serve individuals at risk or experiencing homelessness - Funding to strengthen local homeless system of care through the Housing and Health Initiative Expected outcomes - Increased hospital spending in local and diverse businesses - Increased enrollment and participation in public benefit programs - Increased job pipelines for individuals with barriers to employment - Increased enrollment in training and education programs for living wage employment for individuals - Increased availability of affordable housing - Greater infrastructure for supporting individuals who are at risk of or experiencing homelessness - Strengthened network of support services, as well as coordinated efforts and funding for individuals who are homeless or at risk of homelessness as a result of strategic partnerships Health need 3: Healthy Eating Active Living (HEAL) Long term goal - All community members eat better and move more as part of daily life Intermediate goal(s) - Reduce food insecurity among low income families and individuals - Increase access to healthy food options - Increase access to safe parks and public spaces - Increase practice of healthy behaviors proven to reduce downstream chronic conditions Strategies - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members (Food For Life) - Leverage Kaiser Permanente clinical expertise to develop a pilot program to promote healthy eating, active living practices in the community as an obesity and diabetes mitigation strategy - Support community networks that promote for physical activity and use of existing public spaces - Support collaborations and partner with local community-benefit organizations to promote healthy behaviors that mitigate chronic diseases - Educate and raise public awareness of health care resources Expected outcomes - Increased enrollment and participation in public benefit programs - Reduction in food insecurity - Increased access to healthy and affordable foods in schools - Increased access to safe parks and green spaces - Strengthened network of support services, coordinated efforts, and funding to promote HEAL and reduce chronic diseases
Health need 4: Mental and Behavioral HealthLong term goal - All community members experience social emotional health and wellbeing and have access to high quality behavioral health care services when needed Intermediate goal(s) - Increase the capacity of organizations and institutions to provide trauma-informed services and programs - Enhance community supports to mitigate impact of ACEs - Increase access to mental and behavioral health care services for low income and vulnerable populations - Develop a diverse, well trained behavioral health care workforce that provides culturally competent care - Increase access to programs and support services for those experiencing or at risk of family violence Strategies - Support the capacity of clinics, schools, or other community-based organizations to provide trauma-informed care to youth - Provide KPs Education Theater program, Resilience Squad - Support local efforts to improve the community, school, and social support systems knowledge, attitudes, beliefs, and perceptions about mental health, trauma, and resilience across the lifespan - Increase quality and effectiveness of mental health services in local schools - Reduce stigma in the workplace for accessing mental health care - Enhance community supports and leverage Kaiser Permanente clinical expertise to mitigate impact of adverse childhood experiences - Train and support community health workers and promotoras, including those with lived experience, to help people navigate the mental health care system and use evidence-based tools - Implement the Public Good Projects Action Minded campaign, a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners, and KP employees as partners in reducing stigma towards mental health conditions - Integrate mental health care, case management, and navigation services into clinical care and community settings (e.g., schools, faith-based, and other organizations) - Participate in Medi-Cal Managed care - Provide Charitable Health Coverage - Create partnerships to place mental health post-doctoral residents in local schools and with CBO partners - Support culturally competent mental health services for low income and uninsured individuals - Develop or strengthen local mental health professions pipeline and training programs to increase the number of licensed and diverse mental health professionals (e.g., career pathways at local high schools with existing health care programs) - Provide workforce training programs to train current and future mental health practitioners with the skills and linguistic and cultural competence to meet the health care needs of diverse communities - Support local efforts to screen and serve victims of intimate partner violence (including teens), elder abuse, and abuse of vulnerable adults Expected outcomes - Increased trauma-informed services, policies, and systems - Increased organizational capacity to provide adverse childhood experiences screenings - Increased enrollment in programs to improve social/emotional wellness. - Increased screening for behavioral health needs - Increased integration of primary and behavioral health care services - Strengthened network of support services as a result of strategic partnerships to promote mental and behavioral health - Increased number of mental and behavioral health training programs with modules addressing linguistic and cultural competency - Increased number of providers trained in addressing linguistic and cultural competency - Increased participation in prevention programs and support services for those at risk of family violence Health needs KFH-Roseville does not intend to address One health need prioritized in the 2019 KFH-Sacramento CHNA report will not be addressed with the 2020-2022 implementation strategies: Women and Childrens Well-being. Roseville CHIC members ranked it lowest among the health needs as part of the Implementation Strategies prioritization process. This health need was not selected as a standalone priority, based on the 2019 CHNA data. Rather, the KFH-Roseville and the Roseville CHIC members decided that, there was ample evidence that women and children should be priority populations within each of the other health needs, such as Access to Care and Economic Security. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/NCAL
A, 3, KFH FONTANA & A, 21 ONTARIO Explanations Part V, Section B.Line 5: Residents, community leaders, and government and public health department representatives were selected for the CHNA sample. Selection criteria across these groups included (a) those best able to respond in rich detail to the strategic learning questions, (b) those who had expertise in local health needs, (c) those who resided and/or provided services in an under-resourced or medically underserved community, and (d) those able to represent the health needs of a given racial or ethnic minority group. Given the large size of the KFH-Fontana and Ontario service area, community engagement efforts set out to target those geographies most under-resourced and where health outcomes were the poorest. Once selected for engagement, participants were provided the opportunity to share their perspective on targeted health needs and raise any additional health needs outside the strategic lines of inquiry. Line 6B: KFH-Fontana and Ontario is an active participant in several countywide collaboratives and convenings whose work helped inform the CHNA, including the Oral Health Action Coalition-Inland Empire, the Hospital Association of Southern California Homeless Systems Assessment of Care, the San Bernardino County Homeless Partnership, Office of Homeless Services, the High Desert Food Collaborative, and a Kaiser Permanente San Bernardino County Area Community Mental and Behavioral Health Convening. Line 11: Health need 1: Access to Care Long Term Goal All community members have access to high quality health care services from a trained diverse workforce in a coordinated delivery system. Strategic priorities 1. Increase coverage, access, and utilization of health care services for populations that are underserved and uninsured. 2. Improve and build the current and emerging workforce to meet the primary care needs of the community. 3. Improve the capacity of healthcare systems to provide quality healthcare services, including interventions to address social determinants of health. Strategies & Core Interventions 1.1 Provide access and comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. - The Kaiser Permanente Medicaid program provides high-quality medical care services to Medicaid eligible participants who would otherwise struggle to access care. - The Kaiser Permanente Medical Financial Assistance program provides temporary financial assistance to low-income individuals who receive care at Kaiser Permanente facilities and who cant afford medical expenses and/or cost sharing. - The Kaiser Permanente Charitable Health Coverage program provides access to comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. - In collaboration with the San Bernardino County Public Health, provide Local Oral Health Program to improve access to oral health care and integration of services (medical, dental, etc.) for low income uninsured. 1.2 Support access to care for patients through collaboration among community clinics, clinic networks, and other safety net providers. - With support of grant funding, Regional Associations of California (Essential Access Health) strengthen the capacity of California's community clinics and health centers and to advance local health delivery system transformation through statewide policy. - With support of grant funding, Community Based Organizations and Faith-Based organizations will raise awareness and link among African-American pregnant women to early prenatal care where geographic disparities exist (Hesperia, Rialto, Victorville, San Bernardino, Fontana) due to lower birthweight infants and higher infant mortality. - In collaboration with the Community Health Association Inland Southern Region, support the advocacy and delivery of resources and networking opportunities to 20 member organizations, representing 103 community-based primary care health centers and clinics. 1.3 Support and implement physician and other pipeline and training programs, using evidence-based, culturally competent and patient-centered population management modules. - The Kaiser Permanente Graduate Medical Education recruits and prepares the physician workforce of the 21st century by optimizing the unique clinical and educational opportunities within Kaiser Permanentes integrated model of care, which is now considered the gold standard for improving the entire U.S. health care system. As part of their training, residents participate in rotations at school-based health centers, community clinics, and homeless shelters. - With the support of grant funding, the California Primary Care Association supports building capacity for the primary care workforce by developing a comprehensive curriculum and training program for health centers desiring to implement or sustain residency training programs and partnerships. 1.4 Design, pilot and implement systems for screening community members with social (non-medical) needs and refer to community-based programs. - The Kaiser Permanente Thrive Local initiative integrates the social determinants of health into ongoing care plans by screening and connecting low-income individuals and families to community and government resources. 2.1 Strengthen the capacity of community clinics to prevent and manage chronic disease. - With support of grant funding, community clinics and CBOs support individuals with early identification and management of asthma, diabetes, obesity. Health Need 2: Mental and Behavioral Health Long Term Goal All community members have optimal levels of mental health and well-being through improved equitable access to evidence-based, high quality, appropriate care and reduced effects of stigma. Strategic priorities 1. Improve access and connection to mental health care in clinical and community settings. 2. Improve and build the current and emerging mental health workforce to meet community needs. 3. Reduce mental health stigma and improve knowledge, capacity, and resilience in individuals, communities, and organizations. Strategies & Core Interventions 1.1 Support infrastructure and capacity building of community organizations and clinics to improve access to quality mental health care - With the support of grant funding, Children Now Improving California Students' Readiness to Learn will map the current state and district school-based health policy efforts and develop a list of policy options to improve school-based mental health services. At least 200 partner organizations will receive resources and technical assistance on best policies/ practices related to school discipline, teacher credentialing, mental health, school attendance, and Local Control Funding Formula. - In collaboration with mental health partners from diverse multi- sectors, develop the Regional Behavioral Health Collaboration to convene organizations for capacity building, practice sharing, learning, leveraging of training, resources, and general network building. 1.2 Support the integration of mental health care, case management, and navigation services into clinical care and community settings. - With the support of grant funding, Faith-Based and Community Based Organizations will provide counseling services and support groups in school-based family resource centers. 2.1 Support the education and training of licensed mental health professionals to be culturally competent. - With the support of grant funding, Hathaway-Sycamores Child and Family Services So. California Child Welfare Collaborative Phase 2 will provide training for group home foster care providers in Southern California so that they can become certified as Short Term Residential Therapeutic Programs. - With the support of grant funding, Cal State University, San Bernardino will develop a Culturally Competent Behavioral Health Workforce by integrating education and training into the psychology and social work graduate programs with the goal to serve a diverse population in the Inland Empire. 2.2 Support the utilization of pipeline and training programs to increase the number of licensed and diverse mental health professionals. - With the support of grant funding, ROP school programs will expand Mental Health Education and Career Pathways.
3.1 Support efforts to improve the community and social supportsystems knowledge, attitudes, beliefs and perceptions about mental health, trauma and resilience. - With the support of grant funding, the Children's Partnership Advancing Health Equity for California's Children will provide 500 families with culturally-informed materials and toolkits to help connect them to health coverage, understand benefits available to them, and get needed care. - The Kaiser Permanente Child and Adolescent Psychiatry Team will provide therapy to Fontana Unified School Students, including talks about Mental Health and You addressing depression, anxiety, suicide prevention. 3.2 Support the enhancement of organizational culture, practices and policies in schools and other institutions to be trauma-informed. - The Kaiser Permanente Thriving Schools Resilience in School Environments (RISE) initiative builds students and staff resilience to address trauma and adverse childhood experiences. - With support of grant funding, the San Bernardino County Superintendent of Schools (Office of Education) will provide Mental Health First Aid training across school districts. - With support of grant funding, the Adverse Childhood Experiences (ACEs) Task Force of San Bernardino will provide education, training, and technical assistance to develop organizational capacity related to Trauma-Informed Care. - Kaiser Permanentes Public Good Projects Action Minded campaign is a digital community health intervention using education, social engagement and multi- media tools to engage the general public, issue-advocates and community partners in reducing stigma towards mental health conditions. Health Need 3: Economic Opportunity Long Term Goal All community members experience improved economic security and access to social services, including affordable housing, educational attainment, training and employment, and healthy foods. Strategic priorities 1. Reduce food insecurity in the community and improve access to healthy foods. 2. Preserve and improve the availability of affordable housing and improve care coordination to serve individuals experiencing homelessness and to prevent displacement. 3. Improve educational attainment and employment opportunities. Strategies & Core Interventions 1. Design, pilot and implement programs and systems for promoting, screening and/or enrolling community members in food benefit programs. - The Kaiser Permanente Food for Life initiative includes CalFresh enrollment campaign which utilizes multi- modal outreach to increase CalFresh enrollment for eligible community members. - With support of grant funding, the California Food Policy Advocates increase access to food sources for underserved community members by increasing the number of households and individuals that are enrolled in CalFresh and supporting the acceptance of this benefit among food relators. 2. Support programs that procure, recover and/or redistribute food to food insecure communities. - The Kaiser Permanente Food Recovery and Food Redistribution program envision food services as the source of nutritious meals for patients, staff and the broader community by distributing food to food insecure communities. - With support of grant funding, the California Association of Food Banks Farm to Family utilizes advocacy and outreach efforts to procure and provide fresh produce to food banks serving individuals and families who are food insecure. 3. Support the capacity of communities and anchor organizations to adopt and implement policies and programs to ensure access to healthy foods. - The Kaiser Permanente Thriving Schools Healthy Eating Active Living (HEAL) Initiative, in partnership with Alliance for a Healthier Generation, supports Title 1 schools with the adoption and implementation of policies and practices to continuously improve the schools culture and practices around health. - The Kaiser Permanente Hospital based Farmers Market accepts EBT enabling low income individuals to obtain fresh produce. 1. Enhance the infrastructure and capacity of service providers to serve individuals at risk or experiencing homelessness. - With support of grant funding, Inland Empire United Way lead agency for 2-1-1 San Bernardino County, hires homeless health outreach workers to coordinate with community health centers and hospital systems to identify and support homeless clients unmet needs. - With the support of grant funding, Step Up on Second Streets safety net services focus on permanent supportive housing, vocational training and placement, and supportive services for individuals experiencing mental health conditions and homelessness. 2. Support and participate in collaboratives that support coordination and funding of resources (such as health services and housing) for individuals at risk or experiencing homelessness. - In collaboration with the Housing Solutions Collaborative, build the capacity and understanding of regional stakeholders on how to advance permanent supportive housing developments. 1. Support the long-term economic vitality of communities through procurement, hiring and workforce development, and/or small business development impact investing. - The Kaiser Permanente Inner City Capital Connections (ICCC) provides training, education and mentorship to small businesses helping to grow revenue, increase jobs, and improve their capacity and access to new sources of capital. - Hire and provide training to people who are striving to overcome employment barriers, including homelessness, incarceration, substance abuse, mental illness, and limited education. - The Kaiser Permanente, High Impact Hiring is a talent-sourcing strategy that aligns business needs with positive community impact. High Impact Hiring creates career opportunities for people with employment barriers, focusing on specific populations of disadvantaged people or specific geographic areas. - The Kaiser Permanente, Build for Impact incorporates community analysis lens into the planning, designing, and execution of Kaiser Permanentes capital projects. 2. Provide educational attainment and pipeline pathway programs to increase high school graduation rates, college readiness, preparation for careers in Science, Technology, Engineering, and Mathematics (STEM), or health care workforce training. - With the support of grant funding, ROP programs, school districts, and community-based organizations will implement education and pipeline programs to support students as they transition from elementary, middle, and high school. Health needs KFH-Fontana and Ontario do not intend to fully address While all the health needs prioritized in the 2019 Community Health Needs Assessment process are important to address, the implementation strategy planning process requires KFH-Fontana and Ontario to conduct a selection process based on critical criteria including health need severity, magnitude, inequity, and the extent to which KFH-Fontana and Ontario are in a position to meaningfully address the need. Oral health, obesity, diabetes, substance abuse, and maternal and infant health are being addressed through the strategies and interventions of the three selected health needs: access to care, economic opportunity, and mental health. For example, strategies and interventions for addressing food insecurity is a key approach for preventing the onset of diabetes and obesity; strategies to address access to quality mental health care will include addiction treatment as an approach to addressing substance abuse. Raising awareness and linking pregnant women to early prenatal care and to regular care after giving birth will be a key access to care intervention to address maternal/infant health. Lastly, building the core capacity of community clinics to prevent and manage chronic disease (such as asthma and diabetes), will be critical to supporting community members to have access to quality care. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT www.kp.org/mfa/scal
A, 4, KFH SANTA CLARA Explanations Part V, Section B.Line 5: Community input was provided by a broad range of community members using key informant interviews and focus groups. Individuals with the knowledge, information, and expertise relevant to the health needs of the community were consulted. These individuals included representatives from the county public health department as well as leaders, representatives, or members of medically underserved, low-income, and minority populations. Additionally, where applicable, other individuals with expertise of local health needs were consulted. Line 6A: El Camino Hospital Kaiser Foundation Hospital San Jose Lucile Packard Childrens Hospital Stanford OConnor Hospital-Verity Stanford Health Care Saint Louise Regional Hospital-Verity Line 6B: Santa Clara County Community Benefit Coalition Hospital Council of Northern & Central California Santa Clara County Public Health Department Line 11: Health need 1: Health Care Access and Delivery Long term goal All community members have access to high quality, culturally and linguistically appropriate health care services in coordinated delivery systems. Intermediate goal(s) - Increase access to comprehensive health care coverage for low income individuals - Increase access to subsidized care for those facing financial barriers to health care - Increase access to social non-medical services for low income and vulnerable populations - Improve the capacity of health care systems to provide quality health care services - Increase access to a diverse, culturally competent health care workforce Strategies - Medicaid. Deploy KP resources to provide high-quality medical care to Medicaid participants who would otherwise struggle to access care. - Charitable health coverage. Deploy KP resources to 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. Deploy KP resources to provide financial assistance to low-income individuals who receive care at KP facilities and cant afford medical expenses and/or cost sharing. - Support patient navigation programs associated with community clinics and school health clinics, especially for low-income community members and/or monolingual non-English-speakers - Support increased access to oral health care for low-income and geographically remote community members via comprehensive low-or no-cost mobile dental services - Support medically tailored meal programs for low-income individuals - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members - Support screening for social non-medical service needs and connect low- income individuals and families to community and government resources - Support population health management approaches that improve health outcomes for safety net patients with diabetes and hypertension - Support community clinic consortia to develop programs and advocate for policies that improve access to quality health care for low income individuals - Provide workforce training programs to train current and future health care providers, including physicians, mental health practitioners, physical therapy, pharmacy, nurses, and allied health professionals, with the skills and linguistic and cultural competence to meet the health care needs of diverse communities - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers - School for Allied Health expanding access to training and certificate programs for underrepresented individuals Expected outcomes - For low-income and vulnerable populations: - Improve access to health care coverage - Reduce financial barriers to care - Increase use of preventive care - Increase quality of care provided - Increase diversity of care providers Health need 2: Behavioral Health Long term goal All community members experience social emotional health and wellbeing and have access to high quality behavioral health care services when needed Intermediate goal(s) - Increase capacity of organizations and institutions to provide trauma-informed services and programs - Enhance community supports to mitigate impact of ACEs - Increased access to behavioral health care services for low-income and vulnerable populations - Develop a diverse, well trained behavioral health care workforce that provides culturally competent care - Prevent and reduce misuse of drugs and alcohol Strategies - Support organizations offering behavioral health services to individuals experiencing homelessness - Support organizations working with service providers on strategies to address opioid use disorder - Support for substance use recovery-related programming - Support for grief and loss counseling and related support for low- income and/or minority populations - Support for programs that strengthen families and lead at-risk teens to make positive life choices - Support for programs that improve parenting skills among at-risk populations - Support for mentoring programs for youth of color - Support social-emotional learning for children and youth - Support programs that train youth to intervene in peer bullying - Support the capacity of clinics, schools or other community-based organizations to provide trauma-informed care to youth - Implement the Public Good Projects Action Minded campaign, a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners, and KP employees as partners in reducing stigma towards mental health conditions - Provide KP's Education Theater program, Resilience Squad - Participate in Medi-Cal Managed care - Provide Charitable Health Coverage - Provide workforce training programs to train current and future mental health practitioners with the skills and linguistic and cultural competence to meet the health care needs of diverse communities Expected outcomes - Reduce the likelihood of family and community trauma - Increase individuals coping skills to reduce the impact of trauma, including reducing use of drugs and alcohol - Increase use of behavioral health services, especially among low-income and vulnerable populations - Increase diversity and cultural competence of behavioral health care providers Health need 3: Healthy Eating and Active Living Long term goal All community members eat better and move more as part of daily life Intermediate goal(s) - Reduce food insecurity among low-income families and individuals - Improve access to healthy food in schools - Increase access to safe parks and public spaces - Increase opportunities for physical activity in schools Strategies - Support healthy food incentive programs for CalFresh participants - Support medically tailored meal programs for low-income individuals - Support organizations that make healthy food available to low-income, minority families - Support farmers markets on college campuses for low-income young adults and other community members - Support for school-based healthy meals and health & wellness policies - Support fitness programs for older adults at public community centers - Support after-school fitness programs at schools - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members Expected outcomes - For low-income community members, improve food security - Improve food environment, especially in schools - Increase healthy eating, especially among youth, older adults, and low-income individuals - Increase physical activity, especially among youth and older adults
Health need 4: Housing and HomelessnessLong term goal All community members have access to quality, affordable, and stable housing Intermediate goal(s) - Prevent individuals and families from falling into homelessness - Increase connections to supportive services for individuals experiencing homelessness - Increase and preserve the stock of affordable housing, including deeply affordable and Permanent Supportive Housing - Increase and enhance transitional housing and shelter availability - Improve job readiness for people with barriers to employment Strategies - Support programs that help low-income homeowners stay in their homes - Support temporary rental subsidies and related supportive services for individuals experiencing homelessness - Support for transitional housing, which includes case management, job and housing search assistance, financial literacy, and life skills education - Support long-term housing and support services for domestic violence victims and their children who are homeless or at risk of homelessness - Support efforts to house transitional-aged former foster youth - Explore partnership with Santa Clara County to support medical social work through backpack medicine, mobile clinics, medical respite, and/or KP volunteers at local clinics - Support mobile hygiene outreach programs offered in combination with supportive services - Support employment opportunities for individuals experiencing homelessness - Funding to strengthen local homeless system of care through the Housing and Health Initiative - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers - Partnership with KP Division of Research to develop a predictive model for housing instability Expected outcomes - Prevent homelessness among low-income and vulnerable individuals - Increase number of permanent housing units - Improve access to support for individuals experiencing homelessness - Improve access to jobs for individuals experiencing homelessness Health needs KFH Santa Clara does not intend to address Asthma. This need scored lower on CHNA priority, and scored much lower on leveraging local assets and existence of evidence-based or promising approaches, compared to the four needs that were selected to be addressed. It also scored lower than two of the four chosen needs with regard to leveraging KP assets. Cancer. This need scored much lower on CHNA priority and leveraging local assets compared to the four needs that were selected to be addressed. It also scored lower than three of the four chosen needs with regard to both feasibility and leveraging KP assets. Community and Family Safety. This need scored lower on CHNA priority and leveraging KP assets, and scored much lower on evidence- based or promising approaches, compared to the four needs that were selected to be addressed. It also scored lower than three of the four chosen needs on feasibility. Economic Security. This need scored lower on CHNA priority compared to the four needs that were selected to be addressed. With regard to evidence- based or promising approaches, leveraging KP assets, and feasibility, it scored lower than three of the four chosen needs. Environment. This need scored lower on all five selection criteria compared to the four needs that were selected to be addressed Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/NCAL
A, 5, KFH OAKLAND Explanations Part V, Section B.Line 5: Community input was provided by a broad range of community members using key informant interviews and focus groups. 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 as well as leaders, representatives, or members of medically underserved, low-income, and minority populations. Additionally, where applicable, other individuals with expertise of local health needs were consulted. Line 6A: Alta Bates Summit Medical Center (three campuses) John Muir Health UCSF Benioff Childrens Hospital Oakland Line 6B: Alameda County Health Care Services Alameda County Public Health Department Alameda Health Consortium Alameda County Behavioral Health Services First 5 Alameda County Line 11: Health need 1: Access to care Long term goal All community members have access to high quality, culturally and linguistically appropriate health care services in coordinated delivery systems Intermediate goal(s) - Increase access to comprehensive health care coverage for low income individuals - Increase access to subsidized care for those facing financial barriers to health care - Increase access to social non-medical services for low income and vulnerable populations - Increase access to a diverse, culturally competent health care workforce - Improve the capacity of health care systems to provide quality health care services Strategies - Increase capacity of organizations to conduct effective outreach and navigation to vulnerable populations to connect them to care - Increase FQHC and health system capacity to screen and refer clients to social, non-medical services (e.g., food, housing, employment) - Support training/ recruitment of community health workers (e.g., promotoras); Parent Ambassadors - Support training/ recruitment of health and social system navigators - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members (Food for Life) - Support screening for social non-medical service needs and connect low-income individuals and families to community and government resources (Thrive Local) - Support population health management approaches that improve health outcomes for safety net patients with diabetes and hypertension (PHASE) - Support community clinic consortia to develop programs and advocate for policies that improve access to quality health care for low income individuals - Participate in Medi-Cal Managed care - Provide Charitable Health Coverage - Provide Medical Financial Assistance - Provide workforce training programs to train current and future health care providers, including physicians, mental health practitioners, physical therapy, pharmacy, nurses, and allied health professionals, with the skills and linguistic and cultural competence to meet the health care needs of diverse communities - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers (KP LAUNCH) - School for Allied Health expanding access to training and certificate programs for underrepresented individuals Expected outcomes - Increased outreach to vulnerable populations that helps them access comprehensive health care coverage - Increased outreach to vulnerable populations that helps them navigate and connect to subsidized care - Reduced financial barriers to care by increasing access to Medical Financial Assistance - Increased access to trained navigators and community health workers that connect low-income and vulnerable populations to social non-medical services - Increased opportunities for diverse, culturally competent workers to enter the health care workforce Health need 2: Behavioral Health Long term goal All community members experience social emotional health and wellbeing and have access to high quality behavioral health care services when needed Intermediate goal(s) - Increase capacity of organizations and institutions to provide trauma-informed services and programs - Increase access to behavioral health care services for low-income and vulnerable populations - Develop a diverse, well-trained behavioral health care workforce that provides culturally competent care - Prevent and reduce misuse of drugs and alcohol Strategies - Support trauma-informed services and training for organizations serving vulnerable populations (re-entry, immigrant, foster care, transition age youth, domestic violence survivors, homeless) - Support FQHC capacity to screen and connect patients to mental health services - Support telehealth options to increase access to behavioral health services by reducing transportation and stigma barriers - Support programs providing direct mental health services in schools - Support the capacity of clinics, schools or other community-based organizations to provide trauma-informed care to youth - Implement the Public Good Projects Action Minded campaign, a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners, and KP employees as partners in reducing stigma towards mental health conditions - Provide KPs Education Theater program, Resilience Squad - Participate in Medi-Cal Managed care - Provide Charitable Health Coverage - KP Behavioral Health Training program - Advance city policiesCity Health - Control the amount of alcohol sales - Raise the legal age for the sale of tobacco products to 21 - Smoke free indoor air policies Expected outcomes - Increased scope and availability of trauma-informed services and programs available through programs serving vulnerable populations - Increased screening and referrals to behavioral health care services for low-income and vulnerable populations, especially youth (in settings such as FQHCs and schools) - Increased access for vulnerable populations to a diverse, well-trained behavioral health care workforce that provides culturally competent care - Increased help-seeking for misuse of drugs and alcohol prompted by stigma reduction campaigns
Health need 3: Economic SecurityLong term goal All community members are economically secure in order to thrive Intermediate goal(s) - Improve economic vitality of local and diverse businesses - Increase in enrollment and participation in public benefit programs - Increase opportunities for asset preservation and wealth creation - Improve job readiness for people with barriers to employment - Increase connections to supportive services for individuals experiencing homelessness - Increase and preserve the stock of affordable housing, including deeply affordable and Permanent Supportive Housing - Reduce food insecurity among low- income families and individuals Strategies - Provide support for programs that offer basic skills and other training and employment assistance to vulnerable populations (re-entry, immigrant, domestic violence survivors, homeless population) - Support outreach, navigation, and case management that connects individuals to coordinated entry services - Support food distribution programs that partner with school districts, health systems and community partners (e.g., immigration, housing) to provide nutritious foods to people who experience food insecurity - Funding to strengthen local homeless system of care through the Housing and Health Initiative - Facilitate a formal partnership with Bay Area Community Services to house 500 frail seniors in the city of Oakland - Increase baseline spend for local and diverse businesses - Advance inclusionary zoning policies (CityHealth) Expected outcomes - Increased use of local and diverse businesses as suppliers - Increased enrollment and participation in public benefit programs (e.g., CalFresh) - Improved job readiness for people with barriers to employment (especially due to re-entry, domestic violence, immigration status, homelessness) - Increased connections to supportive services (e.g., Coordinated Entry) for individuals experiencing homelessness - Reduced food insecurity among low-income families and individuals through access to nutritious foods via school, health, and community partner settings Health needs KFH-Oakland does not intend to address Healthy Eating / Active Living. The Healthy Eating / Active Living health need received high scores from CHIC members but was a lower priority in the CHNA process. In addition, CHIC members noted that significant investments had already been made. The group agreed to incorporate one element of this health need - food security - into the Economic Security emphasis. Housing and Homelessness. Housing and Homelessness was ranked in the middle of the health needs by the CHIC members. This health need received lower scores than most of the other health needs (except Transportation / Traffic and Climate / Natural Environment) in terms of leveraging community assets and was also in a lowest tier in terms of the feasibility of Kaiser Permanente having an impact. Recognizing the link between Economic Security and Housing and Homelessness, this health need was incorporated into the Economic Security priority health need and is also being addressed by national strategies in the KFH-Oakland service area. Education and Literacy. This health need was rated as a medium priority in the CHNA and received similar rankings in the CHIC process. Relative to other health needs, it received lower rankings for the ability to leverage Kaiser Permanente expertise or organizational assets, and for the feasibility of making an impact. However, the CHIC members selected elements of Education and Literacy-notably job training and workforce development-in the Economic Security health need, as well as mental health and wellness for school-aged children under Behavioral Health. Community and Family Safety. This health need received relatively low rankings from CHIC members for the availability of evidence-based or promising approaches, the ability to leverage Kaiser Permanente expertise or assets, and the feasibility of making an impact. However, some elements of Community and Family Safety are specifically addressed by strategies included in the priority health needs-particularly addressing trauma through the education and behavioral health systems, helping people navigate and access health and non-medical social services (including survivors of domestic violence and human trafficking), and supporting interventions that increase economic security and reduce homelessness (such as providing specialized educational and behavioral health services designed for those experiencing re-entry or homelessness. Climate/Natural Environment. This health need was recognized as a factor in health outcomes but received low scores in terms of leveraging community assets, applying evidence-based or promising approaches, leveraging Kaiser Permanente expertise and organizational assets, and feasibility of making an impact. It also received a low priority from the CHNA process. Transportation/Traffic. Although CHIC members recognized that transportation and traffic create barriers to health by lengthening commutes, increasing stress, and affecting access to care, they also gave this health need the lowest overall ranking of all the health needs, seeing few opportunities to leverage community or Kaiser Permanente assets, apply evidence-based or promising approaches, or feasibly make an impact. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/NCAL
F, 6, KFH KAISER SUNNYSIDE & F, 32, KAISER WESTSIDE MED CTR ExplanationsPart V, Section B. Line 5: Community input from across the primary and secondary service areas was incorporated into the CHNA process to identify and prioritize health needs. Employees accounted for community input as part of the CHNA process in the following ways: A broad range of community members provided input through town halls 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 state, local, tribal, or other regional governmental public health departments as well as leaders, representatives, or members of medically underserved, low-income, and minority populations. - Community Town Halls Four town halls were conducted, one in each of the four Portland metro area counties, including Clackamas, Clark, Multnomah, and Washington. Leaders and staff from community-based organizations serving the local residents were invited to participate. The town halls used a world cafe style group learning exercise that mixed presenting, interpreting, and discussing community surveillance data. - Community Listening Sessions Eighteen listening sessions were conducted, with 217 participants across the four-county region from October to December 2018. Each listening session was hosted by a community- based organization serving the priority population. local indicators with state and national benchmarks. - Strategic Planning - The Oregon Health Equity Alliance (OHEA) facilitated sessions in which ten community partners made recommendations regarding KFH Hospitals community health strategies in four areas: place- based initiatives, mental health and wellness, the KFH Hospitals Health Career Scholarship Program, and the capacity-building initiative. In addition to facilitating community engagement and serving on the strategic planning team, OHEA also provided guidance and recommendations around how to most equitably integrate community input into the strategic planning process. KFH Hospitals also leveraged additional data sources beyond those included in the CHNA Data Platform. The sources included data from county Community Health Implementation Plans and other regional reports selected to highlight the strengths and needs of specific populations. Line 6A: KFH Westside and KFH Sunnyside conducted a joint CHNA. Both KFH hospitals share the same primary service area. Line 6B: KFH Hospitals helped found and participated in the development of Healthy Columbia Willamette, a collaborative effort including 15 area hospitals and health systems as well as four county health departments and a Coordinated Care Organizations (CCO). Healthy Columbia Willamette was formed to support member organizations in responding to the new ACA federal requirements and to catalyze the collective efforts of health and public health leaders in the Portland metropolitan area to have coordinated and meaningful impact on the health of the region. Community Health staff contributes to the on-going assessment efforts of Healthy Columbia Willamette to expand Kaiser Permanentes community partnerships and improve community health in the Northwest region. Members of Healthy Columbia Willamette collaborative: Adventist Medical Center Legacy Health System (5 hospitals) Oregon Health and Science University PeaceHealth Southwest Medical Center Providence Health (4 hospitals) Tuality Community Hospital Health Share of Oregon Clackamas County Public Health Division Clark County Public Health Department Multnomah County Health Department Washington County Public Health Division Line 11: KFH hospitals prioritized and selected three health needs to address throughout our service area. Access to Care Access to comprehensive, affordable, quality medical and dental care is an important factor in determining quality of life. When communities across our region speak about access to care, they note the need for support in navigating the system, multiple language options, providers with cultural awareness and humility, and culturally diverse providers. Barriers to accessing care include racism and discrimination; financial insecurity due to medical and medication costs; cultural, social, and geographic isolation; lack of affordable and reliable transportation options; and lack of insurance and affordable and local care options. Community Health Workers are an integral part of overcoming barriers to health care access because they are from the community, speak the language, and are culturally aware. Mental Health and Wellness Mental health and wellness affects all areas of life, including a persons physical well-being and ability to work, perform well in school, and participate fully in family and community activities. Communities across our region experience significant stress, often because of racism, discrimination, and exclusion due to their race/ethnicity, socio-economic status, LGBTQI identities, disability status, and citizenship status. They also describe the need for help easing depression and other mental health concerns. Culturally-specific community members often feel isolated from their support systems and express the desire for community spaces, support for maintaining cultural values, and establishing a sense of belonging. While access to affordable, local, quality mental health and addiction programs and services is critical, strategies also need to include programs and services that strengthen resilience and promote social and emotional wellness for everyone in the community. Economic Security Social and economic conditions, including income, education, food security, and safe and stable housing are strongly associated with a persons health. Community members struggle with financial insecurity due to unaffordable housing costs, rent hikes, evictions, and instability in emergency housing. Racism and discrimination greatly impact economic security. Transportation barriers are also a concern. Financial insecurity impedes communities ability to eat healthy foods and be physically active. Communities would like walkable access to grocery stores, farmer's markets, and community events. Immigrants and refugees face additional financial challenges, such as a lack of credit history to assist in financial endeavors, or the lack of transferable job skills and education from their home countries. Community members in our region believe that investing in businesses-particularly family-oriented and culturally diverse businesses - would encourage economic growth and financial security for the entire community. Two medium priority health needs from the 2019 CHNA will not be the focus of this Implementation Strategy. 1. Obesity/HEAL/Diabetes Not ranked as highly as three priority needs. Although, by investing in strategies focused on the social determinants of health through economic security, we expect to see an improvement in indicators related to chronic disease. 2. Maternal and Infant Health Not ranked as highly as three priority needs. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/NW Line 20E: 1) Provided written notice on all patient statements informing patients that MFA is available for those who qualify. 2) Provided the PLS with first patient billing statement.
A, 7, KFH DOWNEY Explanations Part V, Section B.Line 5: Residents, community leaders, and government and public health department representatives were selected for the CHNA sample. Selection criteria across these groups included (a) those best able to respond in rich detail to the strategic learning questions, (b) those who had expertise in local health needs, (c) those who resided and/or provided services in an under-resourced or medically underserved community, and (d) those able to represent the health needs of a given racial or ethnic minority group. Given the large size of the KFH-Downey service area, community engagement efforts set out to target those geographies most under-resourced and where health outcomes were the poorest. Once selected for engagement, participants were provided the opportunity to share their perspective on targeted health needs and raise any additional health needs outside the strategic lines of inquiry. The majority of individuals (82%) represented the community service providers. 18% represented community residents (adult and youth), including Spanish speaking residents. Additionally, engagements were conducted in five cities within the KFH-Downey service area community. Line 6A: KFH-Downey collaborated with PIH Health Hospitals, St. Francis Medical Center and their consultant supporting their CHNA process, Biel Consulting, Inc. on the primary data collection. Line 6B: Community partners contributed time and resources to assist with primary data collection by hosting focus groups and supporting participant recruitment: Interfaith Food Center, Santa Fe Springs Kaiser Permanente Watts Counseling and Learning Center Compton YouthBuild Los Angeles County Service Area 7 - Health Action Lab Coalitions Line 11: Health Need 1: Access to Care Long Term Goal All community members have access to high quality health care services in a coordinated delivery system. Strategic Priorities (Intermediate Goals) 1. Increase coverage, access, and utilization of health care services for populations that are underserved, uninsured, and/or underinsured. 2. Improve the capacity of health care systems to provide quality health care, including interventions to address the social determinants of health. Strategies and Sample Interventions 1.1 Provide access and comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. - The Kaiser Permanente Medicaid program provides high-quality medical care services to Medicaid eligible participants who would otherwise struggle to access care. - The Kaiser Permanente Medical Financial Assistance program provides temporary financial assistance to low-income individuals who receive care at Kaiser Permanente facilities and who cant afford medical expenses and/or cost sharing. - The Kaiser Permanente Charitable Health Coverage program provides access to comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. 1.2 Support access to care for community residents through collaboration among community clinics, clinic networks and other safety net providers. - With support of grant funding, Regional Associations of California (Essential Access Health) strengthen the capacity of California's community clinics and health centers and to advance local health delivery system transformation through statewide policy. 2.1 Design, pilot and implement systems for screening community members with social (non-medical) needs and refer to community-based programs. - The Kaiser Permanente Thrive Local initiative integrates the social determinants of health into ongoing care plans by screening and connecting low-income individuals and families to community and government resources. Health Need 2: Economic Opportunity Long Term Goal All community members experience improved economic security and access to social services, including affordable housing, educational attainment, training and employment, and healthy foods. Strategic Priorities (Intermediate Goals) 1. Reduce food insecurity in the community and improve access to healthy foods. 2. Preserve and improve the availability of affordable housing and improve care coordination to serve individuals experiencing homelessness and to prevent displacement. 3. Improve educational attainment and employment opportunities. Strategies and Sample Interventions 1.1 Design, pilot and implement programs and systems for promoting, screening and/or enrolling community members in food benefit programs. - The Kaiser Permanente Food for Life initiative delivers a multi-pronged approach to improve food security, such as the CalFresh enrollment campaign which utilizes multi-modal outreach to increase CalFresh enrollment for eligible community members. - With support of grant funding, the California Food Policy Advocates increase access to food sources for underserved community members by increasing the number of households and individuals that are enrolled in CalFresh and supporting the acceptance of this benefit among food relators. 1.2 Support programs that procure, recover and/or redistribute food to food insecure communities. - The Kaiser Permanente Food Recovery and Food Redistribution program envision foodservices as the source of nutritious meals for patients, staff and the broader community by distributing food to food insecure communities. - With support of grant funding, the California Association of Food Banks Farm to Family utilizes advocacy and outreach efforts to procure and provide fresh produce to food banks serving individuals and families who are food insecure. 2.1 Enhance the infrastructure and capacity of service providers to serve individuals at risk or experiencing homelessness. - With support of grant funding, the Los Angeles Christian Health Center is partnering with the Skid Row Housing Trust to develop the Joshua House Health center, which is placed in a permanent and supportive housing complex to serve the health needs of residents with chronic illness. - With the support of grant funding, Step Up on Second Streets safety net services focus on permanent supportive housing, vocational training and placement, and supportive services for individuals experiencing mental health conditions and homelessness 2.2 Support and participate in collaboratives that support coordination and funding of resources (such as health services and housing) for individuals at risk or experiencing homelessness. - Kaiser Permanente, Southern California is a key partner in the United Way Funders Collaborative (Home for Good), which brings together stakeholders, funders, and leaders all working to address housing affordability and homelessness. The collaborative was a key contributor to the development of the countys Coordinated Entry System (CES) lead agencies that connect homeless individuals to services. 3.1 Support the long-term economic vitality of communities through procurement, hiring and workforce development, and/or small business development impact investing. - The Kaiser Permanente Social Enterprises strategy provides competitive, revenue-generating businesses with the social mission to hire and provide training to people who are striving to overcome employment barriers, including homelessness, incarceration, substance abuse, mental illness, and limited education. - The Kaiser Permanente, High Impact Hiring is a talent-sourcing strategy that aligns business needs with positive community impact. High Impact Hiring creates career opportunities for people with employment barriers, focusing on specific populations of disadvantaged people or specific geographic areas. 3.2 Support educational attainment and pathway programs for youth focused on increasing high school graduation rates, college readiness, preparation for careers in Science, Technology, Engineering, and Mathematics (STEM), or health care workforce training. - Through grant funding, support community organizations that provide career pathway programs and improve educational opportunities for minority youth.
Health Need 3: Mental HealthLong Term Goal All community members have optimal levels of mental health and well-being through improved equitable access to evidence-based, high quality, appropriate care and reduced effects of stigma. Strategic Priorities (Intermediate Goals) 1. Improve access and connection to mental health care in clinical and community settings. 2. Reduce mental health stigma and improve knowledge, capacity and resilience in individuals, communities, and organizations. Strategies and Sample Interventions 1.1 Support the infrastructure and capacity building of community organizations and clinics to improve access to quality mental health care. - Through grant funding, support community organizations that provide mental health care and supportive services. 1. Support efforts to improve the community and social support systems knowledge, attitudes, beliefs and perceptions about mental health, trauma and resilience. - Implement the Public Good Projects Action Minded campaign, a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners in reducing stigma toward mental health conditions. Health needs KFH-Downey Medical Center does not intend to address The Implementation Strategy planning process requires KFH-Downey Medical Center to conduct a health needs selection process based on critical criteria including, health need severity, magnitude, inequity, and the extent to which KFH-Downey Medical Center is in a position to meaningfully address the need. There are no priority health needs that the hospital does not intend to address. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT www.kp.org/mfa/scal
E, 8, 41, 42 MHS, KULA, LANAI Explanations Part V, Section B.Line 5: COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS THROUGH THE KEY INFORMANT INTERVIEWS. INDIVIDUALS WITH KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM THE STATE, LOCAL, TRIBAL, OR OTHER REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENTS (OR EQUIVALENT DEPARTMENT OR AGENCY) AS WELL AS LEADERS, REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW- INCOME, AND MINORITY POPULATIONS. ADDITIONALLY, WHERE APPLICABLE, OTHER INDIVIDUALS WITH EXPERTISE OF LOCAL HEALTH NEEDS WERE CONSULTED. Line 6A: OTHER HOSPITAL FACILITIES THAT PARTICIPATED IN THE CHNA PROJECT WERE: KULA HOSPITAL (MAUI HEALTH SYSTEM), MAUI MEMORIAL MEDICAL CENTER (MAUI HEALTH SYSTEM), LANAI COMMUNITY HOSPITAL (MAUI HEALTH SYSTEM), MOLOKAI GENERAL HOSPITAL (QUEENS) Line 6B: THE FOLLOWING ORGANIZATIONS SHARED INSIGHT AND KNOWLEDGE ABOUT HEALTHCARE, PUBLIC HEALTH, AND THEIR RESPECTIVE COMMUNITIES AS PART OF THIS GROUP. HEALTHCARE ASSOCIATION OF HAWAII, HAWAII PUBLIC HEALTH INSTITUTE, CENTER FOR COMMUNITY HEALTH AND EVALUATION, LANAI HIGH AND ELEMENTARY SCHOOL, BOYS & GIRLS CLUBS OF MAUI, HALE MAKUA, HANA HIGH SCHOOL, HEALTH FOUNDATION, HMSA, HUI NO KE OLA PONO,KA HONUA MOMONA, KAISER PERMANENTE, KIHEI YOUTH CENTER, LANA'I HOSPICE, LILIUOKALANI TRUST, MAKENA 'O KA LA, MAUI DISTRICT HEALTH OFFICE, MAUI ECONOMIC OPPORTUNITY, MAUI FISHPOND ASSOCIATION, MAUI PUBLIC HEALTH NURSING, MOLOKA'I HEALTH FOUNDATION, NA PUUWAI, PILI GROUP CONSULTING, PULAMA LANAI, SENSEI FARMS, STATE OF HAWAII DEPARTMENT OF HEALTH, STATE OF HAWAII DEPARTMENT OF HUMAN SERVICES, SUSTAINABLE MOLOKAI, WAIOHULI HAWAIIAN HOMESTEADERS ASSOCIATION, NA HOALOHA 'EKOLU Line 11: HEALTH NEED 1 ACCESS TO CARE LONG TERM GOAL Provide access to high quality health care services in the Maui and Lanai communities INTERMEDIATE GOALS - Increase access to providers for primary care and specialty services to meet the needs of the Maui and Lanai communities. - Improve health care services and delivery systems for the Maui and Lanai Communities STRATEGIES - Explore strategies to address health care provider shortages - Work together with local government, private medical group practices, Federal Qualified Health Centers, and other community- based organizations to improve collaboration in healthcare - Establish a Clinically Integrated Network (CIN) to support efforts to improve quality and collaboration amongst providers - Work with government and private entities to identify areas of need and explore options to provide care - Medical Financial Assistance. Deploy MHS resources to provide temporary financial assistance to low- income individuals who receive care at MHS facilities and cant afford medical expenses and/or cost sharing. HEALTH NEED 2 VIOLENCE AND INJURY PREVENTION LONG TERM GOAL Work with the County and State to improve access to behavioral health care and reduce the incidence of trauma INTERMEDIATE GOALS - Enhance community education on injury prevention - Increase resources for behavioral health STRATEGIES - Work with local government and community partners involved in behavioral health to identify and maximize current resources and to bring additional resources to Maui. - Provide community with trauma education. - Engage multi-stakeholder local partnerships to develop a comprehensive, community- wide initiative that breaks the cycle of violence and increases awareness around the role that the social/equity determinants of health play in lived experiences that contribute to all forms of violence. The health needs identified through the CHNA that MHS does not plan to address at this time include: mental health, economic security, substance abuse, climate and health. While these health needs are not the focus of this Implementation Strategy, MHS may consider investing resources in these areas as appropriate, depending on opportunities for MHS to leverage its assets in partnership with local communities. This report does not encompass a complete inventory of everything MHS does to support the health of our communities, including our commitment to environmental stewardship. Line 13A: MHS PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE MHS WEBSITE AT www.mauihealthsystem.org/medical-financial-assistance/
C, 9, KFH SAN DIEGO & C, 25 SAN DIEGO (Zion) Explanations Part V, Sec B.Line 5: Residents, community leaders, and government and public health department representatives were selected for the CHNA sample. Selection criteria across these groups included (a) those best able to respond in rich detail to the strategic learning questions, (b) those who had expertise in local health needs, (c) those who resided and/or provided services in an under-resourced or medically underserved community, and (d) those able to represent the health needs of a given racial or ethnic minority group. Given the large size of the KFH-San Diego and Zion service area, community engagement efforts set out to target those geographies most under-resourced and where health outcomes were the poorest. Once selected for engagement, participants were provided the opportunity to share their perspective on targeted health needs and raise any additional health needs outside the strategic lines of inquiry. Line 6A: In addition to the KFH-San Diego and Zion specific CHNA process, KFH-San Diego and Zion participated in a collaborative CHNA process with the Hospital Association of San Diego and Imperial Counties (HASD&IC). HASD&IC's board of directors represents all member sectors and provides policy direction to ensure the interests of member hospitals and health systems are preserved and promoted. The CHNA Committee is comprised of representatives from all seven participating hospitals and health care systems and is responsible for the implementation and oversight of the 2019 CHNA. The CHNA Committee includes representative from the following: Kaiser Foundation HospitalSan Diego and Zion Palomar Health Rady Children's HospitalSan Diego Scripps Health Sharp HealthCare Tri- City Medical Center University of California San Diego Health Line 11: Health Need 1: Access to Health Care (including primary, specialty, and mental health care) Long Term Goal All community members have access to high quality health care services from a trained and diverse workforce in a coordinated delivery system. Strategic priorities (intermediate goals) 1. Increase coverage, access, and utilization of health care services for populations that are underserved, uninsured, and/or underinsured. 2. Improve and build the current and emerging workforce to meet the primary care needs of the community. 3. Improve the capacity of healthcare systems to provide quality healthcare, including interventions to address social determinants of health. Strategies & Sample Interventions 1.1 Provide access and comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. - The Kaiser Permanente Medicaid program provides high-quality medical care services to Medicaid eligible participants who would otherwise struggle to access care. - The Kaiser Permanente Medical Financial Assistance program provides temporary financial assistance to low-income individuals who receive care at Kaiser Permanente facilities and who cannot afford medical expenses and/or cost sharing. - The Kaiser Permanente Charitable Health Coverage program provides access to comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. 1.2 Support access to care for patients through supporting programs that develop community based organizations, leaders and networks and build their capacity to advance equity and that enhance collaboration among community clinics, clinic networks, and other safety net providers - With support of grant funding, Regional Associations of California (Essential Access Health) strengthen the capacity of California's community clinics and health centers and to advance local health delivery system transformation through statewide policy. - With support of grant funding, the California Primary Care Association supports building capacity for the primary care workforce by developing a comprehensive curriculum and training program for health centers desiring to implement or sustain residency training programs and partnerships - KFH-San Diego and Zion financially supports local Community Based Organizations (CBOs) to participate in 2-1-1 San Diegos Community Information Exchange (CIE). The CIE is an ecosystem comprised of multidisciplinary network partners that use a shared language, a resource database, and an integrated technology platform to deliver enhanced community care planning. Care planning tools enable partners to integrate data from multiple sources and make bi-directional referrals to create a shared longitudinal record. By focusing on these core components, a CIE enables communities to shift away from a reactive approach to providing care toward proactive, holistic, person-centered care. 2.1 Support and implement physician and other pipeline and training programs, using evidence-based, culturally competent and patient-centered population management modules. - The Kaiser Permanente Graduate Medical Education (GME) recruits and prepares the physician workforce of the 21st century by optimizing the unique clinical and educational opportunities within Kaiser Permanentes integrated model of care, which is now considered the gold standard for improving the entire U.S. health care system. - Kaiser Permanente provides Professional Workforce Development Programs for non-physician emerging leaders. - KFH-San Diego and Zion established the High School Health Care Career Pathway Program to help develop the future health care workforce. 3.1 Design, pilot and implement systems for screening community members with social (non-medical) needs and refer to community-based programs. - The Kaiser Permanente Thrive Local initiative integrates the social determinants of health into ongoing care plans by screening and connecting low-income individuals and families to community and government resources. - Implement food insecurity screening in hospital departments and partner with 2-1-1 San Diego for referrals and navigation support. 3.2 Strengthen the capacity and infrastructure of community clinics to effectively prevent and manage chronic disease, including cardiovascular health and diabetes. - KFH-San Diego and Zion Family Medicine residents volunteer their time to work at community-based organizations, community clinics, and Federally Qualified Health Centers (FQHC) in San Diego County to reach underserved community members Health Need 2: Economic Security Long Term Goal All community members experience improved economic security and access to social services, including affordable housing, educational attainment, training and employment, and healthy foods. Strategic priorities (intermediate goals) 1. Reduce food insecurity in the community and improve access to healthy foods. 2. Preserve and improve the availability of affordable housing and improve care coordination to serve individuals experiencing homelessness and to prevent displacement. 3. Improve educational attainment and employment opportunities. Strategies & Sample Interventions 1.1 Design, pilot and implement programs and systems for promoting, screening and/or enrolling community members in food benefit programs. - The Kaiser Permanente Food for Life initiative delivers a multi- pronged approach to improve food security, such as the CalFresh enrollment campaign, which utilizes multi-modal outreach to increase CalFresh enrollment for eligible community members. - KFH-San Diego and Zion partners with 2-1-1 San Diego and refers patients to be screened through the CalFresh Initiative. 2-1-1 San Diego/Imperial is a phone-based outreach and application assistance. 2-1-1 can complete the entire CalFresh application over the phone and submit it to the County electronically on the individuals behalf. They then help guide the next steps to send necessary documentation directly to the County without having to physically go into the office. - KFH-San Diego and Zion partners with 2-1-1 San Diegos Health Navigation team to offer comprehensive needs assessments for clients to determine the services that are needed including; health education, case planning, advocacy, connection to resources, and ongoing care coordination.
1.2 Support programs that procure, recover, and/or redistribute food tofood insecure communities. - The Kaiser Permanente Food Recovery and Food Redistribution program envisions food services as the source of nutritious meals for patients, staff and the broader community by distributing food to food insecure communities - With support of grant funding, the California Association of Food Banks Farm to Family utilizes advocacy and outreach efforts to procure and provide fresh produce to food banks serving individuals and families who are food insecure. 1.3 Support the capacity of communities and anchor organizations to adopt and implement policies and programs to ensure access to healthy foods. - The Kaiser Permanente Thriving Schools Healthy Eating Active Living (HEAL) Initiative, in partnership with Alliance for a Healthier Generation, supports Title 1 schools with the adoption and implementation of policies and practices to continuously improve the schools culture and practices around health. 2.1 Support for programs that expand efforts to increase access to permanent housing with supportive services for homeless individuals and families to help them maintain stability and self-sufficiency. - With support of grant funding, the Regional Task Force on the Homeless, Inc. is upgrading the Homeless Management Information System Redesign and Implementation. - With support of grant funding, Step Up on Second Streets safety net services focus on permanent supportive housing, vocational training and placement, and supportive services for individuals experiencing mental health conditions and homelessness. 2.2 Support and participate in collaboratives that support coordination and funding of resources (such as health services and housing) for individuals at risk or experiencing homelessness. - Kaiser Permanente provides a grant to support the Home Loan RX Program. San Diego is investing to preserve affordable housing in the City Heights area that houses low-and moderate-income families. The developer Housing Innovation Partners plans to keep the rents for this housing stable for residents. Supporting such housing developments that preserve existing affordable housing helps communities prevent more people from falling into homelessness. 3.1 Support policies and programs that increase economic security for individuals and families by expanding opportunities for employment and increasing workers income, especially programs for populations and geographic areas experiencing high levels of unemployment. - The Kaiser Permanente Inner City Capital Connections (ICCC) provides training, education and mentorship to small businesses helping to grow revenue, increase jobs, and improve their capacity and access to new sources of capital. - The Kaiser Permanente Social Enterprises strategy works with competitive, revenue-generating businesses with the social mission to hire and provide training to people who are striving to overcome employment barriers, including homelessness, incarceration, substance abuse, mental illness, and limited education. - The Kaiser Permanente High Impact Hiring is a talent-sourcing strategy that aligns business needs with positive community impact. High Impact Hiring creates career opportunities for people with employment barriers, focusing on specific populations of disadvantaged people or specific geographic areas. Health Need 3: Mental Health and Wellness Long Term Goal All community members have optimal levels of mental health and well-being through improved equitable access to evidence-based, high-quality, appropriate care and reduced effects of stigma. Strategic priorities (intermediate goals) 1. Improve access and connection to mental healthcare and substance use disorder treatment in clinical and community settings. 2. Improve and build the current and emerging mental health workforce to meet community needs. 3. Reduce mental health stigma and improve knowledge, capacity and resilience in individuals, communities, and organizations. Strategies & Sample Interventions 1.1 Support the infrastructure and capacity building of community organizations and clinics to improve access to quality mental health care. - With the support of grant funding, Children Now Improving California Students' Readiness to Learn will map the current state and district school-based health policy efforts and develop a list of policy options to improve school-based mental health services. Partner organizations will receive resources and technical assistance on best policies/practices related to school discipline, teacher credentialing, mental health, school attendance, and Local Control Funding Formula. 1.2 Support the integration of mental health care, case management, and navigation services into clinical care and community settings. - With support of grant funding, the Cajon Valley Union School District (CVUSD) The Mental Health Therapy for Refugee Children in El Cajon Project seeks to improve access and connection to mental health care in the school setting by providing expanded mental health therapy for refugee students fleeing war and persecution, who are victims of trauma. CVUSD will partner with Survivors of Torture, an international, non-profit organization dedicated to supporting torture survivors for these services. 1.3 Support school and youth development organizations in learning about and addressing mental and behavioral health, including suicide prevention and trauma-informed care. - KFH-San Diego and Zion partners with community-based organizations that focus on increasing awareness, promoting conversations and creating connections to prevent suicides within the school age population. 1.4 Enhance access to high quality substance abuse treatment including medication-assisted treatments to decrease the burden of addiction and promote resiliency and recovery. - With support of grant funding, promote community safety net services. 2.1 Support the education and training of licensed mental health professionals including cultural competency. - With the support of grant funding, Hathaway-Sycamores Child and Family Services provides training for group home foster care providers in Southern California so that they can become certified as Short Term Residential Therapeutic Programs. - With support of grant funding, Health Professions Education Foundation Retaining Health Professionals in Areas of Need will grant educational loan repayment awards to qualified health professionals providing direct patient care in medically underserved areas in Southern California. 2.2 Support efforts to improve the community and social support systems knowledge, attitudes, beliefs and perceptions about mental health, trauma and resilience. - Kaiser Permanentes Public Good Projects Action Minded campaign, a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners in reducing stigma towards mental health conditions. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT www.kp.org/mfa/scal
A, 10, KFH SOUTH SACRAMENTO Explanations Part V, Section B.Line 5: Community input was provided by a broad range of community members through key informant interviews, group interviews, and focus groups. Individuals with the knowledge, information, and expertise relevant to the health needs of the community were consulted. These individuals included representatives from health departments, school districts, local non-profits, and other regional public and private organizations as well as community leaders, clients of local service providers, and other individuals representing medically underserved, low-income, and sub-populations that face unique barriers to health (e.g., race/ethnic minority populations, individuals experiencing homelessness). Line 6A: Dignity Health Sutter Health University of California, Davis Medical Center Line 6B: Sacramento County Public Health Department Line 11: Health need 1: Mental and Behavioral Health Long term goal All community members experience social emotional health and wellbeing and have access to high quality behavioral health care services when needed Intermediate goal(s) - Increase the capacity of organizations and institutions to provide trauma- informed services and programs - Enhance community supports to mitigate impact of ACEs - Increase access to mental and behavioral health care services for low- income and vulnerable populations - Develop a diverse, well trained behavioral health care workforce that provides culturally competent care - Prevent and reduce misuse of drugs and alcohol Strategies - Provide KPs Education Theater program, Resilience Squad - Support local efforts to improve the community, school, and social support systems knowledge, attitudes, beliefs, and perceptions about mental health, trauma, and resilience across the lifespan - Increase quality and effectiveness of mental health services in local schools - Support the capacity of clinics, schools, or other community-based organizations to provide trauma-informed care to youth - Reduce stigma in the workplace for accessing mental health care - Enhance community supports and leverage Kaiser Permanente clinical expertise to mitigate impact of adverse childhood experiences - Train and support community health workers and promotoras, including those with lived experience, to help people navigate the mental health care system and use evidence-based tools - Implement the Public Good Projects Action Minded campaign, a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners, and KP employees as partners in reducing stigma towards mental health conditions - Integrate mental health care, case management, and navigation services into clinical care and community settings (e.g., schools, faith-based organizations, restaurants, other organizations) - Participate in Medi-Cal Managed care - Provide Charitable Health Coverage - Create partnerships to place mental health post-doctoral residents in local schools and with CBO partners - Provide workforce training programs to train current and future mental health practitioners with the skills and linguistic and cultural competence to meet the health care needs of diverse communities - Develop or strengthen local mental health professions pipeline and training programs to increase the number of licensed and diverse mental health professionals Expected outcomes - Increased trauma-informed services, policies, and systems - Increased organizational capacity to provide adverse childhood experiences screenings - Increased enrollment in programs to improve social/emotional wellness - Increased screening for behavioral health needs - Increased integration of primary and behavioral health care services - Strengthened network of support services as a result of strategic partnerships to promote mental and behavioral health - Increased number of mental and behavioral health training programs with modules addressing linguistic and cultural competency - Increased number of providers trained in addressing linguistic and cultural competency Health need 2: Economic Security Long term goal - All community members are economically secure in order to thrive Intermediate goal(s) - Improve economic vitality of local and diverse businesses - Increase in enrollment and participation in public benefit programs - Reduce food insecurity among low-income families and individuals - Improve job readiness for people with barriers to employment - Increase access to living-wage jobs for people with barriers to employment - Increase high school graduation for underrepresented youth - Increase availability of affordable housing - Increase and enhance transitional housing and shelter availability - Increase connections to supportive services for individuals experiencing homelessness or at risk of homelessness Strategies - Increase baseline spending for local and diverse businesses through procurement, hiring and workforce development, and/or small business development impact purchasing - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members (Food For Life) - Promote use of CalFresh and WIC benefits for purchasing fresh fruits and vegetables, including at farmer's markets or prescription programs - Develop job pipelines for "hard to employ" populations for construction of new health facilities - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers (KP LAUNCH) - Support adult and young adult vocational training; programs may include job search assistance, personal development resources, and other comprehensive support services (e.g., child care) during training - Support the development of transitional jobs (time-limited, subsidized, paid jobs intended to provide a bridge to unsubsidized employment) - Leverage the construction of new health facilities to extend job pathways to 'hard to employ' populations such as formerly incarcerated individuals - Provide educational attainment and pathway programs for youth focused on increasing high school graduation rates, college readiness, preparation for careers in Science, Technology, Engineering, and Mathematics (STEM), or health care workforce training - Support impact investing strategies to preserve, rehabilitate, and/or expand affordable housing - Partner with other health systems on interim and respite care for homeless individuals - Support efforts to expand shelter availability and number of overall shelter beds - Funding to strengthen local homeless system of care through the Housing and Health Initiative - Enhance the infrastructure and capacity of service providers to serve individuals at risk or experiencing homelessness - Support Community Solutions Built for Zero initiative to participate and help drive collaboratives that support coordination and funding of resources (such as health services and housing) for individuals at risk or experiencing homelessness Expected outcomes - Increased hospital spending in local and diverse businesses - Increased in enrollment and participation in public benefit programs - Reduction in food insecurity - Increased job pipelines for individuals with barriers to employment - Increased enrollment in training and education programs for living wage employment for individuals - Increased availability of affordable housing - Greater infrastructure for supporting individuals who are at risk of or experiencing homelessness - Strengthened network of support services, as well as coordinated efforts and funding for individuals who are homeless or at risk of homelessness as a result of strategic partnerships Health need 3: Access to Care Long term goal All community members have access to high quality, culturally and linguistically appropriate health care services in coordinated delivery systems Intermediate goal(s) - Increase access to comprehensive health care coverage for low income individuals - Increase access to subsidized care for those facing financial barriers to health care - Increase access to social non-medical services for low income and vulnerable populations - Increase access to a diverse, culturally competent health care workforce - Improve the capacity of health care systems to provide quality health care services - Increase literacy and practice of healthy behaviors proven to reduce downstream chronic conditions
Strategies- Support access to care for patients through collaboration among community clinics, clinic networks, and other safety net providers - Support school-based health centers - Increase access to health care coverage and access for underserved communities (e.g., low-income, Latinx/Hispanic), including targeted outreach, enrollment, and retention strategies - Train and support community health workers and promoters, including those with lived experience, to help people navigate the system and use evidence-based tools - Participate in Medi-Cal Managed care - Provide Charitable Health Coverage - Provide Medical Financial Assistance - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members (Food For Life) - Support screening for social non-medical service needs and connect low- income individuals and families to community and government resources (Thrive Local) - Provide workforce training programs to train current and future health care providers, including physicians, mental health practitioners, physical therapy, pharmacy, nurses, and allied health professionals, with the skills and linguistic and cultural competence to meet the health care needs of diverse communities - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers (KP LAUNCH) - Support School for Allied Health expanding access to training and certificate programs for underrepresented individuals - Support population health management approaches that improve health outcomes for safety net patients with diabetes and hypertension (PHASE) - Support community clinic consortia to develop programs and advocate for policies that improve access to quality health care for low income individuals - Support collaborations and partner with local community-based organizations to promote healthy behaviors that mitigate chronic diseases - Educate and raise public awareness of healthy lifestyle resources Expected outcomes - Increased number of low-income individuals who have comprehensive health care coverage - Increased access to and utilization of individuals with health care subsidies - Increased referrals and coordination between healthcare providers and social non- medical services - Increased number of culturally and linguistically competent health care providers - Increased number of health care career pipelines, training, and certificate programs - Improved capacity of health systems to provide population health management - Ongoing advocacy efforts of community clinic consortia to improve quality health care access for low income individuals - Evidence of increased management of chronic diseases (e.g., diabetes, hypertension) in priority populations Health need 4: Community and Family Safety Long term goal Cycles of violence are interrupted and toxic stress is alleviated Intermediate goal(s) - Decrease in rates of gun violence - Increase trust between law enforcement and community members of color - Increased access to safe parks and public spaces - Increase access to programs and support services for those experiencing or at risk of family violence Strategies - Expand existing partnerships with CBOs and city efforts to reduce community violence - Support efforts to increase crisis support and rapid response efforts to community violence - Support firearm injury prevention efforts - Support community-driven efforts to promote positive interactions between communities and law enforcement - Support local efforts to screen and serve victims of intimate partner violence (including teens), elder abuse, and abuse of vulnerable adults Expected outcomes - Reduction in rates of gun violence - Increased crisis response to community violence - Stronger, positive relationship between communities and law enforcement - Strengthened network of support services for community and family safety as a result of strategic partnerships - Increase participation in prevention programs and support services for those at risk of family violence Health needs KFH-South Sacramento does not intend to address Several of the health needs prioritized in the 2019 KFH-South Sacramento CHNA report will not be addressed with the 2020-2022 implementation strategies: Environmental Health, Healthy Eating and Active Living (HEAL), and Women and Childrens Well-being. South Sacramento CHIC members ranked these lowest among the health needs as part of the Implementation Strategies prioritization process. However, although not selected as priority health needs, goals and strategies in health needs that were selected reflect core components of Healthy Eating and Active Living and Women and Childrens Well-being. For example, KFH-South Sacramento and the CHIC members decided that there was ample evidence in the 2019 CHNA data to indicate that women and children should be a focal populations within each of the prioritized health needs. Similarly, strategies to address core components of Healthy Eating and Active Living were integrated into other health needs, including access to CalFresh into Economic Development and increasing access to healthy lifestyle resources into Access to Care. Environmental Health did not rise to the top in the CHIS prioritization process as the CHIC members felt there were fewer organizational assets that could be leveraged to make an impact in this domain. From as strategic point of view, the CHIC members wanted to ensure organization assets were used in ways that would be most beneficial to the community Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/NCAL
A, 11, KFH SAN FRANCISCO Explanations Part V, Section B.Line 5: Community input was provided by a broad range of community members using key informant interviews and focus groups. Individuals with the knowledge, information, and expertise relevant to the health needs of the community were consulted. These individuals included representatives' leaders, representatives and members of medically underserved, low-income, and minority populations. Additionally, where applicable, other individuals with expertise of local health needs were consulted. Line 6A: Chinese Hospital Dignity Health - Saint Francis Memorial Hospital Dignity Health - St. Marys Medical Center Kaiser Permanente KFH San Francisco Sutter Health - California Pacific Medical Center University of California, San Francisco Medical Center Line 6B: San Francisco Health Improvement Partnership (SFHIP). SFHIP Partner organizations include: - 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 Line 11: Health need 1: Access to care Long term goal All community members have access to high quality, culturally and linguistically appropriate health care services in coordinated delivery systems Intermediate goals - Increase access to comprehensive health care coverage for low income individuals - Increase access to subsidized care for those facing financial barriers to health care - Increase access to social non-medical services for low income and vulnerable populations - Increase access to a diverse, culturally competent health care workforce - Improve the capacity of health care systems to provide quality health care services Strategies - Participate in Healthy San Francisco to provide subsidized coverage and care for low-income, uninsured individuals and families - Participate in Medi-Cal managed care - Provide Charitable Health Coverage - Provide Medical Financial Assistance - Improve the coordination of social non-medical services across the healthcare delivery system for low income and vulnerable populations, including the homeless - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members (Food for Life) - Support screening for social non-medical service needs and connect low- income individuals and families to community and government resources (Thrive Local) - Provide workforce training programs to train current and future health care providers, including physicians, mental health practitioners, physical therapists, pharmacists, nurses, and allied health professionals, with the skills and linguistic cultural competence to meet the health care needs of diverse communities - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers (KP LAUNCH) - School for Allied Health expanding access to training and certificate programs for underrepresented individuals - Support population health management approaches that improve health outcomes for safety net patients with diabetes and hypertension (PHASE) - Support community clinic consortia to develop programs and advocate for policies that improve access to quality health care for low-income individuals Expected outcomes - Low income individual will have increased access to comprehensive health care coverage - Those facing financial barriers to health care with have increased access to subsidized care - Low income and vulnerable populations will have expanded access to social non-medical services - The health care workforce will be increasingly diverse and culturally competent - Health care systems will have improved capacity to provide quality health care services Health need 2: Behavioral health (mental health and substance abuse) Long term goal All community members experience social emotional health and wellbeing and have access to high quality behavioral health care services when needed Intermediate goals - Increase capacity of organizations and institutions to provide trauma-informed services and programs - Increased access to behavioral health care services for low-income and vulnerable populations - Develop a diverse, well trained behavioral health care workforce that provides culturally competent care - Prevent and reduce misuse of drugs and alcohol Strategies - Provide training for front line staff in direct service organizations and schools on trauma-informed care - Support the capacity of clinics, schools, or other community-based organizations to provide trauma-informed care to youth organizations - Provide KPs Education Theater program, Resilience Squad - Increase the capacity of case managers to coordinate across agencies - Support mobile case management teams - Implement the Public Good Projects' Action Minded campaign, a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners, and KP employees as partners in reducing stigma towards mental health conditions - Participate in Medi-Cal managed care - Provide Charitable Health Coverage - Provide workforce training programs to train current and future mental health practitioners with the skills and linguistic and cultural competence to meet the health care needs of diverse communities - Support harm-reduction strategies - Advance city policies City Health: - Control the amount of alcohol sales - Raise the legal age for the sale of tobacco products to 21 - Smoke-free indoor air policies Expected outcomes - Organizations and institutions will have an increased capacity to provide trauma-informed services and programs - Low-income and vulnerable populations will have increased access to behavioral health care services - The behavioral health care workforce will be increasingly diverse and well-trained to provide culturally competent care - The misuse of drugs and alcohol will be reduced
Health need 3: Healthy eating/active livingLong term goal All community members eat better and move more as part of daily life Intermediate goals - Reduce food insecurity among low-income families and individuals - Increased access to safe parks and public spaces - Increase opportunities for physical activity in schools Strategies - Increase access to healthy food through CalFresh enrollment, food pantries, and other programs - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members (Food For Life) - Bring programming to parks and open spaces to encourage physical activity - Advance complete streets policies (City Health) - Encourage schools to partner with non-profits that work to increase physical activity, especially for Latinx and African American youth Expected outcomes - Low-income families and individuals will have reduced food insecurity - Parks and public spaces will be increasingly safe and accessible - Schools will offer increased opportunities for physical activity Health need 4: Housing and homelessness Long term goal All community members have access to quality, affordable, and stable housing Intermediate goals - Prevent individuals and families from falling into homelessness - Increase connections to supportive services for individuals experiencing homelessness - Increase and preserve the stock of affordable housing, including deeply affordable and Permanent Supportive Housing Strategies - Support individuals and families at risk of falling into homelessness - Partnership with KP Division of Research to develop a predictive model for housing instability - Increase the capacity of case managers working with the homeless to coordinate across agencies - Funding to strengthen local homeless system of care through the Housing and Health Initiative - Advance inclusionary zoning policies Expected outcomes - Individual and families will be increasingly prevented from falling into homelessness - Individuals experiencing homelessness will have increased connections to supportive services - The stock of affordable housing, including deeply affordable and Permanent Supportive Housing, will be increased and preserved Health needs KFH San Francisco does not intend to address The following are the health needs that were not selected for implementation. HIV/AIDS/STDs: The CBAC gave HIV/AIDS/STDs the second lowest ranking of all the health needs rated for implementation. Though they rated the health need highly in terms of partnerships, approaches, expertise, and feasibility, they noted that KFH San Francisco has been focused on treating HIV for many years. The hospital has had a dedicated HIV unit since the 1980s. Furthermore, CHNA data show that, while the incidence of HIV is still significantly higher in San Francisco compared to other areas, strong local health efforts have resulted in a relatively low rate of new infection. For this reason, the health need was ranked as a lower priority during the CHNA process and not selected by the CBAC for implementation. Violence/Injury Prevention: The CBAC gave Violence/Injury Prevention the lowest ranking of all the health needs rated for implementation. The Committee reported that KP only has medium expertise and some community partners in this area, and that there are only some promising approaches for working on this health need as well as medium feasibility. The health need was also ranked as a lower priority in the CHNA. Rather than addressing this health need by itself, the committee plans to address concerns about violence and injury prevention as part of its work on trauma under the Behavioral Health need. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/NCAL
G, 12, KFH HONOLULU Explanations Part V, Section B.Line 5: Community input was provided by a broad range of community members using community meetings and key informant interviews. Individuals with the knowledge, information, and expertise relevant to the health needs of the community were consulted. These individuals included representatives from state, local, tribal, or other regional governmental public health departments (or equivalent department or agency) as well as leaders, representatives, or members of medically underserved, low-income, and minority populations. Additionally, where applicable, other individuals with expertise of local health needs were consulted. Line 6A: Adventist Health Castle Kahi Mohala Kahuku Medical Center Kapiolani Medical Center for Women and Children Kuakini Medical Center Pali Momi Medical Center The Queens Medical Center The Queens Medical CenterWest Oahu Rehabilitation Hospital of the Pacific Shriners Hospitals for ChildrenHonolulu Straub Medical Center Wahiawa General Hospital Line 6B: The Healthcare Association of Hawaii (HAH), on behalf of thirteen member hospitals, conducted this CHNA. Islander Institute analyzed and synthesized all qualitative data from the community meetings and key informant interviews. Community members and key informant interviews included representatives from state, local, tribal, or other regional governmental public health departments (or equivalent department or agency) as well as leaders, representatives, or members of medically underserved, low-income, and minority populations. Line 11: The three health needs that KFH Honolulu plans to address are Access to Care, Economic Security, and Exercise, Nutrition and Weight/Diabetes. Health need 1: Economic Security Long term goal All community members experience improved economic security, including access to employment, education, and housing opportunities, and other factors that influence health. Intermediate goal(s) - Increase economic opportunity by how we hire, purchase, invest, build our facilities, and partner with local businesses and communities. - Increase opportunities for local and diverse hiring and entrepreneurship. - Increase access to safe, quality affordable housing and support services for populations affected by homelessness and housing displacement. - Increase opportunities for education, training, and employment for vulnerable and low-income populations. - Strengthen capacity and sustainability of community coalitions and non- profits working to advance equity, economic opportunity, and improved built environments. Strategies: - Economic Opportunity. Support long-term economic vitality of communities through procurement, hiring and workforce development, small business development, impact investing, public policy, and improvements in the built environment. - Inner City Capital Connections (ICCC): Provide training education and mentorship to small businesses seeking to increase their capacity and access to new sources of funding. - Deploy KP assets and support community-based organizations and non-profits that promote capacity building and mentorship for local small businesses. - Thrive Local. Participate in Thrive Local or use of similar tools and technology at priority sites, that connects low-income individuals and families to community and government resources, confirms that their needs have been addressed, and incorporates that information into ongoing care plans. - Food for Life. Deliver a multi-pronged approach to transform economic, social, and policy environments to improve food security for the communities we serve. - CityHealth. Align health policy work with the CityHealth initiative by supporting community-based organizations to advocate for cities, counties, and the state to adopt and implement evidence-based policies to advance health, prosperity, and equity. Policy priorities include earned sick leave, universal pre-kindergarten, and affordable housing/inclusionary zoning, complete streets, alcohol sales control, tobacco 21, smoke-free indoor air, food safety/restaurant inspection rating, and healthy food procurement. - Collaborate with multi-sector and coalition partners such as the Hawaii Public Health Institute and other advocacy groups to advance policies in alignment with the CityHealth policy agenda. - Housing/Homelessness. Support efforts to reduce homelessness and increase housing stability by transforming health care and housing and strengthening systems to reduce/end homelessness, increase affordable housing supply, shape policy, and catalyze innovations. - Community Solutions Built for Zero: Support efforts to end chronic and veteran homelessness through data-driven and technology-enabled solutions. - Support community-based organizations and non-profits to increase access to affordable housing and complementary support services; provide direct services to homeless individuals and housing insecure families. - Workforce. Leverage KP assets to support K-12 and non-profit STEM programs and pre-apprenticeships and apprenticeships to strengthen education and career pathways for under-represented communities and individuals. - Partner with high schools, local vocational schools, community colleges, workforce investment boards, local hiring halls, or community-based workforce development programs to create pipelines for youth and under-represented communities. Health need 2: Obesity/HEAL/Diabetes Long term goal All community members eat better and move more as part of daily life. Intermediate goal(s) - Improve healthy eating among residents in low income, under-resourced communities. - Increase physical activity among residents in low income, under-resourced communities. - Improve prevention, treatment, and management of obesity, diabetes, and/or heart disease. Strategies - Thrive Local. Participate in Thrive Local or use of similar tools and technology at priority sites, that connects low-income individuals and families to community and government resources, confirms that their needs have been addressed, and incorporates that information into ongoing care plans. - Food for Life. Deliver a multi-pronged approach to transform economic, social, and policy environments to improve food security for the communities we serve. - Increase access and availability of healthy school meals. - Collaborate with the Department of Education and other partners to enhance enrollment and utilization of federal food programs. - CityHealth. Align health policy work with the CityHealth initiative by supporting cities, counties, and the state to adopt and implement evidence-based policies to advance health, prosperity, and equity. Policy priorities related to obesity/HEAL/diabetes include complete streets, food safety/restaurant inspection rating, and healthy food procurement. Support specific policy campaigns to advance health, prosperity and equity for a priority city. - Collaborate with multi-sector and coalition partners such as the Hawaii Public Health Institute and other advocacy groups to advance policies to improve and increase access to healthy food and opportunities for physical activity. - Thriving Schools. Support KP Thriving Schools HEAL initiatives through grants and partnerships to advance the adoption and implementation of HEAL policies and practices. - Deploy the Educational Theater Program to educate the community on healthy eating and physical activity behaviors. - Fund water stations in schools to reduce sugar sweetened beverage consumption in schools and support school wellness policies. - Community Vitality. Build spaces that are open to the public, blurring the lines between community and facility, including gardens, picnic & public event areas, outdoor group meeting spaces, farmers markets & educational gardens, exercise & bicycle paths, and childrens play areas, whenever possible. - Transportation. Support active transportation policies and practices (e.g., walking trails around facilities, bike-sharing programs, traffic calming measures, and location of transit stops near facilities).
Health need 3: Access to careLong term goal All community members have access to high quality, culturally and linguistically appropriate health care services in coordinated delivery systems. Intermediate goal(s) - Increase coverage and access to comprehensive, quality health care services for low-income and uninsured populations. - Improve health care services & delivery systems for low-income and uninsured populations. - Increase access to social services for vulnerable and low-income populations. - Equitably increase the number of students who have access to school-based health services, including mental health support. Strategies - Medicaid. Deploy KP resources to provide high-quality medical care services to Medicaid participants who would otherwise struggle to access care. - Medical Financial Assistance. Deploy KP resources to provide temporary financial assistance to low-income individuals who receive care at KP facilities and cant afford medical expenses and/or cost sharing. - Thrive Local. Participate in Thrive Local or use of similar tools and technology at priority sites, that connects low-income individuals and families to community and government resources, confirms that their needs have been addressed, and incorporates that information into ongoing care plans. - Housing/Homelessness. Support efforts to reduce homelessness and increase housing stability by transforming health care and housing and strengthening systems to reduce/end homelessness, increase affordable housing supply, shape policy, and catalyze innovations. - Community Solutions Built for Zero: Support efforts to end chronic and veteran homelessness through data-driven and technology-enabled solutions. - Support community-based organizations and non-profits to increase access to affordable housing and complementary support services; provide direct services to homeless individuals and housing insecure families. - Safety Net. Strengthen the capacity and sustainability of safety net organizations that address essential medical and social/non-social needs. - Improved Access. Leverage KP assets to improve access to healthcare for underserved, build capacity of the primary care workforce, and improve appropriate utilization of healthcare services. - Transportation. Engage community partners to promote safe transportation, encourage active transportation, and address barriers to health access. - School-based Health. Support community- driven efforts to sustain and expand school-based health centers by leveraging KP assets. The remaining prioritized health needs for Honolulu will not be addressed by KFH Honolulu because they were not ranked as highly as Access to Care, Economic Security, and Exercise, Nutrition, Weight and Diabetes. Based on the prioritization criteria, the health needs identified through the CHNA that KFH Honolulu does not plan to address at this time include: 1. Mental health 2. Climate and health While these health needs are not the focus of this Implementation Strategy, KFH Honolulu may consider investing resources in these areas as appropriate, depending on opportunities for KFH Honolulu to leverage its assets in partnership with local communities. This report does not encompass a complete inventory of everything KFH Honolulu does to support the health of our communities, including our commitment to environmental stewardship. Line 13A: KFH Honolulu provides a 100% discount to all charity eligible patients regardless of whether they are uninsured or underinsured. The discount amount is not adjusted based on income level. Line 13H: A patient of any household income level with incurred out-of-pocket medical and pharmacy expenses for eligible services over a 12-month period great than or equal to 10% of their annual household income in eligible for charity care. Line 16J: The FAP program materials are available on the KP website at www.kp.org/mfa/hawaii. Line 20E: 1) Provided written notice on all patient statements informing patients that MFA is available for those who qualify. 2) Provided the PLS with all patient billing statements.
C, 13, KFH ANAHEIM & C, 23, KFH - IRVINE Explanations Part V, Section B.Line 5: Residents, community leaders, and government and public health department representatives were selected for the CHNA sample. Selection criteria across these groups included (a) those best able to respond in rich detail to the strategic learning questions, (b) those who had expertise in local health needs, (c) those who resided and/or provided services in an under-resourced or medically underserved community, and (d) those able to represent the health needs of a given racial or ethnic minority group. Given the large size of the KFH-Anaheim and Irvine service areas, community engagement efforts set out to target those geographies most under-resourced and where health outcomes were the poorest. Once selected for engagement, participants were provided the opportunity to share their perspective on targeted health needs and raise any additional health needs outside the strategic lines of inquiry. Line 6A: Collaborating Hospitals: Hoag Memorial Hospital St. Jude Medical Center St. Joseph Medical Center Mission Hospital CHOC Childrens Hospital Line 11: Health Need 1: Access to Care Long Term Goal All community members have access to high quality care services from a trained and diverse workforce in a coordinated delivery system. Strategic priorities 1. Increase coverage, access, and utilization of health care services for populations that are underserved, uninsured, and/or underinsured. 2. Improve and build the current and emerging workforce to meet the primary care needs of the community. 3. Improve the capacity of healthcare systems to provide quality healthcare, including interventions to address the social determinants of health. Strategies & Core Interventions 1.1 Provide access and comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. - The Kaiser Permanente Medicaid program provides high-quality medical care services to Medicaid eligible participants who would otherwise struggle to access care. - The Kaiser Permanente Medical Financial Assistance program provides temporary financial assistance to low-income individuals who receive care at Kaiser Permanente facilities and who cant afford medical expenses and/or cost sharing. - The Kaiser Permanente Charitable Health Coverage program provides access to comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. 1.2 Support access to care for patients through collaboration among community clinics, clinic networks, and other safety net providers. - With the support of grant funding, Regional Associations of California (Essential Access Health) strengthen the capacity of California's community clinics and health centers and to advance local health delivery system transformation through statewide policy. - Through grant-making Kaiser Permanente will partner with organizations that have community health navigator programs, such as the Coalition of Orange County Community Health Centers to increase access to care. 2.1 Support and implement physician and other pipeline and training programs, using evidence-based, culturally competent and patient-centered population management modules. - The Kaiser Permanente Graduate Medical Education (GME) recruits and prepares the physician workforce of the 21st century by optimizing the unique clinical and educational opportunities within Kaiser Permanentes integrated model of care, which is now considered the gold standard for improving the entire U.S. healthcare system. As part of their training, residents participate in rotations at school-based health centers, community clinics, and homeless shelters. 3.1 Design, pilot and implement systems for screening community members with social (non-medical) needs and refer to community-based programs. - The Kaiser Permanente Thrive Local initiative integrates the social determinants of health into ongoing care plans by screening and connecting low-income individuals and families to community and government resources. 3.2 Strengthen the capacity and infrastructure of community clinics to effectively prevent and manage chronic disease, including cardiovascular health and diabetes. - Through grant-making, increase chronic disease prevention, screening and management, including mammography screenings, in partnership with health centers and community partners. - In collaboration with stroke-advocacy organizations, such as the American Heart Association, Kaiser Permanente will expand public awareness about the scale, scope, and nature of stroke and its lifestyle effects in the black community. - Kaiser Permanente will participate on advisory groups and boards to increase advocacy and education on asthma prevention and treatment, including air quality issues, such as the Environmental Justice Advisory Group of the South Coast Air Quality Management District and the local American Lung Association California Board of Directors. Health Need 2: Economic Security Long Term Goal All community members experience improved economic security and access to social services, including affordable housing, educational attainment, training and employment, and healthy foods. Strategic priorities 1. Reduce food insecurity in the community and improve access to healthy foods. 2. Preserve and improve the availability of affordable housing and improve care coordination to serve individuals experiencing homelessness and to prevent displacement. 3. Improve educational attainment and employment opportunities. Strategies & Core Interventions 1.1 Design, pilot and implement programs and systems for promoting, screening and/or enrolling community members in food benefit programs. - The Kaiser Permanente Food for Life initiative delivers a multi-pronged approach to improve food security, such as the CalFresh enrollment campaign utilizes multi-modal outreach to increase CalFresh enrollment for eligible community members. 1.2 Support programs that procure, recover and/or redistribute food to food insecure communities. - The Kaiser Permanente Food Recovery and Food Redistribution program envision foodservices as the source of nutritious meals for patients, staff and the broader community by distributing food to food insecure communities. - With the support of grant funding, the California Association of Food Banks Farm to Family utilizes advocacy and outreach efforts to procure and provide fresh produce to food banks serving individuals and families who are food insecure. - Kaiser Permanente participates as an active member in the Orange County Strategic Plan for Aging; Senior Nutrition/Food Security Committee and part of the Waste Not OC Coalition recovering and redistributing food to food insecure community members. 1.3 Support the capacity of communities and anchor organizations to adopt and implement policies and programs to ensure access to healthy foods. - The Kaiser Permanente Thriving Schools Healthy Eating Active Living (HEAL) Initiative, in partnership with Alliance for a Healthier Generation, supports Title 1 schools with the adoption and implementation of policies and practices to continuously improve the schools culture and practices around health. 2.1 Enhance the infrastructure and capacity of service providers to serve individuals at risk or experiencing homelessness. - Through grant making, Kaiser Permanente will partner with organizations to increase the number of housing navigators. 2.2 Support and participate in collaboratives that support coordination and funding of resources (such as health services and housing) for individuals at risk or experiencing homelessness. - Kaiser Permanente will partner with the United to End Homelessness initiative, working to create long-term supportive housing and reduce homelessness in Orange County to a functional zero. 3.1 Support the long-term economic vitality of communities through procurement, hiring and workforce development, and/or small business development impact investing. - Hire and provide training to people who are striving to overcome employment barriers, including homelessness, incarceration, substance abuse, mental illness, and limited education. - The Kaiser Permanente, High Impact Hiring is a talent-sourcing strategy that aligns business needs with positive community impact. High Impact Hiring creates career opportunities for people with employment barriers, focusing on specific populations of disadvantaged people or specific geographic areas.
Health Need 3: Mental HealthLong Term Goal All community members have optimal levels of mental health and well-being through improved equitable access to evidence-based, high quality, appropriate care and reduced efforts of stigma. Strategic priorities 1. Improve access and connection to mental healthcare in clinical and community settings. 2. Improve and build the current and emerging mental health workforce to meet community needs. 3. Reduce mental health stigma and improve knowledge, capacity and resilience in individuals, communities, and organizations. Strategies and Core Interventions 1.1 Support the infrastructure and capacity building of community organizations and clinics to improve access to quality mental health care. - Kaiser Permanente will participate in Be Well Orange Countys subgroup on closing treatment gaps and improving access to mental health services. - Kaiser Permanente will collaborate with the newly formed Childrens Mental Health Collaborative to increase access for children to mental health services. - Kaiser Permanentes Center for Healthy Living provides Motivational Interviewing training, an evidence-based counseling method that can be used as an effective short-term intervention with those experiencing addiction, free of charge to community partners. 1.2 Support the integration of mental health care, case management, and navigation services into clinical care and community settings. - With the support of grant funding, Mind OC Be Well Hub will provide co-located mental health and substance abuse services to improve care coordination and reduce emergency room visits. - Kaiser Permanente will work with clinical care sites to expand screening protocols across the lifespan, including for Adverse Childhood Experiences (ACEs) in pediatric offices and mental health screening for older adults in primary care settings. 2.1 Support the education and training of licensed mental health professionals to be culturally competent. - In collaboration with MECCA (Multi-Ethnic Collaborative of Community Agencies) Kaiser Permanente will increase cultural competency and better reach underserved communities in Orange County. 2.2 Support the utilization of pipeline and training programs to increase the number of licensed and diverse mental health professionals. - Continue to be a member of the OC STEM Initiative and support the collaborative efforts with K-12, community colleges and business and industry, health care employers and stakeholders to convene and address healthcare career pathways. - Provide workforce development opportunities through the Masters Social Work internship program. - Collaborate with public and private partners, such as Childrens Cause Orange County, in support of the formation of a new Orange County Early Childhood Mental Health Workforce Development Initiative. 3.1 Support efforts to improve the community and social support systems knowledge, attitudes, beliefs and perceptions about mental health, trauma and resilience. - Kaiser Permanente will participate in the Be Well OC initiative for stigma reduction including attending collaborative meeting and supporting the Stigma Free OC initiative. - Kaiser Permanente will participate in collective impact efforts coordinated by Waymakers to prevent substance use among youth in the Capistrano Unified School District and the Newport-Mesa Unified School District. - Through grant-making, Kaiser Permanente will partner with NAMI Orange County to work with the students in schools to raise awareness about mental health and wellness by developing tool-kits, offering writing labs, or peer-to-peer student clubs. - The Kaiser Permanente Public Good Projects Action Minded campaign, a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners in reducing stigma towards mental health conditions 3.2 Support the enhancement of organizational culture, practices and policies in schools and other institutions to be trauma-informed. - Kaiser Permanente will collaborate with educational organizations, such as the Orange County Department of Education, to provide trauma-informed training for educators and providers to better understand the impact of trauma on academic achievement and behavior. - Kaiser Permanente will collaborate with MIND OC and other community-based organizations to support suicide prevention efforts at schools and across the county. Health needs KFH-Anaheim and Irvine do not intend to address While all the health needs prioritized in the 2019 Community Health Needs Assessment process are important to address, the implementation strategy planning process requires KFH-Anaheim and Irvine to conduct a selection process based on critical criteria including health need severity, magnitude, inequity, and the extent to which KFH-Anaheim and Irvine are in a position to meaningfully address the need. Health needs that were not elevated across these critical criteria were not selected for the implementation strategy plan. Health needs not selected include: Stroke and Suicide. These health needs were not selected as standalone needs for the purposes of this report, but KFH Anaheim and Irvine plan to address these needs through efforts to improve Access to Care and Mental and Behavioral Health, respectively. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT www.kp.org/mfa/scal
A, 14, KFH VALLEJO Explanations Part V, Section B.Line 5: A broad range of community members provided input through key informant interviews, group interviews, and focus groups. The research team consulted individuals with knowledge, information, and expertise relevant to the health needs of the community. These individuals included representatives from health departments, school districts, local non-profits, and other regional public and private organizations. In addition, the team gathered input from community leaders, clients of local service providers, and other individuals representing people who are medically underserved, low income, or who face unique barriers to health (e.g., race/ethnic minorities and individuals experiencing homelessness). Line 6A: Sutter Health Line 6B: Napa County Health and Human Services Solano County Health and Social Services Community Health Insights Line 11: Health need 1: Mental Health and Wellness Long term goal All community members have access to high quality, culturally and linguistically appropriate health care services in coordinated delivery systems Intermediate goal(s) - Increase capacity of organizations and institutions to provide trauma-informed services and programs - Increased access to behavioral health care services for low-income and vulnerable populations - Develop a diverse, well trained behavioral health care workforce that provides culturally competent care Strategies - Provide funding to address trauma and adverse childhood experiences (ACEs) (including screening and counseling). - Provide grants for programs that support a network of services for children and families (e.g. family resource centers). - Support culturally appropriate programming to promote healing in communities with high rates of trauma and/or violence. - Provide funding for programs providing certified, evidence-based parenting programs to vulnerable populations. - Provide support for organizations providing trauma-informed and trauma-responsive trainings for staff/providers. - Provide grant funding to school districts participating in KP Thriving Schools initiatives to support staff and school leadership professional development and resilience. - Fund grants to improve early identification of behavior health needs (e.g. schools, clinics). - Implement the Public Good Projects Action Minded campaign, a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners, and KP employees as partners in reducing stigma towards mental health conditions - Participate in Healthy Solano Collaborative, Live Healthy Napa County Collaborative, and Solano Elder Justice Coalition. - Provide funding for programs focused on providing mental health services in vulnerable census tracts. - Provide grants for behavioral health case management. - Provide grants for programs that offer substance and tobacco education. - Provide grants for programs that offer resources and support for youth and families dealing with substance abuse. - Support the capacity of clinics, schools or other community-based organizations to provide trauma-informed care to youth. - Provide KPs Education Theater programs Ghosted, Nightmare on Puberty St., and Peace Signs. - Participate in Medi-Cal Managed care. - Provide Charitable Health Coverage. - KP Mental Health Training Program participants rotate through community clinics and other community-based organizations to provide behavioral health services and education. - The Thrive Local bi-directional directory will allow KP staff to directly refer patients to community-based resources and services. - Support the rotation of residents and other trainees in community health centers and other community settings. - Provide and distribute KP health education materials and resources to community-based organizations, including community clinics. - ACEs screening through pilot at NSA KP facilities that link KP patients to community resources and services. - Provide direct linkages to social non-medical resources and services to new Medi-Cal members during onboarding through Social Medicine services. Expected outcomes - Increased enrollment in programs to improve social/emotional wellness - Increased screening for behavioral health needs - Increased organizational capacity to provide Adverse Childhood Experiences screenings - Increased trauma-informed and trauma-responsive services, policies, and systems - Increased participation in drug and alcohol prevention programs - Improved capacity of systems or organizations to implement non-violent solutions to conflict and offer alternatives to punitive responses - Increased number of low-income patients who receive behavioral health care services - Increased integration of primary and behavioral health care services - Improved access to quality care for youth, families and communities experiencing violence - Increased number of individuals receiving mental health services Health need 2: Community and Family Safety Long term goal Cycles of violence are interrupted, and toxic stress is alleviated Intermediate goal(s) - Increased access to safe parks and public spaces - Increased access to programs and support services for those experiencing or at risk of family violence - Improve job readiness for people with barriers to employment Strategies - Provide funding for programs focusing on development and/or beautification of neighborhood outdoor spaces servicing low income and vulnerable populations. - Provide funding for programming that promotes physical activity and social cohesion in underserved or vulnerable communities. - Participate in Healthy Solano Collaborative and Live Healthy Napa County Collaborative. - Participate in Vibe Solano collaborative. - Participate in Food, Agricultural, Nutrition Network of Solano (FANNS). - Provide grants for programs that support a network of services for children and families (e.g. family resource centers, family justice centers). - Fund prevention programs and support services for those at risk of family violence. - Support domestic violence and child abuse prevention programs that work with victims and/or perpetrators. - Support programs that provide access to job training programs for high-risk populations (e.g. homeless, reentry, foster youth, transition age youth). - Support organizations who work with re-entry population by providing training, wraparound services, and help them successfully access and maintain employment. - Support pathway programs to increase the diversity of the healthcare workforce by providing mentorship, academic enrichment, leadership development, and career exposure to disadvantaged and minority youth. - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers (KP LAUNCH) - Utilize KP Cares to recruit volunteers for community-based projects (e.g. neighborhood beautification projects). - Provide opportunities for KP business resource groups to support volunteer projects in the community. - Provide opportunities for KP business resource groups to service as speakers or present to local students regarding career paths. - Provide mentorship opportunities for Vallejo high school students through the KP/Touro University California Partnership for Achievement of Total Health in Students (KP/TUC PATHS) program. - Local KP participation in collaboratives of local health care institutions, community colleges, workforce development organizations, and chambers of commerce to support the pipeline and hiring of diverse populations in health care. Expected outcomes - Increased use of parks and public spaces - Increased community perception of safety - Increased trust between law enforcement and community members - Increased community perception that violence is a preventative public health issue - Increased participation in prevention programs and support services for those at risk of family violence - Increased organizational capacity to offer quality services to individuals and communities experiencing trauma/violence - Increased number of families receiving responsive services - Increased number of families screened for family violence - Increased proportion of referrals made for families experiencing family violence - Increased enrollment and completion of education and job training programs - Decreased recidivism - Increased number of individuals completing job-training program
Health need 3: Economic OpportunityLong term goal All community members are economically secure in order to thrive Intermediate goal(s) - Increase high school graduation for underrepresented youth - Prevent individuals and families from falling into homelessness - Increase connections to supportive services for individuals experiencing homelessness - Improve job readiness for people with barriers to employment - Increase access to living-wage jobs for people with barriers to employment Strategies - Provide grants for youth development programs that support underrepresented students prepare academically for college. - Provide grant funding for programs assisting vulnerable youth access support and resources needed to graduate from high school and prepare them for college. - Provide grant funding for programs working to assist disconnected youth complete high school level education. - Provide support for programs offering education and resources around tenant protections and/or providing free or low-cost legal assistance for tenants facing eviction. - Provide funding for programs that support the connection of residents in affordable housing to a range of critical health and human services. - Provide funding to support rapid rehousing programs. - Support non-profit housing developers, housing programs, and shelters focused on expanding supportive housing and resources for those who are experiencing or at risk of homelessness. - Provide funding to support coordinated entry systems. - Support for programs providing emergency rental assistance to prevent eviction and homelessness. - Participate in Healthy Solano Collaborative and Live Healthy Napa County Collaborative. - Participate in regular partnership meetings with Solano County hospital systems and health plans. - Support programs that provide access to job training programs for high-risk populations (e.g. homeless, reentry, foster youth, transition age youth). - Support organizations who work with re-entry population by proving training, wraparound services, and help them successfully access and maintain employment. - Support pathway programs to increase the diversity of the healthcare workforce by providing mentorship, academic enrichment, leadership development, and career exposure to disadvantaged and minority youth. - Funding to strengthen local homeless system of care through the Housing and Health Initiative. - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers (KP LAUNCH). - Provide mentorship opportunities for Vallejo high school students through the KP/Touro University California Partnership for Achievement of Total Health in Students (KP/TUC PATHS) program. - Provide opportunities for KP employees (e.g. Multi-cultural business resource groups) to service as speakers or present to local students regarding career paths. - Partnership with KP Division of Research to develop a predictive model for housing instability. - Provide opportunities for KP business resource groups to service as speakers or present to local students regarding career paths. - Local KP participation in collaboratives of local health care institutions, community colleges, workforce development organizations, and chambers of commerce to support the pipeline and hiring of diverse populations in health care. - NSA Local impact hiring strategy will provide opportunities for people with barriers to employment. - Impact purchasing and small business capacity building to strengthen local and diverse businesses through sourcing strategies and programs. Expected outcomes - Decreased rates of chronic absenteeism - Reduced high school dropout rate among low income and vulnerable youth - Increased college access among low income and vulnerable youth - Improvement of reading proficiency scores for third grade students - Increased availability and utilization of affordable housing - Increase in referral and coordination between medical providers and social non-medical services and providers - Increased number of families remaining stably housed while receiving prevention assistance - Increase in the number of assisted families who do not enter or re-enter emergency shelter or transitional housing after receiving housing assistance - Increased number of clients connected to housing opportunities - Increased enrollment and completion of education and job training programs - Decreased recidivism Health need 4: Access to Care and Coverage Long term goal All community members have access to high quality, culturally and linguistically appropriate health care services in coordinated delivery systems Intermediate goal(s) - Increase access to comprehensive health care coverage for low income individuals - Increase access to social non-medical services for low income and vulnerable populations - Reduce food insecurity among low-income families and individuals - Increase access to a diverse, culturally competent health care workforce. - Improve the capacity of health care systems to provide quality health care services Strategies - Provide grants for programs focused on (increasing) enrollment in affordable health coverage options. - Funding programs and/or organizations to conduct targeted outreach and screening for chronic unmanaged health conditions specific to target populations or census tracts. - Funding to support FQHCs around health education and outreach. - Fund FQHCs to expand and improve primary care access, navigation, and services. - Provide subsidized health care coverage to children (18 & under) in low- income families who lack access to other sources of coverage. - Provide Medical Financial Assistance to patients who are unable to afford the cost of care. - Participate in regular partnership meetings with Solano County hospital systems and health plans. - Provide grants for programs that increase enrollment in federal food programs. - Support programs that advocate for equitable access to healthy food (e.g., community gardens, food systems, and local markets). - Support Market Match to provide incentives for CalFresh users to purchase produce at farmers markets. - Support programs focused on connecting vulnerable populations (e.g. seniors, low income families) to social non-medical services and resources (e.g. transportation, food). - Participate in Healthy Solano Collaborative and Live Healthy Napa County Collaborative. - Participate in Vibe Solano collaborative. - Participate in Food, Agricultural, Nutrition Network of Solano (FANNS). - Provide grant funding for programs providing respite and recuperative care for people without stable housing after being discharged. - Support pathway programs to increase the diversity of the healthcare workforce by providing mentorship, academic enrichment, leadership development, and career exposure to disadvantaged and minority youth. - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members (Food For Life). - Support screening for social non-medical service needs and connect low- income individuals and families to community and government resources (e.g. Thrive Local). - Support population health management approaches that improve health outcomes for safety net patients with diabetes and hypertension (PHASE). - Support community clinic consortia to develop programs and advocate for policies that improve access to quality health care for low income individuals. - Participate in Medi-Cal Managed care. - Provide Charitable Health Coverage. - The Thrive Local bi-directional directory will allow KP staff to directly refer patients to community-based resources and services. - Provide direct linkages to social non-medical resources and services to new Medi-Cal members during onboarding through Social Medicine services. - Support the rotation of residents and other trainees in community health centers and other community settings. - Collaborate with HR and other internal stakeholders to develop a high- impact hiring program in NSA.
Expected outcomes- Increased number of low-income patients who receive health care services/coverage provided by KP - Increased number of low-income patients that enroll in health care coverage programs - Increased use of preventative medical services by low utilizers - Increased referrals and coordination between healthcare providers and social non- medical services - Increased enrollment and participation in public benefit programs - Improved transportation for vulnerable populations (e.g. seniors) to necessary healthcare and social non-medical services - Improved capacity of health systems to provide population health management - Increased integration of primary and specialty health care services - Improved capacity of safety net providers to assuming capitated risk - Increased number of people from underrepresented groups enrolling in job training programs - Increased number of culturally and linguistically competent and skilled healthcare providers Health needs KFH-Vallejo does not intend to address Housing: This health need was not selected because, compared to other health needs, it scored relatively lower on the following criteria: disparities, leveraging organizational assets, and feasibility. The strategies identified within Economic Security will largely address the need associated with Housing. Additionally, there is significant existing attention and resources dedicated to addressing this issue in the community. Education: This health need was not selected because, compared to other health needs, it scored relatively lower on the ability to leverage organizational assets. Significant attention and resources in the service area are currently dedicated to addressing this health need, especially in the secondary education system by supporting programs providing mentorship and educational support systems for high school students and disconnected youth. Healthy Eating and Active Living (HEAL): This health need was not selected because, compared to other health needs, it scored relatively lower on disparities and leveraging organizational assets. Significant attention and resources in the service area are currently dedicated to this need around the issues of reducing food insecurity, providing access to healthy food, and increasing access to safe parks and outdoor spaces. Maternal & Infant Health: This health need was not selected because, compared to other health needs, it scored relatively lower on disparities and leveraging organizational assets. The strategies identified within Access to Care will largely address the challenges specific to the population of mothers and young children. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/NCAL
A, 15, KFH SACRAMENTO Explanations Part V, Section B.Line 5: Community input was provided by a broad range of community members through key informant interviews, group interviews, and focus groups. Individuals with the knowledge, information, and expertise relevant to the health needs of the community were consulted. These individuals included representatives from health departments, school districts, local non-profits, and other regional public and private organizations as well as community leaders, clients of local service providers, and other individuals representing medically underserved, low-income, and sub-populations that face unique barriers to health (e.g., race/ethnic minority populations, individuals experiencing homelessness). Line 6A: KFH-Sacramento coordinated 2019 CHNA efforts with several regional hospital systemsDignity Health, Sutter Health, and the University of California, Davis Medical Center. Line 6B: Sacramento County Department of Public Health Yolo County Department of Health and Human Services Line 11: Health need 1: Mental and Behavioral Health Long term goal - All community members experience social emotional health and wellbeing and have access to high quality behavioral health care services when needed Intermediate goal(s) - Increase the capacity of organizations and institutions to provide trauma- informed services and programs - Enhance community supports to mitigate impact of ACEs - Increase access to mental and behavioral health care services for low- income and vulnerable populations - Develop a diverse, well trained behavioral health care workforce that provides culturally competent care - Prevent and reduce misuse of drugs and alcohol Strategies - Provide KPs Education Theater program, Resilience Squad - Support local efforts to improve the community, school, and social support systems knowledge, attitudes, beliefs, and perceptions about mental health, trauma, and resilience across the lifespan - Increase quality and effectiveness of mental health services in local schools - Support the capacity of clinics, schools, or other community-based organizations to provide trauma-informed care to youth - Reduce stigma in the workplace for accessing mental health care - Enhance community supports and leverage Kaiser Permanente clinical expertise to mitigate impact of adverse childhood experiences - Train and support community health workers and promotoras, including those with lived experience, to help people navigate the mental health care system and use evidence-based tools - Implement the Public Good Projects Action Minded campaign, a digital community health intervention using education, social engagement and multi- media tools to engage the general public, issue-advocates and community partners, and KP employees as partners in reducing stigma towards mental health conditions - Integrate mental health care, case management, and navigation services into clinical care and community settings (e.g., schools, faith-based, restaurants, other organizations) - Participate in Medi- Cal Managed care - Provide Charitable Health Coverage - Create partnerships to place mental health post-doctoral residents in local schools and with CBO partners - Provide workforce training programs to train current and future mental health practitioners with the skills and linguistic and cultural competence to meet the health care needs of diverse communities - Develop or strengthen local mental health professions pipeline and training programs to increase the number of licensed and diverse mental health professionals - Advance city policies related to tobacco sales Expected outcomes - Increased trauma-informed services, policies, and systems - Increased organizational capacity to provide adverse childhood experiences screenings - Increased enrollment in programs to improve social/emotional wellness. - Increased screening for behavioral health needs - Increased integration of primary and behavioral health care services - Strengthened network of support services as a result of strategic partnerships to promote mental and behavioral health - Increased number of mental and behavioral health training programs with modules addressing linguistic and cultural competency - Increased number of providers trained in addressing linguistic and cultural competency - Increased control of tobacco sales - Increased legal age of tobacco products to age 21 Health need 2: Economic Security Long term goal All community members are economically secure in order to thrive Intermediate goal(s) - Improve economic vitality of local and diverse businesses - Increase in enrollment and participation in public benefit programs - Reduce food insecurity among low-income families and individuals - Improve job readiness for people with barriers to employment - Increase access to living-wage jobs for people with barriers to employment - Increase high school graduation for underrepresented youth - Increase availability of affordable housing - Increase and enhance transitional housing and shelter availability - Increase connections to supportive services for individuals experiencing homelessness or at risk of homelessness Strategies - Provide training, education and mentorship to small, diverse businesses seeking to increase their capacity and access new sources of funding - Increase baseline spending for local and diverse businesses through procurement, hiring and workforce development, and/or small business development impact purchasing - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members (Food For Life) - Promote use of CalFresh and WIC benefits for purchasing fresh fruits and vegetables, including at farmer's markets or prescription programs - Develop job pipelines for hard to employ populations for construction of new health facilities - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers (KP LAUNCH) - Support adult and young adult vocational training; programs may include job search assistance, personal development resources, and other comprehensive support services (e.g., child care) during training - Support the development of transitional jobs (time-limited, subsidized, paid jobs intended to provide a bridge to unsubsidized employment) - Leverage the construction of new health facilities to extend job pathways to hard to employ populations such as formerly incarcerated individuals - Provide educational attainment and pathway programs for youth focused on increasing high school graduation rates, college readiness, preparation for careers in Science, Technology, Engineering, and Mathematics (STEM), or health care workforce training - Support impact investing strategies to preserve, rehabilitate, and/or expand affordable housing - Partner with other health systems on interim and respite care for homeless individuals - Support efforts to expand shelter availability and number of overall shelter beds - Funding to strengthen local homeless system of care through the Housing and Health Initiative - Enhance the infrastructure and capacity of service providers to serve individuals at risk or experiencing homelessness - Support Community Solutions Built for Zero initiative to participate and help drive collaboratives that support coordination and funding of resources (such as health services and housing) for individuals at risk or experiencing homelessness Expected outcomes - Increased hospital spending in local and diverse businesses - Increased enrollment and participation in public benefit programs - Reduction in food insecurity - Increased job pipelines for individuals with barriers to employment - Increased enrollment in training and education programs for living wage employment for individuals - Increased availability of affordable housing - Greater infrastructure for supporting individuals who are at risk of or experiencing homelessness - Strengthened network of support services, as well as coordinated efforts and funding for individuals who are homeless or at risk of homelessness as a result of strategic partnerships
Health need 3: Access to CareLong term goal All community members have access to high quality, culturally and linguistically appropriate health care services in coordinated delivery systems Intermediate goal(s) - Increase access to comprehensive health care coverage for low income individuals - Increase access to subsidized care for those facing financial barriers to health care - Increase access to social non-medical services for low income and vulnerable populations - Increase access to a diverse, culturally competent health care workforce - Improve the capacity of health care systems to provide quality health care services - Increase literacy and practice of healthy behaviors proven to reduce downstream chronic conditions Strategies - Support access to care for patients through collaboration among community clinics, clinic networks, and other safety net providers - Support school-based health centers - Increase access to health care coverage and access for underserved communities (e.g., low- income, Latinx/Hispanic), including targeted outreach, enrollment, and retention strategies - Train and support community health workers and promotoras, including those with lived experience, to help people navigate the system and use evidence- based tools - Participate in Medi-Cal Managed care - Provide Charitable Health Coverage - Provide Medical Financial Assistance - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members (Food For Life) - Support screening for social non-medical service needs and connect low- income individuals and families to community and government resources (Thrive Local) - Provide workforce training programs to train current and future health care providers, including physicians, mental health practitioners, physical therapy, pharmacy, nurses, and allied health professionals, with the skills and linguistic and cultural competence to meet the health care needs of diverse communities - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers (KP LAUNCH) - Support School for Allied Health expanding access to training and certificate programs for underrepresented individuals - Support population health management approaches that improve health outcomes for safety net patients with diabetes and hypertension (PHASE) - Support community clinic consortia to develop programs and advocate for policies that improve access to quality health care for low income individuals - Support collaborations and partner with local community-based organizations to promote healthy behaviors that mitigate chronic diseases - Educate and raise public awareness of healthy lifestyle resources Expected outcomes - Increased number of low income individuals who have comprehensive health care coverage - Increased access to and utilization of individuals with health care subsidies - Increased referrals and coordination between healthcare providers and social non-medical services - Increased number of culturally and linguistically competent health care providers - Increased number of health care career pipelines, training, and certificate programs - Improved capacity of health systems to provide population health management - Ongoing advocacy efforts of community clinic consortia to improve quality health care access for low income individuals - Evidence of increased management of chronic diseases (e.g., diabetes, hypertension) in priority populations Health need 4: Community and Family Safety Long term goal Cycles of violence are interrupted, and toxic stress is alleviated Intermediate goal(s) - Decrease in rates of gun violence - Increase trust between law enforcement and community members of color - Increased access to safe parks and public spaces - Increase access to programs and support services for those experiencing or at risk of family violence Strategies - Expand existing partnerships with CBOs and city efforts to reduce community violence - Support efforts to increase crisis support and rapid response efforts to community violence - Support firearm injury prevention efforts - Support community-driven efforts to promote positive interactions between communities and law enforcement - Advance complete streets policies (CityHealth) - Support local efforts to screen and serve victims of intimate partner violence (including teens), elder abuse, and abuse of vulnerable adults Expected outcomes - Reduction in rates of gun violence - Increased crisis response to community violence - Stronger, positive relationship between communities and law enforcement - Complete streets policies introduced and implemented - Strengthened network of support services for community and family safety as a result of strategic partnerships - Increase participation in prevention programs and support services for those at risk of family violence Health needs KFH-Sacramento does not intend to address Several of the health needs prioritized in the 2019 KFH-Sacramento CHNA report will not be addressed with the 2020-2022 implementation strategies: Environmental Health, Healthy Eating and Active Living, and Women and Childrens Well-being. Sacramento CHIC members ranked these lowest among the health needs as part of the Implementation Strategies prioritization process. However, although not selected as priority health needs, goals and strategies in health needs that were selected do reflect core components of Healthy Eating and Active Living and Women and Children's Well-being. For example, KFH-Sacramento and the Sacramento CHIC members decided that based on the 2019 CHNA data, there was ample evidence to indicate that women and children should be a focal population within each of the prioritized health needs. Similarly, strategies to address core components of Healthy Eating and Active Living were integrated into other health needs, including access to CalFresh into Economic Development and increasing access to healthy lifestyle resources into Access to Care. Environmental Health did not rise to the top in the CHIS prioritization process as the CHIC members felt there were fewer organizational assets that could be leveraged to make an impact in this domain. From as strategic point of view, the CHIC members wanted to ensure organization assets were used in ways that would be most beneficial to the community. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/NCAL
A, 16, KFH WALNUT CREEK Explanations Part V, Section B.Line 5: Community input was provided by a broad range of community members using key informant interviews and focus groups. 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 as well as leaders, representatives, or members of medically underserved, low-income, and minority populations. Additionally, where applicable, other individuals with expertise of local health needs were consulted. Line 6A: John Muir Health San Ramon Regional Medical Center Stanford Health Care-ValleyCare Line 6B: Contra Costa County Health Services Department Contra Costa County Employment and Human Services Line 11: Health need 1: Behavioral Health Long term goal All community members experience social emotional health and wellbeing and have access to high quality behavioral health care services when needed Intermediate goal(s) - Increase capacity of organizations and institutions to provide trauma- informed services and programs - Enhance community supports to mitigate impact of ACEs - Increase access to behavioral health care services for low-income and vulnerable populations - Develop a diverse, well trained behavioral health care workforce that provides culturally competent care Strategies - Increase access to trauma-informed services and training within (and around) school systems and organizations serving vulnerable populations (re-entry, foster care, transition aged youth, domestic violence) - Support programs providing trauma and ACEs training for school staff and/or self-care for teachers - Support the capacity of clinics, schools or other community-based organizations to provide trauma-informed care to youth - Implement the Public Good Projects' Action Minded campaign, a digital community health intervention using education, social engagement and multi- media tools to engage the general public, issue-advocates and community partners, and KP employees as partners in reducing stigma towards mental health conditions - Provide KPs Education Theater program, Resilience Squad - Provide workforce training programs to train current and future mental health practitioners with the skills and linguistic and cultural competence to meet the health care needs of diverse communities Expected outcomes - Increased scope and availability of trauma-informed services and programs available through programs serving vulnerable populations - Increased screening and referrals to behavioral health care services for low- income and vulnerable populations, especially youth (in settings such as FQHCs and schools) - Increased access for vulnerable populations to a diverse, well-trained behavioral health care workforce that provides culturally competent care - Increased help-seeking for behavioral health issues prompted by stigma reduction campaigns Health need 2: Access to Care Long term goal All community members have access to high quality, culturally and linguistically appropriate health care services in coordinated delivery systems Intermediate goal(s) - Increase access to comprehensive health care coverage for low income individuals - Increase access to subsidized care for those facing financial barriers to health care - Increase access to social non- medical services for low income and vulnerable populations - Increase access to a diverse, culturally competent health care workforce - Improve the capacity of health care systems to provide quality health care services Strategies - Increase capacity of organizations to conduct effective outreach and navigation to vulnerable populations to connect them to care - Provide capacity support for free clinics and those serving hard- to- reach populations - Increase FQHC and health system capacity to screen and refer clients to social, non-medical services (e.g., food, housing, employment) - Support screening for social non- medical service needs and connect low- income individuals and families to community and government resources - Participate in Medi-Cal Managed care - Provide Charitable Health Coverage - Provide Medical Financial Assistance Expected outcomes - Increased outreach to vulnerable populations that helps them access comprehensive health care coverage - Increased outreach to vulnerable populations that helps them navigate and connect to subsidized care - Reduced financial barriers to care by increasing access to Medical Financial Assistance - Increased access to trained navigators and community health workers that connect low-income and vulnerable populations to social non-medical services - Increased opportunities for diverse, culturally competent workers to enter the health care workforce Health need 3: Economic Security Long term goal All community members are economically secure in order to thrive Intermediate goal(s) - Improve economic vitality of local and diverse businesses - Increase in enrollment and participation in public benefit programs - Improve job readiness for people with barriers to employment - Increase connections to supportive services for individuals experiencing homelessness or at-risk of homelessness - Reduce food insecurity among low-income families and individuals Strategies - Provide support for programs that offer training and employment assistance to re-entry and homeless populations - Support outreach, navigation, and case management that connects individuals to coordinated entry services - Support food distribution programs that provide nutritious foods to low- income families and individuals - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members (Food For Life) - Funding to strengthen local homeless system of care through the Housing and Health Initiative - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers (KP LAUNCH) - Increase baseline spend for local and diverse businesses Expected outcomes - Increased use of local and diverse businesses as suppliers - Increased enrollment and participation in public benefit programs (e.g., CalFresh) - Improved job readiness for people with barriers to employment (especially due to re-entry, domestic violence, immigration status, homelessness) - Increased connections to supportive services (e.g., Coordinated Entry) for individuals experiencing homelessness - Reduced food insecurity among low-income families and individuals through access to nutritious foods via school, health, and community partner settings
Health needs KFH-Walnut Creek does not intend to addressElements of Education and Literacy, Housing and Homelessness, and Healthy Eating / Active Living were incorporated into the Economic Security health need, particularly food security, job readiness, employment assistance, and navigation/case management services for people at risk for or experiencing homelessness. Health needs identified in the CHNA but not addressed in the Implementation Strategy include Community and Family Safety, Transportation and Traffic, and Climate/Natural Environment. Community and Family Safety received lower scores in terms of evidence-based or promising approaches, leveraging Kaiser Permanente expertise or organizational assets, and the feasibility of making an impact. Elements of the Access to Care and Behavioral Health strategies address the needs of survivors of violence, such as addressing trauma through the educational and behavioral health systems and connecting people to social, non-medical services. This is also the case with job training strategies under Economic Security. Transportation and Traffic and Climate/Natural Environment were both lowest on the list of CHNA priorities and on the CHIC rankings, receiving the lowest scores for feasibility, as well as for evidence-based/promising practices. Even though both affect health outcomes, CHIC members were concerned that they would not be able to make much of an impact. However, some of the improvements in health care access and delivery (such as connecting low-income children and families to care for asthma) offer potential ways to address the effects of poor air quality and pollution within the service area. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/NCAL
A, 17, KFH SAN LEANDRO Explanations Part V, Section B.Line 5: Community input was provided by a broad range of community members using key informant interviews and focus groups. 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 as well as leaders, representatives, or members of medically underserved, low-income, and minority populations. Additionally, where applicable, other individuals with expertise of local health needs were consulted. Line 6A: Eden Medical Center Kaiser Foundation Hospital-Fremont St. Rose Hospital UCSF Benioff Childrens Hospital Oakland Washington Hospital Healthcare System Line 6B: Alameda County Health Care Services Alameda County Public Health Department Community Health Center Network Alameda County Behavioral Health Care Services First 5 Alameda County Line 11: Health need 1: Behavioral Health Long term goal All community members experience social emotional health and wellbeing and have access to high quality behavioral health care services when needed Intermediate goal(s) - Increase capacity of organizations and institutions to provide trauma- informed services and programs - Increase access to behavioral health care services for low-income and vulnerable populations - Develop a diverse, well trained behavioral health care workforce that provides culturally competent care Strategies - Support trauma-informed services and training for organizations serving vulnerable populations (re-entry, immigrant, foster care, transition age youth, domestic violence survivors, homeless) - Support programs providing direct mental health services in schools (MOU required) - Support programs providing trauma and ACEs training for school staff and/or self-care for teachers - Implement the Public Good Projects Action Minded campaign, a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners, and KP employees as partners in reducing stigma towards mental health conditions - Support FQHC capacity to screen and connect patients to mental health services - Support organizations that support caregivers by connecting them to navigators and services for themselves and the people for whom they are caring (Support the supporters) - Support telehealth options to increase access to behavioral health services by reducing transportation and stigma barriers - Support the capacity of clinics, schools or other community-based organizations to provide trauma-informed care to youth - Build student and staff resilience to address trauma and adverse childhood experiences (RISE) - Provide KP's Education Theater program, Resilience Squad - KP Behavioral Health Training program Expected outcomes - Increased scope and availability of trauma-informed services and programs available through programs serving vulnerable populations - Increased screening and referrals to behavioral health care services for low-income and vulnerable populations, especially youth (in settings such as FQHCs and schools) - Increased access for vulnerable populations to a diverse, well-trained behavioral health care workforce that provides culturally competent care - Increased help-seeking for behavioral health issues prompted by stigma reduction campaigns Health need 2: Access to care Long term goal All community members have access to high quality, culturally and linguistically appropriate health care services in coordinated delivery systems Intermediate goal(s) - Increase access to comprehensive health care coverage for low-income individuals - Increase access to subsidized care for those facing financial barriers to health care - Increase access to social non-medical services for low income and vulnerable populations - Increase access to a diverse, culturally competent health care workforce - Improve the capacity of health care systems to provide quality health care services Strategies - Increase capacity of organizations to conduct effective outreach and navigation to vulnerable populations to connect them to care - Increase FQHC and health system capacity to screen and refer clients to social, non-medical services (e.g., food, housing, employment) - Support partnerships with food banks for CalFresh enrollment and food pharmacy programs - Support training/ recruitment of community health workers (e.g., promotoras); Parent Ambassadors - Support training/ recruitment of health and social system navigators - Support screening for social non-medical service needs and connect low-income individuals and families to community and government resources (Thrive Local) - Support population health management approaches that improve health outcomes for safety net patients with diabetes and hypertension (PHASE) - Support community clinic consortia to develop programs and advocate for policies that improve access to quality health care for low income individuals - Participate in Medi-Cal Managed Care - Provide Charitable Health Coverage - Provide Medical Financial Assistance - Provide workforce training programs to train current and future health care providers, including physicians, mental health practitioners, physical therapy, pharmacy, nurses, and allied health professionals, with the skills and linguistic and cultural competence to meet the health care needs of diverse communities - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers (KP LAUNCH) - School for Allied Health expanding access to training and certificate programs for underrepresented individuals Expected outcomes - Increased outreach to vulnerable populations that helps them access comprehensive health care coverage - Increased outreach to vulnerable populations that helps them navigate and connect to subsidized care - Reduced financial barriers to care by increasing access to Medical Financial Assistance - Increased access to trained navigators and community health workers that connect low-income and vulnerable populations to social non-medical services
- Increased opportunities for diverse, culturally competent workers toenter the health care workforce Health need 3: Economic Security Long term goal All community members are economically secure in order to thrive Intermediate goal(s) - Improve economic vitality of local and diverse businesses - Increase in enrollment and participation in public benefit programs - Improve job readiness for people with barriers to employment - Increase connections to supportive services for individuals experiencing homelessness or at-risk of homelessness - Reduce food insecurity among low-income families and individuals Strategies - Support outreach efforts to increase enrollment in CalFresh - Support food distribution programs that partner with school districts, health systems and community partners to provide nutritious foods - Provide support for programs that offer training and employment assistance to vulnerable populations (re-entry, immigrant, domestic violence survivors, homeless population) - Support outreach, navigation, and case management that connects individuals to coordinated entry services - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members (Food For Life) - Funding to strengthen local homeless system of care through the Housing and Health Initiative - Increase baseline spend for local and diverse businesses Expected outcomes - Increased use of local and diverse businesses as suppliers - Increased enrollment and participation in public benefit programs (e.g., CalFresh) - Improved job readiness for people with barriers to employment (especially due to re-entry, domestic violence, immigration status, homelessness) - Increased connections to supportive services (e.g., Coordinated Entry) for individuals experiencing homelessness - Reduced food insecurity among low-income families and individuals through access to nutritious foods via school, health, and community partner settings Health needs KFH-San Leandro does not intend to address Three health needs identified through the CHNA process are partially addressed in the strategies listed above. The Healthy Eating / Active Living health need received scores in the middle of the total rankings from CHIC members, and was a lower priority in the CHNA process. The group agreed to incorporate one element of this health need-food security-into the Economic Security emphasis. Housing and Homelessness was ranked second among health needs by the CHIC members, in a tie with Economic Security. Recognizing the link between Economic Security and Housing and Homelessness, this health need was incorporated into the Economic Security priority health need. The Education and Literacy health need was rated as a medium priority in the CHNA and received similar rankings in the CHIC process. Relative to other health needs, it received lower rankings for the ability to leverage Kaiser Permanente expertise or organizational assets, and for the feasibility of making an impact. However, the CHIC members selected elements of Education and Literacy-notably job training and workforce development-in the higher-ranked Economic Security health need, as well as mental health and wellness for school-aged children under Behavioral Health. Three health needs were among the priorities that emerged from the CHNA process but are not addressed among the implementation strategies. Community and Family Safety received lower scores from the CHIC in terms of evidence-based or promising approaches, leveraging Kaiser Permanente expertise or organizational assets, and feasibility of making an impact. Some elements of Community and Family Safety are specifically addressed by strategies included in the priority health needs-particularly addressing trauma through the education and behavioral health systems, helping people navigate and access health and non-medical social services (including survivors of human trafficking and domestic violence), and supporting interventions that increase economic security and reduce homelessness. Climate/Natural Environment-particularly poor air quality-was recognized as a factor in health outcomes, but received low scores in terms of leveraging community assets, applying evidence-based or promising approaches, leveraging Kaiser Permanente expertise and organizational assets, and feasibility of making an impact. Instead, some of the improvements in health care access and delivery (such as connecting low- income children and families to care for asthma) were considered more accessible ways to address the effects of climate issues within the service area. Transportation and Traffic create barriers to health by lengthening commutes (making it more difficult for people to spend time being physically active or preparing healthy meals), increasing stress, and affecting access to care. However, CHIC members did not identify specific ways for Kaiser Permanente to address this structural issue. Of all the health needs considered, transportation and traffic received the lowest scores overall and for opportunities to leverage community and/or Kaiser Permanente assets, apply evidence-based approaches, and the feasibility of making an impact. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/NCAL
A, 18, KFH RIVERSIDE Explanations Part V, Section B.Line 5: Residents, community leaders, and government and public health department representatives were selected for the CHNA sample. Selection criteria across these groups included (a) those best able to respond in rich detail to the strategic learning questions, (b) those who had expertise in local health needs, (c) those who resided and/or provided services in an under-resourced or medically underserved community, and (d) those able to represent the health needs of a given racial or ethnic minority group. Given the large size of the KFH-Riverside service area, community engagement efforts set out to target those geographies most under-resourced and where health outcomes were the poorest. Once selected for engagement, participants were provided the opportunity to share their perspective on targeted health needs and raise any additional health needs outside the strategic lines of inquiry. Line 6A: KFH-MORENO VALLEY Line 6B: A few local organizations helped us to gather community input during the engagement process. These include: Borrego Health, Riverside Community Health Foundation, and University of California, Riverside school of Medicine. Line 11: Health Need 1: Access to Care Long Term Goal All community members have access to high quality health care services from a trained and diverse workforce in a coordinated delivery system. Strategic priorities 1. Increase coverage, access, and utilization of health care services for populations that are underserved, uninsured, and/or underinsured. 2. Improve and build the current and emerging workforce to meet the primary care needs of the community. 3. Improve the capacity of healthcare systems to provide quality healthcare, including interventions to address the social determinants of health. Strategies & Core Interventions 1.1 Provide access and comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. - The Kaiser Permanente Medicaid program provides high-quality medical care services to Medicaid eligible participants who would otherwise struggle to access care. - The Kaiser Permanente Medical Financial Assistance program provides temporary financial assistance to low-income individuals who receive care at Kaiser Permanente facilities and who cant afford medical expenses and/or cost sharing. - The Kaiser Permanente Charitable Health Coverage program provides access to comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. 1.2 Support access to care for patients through collaboration among community clinics, clinic networks, and other safety net providers. - With support of local grant funding, strengthen the capacity of California's community clinics and health centers and to advance local health delivery system transformation at the county level. 2.1 Support and implement physician and other pipeline and training programs, using evidence- based, culturally competent and patient-centered population management modules. - The Kaiser Permanente Graduate Medical Education (GME) recruits and prepares the physician workforce of the 21st century by optimizing the unique clinical and educational opportunities within Kaiser Permanentes integrated model of care, which is now considered the gold standard for improving the entire U.S. health care system. As part of their training, residents participate in rotations at school-based health centers, community clinics, and homeless shelters. - With support of local grant funding, develop and expand pipeline and training programs to increase workforce diversity and inclusion in the healthcare sector. 3.1 Design, pilot and implement systems for screening community members with social (non-medical) needs and refer to community-based programs. - KFH-Riverside will implement the Kaiser Permanente Thrive Local initiative that integrates the social determinants of health into ongoing care plans by screening and connecting low-income individuals and families to community and government resources. 3.2 Strengthen the capacity and infrastructure of community clinics to effectively prevent and manage chronic disease, including cardiovascular health and diabetes. - KFH-Riverside through local grant funding and collaboration will support community clinics, public hospitals and health systems to reduce cardiovascular disease by implementing innovative population health management practices. - KFH-Riverside will participate in collaborative efforts that improve the integration of primary clinical care with oral health, vision and other health services. - Leverage KFH-Riverside assets to drive coverage and access to health care for the underserved, build the capacity of the primary care workshop and improve appropriate utilization of health care services. Health Need 2: Behavioral Health (Mental Health and Substance Abuse) Long Term Goal All community members have optimal levels of mental health and well-being through improved equitable access to evidence-based, high quality, appropriate care and reduced effects of stigma. Strategic priorities 1. Improve access and connection to mental health care in clinical and community settings. 2. Improve and build the current and emerging mental health workforce to meet community needs. 3. Reduce mental health stigma and improve knowledge, capacity, and resilience in individuals, communities, and organizations. Strategies & Core Interventions 1.1 Support the infrastructure and capacity building of community organizations and clinics to improve access to quality mental health care. - With the support of grant funding, Children Now Improving California Students' Readiness to Learn will map the current state and district school-based health policy efforts and develop a list of policy options to improve school-based mental health services. Partner organizations will receive resources and technical assistance on best policies/ practices related to school discipline, teacher credentialing, mental health, school attendance, and Local Control Funding Formula. 1.2 With support of grant-funding, support the integration of mental health care, case management, and navigation services into clinical care and community settings. - Support capacity building of community organizations and clinics to improve access to quality mental health care. - Integrate mental health care, case management, and navigation services into clinical care and community settings (e.g., schools, faith-based organizations, and other organizations.) - Improve screening and early detection of mental health and substance use, using evidenced-based tools in clinical care and other community settings. - Partner with local community-based organizations to improve access to high quality substance abuse treatment, including medication-assisted treatments to decrease the burden of addiction and promote resiliency and recovery. 2.1 Support the education and training of licensed mental health professionals to be culturally competent. - With the support of grant funding, Hathaway-Sycamores Child and Family Services provides training for group home foster care providers in Southern California so that they can become certified as Short Term Residential Therapeutic Programs. - With support of grant-funding, KPH-Riverside will partner with Riverside University Health System (RUHS) Behavioral Health, academic institutions and other mental health service providers to provide training/learning opportunities to develop the future mental health workforce. 3.1 Support efforts to improve individual, the community, organizations, and social support systems knowledge, attitudes, beliefs and perceptions about mental health, trauma and resilience. - With the support of grant funding, the Riverside University Health System Foundation collaborates with Rainbow Pride Youth Alliance (RPYA) seeks to reduce mental health stigma and improve resilience of LGBTQ youth within the City of Perris. - The Kaiser Permanente Public Good Projects Action Minded campaign, a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners in reducing stigma towards mental health conditions. 3.2 Support the enhancement of organizational culture, practices and policies in schools and other institutions to be trauma-informed. - The Thriving Schools Resilience in School Environments (RISE) initiative builds students and staff resilience to address trauma and adverse childhood experiences.
Health Need 3: Economic OpportunityLong Term Goal All community members experience improved economic security and access to social services, including affordable housing, educational attainment, training and employment. Strategic priorities 1. Preserve and improve the availability of affordable housing and improve care coordination to serve individuals experiencing homelessness and to prevent displacement. 2. Improve educational attainment and employment opportunities. Strategies & Core Interventions 1.1 Enhance the infrastructure and capacity of service providers to serve individuals at risk or experiencing homelessness. - Through the Invest Health Initiative, KFH-Riverside will partner with others to conduct analysis and recommendations to establish a tiny homes ordinance for the City of Riverside. - Expand and protect the supply of affordable housing in communities at-risk of becoming unaffordable, such as rent control, relocation benefits, rental assistance, and anti-displacement policies. - KFH-Riverside will leverage assets to improve quality of affordable housing, such as safety inspections and remediation for creating habitable living conditions. - Participate in collaboratives that bring service providers and government programs to improve coordinated entry systems. 1.2 Support and participate in collaboratives that support coordination and funding of resources (such as health services and housing) for individuals at risk or experiencing homelessness. - Participate in the collaborative that supports the Community Solutions Built for Zero (BFZ) initiative uses data-driven and technology enabled solutions to help city/county leaders, service providers, health care agencies, developers and other community leaders to focus their efforts on multiple pathways needed to end homelessness. - Through the collaborative of the Community Solutions BFZ initiative, the team will develop the countys Coordinated Entry System (CES) that connects homeless individuals to services. 2.1 Support the long-term economic vitality of communities through procurement, hiring and workforce development, and/or small business development impact investing. - Provide educational attainment and pathway programs for youth focused on increasing high school graduation rates, college readiness, preparation for careers in Science, Technology, Engineering, and Mathematics (STEM), or health care workforce training. - KFH-Riverside will partner with Inner City Capital Connections (ICCC) to provide training, education and mentorship to small businesses helping to grow revenue, increase jobs, and improve their capacity and access to new sources of capital. - KFH- Riverside will seek additional partnership opportunities for High Impact Hiring which is a talent- sourcing strategy that aligns business needs with positive community impact. High Impact Hiring creates career opportunities for people with employment barriers, focusing on specific populations of disadvantaged people or specific geographic areas. Expected outcomes - Enhanced availability of housing assistance and programs, such as eviction prevention and defense, rental assistance programs, and other supportive services. - Improved coordination of housing resources and services for individuals experiencing and/or at risk of homelessness. - Improved employment opportunities for hard to hire community members. - Improved access to training and workforce development opportunities underserved community members. Health Need 4: Obesity/Diabetes/Stroke Long Term Goal All community members eat healthy and move more as part of daily life. Strategic priorities 1. Reduce food insecurity and improve access to healthy foods. 2. Improve environments and opportunities that enable daily physical activity. Strategies & Core Interventions 1.1 Design, pilot and implement programs and systems for promoting, screening and/or enrolling community members in food benefit programs. - The Kaiser Permanente Food for Life initiative delivers a multi-pronged approach to improve food security, such as CalFresh enrollment campaign which utilizes multi-modal outreach to increase CalFresh enrollment for eligible community members. - With support of grant funding, the California Food Policy Advocates increase access to food sources for underserved community members by increasing the number of households and individuals that are enrolled in CalFresh and supporting the acceptance of this benefit among food relators. 1.2 Support programs that procure, recover and/or redistribute food to food insecure communities. - The Kaiser Permanente Food Recovery and Food Redistribution program envision foodservices as the source of nutritious meals for patients, staff and the broader community by distributing food to food insecure communities. - With support of grant funding, the California Association of Food Banks Farm to Family utilizes advocacy and outreach efforts to procure and provide fresh produce to food banks serving individuals and families who are food insecure. 1.3 Support the capacity of communities and anchor organizations to adopt and implement policies and programs to ensure access to healthy foods. - The Kaiser Permanente Thriving Schools Healthy Eating Active Living (HEAL) Initiative, in partnership with Alliance for a Healthier Generation, supports Title 1 schools with the adoption and implementation of policies and practices to continuously improve the schools culture and practices around health. - KFH-Riverside will continue collaboration with Riverside Food Systems Alliance to adopt healthy food policies and procurement practices to provide healthy food options, including accessible drinking water. - Develop and sustain small-scale markets for healthy food options in under-resourced communities, such as farmers markets, community gardens, and healthy corner store initiatives. 2.1 Support the capacity of communities and anchor organizations to adopt and implement policies and programs to ensure access to safe spaces and physical activity opportunities. - The Kaiser Permanente Thriving Schools Healthy Eating Active Living (HEAL) Initiative, in partnership with Alliance for a Healthier Generation, supports Title 1 schools with the adoption and implementation of policies and practices to continuously improve the schools culture and practices around health. - The Kaiser Permanente Operation Splash program enables low income, underserved youth and families to be physically active by providing greater access to community pools through free swim classes. - Collaborate with Residents of Eastside Active in Leadership (REAL) and healthy active eating youth to improve the built environment for access to active transportation, and physical activity, such as safe pedestrian bicycle routes, bicycle safety, and equitable transportation plans. While all the health needs prioritized in the 2019 Community Health Needs Assessment process are important to address, the implementation strategy planning process requires KFH-Riverside to conduct a selection process based on critical criteria including health need severity, magnitude, inequity, and the extent to which KFH-Riverside is in a position to meaningfully address the need. Health needs that were not elevated across these critical criteria were not selected for the implementation strategy plan. Health needs not selected include: asthma, cancer, and HIV/AIDS. Asthma was not selected as an area to address largely because the severity of the issue is not exceedingly alarming at this time-asthma currently results in a 13.3% reduction in length of life per year, which is lower than some of the other top health issues. Cancer was not selected due to the relatively low prevalence, affecting 4.0% of the KFH Riverside service area. In addition, there are community resources currently available to address the issue. HIV/AIDS was not selected because the prevalence is roughly 0.3% in the KFH Riverside service area. Lastly, there are other community organizations working to address HIV/AIDS. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT www.kp.org/mfa/scal
D, 19, KFH MODESTO Explanations Part V, Section B.Line 5: Community input was provided by a broad range of community members using key informant interviews and focus groups. Individuals with the knowledge, information, and expertise relevant to the health needs of the community were consulted. These individuals included representatives from local governmental and public health agencies as well as leaders, representatives, and members of medically underserved, low-income, and minority populations. Additionally, where applicable, other individuals with expertise of local health needs were consulted. Line 6A: No other hospitals or partner organizations collaborated on the assessment Line 6B: Stanislaus County Health Services Agency Stanislaus County Behavioral Health Services Stanislaus County Office of Education First 5 Stanislaus County Line 11: Health need 1: Access to care Long term goal All community members have access to high quality, culturally and linguistically appropriate health care services in coordinated delivery systems. Intermediate goal(s) - Increase access to comprehensive health care coverage for low income individuals. - Increase access to subsidized care for those facing financial barriers to health care. - Increase access to social non-medical services for low income and vulnerable populations. - Increase access to a diverse, culturally competent health care workforce. - Improve the capacity of health care systems to provide quality health care services. Strategies - Deploy KP resources to provide high- quality medical care to Medi-Cal participants who would otherwise struggle to access care. - Deploy KP resources to provide access and comprehensive health care to low-income individuals and families without access to public or private health coverage. - Deploy KP resources to provide financial assistance to low-income individuals who receive care at KP facilities and cant afford medical expenses and/or cost sharing. - Support screening for social non-medical service needs and connect low- income individuals and families to community and government resources. - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers. - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers. - Support development and implementation of programs and policies that improve access to quality health care for low income populations. Expected outcomes - Low income populations have improved access to comprehensive health care coverage. - Low income and underserved populations access subsidized care to meet their health needs. - Low income and vulnerable populations have improved access to social non- medical services. - Health care workforce reflects the cultural diversity of the service area population. - Policies and programs in place that improve the capacity of health care systems to provide quality services to low income populations. Health need 2: Mental Health Long term goal All community members experience social emotional health and wellbeing and have access to high quality behavioral health care services when needed. Intermediate goal(s) - Increase capacity of organizations and institutions to provide trauma- informed services and programs. - Enhance community supports to mitigate impact of ACEs. - Increase access to behavioral health care services for low-income and vulnerable populations. - Develop a diverse, well trained behavioral health care workforce that provides culturally competent care. - Prevent and reduce misuse of drugs and alcohol. Strategies - Train school staff on responding to youth experiencing trauma and support schools/districts/SBHCs to infuse resilience strategies into the school day. - Expand screening services, counseling and support groups for students experiencing trauma or with documented ACEs. - Support FQHCs to expand current or initiate new services and programs addressing and preventing use of drugs, tobacco and alcohol. - Deploy KP resources to provide access to mental health services for Medi-Cal participants and low-income individuals and families without access to public or private health coverage who would otherwise struggle to access mental health care. - Implement the Public Good Projects Action Minded campaign, a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners, and KP employees as partners in reducing stigma towards mental health conditions. - Provide workforce training programs to train current and future mental health practitioners with the skills and linguistic and cultural competence to meet the health care needs of diverse communities. Expected outcomes - Capacity of organizations/institutions to provide trauma-informed services and programs increased. - Community supports to mitigate impact of ACEs enhanced. - Behavioral health care services more accessible for low- income and vulnerable populations. - Misuse of drugs and alcohol reduced. - Systems in place to develop a diverse, well trained behavioral health care workforce that provides culturally competent care. Health need 3: Economic Security Long term goal All community members are economically secure in order to thrive. Intermediate goal(s) - Increase enrollment and participation in public benefit programs. - Improve job readiness for people with barriers to employment. - Increase connections to supportive services for individuals experiencing homelessness. - Increase and enhance transitional housing and shelter availability. - Support exposure to career paths for underserved and underrepresented youth. Strategies - Increase baseline spend for local and diverse businesses - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members. - Support job readiness training and programs for very low income, homeless and previously incarcerated adults and youth. - Funding to strengthen local homeless system of care through the Housing and Health Initiative. - Enhance community organization capacity to provide comprehensive and integrated support services for individuals experiencing/at risk of homelessness. - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers. Expected outcomes - Enrollment and participation in public benefit programs increased. - Individuals with employment barriers are better prepared to enter the work force. - Individuals experiencing/at risk for homelessness have increased access to supportive services. - Transitional and temporary housing access improved. - Underserved and underrepresented youth have increased awareness of health career paths. Health need 4: Obesity/HEAL/Diabetes Long term goal All community members eat better and move more as part of daily life. Intermediate goal(s) - Reduce food insecurity among low-income families and individuals. - Improve access to healthy food in communities. - Improve access to healthy food in schools. - Increased access to safe parks and public spaces. - Increase opportunities for physical activity in schools. Strategies - Support food distribution organizations to expand amount of food provided as well as locations for distribution. - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members. - Support fresh produce access at school sites for students and families, complemented by healthy eating/cooking education. - Support park activation in selected neighborhoods to increase park safety and encourage increased use. - Support schools/after school programs to increase student participation in physical activities. Expected outcomes - Low-income families and individuals have improved food security. - Community food distribution sites enhance access to healthy food. - Schools provide access to fresh produce. - Low income community residents have increased access to and increased utilization of safe, appealing parks. - Expanded physical activity opportunities during the school day/afterschool programs.
Health needs KFH Modesto does not intend to addressSubstance Abuse/Tobacco: Substance abuse/tobacco received the second lowest number of points during the scoring process to select the health needs to address. This need will be addressed in part by strategies conducted under Mental Health. Cancers: Cancers were categorized as a medium priority during the multi voting process conducted to prioritize health needs during the CHNA. Cancer prevention is addressed in part through Kaiser Permanentes strategies under Obesity/HEAL/Diabetes and Access to Care. Violence/Injury Prevention: Violence/injury prevention was categorized as a medium priority during the CHNA, and received the fewest points during the scoring process to select needs to address. This need will be addressed in part by strategies conducted under Mental Health. Oral Health: This health need was identified as a lower priority during the CHNA. KFH Modesto does not offer dental services and does not have oral health expertise in house. Cardiovascular Disease/Stroke: CVD/Stroke was infrequently mentioned as a high priority in the primary data collected for the CHNA. CVD/Stroke prevention will be addressed through many Obesity/HEAL/Diabetes and Access to Care strategies. In addition, KFH Modesto and other area hospitals conduct ongoing CVD/Stroke prevention, education and screening as part of their clinical and outreach activities. Climate and Health: Climate and health was identified as a lower priority during the CHNA, scoring lowest of all health needs in the CHNA analysis based on secondary data (in terms of severity, disparities) and qualitative data from focus groups and interviews. Asthma: This health need was identified as a lower priority during the CHNA. While KFH Modesto addresses asthma in the clinical setting, there are limited organizational assets to leverage to address asthma in the broader community. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/NCAL
A, 20, KFH SAN JOSE Explanations Part V, Section B.Line 5: Community input was provided by a broad range of community members using key informant interviews and focus groups. Individuals with the knowledge, information, and expertise relevant to the health needs of the community were consulted. These individuals included representatives from the county public health department as well as leaders, representatives, or members of medically underserved, low-income, and minority populations. Additionally, where applicable, other individuals with expertise of local health needs were consulted. Line 6A: El Camino Hospital Kaiser Foundation Hospital Santa Clara Lucile Packard Childrens Hospital Stanford OConnor Hospital-Verity Stanford Health Care Saint Louise Regional Hospital-Verity Line 6B: Santa Clara County Community Benefit Coalition Hospital Council of Northern & Central California Santa Clara County Public Health Department Line 11: Health need 1: Health Care Access and Delivery Long term goal All community members have access to high quality, culturally and linguistically appropriate health care services in coordinated delivery systems. Intermediate goal(s) - Increase access to comprehensive health care coverage for low income individuals - Increase access to subsidized care for those facing financial barriers to health care - Increase access to social non-medical services for low income and vulnerable populations - Improve the capacity of health care systems to provide quality health care services - Increase access to a diverse, culturally competent health care workforce Strategies - Medicaid. Deploy KP resources to provide high-quality medical care to Medicaid participants who would otherwise struggle to access care. - Charitable health coverage. Deploy KP resources to 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. Deploy KP resources to provide financial assistance to low-income individuals who receive care at KP facilities and cant afford medical expenses and/or cost sharing. - Support patient navigation programs associated with community clinics and school health clinics, especially for low-income community members and/or monolingual non-English-speakers - Support increased access to oral health care for low-income and geographically remote community members via comprehensive low-or no-cost mobile dental services - Support medically tailored meal programs for low-income individuals - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members - Support screening for social non-medical service needs and connect low-income individuals and families to community and government resources - Support population health management approaches that improve health outcomes for safety net patients with diabetes and hypertension - Support community clinic consortia to develop programs and advocate for policies that improve access to quality health care for low income individuals - Provide workforce training programs to train current and future health care providers, including physicians, mental health practitioners, physical therapy, pharmacy, nurses, and allied health professionals, with the skills and linguistic and cultural competence to meet the health care needs of diverse communities. - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers - School for Allied Health expanding access to training and certificate programs for underrepresented individuals Expected outcomes - For low-income and vulnerable populations: - Improve access to health care coverage - Reduce financial barriers to care - Increase use of preventive care - Increase quality of care provided - Increase diversity of care providers Health need 2: Behavioral Health Long term goal All community members experience social emotional health and wellbeing and have access to high quality behavioral health care services when needed Intermediate goal(s) - Increase capacity of organizations and institutions to provide trauma-informed services and programs - Enhance community supports to mitigate impact of ACEs - Increased access to behavioral health care services for low-income and vulnerable populations - Develop a diverse, well trained behavioral health care workforce that provides culturally competent care - Prevent and reduce misuse of drugs and alcohol Strategies - Support organizations offering behavioral health services to individuals experiencing homelessness - Support organizations working with service providers on strategies to address opioid use disorder - Support for substance use recovery-related programming - Support for grief and loss counseling and related support for low-income and/or minority populations - Support for programs that strengthen families and lead at-risk teens to make positive life choices - Support for programs that improve parenting skills among at-risk populations - Support for mentoring programs for youth of color - Support social-emotional learning for children and youth - Support programs that train youth to intervene in peer bullying - Support the capacity of clinics, schools or other community- based organizations to provide trauma-informed care to youth - Implement the Public Good Projects Action Minded campaign, a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners, and KP employees as partners in reducing stigma towards mental health conditions - Provide KPs Education Theater program, Resilience Squad - Participate in Medi-Cal Managed care - Provide Charitable Health Coverage - Provide workforce training programs to train current and future mental health practitioners with the skills and linguistic and cultural competence to meet the health care needs of diverse communities Expected outcomes - Reduce the likelihood of family and community trauma - Increase individuals coping skills to reduce the impact of trauma, including reducing use of drugs and alcohol - Increase use of behavioral health services, especially among low-income and vulnerable populations - Increase diversity and cultural competence of behavioral health care providers Health need 3: Healthy Eating and Active Living Long term goal All community members eat better and move more as part of daily life Intermediate goal(s) - Reduce food insecurity among low-income families and individuals - Improve access to healthy food in schools - Increase access to safe parks and public spaces - Increase opportunities for physical activity in schools Strategies - Support healthy food incentive programs for CalFresh participants - Support medically tailored meal programs for low-income individuals - Support organizations that make healthy food available to low- income, minority families - Support farmers markets on college campuses for low- income young adults and other community members - Support for school-based healthy meals and health & wellness policies - Support fitness programs for older adults at public community centers - Support after-school fitness programs at schools - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members - Support high-need schools with the adoption and implementation of HEAL policies and practices Expected outcomes - For low-income community members, improve food security - Improve food environment, especially in schools - Increase healthy eating, especially among youth, older adults, and low- income individuals - Increase physical activity, especially among youth and older adults
Health need 4: Housing and HomelessnessLong term goal All community members have access to quality, affordable, and stable housing Intermediate goal(s) - Prevent individuals and families from falling into homelessness - Increase connections to supportive services for individuals experiencing homelessness - Increase and preserve the stock of affordable housing, including deeply affordable and Permanent Supportive Housing - Increase and enhance transitional housing and shelter availability - Improve job readiness for people with barriers to employment Strategies - Support programs that help low-income homeowners stay in their homes - Support temporary rental subsidies and related supportive services for individuals experiencing homelessness - Support for transitional housing, which includes case management, job & housing search assistance, financial literacy, and life skills education - Support long-term housing and support services for domestic violence victims and their children who are homeless or at risk of homelessness - Support efforts to house transitional-aged former foster youth - Explore partnership with Santa Clara County to support medical social work through backpack medicine, mobile clinics, medical respite, and/or KP volunteers at local clinics - Support mobile hygiene outreach programs offered in combination with supportive services - Support employment opportunities for individuals experiencing homelessness - Funding to strengthen local homeless system of care through the Housing and Health Initiative - Implement Community Solutions' Built for Zero to address chronic and veteran homelessness - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers - Partnership with KP Division of Research to develop a predictive model for housing instability Expected outcomes - Prevent homelessness among low-income and vulnerable individuals - Increase number of permanent housing units - Improve access to support for individuals experiencing homelessness - Improve access to jobs for individuals experiencing homelessness Health needs KFH San Jose does not intend to address Asthma. This need scored lower on CHNA priority, and scored much lower on leveraging local assets and existence of evidence-based or promising approaches, compared to the four needs that were selected to be addressed. It also scored lower than two of the four chosen needs with regard to leveraging KP assets. Cancer. This need scored much lower on CHNA priority and leveraging local assets compared to the four needs that were selected to be addressed. It also scored lower than three of the four chosen needs with regard to both feasibility and leveraging KP assets. Community and Family Safety. This need scored lower on CHNA priority and leveraging KP assets, and scored much lower on evidence-based or promising approaches, compared to the four needs that were selected to be addressed. It also scored lower than three of the four chosen needs on feasibility. Economic Security. This need scored lower on CHNA priority compared to the four needs that were selected to be addressed. With regard to evidence-based or promising approaches, leveraging KP assets, and feasibility, it scored lower than three of the four chosen needs. Environment. This need scored lower on all five selection criteria compared to the four needs that were selected to be addressed. Transportation and Traffic. This need scored lower on four of the five selection criteria compared to the four needs that were selected to be addressed. With regard to the fifth criterion, evidence- based or promising approaches, it scored lower than three of the four chosen needs. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/NCAL
A, 22, KFH - SOUTH BAY EXPLANATIONS PART V, SECTION B.Line 5: Residents, community leaders, and government and public health department representatives were selected for the CHNA sample. Selection criteria across these groups included (a) those best able to respond in rich detail to the strategic learning questions, (b) those who had expertise in local health needs, (c) those who resided and/or provided services in an under-resourced or medically underserved community, and (d) those able to represent the health needs of a given racial or ethnic minority group. Given the large size of the KFH-South Bay service area, community engagement efforts set out to target those geographies most under- resourced and where health outcomes were the poorest. Once selected for engagement, participants were provided the opportunity to share their perspective on targeted health needs and raise any additional health needs outside the strategic lines of inquiry. The majority of individuals (83%) represented the community service providers. 17% represented community residents (adult and youth). Additionally, engagements were conducted in five cities within the KFH-south Bay service area community. Line 6A: KFH-South Bay collaborated with Providence Little Company of Mary Medical Center and Torrance Memorial Medical Center to plan and implement two focus groups: housing and homelessness and food insecurity. Line 6B: Other community partners contributed time and resources to assist with primary data collection by hosting focus groups and recruiting participants: 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 Line 11: Health Need 1: Access to Care Long Term Goal All community members have access to high quality health care services from a trained and diverse workforce in a coordinated delivery system. Strategic priorities (intermediate goals) 1. Increase coverage, access, and utilization of health care services for populations that are underserved, uninsured, and/or underinsured. 2. Improve and build the current and emerging workforce to meet the primary care needs of the community. 3. Improve the capacity of healthcare systems to provide quality healthcare, including interventions to address the social determinants of health. Strategies & Sample Interventions 1.1 Provide access and comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. - The Kaiser Permanente Medicaid program provides high-quality medical care services to Medicaid eligible participants who would otherwise struggle to access care. - The Kaiser Permanente Medical Financial Assistance program provides temporary financial assistance to low-income individuals who receive care at Kaiser Permanente facilities and who cant afford medical expenses and/or cost sharing. - The Kaiser Permanente Charitable Health Coverage program provides access to comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. 1.2 Support access to care and improved quality of care for patients through collaboration among hospitals, community clinics, clinic networks, and other safety net providers. - With support of grant funding, Regional Associations of California (Essential Access Health) strengthen the capacity of California's community clinics and health centers and advance local health delivery system transformation through statewide policy. 2.1 Support and implement physician and other pipeline and training programs, using evidence-based, culturally competent, and/or patient-centered population management modules. - Kaiser Permanentes Career Pathways Workgroup in South Bay supports several programs that introduce youth and young adults to the healthcare field and provide training and internship opportunities. - The Kaiser Permanente Graduate Medical Education (GME) recruits and prepares the physician workforce of the 21st century by optimizing the unique clinical and educational opportunities within Kaiser Permanentes integrated model of care, which is now considered the gold standard for improving the entire U.S. health care system. As part of their training, residents participate in rotations at school- based health centers, community clinics, and homeless shelters. 3.1 Design, pilot and implement systems for screening community members with social (non-medical) needs and refer to community-based programs and services. - The Kaiser Permanente Thrive Local initiative integrates the social determinants of health into ongoing care plans by screening and connecting low-income individuals and families to community and government resources. 3.2 Strengthen the capacity and infrastructure of community clinics and nonprofit organizations to effectively address health disparities and the prevention and management of chronic disease (e.g., cardiovascular health and diabetes). - Kaiser Permanentes Equity, Inclusion, and Diversity Council in South Bay is developing interventions and community partnerships to address disparities in hypertension among African Americans and diabetes among Latinos. - Kaiser Permanente is a key partner in the Los Angeles African American Infant and Maternal Mortality Community Action Team, a coalition of community stakeholders, providers, and organizations that builds local capacity through grant-making opportunities with the aim of reducing infant and maternal mortality among African Americans. - Transforming Cardiovascular Care in our Communities (TC3) supports community clinics, public hospitals and health systems to reduce cardiovascular disease by implementing innovative population health management practices. Health Need 2: Economic Security Long Term Goal All community members experience improved economic security and access to social services to address unmet social needs, including affordable housing, educational attainment, training and employment, and healthy foods. Strategic priorities (intermediate goals) 1. Reduce food insecurity and improve access to healthy foods. 2. Preserve and improve the availability of affordable housing and improve care coordination to serve individuals experiencing homelessness and to prevent displacement. 3. Improve educational attainment and employment opportunities.
Strategies & Sample Interventions1.1 Design, pilot, and implement programs and systems for screening community members for food insecurity and enrolling them in food benefit programs. - The Kaiser Permanente Thrive Local initiative integrates the social determinants of health into ongoing care plans including screening individuals for food insecurity and providing information about and referrals to available local food resources. - With support of grant funding, The Childrens Clinic and Robert F. Kennedy Institute promote and enroll community members in food benefit programs and train other community providers on the enrollment process. - The Kaiser Permanentes Food for Life initiative delivers a multi- pronged approach to improve food security, such as the CalFresh enrollment campaign which utilizes multi-modal outreach to increase CalFresh enrollment for eligible community members. 1.2 Support programs that procure, recover, and/or redistribute food to food insecure communities and high-risk populations. - With support of grant funding, The Foodbank of Southern California purchases fresh produce and distributes it to nonprofit organizations serving low-income individuals and families. - The Kaiser Permanente Food Recovery and Food Redistribution program envision foodservices as the source of nutritious meals for patients, staff and the broader community by distributing food to food insecure communities. - With support of grant funding, the California Association of Food Banks Farm to Family utilizes advocacy and outreach efforts to procure and provide fresh produce to food banks serving individuals and families who are food insecure. 1.3 Support the capacity of communities and organizations to adopt and implement policies and programs to ensure access to healthy foods and to provide education in support of healthy eating. - With support of grant funding, Common Threads and Black Women for Wellness provide culturally competent nutrition education programs and cooking classes for high-need populations at Kaiser Permanente Medical Office Buildings and through partnerships with community-based nonprofit organizations. - The Kaiser Permanente Thriving Schools Healthy Eating Active Living (HEAL) Initiative, in partnership with Alliance for a Healthier Generation, supports Title 1 schools with the adoption and implementation of policies and practices to continuously improve the schools culture and practices around health. 2.1 Support and participate in collaboratives that support coordination and funding of resources (such as health services and housing) for individuals at risk or experiencing homelessness. - Partner with the South Bay Coalition to End Homelessness, which aims to transform and end homelessness in the South Bay through education, advocacy and coordination. - In collaboration with South Bay hospitals and Harbor Interfaith Services 1) coordinates referrals for individuals who frequent the emergency departments, including KFH-South Bay, to assist them in securing housing, transportation, and other social service resources and 2) improve early identification, screening, and tracking individuals at risk of or experiencing homelessness. - Kaiser Permanente, Southern California is a key partner in the United Way Funders Collaborative (Home for Good), which brings together stakeholders, funders, and leaders all working to address housing affordability and homelessness. The collaborative was a key contributor to the development of the countys Coordinated Entry System (CES) in which lead agencies connect homeless individuals to services. 2.2 Support the capacity of communities and organizations to provide supportive services and to reduce and prevent displacement and homelessness among high-risk populations. - With support of grant funding, Home Ownership for Personal Empowerment, Inc. facilitates the procurement of affordable housing units for people with developmental disabilities who are at risk of becoming homeless or displaced from their housing in the South Bay/Harbor and Long Beach communities. - With support of grant funding, New Way of Life Re-Entry provides safe housing reentry services for formerly incarcerated women including shelter, healthy meals, clothing, hygiene items, counseling, employment opportunities, and referrals to community services to facilitate self-sufficiency. 3.1 Support the long-term economic vitality of communities through procurement, hiring, and workforce development, and/or small business development impact investing. - With support of grant funding, KFH-South Bay supports two key nonprofit partners for the Summer Youth Employment Program: 1) EXP provides career exploration, industry mentoring, and summer internships to underserved South Bay high school students; and 2) Long Beach CALL runs a soft and technical skills training summer internship program for 11th-12th grade students who attend Long Beach Unified School District. - The Kaiser Permanente, High Impact Hiring is a talent-sourcing strategy that aligns business needs with positive community impact. High Impact Hiring creates career opportunities for people with employment barriers, focusing on specific populations of disadvantaged people or specific geographic areas. - Partner with Goodwill of Southern Los Angeles Countys Certified Nurse Assistant Training Program to provide classroom instruction and hands-on clinical training to prepare students for career opportunities. Health Need 3: Mental Health Long Term Goal All community members have optimal levels of mental health and well-being through improved equitable access to evidence-based, high quality, appropriate care and reduced effects of stigma. Strategic priorities (intermediate goals) 1. Improve access and connection to mental health care in clinical and community settings. 2. Improve and build the current and emerging mental health workforce to meet community needs. 3. Reduce mental health stigma and improve knowledge, capacity, and resilience in individuals, communities, and organizations. Strategies & Sample Interventions 1.1 Support and participate in collaboratives that improve access and coordination and provide funding for mental and behavioral health services. - Support the SPA (Service Planning Area) 8 Youth Suicide Prevention Task Force, a cross-sector group of representatives from organizations and agencies serving youth who meet monthly to share knowledge and best practices, identify resources and gaps, and collaborate on specific, local efforts. - Convene local mental health providers to identify capacity building opportunities and establish partnerships to address systemic challenges and needs. 2.1 Support the infrastructure and capacity building of community organizations and clinics to improve access to quality mental health care. - With the support of grant funding, two key nonprofit partners provide mental health care services: 1) Jewish Family and Children Services provides urgently needed mental health programs, social services and protective services to those who are without adequate health insurance and/or have limited financial resources; and 2) Mental Health America of Los Angeles Drop-In Center provides individualized services to persons who are homeless and have mental illness. 2.2 Support the utilization of pipeline and training programs to increase the number of licensed and diverse mental health professionals. - With the support of grant funding, One in Long Beach LGBTQ Center provides ongoing group trainings and expanded outreach to area mental health service providers in order to increase community capacity to deliver culturally affirming care to LGBTQ individuals, couples, and families. - With the support of grant funding, the Mental Health America of Los Angeles Jump Start Fellowship Training Project seeks to build the emerging workforce through a 13-week, full time fellowship program that trains and places individuals interested in working in the field of mental health into internships with employers in LA County. 3.1 Support the enhancement of organizational culture, practices, and policies in schools and other institutions to be trauma-informed. - With support of grant funding, The Positive Results Corporation provides capacity training for non-profits, community, and faith-based organizations to create awareness of the impact of trauma youth and young adults of color from interpersonal, intimate, family, teen dating and domestic violence, sexual abuse and bullying.
3.2 Support programs for youth and community efforts that improveimprove knowledge and perceptions about mental health and focus on trauma-informed care, conflict resolution, and mentoring. - With support of grant funding, 1) CSU Dominguez Hills Male Success Alliance improves access, retention, and graduation rates of boys and men of color through training and community discussions focused on violence prevention and behavioral health; and 2) Save Black Boys prevents involvement in gangs and delinquent activities by engaging at risk youth in the Compton area in education and community engagement. 3.3 Support efforts to improve the community and social support systems knowledge, attitudes, beliefs and perceptions about mental health, trauma, and resilience. - Kaiser Permanentes Public Good Projects Action Minded campaign is a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners in reducing stigma towards mental health conditions. Health Need 4: Structural Racism & Marginalization Long Term Goal All community members have equitable health care, social, education and economic resources and services required to live a long healthy life. Strategic priorities (intermediate goals) 1. Improve access to and quality of health care, mental health care, and social services for high need populations (race/ethnic groups, seniors, youth, formerly incarcerated, veterans, LGBTQ, etc.) and in geographic communities of prioritized need. 2. Improve economic security for high need populations (race/ethnic groups, seniors, youth, formerly incarcerated, veterans, LGBTQ, etc.) and in geographic communities of prioritized need. Strategies & Sample Interventions 1.1 Incorporate an equity lens throughout planning, implementation, and execution of strategies under access to care and mental health. - Kaiser Permanentes Equity, Inclusion, and Diversity Council in South Bay is developing interventions and community partnerships to address disparities in hypertension among African Americans and diabetes among Latinos. - Kaiser Permanente is a key partner in the Los Angeles African American Infant and Maternal Mortality Community Action Team, a coalition of community stakeholders, providers, and organizations that builds local capacity through grant-making opportunities with the aim of reducing infant and maternal mortality among African Americans. - With the support of grant funding, One in Long Beach LGBTQ Center provides ongoing group trainings and expanded outreach to area mental health service providers in order to increase community capacity to deliver culturally affirming care to LGBTQ individuals, couples, and families. 2.1 Incorporate an equity lens throughout planning, implementation, and execution of strategies under economic security including education and employment, food insecurity, and housing/homelessness. - With support of grant funding, Common Threads and Black Women for Wellness provide culturally competent nutrition education programs and cooking classes for high-need populations at Kaiser Permanente Medical Office Buildings and through partnerships with community-based nonprofit organizations. - The Kaiser Permanente, High Impact Hiring is a talent-sourcing strategy that aligns business needs with positive community impact. High Impact Hiring creates career opportunities for people with employment barriers, focusing on specific populations of disadvantaged people or specific geographic areas. - Kaiser Permanentes Career Pathway Programs in South Bay supports several programs that introduce youth and young adults to the healthcare field and provide training and internship opportunities. This aim is to increase the diversity of participants and expose more African Americans and Latinos to various health care careers. Health needs KFH South Bay Medical Center does not intend to address The implementation strategy planning process requires KFH South Bay Medical Center to conduct a selection process based on critical criteria including health need severity, magnitude, inequity, and the extent to which KFH South Bay Medical Center is in a position to meaningfully address the need. KFH South Bay Medical Center has selected and intends to address all needs identified in the Community Health Needs Assessment. Given the alignment of strategies meant to address economic security, the following health needs will be addressed alongside each other: education and employment, food insecurity, and housing/homelessness. In addition, structural racism and marginalization will be addressed by incorporating an equity lens throughout planning, implementation, and execution of all of the selected strategies. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/NCAL
D, 24, KFH BALDWIN PARK Explanations Part V, Section B.Line 5: Residents, community leaders, and government and public health department representatives were selected for the CHNA sample. Selection criteria across these groups included (a) those best able to respond in rich detail to the strategic learning questions, (b) those who had expertise in local health needs, (c) those who resided and/or provided services in an under-resourced or medically underserved community, and (d) those able to represent the health needs of a given racial or ethnic minority group. Given the large size of the KFH-Baldwin Park service area, community engagement efforts set out to target those geographies most under-resourced and where health outcomes were the poorest. Once selected for engagement, participants were provided the opportunity to share their perspective on targeted health needs and raise any additional health needs outside the strategic lines of inquiry. The majority of individuals (93%) represented community residents (adult and youth) as service providers. One focus group included only youth community members. Additionally, engagements were conducted in multiple cities within the KFH-Baldwin Park service area community. Line 6B: KFH-Baldwin Park collaborated with community partners, who contributed time and resources to assist with the primary data collection by hosting focus groups and participant recruitment: San Gabriel Valley Consortium on Homelessness San Gabriel Valley Mental Health Consortium National Alliance on Mental Illness (NAMI) Line 11: Health Need 1: Access to Care Long Term Goal All community members have access to high quality health care services from a trained and diverse workforce in a coordinated delivery system. Strategic priorities (intermediate goals) 1. Increase coverage, access, and utilization of health care services for populations that are underserved and uninsured. 2. Improve and build the current and emerging workforce to meet the primary care needs of the community 3. Improve the capacity of healthcare systems to provide quality healthcare services, including interventions to address social determinants of health. Strategies & Sample Interventions 1.1 Provide access and comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. - The Kaiser Permanente Medicaid program provides high-quality medical care services to Medicaid eligible participants who would otherwise struggle to access care. - The Kaiser Permanente Medical Financial Assistance program provides temporary financial assistance to low-income individuals who receive care at Kaiser Permanente facilities and who cant afford medical expenses and/or cost sharing. - The Kaiser Permanente Charitable Health Coverage program provides access to comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. 1.2 Support access to care for patients through collaboration among community clinics, clinic networks, and other safety net providers. - With support of grant funding, Regional Associations of California (Essential Access Health) strengthen the capacity of California's community clinics and health centers and advance local health delivery system transformation through statewide policy. - KFH Baldwin Park Medical Center partners locally with community clinics such as East Valley Health Center and ChapCare, to ensure access and connection to resources for uninsured and vulnerable populations. 1.3 Design, pilot and implement systems for screening community members with social (non-medical) needs and refer to community-based programs. - The Kaiser Permanente Thrive Local initiative integrates the social determinants of health into ongoing care plans by screening and connecting low-income individuals and families to community and government resources. - KFH Baldwin Park Medical Center is partnering with the Department of Public Social Services to offer Medi-Cal enrollment opportunities and resources on site. 2.1 Support and implement physician and other pipeline programs, using evidence-based, culturally competent and patient-centered population management modules. - With the support of grant funding, the California Primary Care Association supports building capacity for the primary care workforce by developing a comprehensive curriculum and training program for health centers desiring to implement or sustain residency training programs and partnerships 3.1 Strengthen the capacity and infrastructure of community clinics to effectively prevent and manage chronic disease, including cardiovascular health and diabetes. - Transforming Cardiovascular Care in our Communities (TC3) supports community clinics, public hospitals and health systems to reduce cardiovascular disease by implementing innovative population health management practices (Riverside, LA County Medical Centers) Health Need 2: Economic Opportunity Long Term Goal All community members experience improved economic security and access to social services, including affordable housing, educational attainment, training and employment, and healthy foods. Strategic priorities (intermediate goals) 1. Reduce food insecurity and improve access to healthy foods. 2. Preserve and improve the availability of affordable housing and improve care coordination to serve individuals experiencing homelessness and to prevent displacement. 3. Improve educational attainment and employment opportunities. Strategies & Sample Interventions 1.1 Design, pilot and implement programs and systems for promoting, screening and/or enrolling community members in food benefit programs. - KFH Baldwin Park Medical Center is partnering with the Department of Public Social Services to promote enrollment of CalFresh and use of CalFresh and WIC benefits for purchasing fresh fruits and vegetables, including at the medical centers onsite farmers market. - KFH Baldwin Park Medical Center is implementing the Food for Life initiative, which delivers a multi-pronged approach to improve food security, such as the CalFresh enrollment campaign, which utilizes a multi-modal outreach to increase CalFresh enrollment for eligible community members. - KFH Baldwin Park Medical Center provides small-scale markets for healthy food options in under-resourced communities, specifically through the on-site farmers market and with support of grant funding, support community gardens through the signature Garden Gourmets Program at the Baldwin Park and West Covina Unified School Districts. 1.2 Support programs that procure, recover and/or redistribute food to food insecure communities. - KFH Baldwin Park Medical Center is leveraging assets for the Kaiser Permanente Food Recovery and Food Redistribution program, which envisions foodservices as the source of nutritious meals for patients, staff and the broader community by distributing food to food insecure communities. - KFH Baldwin Park Medical Center participates in the Food Finders program which connects donated perishable food to local nonprofit pantries and shelters in Southern California, including the San Gabriel Valley. - With support of grant funding, the California Association of Food Banks Farm to Family utilizes advocacy and outreach efforts to procure and provide fresh produce to food banks serving individuals and families who are food insecure. 2.1 Support and participate in collaboratives that support coordination and funding of resources (such as health services and housing) for individuals at risk or experiencing homelessness. - Kaiser Permanente, Southern California is a key partner in the United Way Funders Collaborative (Home for Good), which brings together stakeholders, funders, and leaders all working to address housing affordability and homelessness. The collaborative was a key contributor to the development of the countys Coordinated Entry System (CES) lead agencies that connect homeless individuals to services.
3.1. Improve educational attainment and employment opportunities.- With support of grant funding provide educational attainment and pathway programs for youth focused on increasing high school graduation rates, college readiness, preparation for careers in Science, Technology, Engineering, and Mathematics (STEM), or health care workforce training. - KFH Baldwin Park Medical Center facilitates the Hippocrates Circle Program (HCP) and provides Navigating High School and Study Skills events for local students, a Healthcare Career Day for students in underserved high schools, and medical center campus tours. - The Kaiser Permanente High Impact Hiring is a talent-sourcing strategy that aligns business needs with positive community impact. High Impact Hiring creates career opportunities for people with employment barriers, focusing on specific populations of disadvantaged people or specific geographic areas. KFH Baldwin Park Medical Center is partnering with the San Gabriel Valley Conservation Corps and Goodwill Industries for local High Impact Hiring opportunities. Health Need 3: Mental and Behavioral Health Long Term Goal All community members have optimal levels of mental health and well-being through improved equitable access to evidence-based, high quality, appropriate care and reduced effects of stigma. Strategic priorities (intermediate goals) 1. Improve access and connection to mental health care in clinical and community settings 2. Improve and build the current and emerging mental health workforce to meet community needs. 3. Reduce mental health stigma and improve knowledge, capacity, and resilience in individuals, communities, and organizations. Strategies & Sample Interventions 1.1 Support the infrastructure and capacity building of community organizations and clinics to improve access to quality mental health care. - With the support of grant funding, Children Now Improving California Students' Readiness to Learn will map the current state and district school- based health policy efforts and develop a list of policy options to improve school-based mental health services. Partner organizations will receive resources and technical assistance on best policies / practices related to school discipline, teacher credentialing, mental health, school attendance, and Local Control Funding Formula - With support of grant funding, KFH Baldwin Park Medical Center will support local school-based mental health services and partners with resources and technical assistance on best policies / practices related to mental health, such as trauma-informed care 1.2 Support the integration of mental health care, case management, and navigation services into clinical care and community settings - With the support of grant funding, the Foothill Family Services Mental Health Workforce Development Project seeks to build the current and emerging workforce by training and educating direct service staff, including graduate interns, to be culturally competent and current in evidence-based practices. 2.1 Support the education and training of licensed mental health professional to be culturally competent. - With the support of grant funding, Hathaway-Sycamores Child and Family Services will provide training for group home foster care providers in Southern California so that they can become certified as Short Term Residential Therapeutic Programs. - With the support of grant funding, KFH Baldwin Park Medical Center will continue to collaborate with community organizations to expand access to quality culturally competent mental health resources and programs. 3.1 Support efforts to improve the community and social support systems knowledge, attitudes, beliefs and perceptions about mental health, trauma and resilience. - Implement the Public Good Projects Action Minded campaign, a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners in reducing stigma towards mental health conditions. 3.2 Support the enhancement of organizational culture, practices and policies in schools and other institutions to be trauma-informed - KFH Baldwin Park Medical Center and Kaiser Permanentes Educational Outreach Program will provide Mental Health First Aid to local schools in the San Gabriel Valley to support trauma-informed practices. Grant funding will also support enhancement of organizational culture, policies, and practices. Health needs KFH Baldwin Park Medical Center does not intend to address While all the health needs prioritized in the 2019 Community Health Needs Assessment process are important to address, the implementation strategy planning process requires KFH-Baldwin Park to conduct a selection process based on critical criteria including health need severity, magnitude, inequity, and the extent to which KFH-Baldwin Park is in a position to meaningfully address the need. The needs identified in the CHNA are fully addressed in this plan but vary in the approach. While KFH-Baldwin Park plans to address access to care, and mental and behavioral health directly through evidenced based and promising strategies, economic opportunity will be an overarching health need with strategies that impact educational attainment, housing insecurity, and livable wage employment, either directly or indirectly. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/SCAL
A, 26, KFH - SANTA ROSA EXPLANATIONS PART V, SECTION B.Line 5: A broad range of community members provided input through key informant interviews, group interviews, and focus groups. We consulted individuals with knowledge, information, and expertise relevant to the health needs of the community. These individuals included representatives from health departments, school districts, local non-profits, and other regional public and private organizations. In addition, we gathered input from community leaders, clients of local service providers, and other individuals representing people who are medically underserved, low income, or who face unique barriers to health (e.g., race/ethnic minorities and individuals experiencing homelessness). Line 6A: St. Joseph Health Santa Rosa Memorial Hospital Sutter Health Santa Rosa Regional Hospital Line 6B: Sonoma County Department of Health Services Line 11: Health need 1: Access to care and coverage Long term goal All community members have access to high quality, culturally and linguistically appropriate health care services in coordinated delivery systems Intermediate goal(s) - Increase access to comprehensive health care coverage for low income individuals - Increase access to subsidized care for those facing financial barriers to health care - Increase access to social non-medical services for low income and vulnerable populations - Increase access to a diverse, culturally competent health care workforce - Improve the capacity of health care systems to provide quality health care services Strategies - Support free clinics offering healthcare services for uninsured or undocumented - Increase awareness of medical financial assistance options for those above 250% - Support programs that expand use of patient navigators, health coaches, promotores de salud or community application assisters - Expand capacity of CBOs to participate in electronic social service locators (Thrive Local) - Support pathway programs to increase the diversity of the healthcare workforce by providing mentorship, academic enrichment, leadership development, and career exposure to populations underrepresented in healthcare (low income, minority students) - Support cultural competency training of future and current healthcare workforce to meet the needs of diverse patient populations - Support programs that enhance patient-centered medical home models and team- based care/ healthcare extenders - Support programs that mobilize residents to advocate for policies that improve access to healthcare - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members (Food For Life) - Support screening for social non-medical service needs and connect low-income individuals and families to community and government resources (Thrive Local) - Support population health management approaches that improve health outcomes for safety net patients with diabetes and hypertension (PHASE) - Support community clinic consortia to develop programs and advocate for policies that improve access to quality health care for low income individuals - Participate in Medi-Cal Managed care - Provide Charitable Health Coverage - Provide Medical Financial Assistance - Provide workforce training programs to train current and future health care providers, including physicians, mental health practitioners, physical therapy, pharmacy, nurses, and allied health professionals, with the skills and linguistic and cultural competence to meet the health care needs of diverse communities - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers (KP LAUNCH) - School for Allied Health expanding access to training and certificate programs for underrepresented individuals - Partner with Quality and Operations, outpatient geriatric care; home- based palliative care healthcare extenders for the coordination of non- medical support (food, transportation, fall prevention, etc.) - Provide input and expertise to academic and community partners to inform curricula, training and health career pipeline programs - Provide access to KP expertise related to population health management via trainings and consultation Expected outcomes - Reduced the percentage of individuals who are uninsured especially among low-income populations - Improved the capacity of free clinics to handle a greater volume of patients who are experiencing financial barriers to healthcare - Increased CalFresh enrollment, referrals to social health services, and receipt of non-medical needs such as housing vouchers and transportation - More trainings and pathways to healthcare careers for individuals identifying as racial or ethnic minorities - Better analyzed and implemented algorithms of healthcare workflows resulting in increases in the portion percentage of individuals with good diabetes management and hypertension control Health need 2: Educational Attainment Long term goal Youth thrive in school and are prepared for college, career, and community success Intermediate goal(s) - Improve school readiness for children entering kindergarten - Build resilience and address trauma among students and staff in schools - Increase academic success during elementary school - Increase high school graduation for underrepresented youth - Support exposure to career paths for underserved and underrepresented youth - Improve job skills for people with barriers to employment Strategies - Support programs that improves the quality of early childhood workforce, such as through staff development and training - Support community education on the benefits for enrolling in preschool - Expand subsidized preschool slots for low and moderate income families - Support school-based climate improvement strategies focused on equity, empathy and engagement - Support on campus resources such as mental health counselors and peer support - Support programs that improve 3rd grade reading - Support programs that increase student engagement during the school day - Support programs that enrich mathematic instruction - Support enrichment opportunities at low income school sites to increase student engagement - Support tutoring and mentoring programming for academic success - Support career technical education and healthcare career pathways programs - Support skill development and academic resources for Transition Aged Youth with limited resources - Support career pathways for system involved youth - RISE Initiative, fostering resilience in school environments - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers (KP LAUNCH) - Hospital Facilities and Human Resources to partner with Unions and other workforce investment partners to develop internships and career pathways for skilled labor Expected outcomes - Increased preschool staff training and preschool enrollment for racial/ethnic minority and disadvantaged groups - Improved youth truth survey results reflecting a positive school climate and increased catalogue of implemented school climate enhancements reflecting trauma reduction efforts - Increased academic success as indicated by 3rd grade reading proficiency and 5th grade math proficiency test scores - Increased secondary school graduation rates for racial and ethnic minorities - Increased participation in career pathway programs and increased completion rates of skill development trainings by underserved and underrepresented youth Health need 3: Housing and Homelessness Long term goal All community members have access to quality, affordable, and stable housing Intermediate goal(s) - Prevent individuals and families from falling into homelessness - Increase connections to supportive services for individuals experiencing homelessness or at risk of homelessness - Increase and preserve the stock of affordable housing, including Permanent Supportive Housing - Increase and enhance transitional housing and shelter availability
Strategies- Funding for permanent and supportive housing services - Support unmet needs funds for emergent needs such as bridge funding for rent, car repair or utilities - Support community outreach to engage high need populations in supportive services - Support housing equity policy planning - Support predevelopment of affordable housing and housing preservation - Funding to strengthen local homeless system of care through the Housing and Health Initiative - Thriving Communities Fund to support affordable housing preservation - Funding to strengthen local homeless system of care through the Housing and Health Initiative - Partnership with KP Division of Research to develop a predictive model for housing instability Expected outcomes - Reduced point in time homeless count and the number of people insufficiently housed to prevent at-risk people from falling into homelessness - Increased social service and medical service utilization numbers for people experiencing homelessness - Increased number of affordable housing units, including permanent supportive housing - Increased availability of shelters and other temporary accommodations for individuals in need of transitional housing Health need 4: Mental Health and Well Being Long term goal All community members experience social emotional health and wellbeing and have access to high quality behavioral health care services when needed Intermediate goal(s) - Increase capacity of organizations and institutions to provide trauma-informed services and programs - Enhance community supports to mitigate impact of ACEs - Increased access to behavioral health care services for low-income and vulnerable populations - Prevent and reduce misuse of drugs and alcohol Strategies - Expand place based opportunities for trauma-informed services and programs - Support training of workforce to ensure trauma informed practices - Support community-based organizations addressing adverse childhood experiences - Expand knowledge of community members about the impacts of ACEs - Expand counseling services within community-based organizations and/or school settings - Support behavioral health programming for system-involved youth and previously incarcerated adults - Support peer to peer education and prevention services at schools and community settings - Support programming that reduces stigma and increases access to drug and alcohol treatment - Implement the Public Good Projects Action Minded campaign, a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners, and KP employees as partners in reducing stigma towards mental health conditions - Support the capacity of clinics, schools or other community-based organizations to provide trauma-informed care to youth - Build student and staff resilience to address trauma and adverse childhood experiences - Provide KPs Education Theater program, Resilience Squad - Participate in Medi-Cal Managed care - Provide Charitable Health Coverage - Provide workforce training programs to train current and future mental health practitioners with the skills and linguistic and cultural competence to meet the health care needs of diverse communities - Care Experience Team, Chaplains and SW Dept to Partner with Center for Mind- body Medicine to increase the number of KP staff who are trained to foster community resilience (focus on non KP members) Expected outcomes - Increased number of organizations implementing trauma-informed care training and the number of community members engaged in the resilience/self-healing community model - Increased number of organizations offering supportive services for ACEs and increased access to community- based ACEs education - Reduced caseloads and wait times for counseling services especially for low-income and vulnerable populations - Reductions in the percentage of 11th graders reporting alcohol or substance abuse and increased awareness of the adverse effects of substance use via media campaigns Health needs KFH-Santa Rosa does not intend to address CVD, Stroke, and Tobacco Use: This health need was not selected due to its low rank in the CHNA community prioritization. Additionally, the strategies identified within Access to Care and Mental Health and Wellness will address tobacco- related prevention and CVD which were main areas of concern under discussion during the health need selection meeting. Economic Security: This health need was not selected because it could be addressed through acting on upstream economic and social issues such as education. The strategies identified within Housing and Homelessness and Educational Attainment will largely address the needs related to Economic Security. When discussing the decision to prioritize Housing and Homelessness or Economic Security given their overlapping strategies, the specific need to solve for the housing crisis in Sonoma County was recognized, prioritizing Housing and Homelessness. Educational Attainment was identified as an upstream strategy for improving economic security. Healthy Eating and Active Living (HEAL): This health need was not selected due to its low rank in the CHNA community prioritization. Significant attention and resources in the service area are dedicated to this health need, including regional initiatives through Kaiser Permanente. Additionally, Access to Care and Educational Attainment both contain strategies that address the high priority needs related to HEAL. Maternal and Child Health: This health need was not selected because it was viewed as a priority population that could be addressed through the other selected health needs. The needs of this priority population will be addressed within the needs that are identified. Violence and Injury Prevention: This health need was not selected due to its low rank in the CHNA community prioritization. Significant attention and resources in the service area are dedicated to this health need. Additionally, the strategies identified in Educational Attainment will address several of the highest needs related to Violence and Injury Prevention, including sexual health, bullying prevention and domestic violence, as a strategy to promote healthy relationships among youth. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/NCAL
C, 27, KFH WEST LOS ANGELES Explanations Part V, Section B.Line 5: Residents, community leaders, and government and public health department representatives were selected for the CHNA sample. Selection criteria across these groups included (a) those best able to respond in rich detail to the strategic learning questions, (b) those who had expertise in local health needs, (c) those who resided and/or provided services in an under-resourced or medically underserved community, and (d) those able to represent the health needs of a given racial or ethnic minority group. Given the large size of the KFHWest Los Angeles service area, community engagement efforts set out to target those geographies most under-resourced and where health outcomes were the poorest. Once selected for engagement, participants were provided the opportunity to share their perspective on targeted health needs and raise any additional health needs outside the strategic lines of inquiry. Line 6A: The 2019 KFH-West Los Angeles CHNA was primarily conducted independently by the medical center. However, a collaborative was formed with Cedars-Sinai (Cedars-Sinai Medical Center and Marina del Rey Hospital), Providence Saint Johns Health Center, and UCLA Health. This was done in an effort to avoid duplication of phone interview data collection, given the medical centers share a common service area. Line 11: Health Need 1: Access to Care Long Term Goal All community members have access to timely, coordinated, high quality health care, mental health care, and behavioral health care from a trained and diverse workforce. Strategic priorities 1. Increase coverage, access and utilization of health care services for populations that are underserved, uninsured and/or underinsured. 2. Improve and build the current and emerging workforce to meet the primary physical needs of the community. 3. Improve the capacity of healthcare systems to provide quality healthcare, including interventions to address the social determinants of health. 4. Address racial equity by reducing health disparities and negative health outcomes that disproportionately impact African American and Latino residents in the KFH-West Los Angeles Service Area Priority Communities. Strategies & Core Interventions 1.1 Provide access and comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. - The Kaiser Permanente Medicaid program provides high-quality medical care services to Medicaid eligible participants who would otherwise struggle to access care. - The Kaiser Permanente Medical Financial Assistance program provides temporary financial assistance to low-income individuals who receive care at Kaiser Permanente facilities and who cant afford medical expenses and/or cost sharing. - The Kaiser Permanente Charitable Health Coverage program provides access to comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. 1.2 Support access to care for patients through investment in infrastructure, integration, capacity and collaboration among community clinics, clinic networks, and other safety net and mental health providers. - With support of grant funding, Regional Associations of California (Essential Access Health) strengthens the capacity of California's community clinics and health centers and to advance local health delivery system transformation through statewide policy. 2.1 Support and implement physician and other pipeline and training programs, using evidence-based, culturally competent and patient-centered population management modules. - KFH-West Los Angeles supports several programs that introduce youth and young adults to the healthcare field and provide training and internship opportunities. - KFH-West Los Angeles trains Pharmacy residents. As part of this training residents provide services at Saban Community Clinic to offer medication adjustments for clinic patients. 3.1 Design, pilot and implement systems for screening community members with social (non-medical) needs and refer to community-based programs. - The Kaiser Permanente Thrive Local initiative integrates the social determinants of health into ongoing care plans by screening and connecting low-income individuals and families to community and government resources. 3.2 Strengthen the capacity and infrastructure of community clinics and faith-based organizations to effectively prevent and manage chronic disease among the community, including cardiovascular health and diabetes. - Transforming Cardiovascular Care in our Communities (TC3) supports community clinics, public hospitals and health systems to reduce cardiovascular disease by implementing innovative population health management practices. Partners include Los Angeles County Department of Health Services, Community Clinic Association of Los Angeles County, Riverside University Health System Community Health Centers, Center for Care Innovations. - Partner with local faith-based organizations and other collaboratives to educate community members on chronic disease prevention and management, such as cardiovascular health and diabetes education. 4.1 Support efforts to improve access to care and health outcomes among African American and Latino residents of the KFH-West Los Angeles Service Area. - Through grant funding and collaborations, KFH-West Los Angeles will support the capacity and programming of organizations focused on addressing health equity and health disparities among African American and Latino populations in the KFH-West Los Angeles Service Area by removing barriers to care for these populations. - Kaiser Permanente is a key partner in the Los Angeles African American Infant and Maternal Mortality Community Action Team, a coalition of community stakeholders, providers, and organizations that builds local capacity through grant-making opportunities with the aim of reducing infant and maternal mortality among African Americans. - KFH-West Los Angeles Strategic Plan focuses on developing interventions and community partnerships to address disparities in hypertension among African Americans and diabetes among Latinos. Health Need 2: Economic Security Long Term Goal All community members experience improved economic security and access to social services, including affordable housing, educational attainment, training and employment, safe spaces for physical activity and healthy foods. Strategic priorities 1. Reduce food insecurity in the community and improve access to healthy foods, and safe spaces that enable physical activity, especially for disproportionately impacted African American and Latino residents. 2. Preserve and improve the availability of affordable housing and improve care coordination to serve individuals experiencing homelessness and to prevent displacement, especially for disproportionately impacted African American and Latino residents. 3. Improve educational attainment and employment opportunities, especially for disproportionately impacted African American and Latino residents. 4. Address racial equity by increasing education and employment opportunities for disproportionately impacted African American and Latino residents in the KFH-West Los Angeles Service Area Priority Communities. Strategies & Core Interventions 1.1 Design, pilot and implement programs and systems for promoting, screening and/or enrolling community members in food benefit programs. - The Kaiser Permanente Food for Life initiative delivers a multi-pronged approach to improve food security, such as the CalFresh enrollment campaign which utilizes multi-modal outreach to increase CalFresh enrollment for eligible community members. 1.2 Support programs that procure, recover and/or redistribute food to food insecure communities. - With support of grant funding, the California Association of Food Banks Farm to Family utilizes advocacy and outreach efforts to procure and provide fresh produce to food banks serving individuals and families who are food insecure. 1.3 Support the capacity of communities and anchor organizations to adopt and implement policies and programs to ensure access to healthy foods and safe spaces for physical activity opportunities. - With support of grant funding, LAs Best provides safe and supervised after-school education and recreation programs for children ages five to twelve through established nutrition and physical activity programs. - Support and sustain farmers markets in the West Los Angeles Medical Center and the Baldwin Hills Medical Offices plus a variety of free exercise classes open to the public.
2.1 Enhance the infrastructure and capacity of service providers to serveindividuals at risk or experiencing homelessness. - Provide navigation services for any community member experiencing homelessness who visit the Emergency Department in order to link them to the LA County Coordinated Entry System to obtain housing and other support services. With support of grant funding, increase capacity of community-based organizations to advance anti-displacement policies, provide low income housing and assistance to low-income renters, such as legal aid, and renters rights workshops. 2.2 Support and participate in collaboratives that support coordination and funding of resources (such as health services and housing) for individuals at risk or experiencing homelessness. - Kaiser Permanente, Southern California is a key partner in the United Way Funders Collaborative (Home for Good), which brings together stakeholders, funders, and leaders all working to address housing affordability and homelessness. The collaborative was a key contributor to the development of the countys Coordinated Entry System (CES) lead agencies that connect homeless individuals to services. 3.1 Support the long-term economic vitality of communities through procurement, hiring and workforce development, and/or small business development impact investing. - The Kaiser Permanente Social Enterprises strategy allows competitive, revenue-generating businesses with a social mission to hire and provide training to people who are striving to overcome employment barriers, including homelessness, incarceration, substance abuse, mental illness, and limited education. - The Kaiser Permanente, High Impact Hiring is a talent-sourcing strategy that aligns business needs with positive community impact. High Impact Hiring creates career opportunities for people with employment barriers, focusing on specific populations of disadvantaged people or specific geographic areas. - With support of grant funding, enable local organizations to provide student education and training or workforce development, especially for unemployed and underserved low-income young adults in South Los Angeles. 1. Support the capacity for community-based and internal KP programs focused on remediating disinvestment in communities of color, especially for disproportionately impacted African American and Latino residents. - In collaboration with Volunteer Services, KFH-West Los Angeles offers various pipeline programs, such as Summer Youth Student, which provides support for students of color by exposing them to health care careers, and offering internship opportunities. - With support of grant funding, enable local organizations to advance awareness, understanding, and policy solutions to reduce racial inequities impacting schools and youth, especially for disproportionately impacted African American and Latino residents. Health Need 3: Mental & Behavioral Health Long Term Goal All community members have optimal levels of mental health and well-being through improved equitable access to evidence-based, high quality, appropriate care and reduced effects of stigma. Strategic Priorities 1. Reduce mental health stigma and improve knowledge, capacity and resilience in individuals, communities, and organizations, especially for disproportionately impacted African American and Latino residents. 2. Improve and build the current and emerging mental health workforce to meet community needs. 3. Improve access and connection to mental health care in clinical and community settings. 4. Reduce rates of substance abuse and improve preventative education, capacity and resilience in individuals, communities, and organizations, especially for disproportionately impacted African American and Latino residents. Strategies and Interventions 1.1 Support efforts to improve the community and social support systems knowledge, attitudes, beliefs and perceptions about mental health, trauma and resilience. - Kaiser Permanentes Public Good Projects Action Minded campaign, a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners in reducing stigma towards mental health conditions. - Through grant funding, KFH-West Los Angeles will support the infrastructure, capacity, or programs of community organizations that provide culturally competent mental health care, stigma reduction, and supportive services. 2.1 Support the utilization of pipeline and training programs to increase the number of licensed and diverse mental health and para-professionals. - In partnership with KFH-West Los Angeless Social Medicine Department, collaborate with the Archstone Foundation, which works with community-based care partners who provide para-professional depression care services for seniors by engaging families, communities, and community-based organizations. - With support of grant funding, The Mental Health and Wellness Initiative of Kaiser Permanentes Regional office will provide Strategic Partnership Grants to increase the number of licensed and non-licensed diverse mental health professionals through pipeline and training programs. 3.1 Support the improvement of access and coordination and provide funding for mental and behavioral health services. - With support of grant funding, The Whole Person Care Project seeks to improve access and connection to mental health care in a clinical setting by supporting The Achievable Foundation and their Federally Qualified Health Center (FQHC) located in West LA, to develop and implement an integrated primary and mental health care delivery model. 4.1 Support the improvement of behavioral and substance abuse prevention and treatment programs. - With support of grant funding, enable local organizations to provide substance abuse preventative education and treatment, especially for youth of color and transitional age youth. While all the health needs prioritized in the 2019 Community Health Needs Assessment (CHNA) process are important to address, the implementation strategy planning process requires KFH-West Los Angeles to conduct a selection process based on critical criteria including health need severity, magnitude, inequity, and the extent to which KFH-West Los Angeles is in a position to meaningfully address the need. The 2019 KFH-West Los Angeles CHNA methodology focused on identifying a key and small selection of all community health needs impacting the service area. Thus, all priority health needs identified are addressed at various levels in the implementation strategy plan. Taking existing community resources into consideration, KFH-West Los Angeles decided to concentrate on those health needs that we can most effectively address given our areas of focus. The Medical Center has insufficient resources to effectively address all needs prioritized in the Community Health Needs Assessment equally, and in many cases, the needs are currently addressed by others in the community. With respect to racial equity, KFH-West Los Angeles has embedded equity strategies and core interventions within other identified health needs but did not separate racial equity into its own category of health need. This approach seeks to recognize how the lack of racial equity act as drivers for many negative health outcomes and disparities in the racially diverse KFH-West Los Angeles communities. This Implementation Strategy is not exhaustive of everything we do to enhance the health of our communities. KFH-West Los Angeles collaborates with partners addressing a multitude of health needs and focuses efforts where it can appropriately contribute to addressing those needs. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/SCAL
C, 28, KFH PANORAMA Explanations Part V, Section B.Line 5: Residents, community leaders, and government and public health department representatives were selected for the CHNA sample. Selection criteria across these groups included (a) those best able to respond in rich detail to the strategic learning questions, (b) those who had expertise in local health needs, (c) those who resided and/or provided services in an under-resourced or medically underserved community, and (d) those able to represent the health needs of a given racial or ethnic minority group. Given the large size of the KFH-Panorama City service area, community engagement efforts set out to target those geographies most under-resourced and where health outcomes were the poorest. Once selected for engagement, participants were provided the opportunity to share their perspective on targeted health needs and raise any additional health needs outside the strategic lines of inquiry. Line 6A: Collaborating Hospitals: Dignity Health Northridge Hospital Medical Center Providence Holy Cross Medical Center Providence St. Joseph Medical Center Line 11: Health Need 1: Access to Health Care Long Term Goal All community members have access to high quality health care services from a trained and diverse workforce in a coordinated delivery system. Strategic priorities 1. Increase coverage, access, and utilization of health care services for populations that are underserved, uninsured, and/or underinsured. 2. Improve and build the current and emerging workforce to meet the primary care needs of the community. 3. Improve the capacity of healthcare systems to provide quality healthcare, including interventions to address the social determinants of health. Strategies & Core Interventions 1.1 Provide access and comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. - The Kaiser Permanente Medicaid program provides high-quality medical care services to Medicaid eligible participants who would otherwise struggle to access care. - The Kaiser Permanente Medical Financial Assistance program provides temporary financial assistance to low-income individuals who receive care at Kaiser Permanente facilities and who cant afford medical expenses and/or cost sharing. - The Kaiser Permanente Charitable Health Coverage program provides access to comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. 1.2 Support access to care for patients through collaboration among community clinics, clinic networks, and other safety net providers. - With support of grant funding, Regional Associations of California (Essential Access Health) strengthen the capacity of California's community clinics and health centers and to advance local health delivery system transformation through statewide policy. - As a long-time member providing funding over the years, continue to support a coalition of public and private community partners in Service Planning Area (SPA) 2 led by Valley Care Community Consortium, to advocate, plan, assess needs, and facilitate development of effective programs and policies to improve the health of the residents in the San Fernando and Santa Clarita Valleys. - Kaiser Permanente Board Placement Program engages providers and leaders in serving on Federally Qualified Health Centers boards of directors where they share best practices, expert knowledge, and provide governance support, including serving on quality improvement and strategic planning committees. 2.1 Support and implement physician and other pipeline and training programs, using evidence-based, culturally competent and patient-centered population management modules. - With the support of grant funding, the California Primary Care Association supports building capacity for the primary care workforce by developing a comprehensive curriculum and training program for health centers desiring to implement or sustain residency training programs and partnerships. - Kaiser Permanentes workforce development programs encourage high school and community college students to explore health care career options at an early age among underserved, diverse populations. - KFH-Panorama City participates on the Antelope Valley Unified High School District Career Technical Education Advisory committee as well as William S Hart High School College & Career Readiness Committee by providing input on healthcare workforce needs and opportunities to collaborate. 3.1 Design, pilot and implement systems for screening community members with social (non-medical) needs and refer to community-based programs. - The Kaiser Permanente Thrive Local initiative integrates the social determinants of health into ongoing care plans by screening and connecting low-income individuals and families to community and government resources. 3.2 Strengthen the capacity and infrastructure of community clinics to effectively prevent and manage chronic disease, including cardiovascular health and diabetes. - Transforming Cardiovascular Care in our Communities (TC3) supports community clinics, public hospitals, and health systems to reduce cardiovascular disease by implementing innovative population health management practices. - With the support of grant funding, the International Pre-Diabetes Center provides Federally Qualified Health Centers with training on evidence-based, nationally accredited, diabetes self-management education and training for vulnerable populations.
Health Need 2: Economic SecurityLong Term Goal All community members experience improved economic security and access to social services, including affordable housing, educational attainment, training and employment, and healthy foods. Strategic priorities 1. Preserve and improve the availability of affordable housing and improve care coordination to serve individuals experiencing homelessness and to prevent displacement. 2. Improve educational attainment and employment opportunities. Strategies & Core Interventions 1.1 Enhance the infrastructure and capacity of service providers to serve individuals at risk or experiencing homelessness. - With support of capital grant funding, LA Family Housing Corporation will build a new health care center that is part of a larger regional hub in the San Fernando Valley that includes Permanent Supportive Housing. - With the support of grant funding, The Peoples Concern provides housing and supportive services at their Kensington Campus for homeless individuals living in the Antelope Valley. - With the support of grant funding, Bridge to Home is expanding their winter shelter to a year round crisis and bridge housing operation in alignment with the Coordinated Entry System ensuring those experiencing homelessness in the Santa Clarita Valley have access to housing, case management, healthcare services, behavioral health services, housing navigation, and employment assistance. 1.2 Support and participate in collaboratives that support coordination and funding of resources (such as health services and housing) for individuals at risk or experiencing homelessness. - Kaiser Permanente, Southern California is a key partner in the United Way Funders Collaborative (Home for Good), which brings together stakeholders, funders, and leaders all working to address housing affordability and homelessness. The collaborative was a key contributor to the development of the countys Coordinated Entry System (CES) lead agencies that connect homeless individuals to services. - As a long-time participant in the San Fernando/Santa Clarita Valley Homeless Coalition and Antelope Valley Homeless Coalition, Kaiser Permanente collaborates and provides funding to various SPA 1 & 2 partner organizations supporting the coordination of health services and housing for homeless individuals such as Los Angeles Family Housing and Northeast Valley Health Corporation. 2.1 Support the long-term economic vitality of communities through procurement, hiring and workforce development, and/or small business development impact investing. - The Kaiser Permanente Inner City Capital Connections (ICCC) provides training, education and mentorship to small businesses helping to grow revenue, increase jobs, and improve their capacity and access to new sources of capital. - The Kaiser Permanente Social Enterprises strategy works with competitive, revenue-generating businesses with the social mission to hire and provide training to people who are striving to overcome employment barriers, including homelessness, incarceration, substance abuse, mental illness, and limited education. - The Kaiser Permanente, High Impact Hiring is a talent-sourcing strategy that aligns business needs with positive community impact. High Impact Hiring creates career opportunities for people with employment barriers, focusing on specific populations of disadvantaged people or specific geographic areas. Health Need 3: Mental and Behavioral Health Long Term Goal All community members have optimal levels of mental health and well-being through improved equitable access to evidence-based, high quality, appropriate care and reduced effects of stigma. Strategic priorities 1. Improve access and connection to mental healthcare in clinical and community settings. 2. Improve and build the current and emerging mental health workforce to meet community needs. 3. Reduce mental health stigma and improve knowledge, capacity and resilience in individuals, communities, and organizations. Strategies & Core Interventions 1.1 Support the infrastructure and capacity building of community organizations and clinics to improve access to quality mental health care. - With the support of grant funding, Children Now Improving California Students' Readiness to Learn will map the current state and district school-based health policy efforts and develop a list of policy options to improve school-based mental health services. Partner organizations will receive resources and technical assistance on best policies/ practices related to school discipline, teacher credentialing, mental health, school attendance, and Local Control Funding Formula. 1.2 Support the integration of mental health care, case management, and navigation services into clinical care and community settings. - With the support of grant funding, the Child & Family Center provides school based mental health support and counseling for children showing early signs of behavioral health problems in elementary schools in the Santa Clarita Valley. 2.1 Support the education and training of licensed mental health professionals to be culturally competent. - With the support of grant funding, Hathaway-Sycamores Child and Family Services will provide training for group home foster care providers in Southern California so that they can become certified as Short Term Residential Therapeutic Programs. - With support of grant funding, the Tarzana Treatment Center seeks to improve and build the current and emerging mental health workforce to serve Latino community members by educating and training mental health professionals and interns in best practices for clinical cultural competency. 2.2 Support the utilization of pipeline and training programs to increase the number of licensed and diverse mental health professionals. - Kaiser Permanente Medical Exploring post in the Antelope Valley provides hands-on learning experiences by exposing high school students to health careers options including mental health professional opportunities. 3.1 Support efforts to improve the community and social support systems knowledge, attitudes, beliefs and perceptions about mental health, trauma and resilience. - With the support of grant funding, the Children's Partnership Advancing Health Equity for California's Children will provide 500 families with culturally-informed materials and toolkits to help connect them to/keep health coverage, understand benefits available to them, and get needed care. - With the support of grant funding, the Mental Health America of Los Angeles Antelope Valley Mental Health First Aid (MHFA) Project seeks to reduce mental health stigma by providing MHFA training diverse individuals in areas with high homeless populations in the Antelope Valley. - With the support of grant funding, The Childrens Center of Antelope Valley and the LA County Department of Mental Health Antelope Valley Health Neighborhood formed the Antelope Valley Maternal Mental Health Network, which conducts maternal health analysis and provides outreach and training to medical and mental health providers as well as non-clinical groups, and facilitates community-based support groups for the area. - The Kaiser Permanente Public Good Projects Action Minded campaign is a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners in reducing stigma towards mental health conditions. 3.2 Support the enhancement of organizational culture, practices and policies in schools and other institutions to be trauma-informed. - With the support of grant funding, College of the Canyons is implementing Early Childhood Mental Health Consultation at its on-site pre-school ensuring school policies are in alignment to creating a positive school climate while providing training for faculty on how to support the socioemotional development of the child.
Health Need 4: Obesity/Diabetes/Healthy Eating Active LivingLong Term Goal All Community Members eat healthy and move more as part of daily life. Strategic priorities 1. Reduce food insecurity in the community and improve access to healthy foods. 2. Improve environments and opportunities that enable daily physical activity. Strategies & Core Interventions 1.1 Support the capacity of communities and anchor organizations to adopt and implement policies and programs to ensure access to healthy foods. - The Kaiser Permanente Healthy Eating Active Living (HEAL) Initiative, in partnership with Alliance for a Healthier Generation, supports Title 1 schools with the adoption and implementation of policies and practices to continuously improve the schools culture and practices around health. - With the support of grant funding, Meet Each Need with Dignity (MEND) operates their Pathways to Wellness program providing case management, healthy food through their foodbank, CalFresh enrollment assistance, healthy cooking and nutrition classes, as well as grocery store tours to increase individuals and families access to healthy foods. - Kaiser Permanente Panorama City hosts a weekly farmers market open to the public, which provides access to largely locally-grown fruits and vegetables. The farmers market accepts WIC and CalFresh electronic benefit transfers. The markets also work to educate the public on the benefits of healthy eating and active living. 1.2 Design, pilot and implement programs and systems for promoting, screening and/or enrolling community members in food benefit programs. - The Kaiser Permanente Food for Life initiative delivers a multi-pronged approach to improve food security, such as the CalFresh enrollment campaign utilizes multi-modal outreach to increase CalFresh enrollment for eligible community members. - With support of grant funding, the California Food Policy Advocates increase access to food sources for underserved community members by increasing the number of households and individuals that are enrolled in CalFresh and supporting the acceptance of this benefit among food relators. 1.3 Support programs that procure, recover and/or redistribute food to food insecure communities. - The Kaiser Permanente Food Recovery and Food Redistribution program envision foodservices as the source of nutritious meals for patients, staff and the broader community by distributing food to food insecure communities. - With support of grant funding, the California Association of Food Banks Farm to Family utilizes advocacy and outreach efforts to procure and provide fresh produce to food banks serving individuals and families who are food insecure. 2.1 Support the capacity of communities and anchor organizations to adopt and implement policies and programs to ensure access to safe spaces and physical activity opportunities. - The Kaiser Permanente Healthy Eating Active Living (HEAL) Initiative, in partnership with Alliance for a Healthier Generation, supports Title 1 schools with the adoption and implementation of policies and practices to continuously improve the schools culture and practices around health. - The Kaiser Permanente Operation Splash program enables low income, underserved youth and families to be physically active by providing greater access to community pools through free swim classes. - With support of grant funding, LAs Best provides safe and supervised after-school education and recreation programs for children ages five to twelve through established nutrition and physical activity programs. While all the health needs prioritized in the 2019 Community Health Needs Assessment process are important to address, the implementation strategy planning process requires KFH-Panorama City to conduct a selection process based on critical criteria including health need severity, magnitude, inequity, and the extent to which KFH-Panorama City is in a position to meaningfully address the need. Health needs that were not elevated across these critical criteria were not selected for the implementation strategy plan. Health needs not selected include: Heart Disease and Stroke, Maternal and Infant Health, and STDs/HIV/AIDS. These unselected health needs will be addressed through strategies for other selected health needs (such as access to care and food insecurity) that act as drivers for these health outcomes. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/SCAL
A, 29, KFH FRESNO EXPLANATIONS PART V, SECTION B.Line 5: Community input was provided by a broad range of community members using key informant interviews and focus groups. Individuals with the knowledge, information, and expertise relevant to the health needs of the community were consulted. These individuals included representatives from local governmental and public health agencies as well as leaders, representatives, and members of medically underserved, low-income, and minority populations. Additionally, where applicable, other individuals with expertise of local health needs were consulted. Line 6A: Adventist Health Hanford Adventist Health Reedley Adventist Health Selma Clovis Community Medical Center Community Regional Medical Center (includes Community Behavioral Health Center) 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 Childrens Healthcare Line 6B: California Health Collaborative United Health Centers Cal Viva Health Net Fresno County Public Health Line 11: Health need 1: Access to Care Long term goal All community members have access to high quality, culturally and linguistically appropriate health care services in coordinated delivery systems. Intermediate goal(s) - Increase access to comprehensive health care coverage for low income individuals. - Increase access to subsidized care for those facing financial barriers to health care. - Increase access to social non-medical services for low income and vulnerable populations. - Increase access to a diverse, culturally competent health care workforce. - Improve the capacity of health care systems to provide quality health care services. Strategies - Deploy KP resources to provide high-quality medical care to Medi-Cal participants who would otherwise struggle to access care. - Deploy KP resources to provide access and comprehensive health care to low-income individuals and families without access to public or private health coverage. - Deploy KP resources to provide financial assistance to low-income individuals who receive care at KP facilities and cant afford medical expenses and/or cost sharing. - Support screening for social and non-medical service needs and connect low-income individuals and families to community and government resources. - Provide workforce training programs that develop the skills and linguistic and cultural competence of health care providers to meet the health care needs of diverse communities. - Partner with high schools and colleges, particularly those serving low income communities of color, to expose students to health careers. - Support community based organizations to provide services/supports that facilitate health care access and utilization. - Build the capacity of SBHCs and community coalitions to strengthen population health management/systems of care for improved health outcomes. Expected outcomes - Low income populations have improved access to comprehensive health care coverage. - Low income/underserved populations have access to subsidized care to meet health needs. - Low income/vulnerable populations have improved access to social non-medical services. - Healthcare workforce reflects the cultural diversity of the service area population. - Policies and programs in place that improve the capacity of health care systems to provide quality services to low income populations. Health need 2: Mental Health Long term goal All community members experience social emotional health and wellbeing and have access to high quality behavioral health care services when needed Intermediate goal(s) - Increase capacity of organizations and institutions to provide trauma-informed services and programs. - Enhance community supports to mitigate impact of ACEs. - Increase access to behavioral health care services for low-income and vulnerable populations. - Develop a diverse, well trained behavioral health care workforce that provides culturally competent care. - Prevent and reduce misuse of drugs and alcohol Strategies - Train school staff on responding to youth experiencing trauma and support schools/districts/SBHCs to infuse resilience strategies into the school day. - Expand screening services, counseling and support groups for students and families experiencing trauma or with documented ACEs. - Deploy KP resources to provide access to mental health services for Medi-Cal participants and low-income individuals and families without access to public or provide health coverage who would otherwise struggle to access mental health care. - Implement the Public Good Projects Action minded campaign, a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners, and KP employees as partners in reducing stigma towards mental health conditions. - Provide workforce training programs to prepare current and future mental health practitioners with the skills and linguistic and cultural competence to meet the health care needs of diverse communities. - Participate in CityHealth Initiative to advance alcohol sales, tobacco sale legal age and smoke free indoor air policies. Expected outcomes - Capacity of organizations/institutions to provide trauma-informed services and programs increased. - Community supports to mitigate impact of ACEs enhanced. - Behavioral health care services more accessible for low-income and vulnerable populations. - Systems in place to develop a diverse, well trained behavioral health care workforce that provides culturally competent care. - Policies in place to regulate tobacco and alcohol sales and indoor air quality.
Health need 3: Economic SecurityLong term goal All community members are economically secure in order to thrive Intermediate goal(s) - Improve economic vitality of local and diverse businesses. - Increase enrollment and participation in public benefit programs. - Improve job readiness for people with barriers to employment. - Increase connections to supportive services for individuals experiencing homelessness. Strategies - Provide training, education and mentorship to small, diverse businesses seeking to increase their capacity and access to new sources of funding. - Increase baseline spend for local and diverse businesses. - Support local businesses through training, mentoring, capital improvement projects and local vendor preferences. - Support CalFresh enrollment and recertification, including through direct assistance and outreach campaigns (Food for Life). - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers (KP LAUNCH). - Support community-based organizations and systems of care to provide case management for homeless populations. - Strengthen local homeless system of care through the Housing and Health Initiative. Expected outcomes - Local, diverse businesses have improved economic stability. - Enrollment and participation in public benefit programs increased. - Individuals with employment barriers are better prepared to enter the workforce. - Individuals experiencing/at risk for homelessness have increased access to supportive services. Health need 4: Obesity/HEAL/Diabetes Long term goal All community members eat better and move more as part of daily life Intermediate goal(s) - Reduce food insecurity among low-income families and individuals. - Improve access to healthy food in schools. - Increase access to safe parks and public spaces. - Increase opportunities for physical activity in schools. Strategies - Support food distribution organizations to expand variety and amount of food provided, complemented by healthy cooking education. - Support healthy food and water access at school sites. - Support high need schools to adopt policies and practices that promote HEAL. - Support park activation to increase park safety and encourage increased use. - Advance complete streets policies (CityHealth). - Support schools to increase student participation in physical education/physical activities. Expected outcomes - Low-income families and individuals have improved food security. - Schools provide access to healthy foods and beverages. - Low income community residents have increased access to and increased utilization of safe, appealing parks. - Expanded opportunities for physical activity in schools. Health needs KFH Fresno does not intend to address Violence/Injury Prevention: This health need received the third lowest number of points during the scoring process to select health needs to address. Leadership perceived that KFH Fresno cannot contribute sufficient expertise to have a substantial impact on this need. Violence prevention will be addressed in part under strategies conducted for Mental Health. Substance Abuse/Tobacco: This health need received the second lowest number of points during the scoring process to select the health needs to address. KFH Fresno leadership saw limited opportunities for leverage community assets to address this need. Substance Abuse/Tobacco will be addressed in part by strategies conducted under Mental Health. Climate and Health: Climate and Health was identified as a medium priority during the CHNA but received the lowest number of points (along with Asthma and Oral Health) during the scoring process to select the health needs to address. KFH Fresno leadership perceived a limited ability to make an impact on Climate and Health due to limited organizational assets or opportunities to leverage community assets. Asthma: The overall score for this health need was in the lowest tertile during the CHNA and it received the lowest number of points during the scoring process to select the health needs to address. Asthma will be addressed in part through strategies conducted under Access to Care. Oral Health: Just ten percent of key informant interviewees/focus group participants discussed Oral Health, indicating this is not a high priority need for the service area, and it received the lowest number of points during the process to select the health needs to address. KFH Fresno does not offer dental services. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/NCAL
A, 30, KFH REDWOOD CITY EXPLANATIONS PART V, SECTION B.Line 5: Community input was provided by a broad range of community members using key informant interviews and focus groups. 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 as well as leaders, representatives, or members of medically underserved, low-income, and minority populations. Additionally, where applicable, other individuals with expertise of local health needs were consulted. Line 6A: Dignity Health Sequoia Hospital Hospital Consortium of San Mateo County Kaiser Permanente, South San Francisco Lucile Packard Childrens Hospital Stanford Seton Medical Center and Seton Coastside, part of Verity Health System Stanford Health Care Sutter Health Menlo Park Surgical Hospital and Sutter Health Mills-Peninsula Medical Center Line 6B: San Mateo County Health Department Hospital Consortium of San Mateo County County of San Mateo Human Services Agency Peninsula Health Care District Line 11: Health need 1: Health Care Access & Delivery Long term goal All community members have access to high quality, culturally and linguistically appropriate health care services in coordinated delivery systems Intermediate goal(s) - Increase access to comprehensive health care coverage for low-income individuals - Increase access to subsidized care for those facing financial barriers to health care - Increase access to social non-medical services for low income and vulnerable populations - Increase access to a diverse, culturally competent health care workforce - Improve the capacity of health care systems to provide quality health care services Strategies - Increase capacity of organizations to conduct effective outreach and navigation to vulnerable populations to connect them to care - Promote systems for resource-sharing among providers to enhance and integrate referral networks - Support partnerships with food banks for CalFresh enrollment and food pharmacy programs - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members (Food for Life) - Support screening for social non-medical service needs and connect low-income individuals and families to community and government resources (Thrive Local) - Support population health management approaches that improve health outcomes for safety net patients with diabetes and hypertension (PHASE) - Support community clinic consortia to develop programs and advocate for policies that improve access to quality health care for low income individuals - Participate in Medi-Cal Managed care - Provide Charitable Health Coverage - Provide Medical Financial Assistance - Provide workforce training programs to train current and future health care providers, including physicians, mental health practitioners, physical therapy, pharmacy, nurses, and allied health professionals, with the skills and linguistic and cultural competence to meet the health care needs of diverse communities - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers (KP LAUNCH) - School for Allied Health expanding access to training and certificate programs for underrepresented individuals Expected outcomes - Increased outreach to vulnerable populations that helps them access comprehensive health care coverage - Increased outreach to vulnerable populations that helps them navigate and connect to subsidized care - Increased enrollment in CalFresh - Reduced financial barriers to care by increasing access to Medical Financial Assistance - Increased access to trained navigators and community health workers that connect low-income and vulnerable populations to social non-medical services - Increased opportunities for diverse, culturally competent workers to enter the health care workforce Health need 2: Mental Health and Well-being Long term goal All community members experience social emotional health and wellbeing and have access to high quality behavioral health care services when needed Intermediate goal(s) - Increase capacity of organizations and institutions to provide trauma-informed services and programs - Increase support for caregivers of individuals with behavioral health and/or substance use issues - Increase access to behavioral health care services for low-income and vulnerable populations - Develop a diverse, well trained behavioral health care workforce that provides culturally competent care - Prevent and reduce misuse of drugs and alcohol Strategies - Provide training in culturally appropriate trauma-informed care, especially for bilingual/bicultural staff - Provide training and support to family members (especially caregivers) whose family members are struggling with behavioral health and/or substance use issues - Support programs that screen for behavioral health/substance use issues - Support programs that address adolescent suicide and suicide ideation - Support efforts to share information (for agency staff and patients) on how to navigate the mental health system - Support programs/initiatives that reduce stigma associated with seeking help for behavioral health/substance use problems - Support the capacity of clinics, schools or other community-based organizations to provide trauma-informed care to youth - Implement the Public Good Projects' Action Minded campaign, a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners, and KP employees as partners in reducing stigma towards mental health conditions - Provide KPs Education Theater program, Resilience Squad - Participate in Medi-Cal Managed care - Provide Charitable Health Coverage - Provide workforce training programs to train current and future mental health practitioners with the skills and linguistic and cultural competence to meet the health care needs of diverse communities Expected outcomes - Increased scope and availability of trauma-informed services and programs available through programs serving vulnerable populations - Increased screening and referrals to behavioral health care services for low-income and vulnerable populations, especially youth (in settings such as FQHCs and schools) - Reduced adolescent suicide/ideation - Increased access for vulnerable populations to a diverse, well-trained behavioral health care workforce that provides culturally competent care - Increased help-seeking for behavioral health issues and misuse of drugs and alcohol prompted by stigma reduction campaigns Health need 3: Healthy Eating/Active Living Long term goal All community members eat better and move more as part of daily life Intermediate goal(s) - Reduce food insecurity among low-income families and individuals - Increase variety of physical activity programming to meet needs of specific populations (e.g., seniors) Strategies - Increase access to healthy foods - Support partnerships between food security agencies and other services (e.g., housing, employment) - Promote variety of physical activity among specific populations (e.g., seniors or others with disabilities who are chair-bound) Expected outcomes - Reduced food insecurity among low-income clients of community agencies in new partnerships food security agencies - Increased access for seniors and people with disabilities to physical activity programming Health need 4: Economic Security (Including Housing and Homelessness) Long term goal All community members have access to quality, affordable, and stable housing Intermediate goal(s) - Prevent individuals and families from falling into homelessness - Increase connections to supportive services for individuals experiencing homelessness - Increase and enhance transitional housing and shelter availability
Strategies- Support programs that aim to keep people in their homes (e.g., frail elderly) - Support individualized case management and advocacy for people experiencing homelessness - Support programs that decrease indignities of living rough (on streets, in cars)- e.g., shower access, safe parking for people living in cars/vans - Funding to strengthen local homeless system of care through the Housing and Health Initiative - Partnership with KP Division of Research to develop a predictive model for housing instability Expected outcomes - Reduced homelessness among vulnerable populations (e.g., frail elderly) - Increased access to individualized case management to connect people experiencing homelessness to supportive services - Increased access to services for unhoused populations (e.g., people living in cars/vans) Health needs KFH-Redwood City does not intend to address Three health needs were identified through the CHNA process that were not selected as priorities for implementation strategies: cancer, oral/dental health, and the environment. All three were lower priorities than those selected by KFH-Redwood City. Oral/dental health. Oral health was determined to be a lower priority from the CHNA process and could be partially addressed through overall Access to Care strategies (e.g., strengthening referral networks and navigation support; diversifying the health care workforce). Cancer. Cancer also was a lower priority health need in the CHNA process. As a result, it was not selected as one of the priority health needs by KFH-Redwood City. Some risk factors that are correlated with many cancers-particularly unhealthy diets and lack of physical activity-are the focus of the Healthy Eating / Active Living priority health need. In addition, the Access to Care health need supports access to ongoing care that could lead to regular screening, which in turn supports early detection of common cancers. Environment. Environmental interventions-another lower priority from the CHNA process-were viewed as less feasible than others, requiring resources and a scale of intervention beyond the scope of community grant-making. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/NCAL
C, 31, KFH WOODLAND HILLS Explanations Part V, Section B.Line 5: Residents, community leaders, and government and public health department representatives were selected for the CHNA sample. Selection criteria across these groups included (a) those best able to respond in rich detail to the strategic learning questions, (b) those who had expertise in local health needs, (c) those who resided and/or provided services in an under-resourced or medically underserved community, and (d) those able to represent the health needs of a given racial or ethnic minority group. Given the large size of the KFH-Woodland Hills service area, community engagement efforts set out to target those geographies most under-resourced and where health outcomes were the poorest. Once selected for engagement, participants were provided the opportunity to share their perspective on targeted health needs and raise any additional health needs outside the strategic lines of inquiry. Line 6A: Collaborating Hospitals: Valley Care Community Consortium Ventura County Public Health Line 11: Health Need 1: Access to Care Long Term Goal All community members have access to high quality health care services from a trained and diverse workforce in a coordinated delivery system. Strategic priorities (intermediate goals) 1. Increase coverage, access, and utilization of health care services for populations that are underserved and uninsured. 2. Improve and build the current and emerging workforce to meet the primary care needs of the community. 3. Improve the capacity of healthcare systems to provide quality healthcare services, including interventions to address social determinants of health. 4. Reduce barriers to accessing care for populations that are underserved. Strategies & Sample Interventions 1.1 Provide access and comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. - The Kaiser Permanente Medicaid program provides high-quality medical care services to Medicaid eligible participants who would otherwise struggle to access care. - The Kaiser Permanente Medical Financial Assistance program provides temporary financial assistance to low-income individuals who receive care at Kaiser Permanente facilities and who cannot afford medical expenses and/or cost sharing. - The Kaiser Permanente Charitable Health Coverage program provides access to comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. 1.2 Support access to care for patients through collaboration among community clinics, clinic networks, and other safety net providers. - With support of grant funding, Regional Associations of California (Essential Access Health) strengthen the capacity of California's community clinics and health centers and to advance local health delivery system transformation through statewide policy. 2.1 Support and implement physician and other pipeline and training programs, using evidence-based, culturally competent and patient-centered population management modules. - The Kaiser Permanente Graduate Medical Education (GME) recruits and prepares the physician workforce of the 21st century by optimizing the unique clinical and educational opportunities within Kaiser Permanentes integrated model of care, which is now considered the gold standard for improving the entire U.S. health care system. As part of their training, residents participate in rotations at school-based health centers, community clinics, and homeless shelters. - KFH-Woodland Hills offers workforce development and training programs in the health care sector to reach underserved youth and young adults. 3.1 Design, pilot and implement systems for screening community members with social (non-medical) needs and refer to community-based programs. - The Kaiser Permanente Thrive Local initiative integrates the social determinants of health into ongoing care plans by screening and connecting low-income individuals and families to community and government resources (e.g., KP Educational Outreach Programs). - KFH-Woodland Hills will screen individuals for food insecurity where vulnerable populations seek care in various departments. 3.2 Strengthen the capacity and infrastructure of community clinics to effectively prevent and manage chronic disease, including cardiovascular health and diabetes. - Transforming Cardiovascular Care in our Communities (TC3) supports community clinics, public hospitals and health systems to reduce cardiovascular disease by implementing innovative population health management practices. - Kaiser Permanente will explore opportunities to support community clinics as they address chronic disease prevention and management. 4.1 Address barriers to quality, culturally appropriate care by providing language and literacy interpretation, transportation, non-traditional access points, and/or other supportive services. - With support of grant funding, collaborate with community organizations to reduce barriers to accessing medical care for vulnerable populations including seniors, homeless, and low-income residents and in high-need areas (e.g. Simi Valley Behavioral Health, Target clinics). Health Need 2: Healthy Eating, Active Living Long Term Goal All community members have optimal levels of health and well-being through access to healthy food and physical activity opportunities. Strategic priorities (intermediate goals) 1. Reduce food insecurity and improve access to healthy foods. 2. Improve prevention and management of chronic disease, including cardiovascular health, diabetes, and obesity. 3. Improve environments and opportunities that enable daily physical activity. Strategies & Sample Interventions 1.1 Design, pilot and implement programs and systems for promoting, screening and/or enrolling community members in food benefit programs. - KFH-Woodland Hills will screen for food insecurity in various departments, including Pediatrics, Case Management, Social Medicine, Nutrition and Revenue Cycle. - The Kaiser Permanente Food for Life initiative includes the CalFresh enrollment campaign which utilizes multi-modal outreach to increase CalFresh enrollment for eligible community members. 1.2 Support programs that procure, recover and/or redistribute food to food insecure communities. - The Kaiser Permanente Food Recovery and Food Redistribution program envision foodservices as the source of nutritious meals for patients, staff and the broader community by distributing food to food insecure communities. - KFH-Woodland Hills partners with Food Finders to donate our daily food excess to those in need. - With support of grant funding, the California Association of Food Banks Farm to Family utilizes advocacy and outreach efforts to procure and provide fresh produce to food banks serving individuals and families who are food insecure. 1.3 Support the capacity of communities and anchor organizations to adopt and implement policies and programs to ensure access to healthy foods. - With support of grant funding, collaborate with community organizations and schools to adopt and implement policies and programs to increase access to healthy foods on their sites. 2.1 Provide opportunities for increasing awareness of prevention and management of chronic disease, including cardiovascular health, diabetes, and obesity. - KFH-Woodland Hills will continue to offer education (workshops and programs) through Center for Healthy Living, some of which are open to the community. 3.1 Support the capacity of communities and anchor organizations to adopt and implement policies and programs to ensure access to safe spaces and physical activity opportunities. - The Kaiser Permanente Operation Splash program enables low income, underserved youth and families to be physically active by providing greater access to community pools through free swim classes. - With support of grant funding, LAs Best provides safe and supervised after-school education and recreation programs for children ages five to twelve through established nutrition and physical activity programs at 200 sites.
Health Need 3: Economic OpportunityLong Term Goal All community members experience improved economic security and access to social services, including affordable housing, educational attainment, training and employment. Strategic priorities (intermediate goals) 1. Preserve and improve the availability of affordable housing and improve care coordination to serve individuals experiencing homelessness and to prevent displacement. 2. Improve educational attainment and employment opportunities. Strategies & Sample Interventions 1.1 Enhance the infrastructure and capacity of service providers to serve individuals at risk or experiencing homelessness. - With funding support, KFH-Woodland Hills will collaborate with community organizations to provide housing navigation support for individuals at risk or experiencing homelessness. 1.2 Support and participate in collaboratives that support coordination and funding of resources (such as health services and housing) for individuals at risk or experiencing homelessness. - Kaiser Permanente, Southern California is a key partner in the United Way Funders Collaborative (Home for Good), which brings together stakeholders, funders, and leaders all working to address housing affordability and homelessness. The collaborative was a key contributor to the development of the countys Coordinated Entry System (CES) lead agencies that connect homeless individuals to services. 2.1 Support the long-term economic vitality of communities through procurement, hiring and workforce development, and/or small business development impact investing. - Hire and provide training to people who are striving to overcome employment barriers, including homelessness, incarceration, substance abuse, mental illness, and limited education. - The Kaiser Permanente, High Impact Hiring is a talent-sourcing strategy that aligns business needs with positive community impact. High Impact Hiring creates career opportunities for people with employment barriers, focusing on specific populations of disadvantaged people or specific geographic areas. - With funding support, KFH-Woodland Hills will continue to collaborate with community organizations to increase education and career pathways opportunities for youth. Health Need 4: Mental Health Long Term Goal All community members have optimal levels of mental health and well-being through improved equitable access to evidence-based, high quality, appropriate care and reduced effects of stigma. Strategic priorities (intermediate goals) 1. Improve access and connection to mental health care in clinical and community settings. 2. Improve and build the current and emerging mental health workforce to meet community needs. 3. Reduce mental health stigma and improve knowledge, capacity, and resilience in individuals, communities, and organizations. Strategies & Sample Interventions 1.1 Support the infrastructure and capacity building of community organizations and clinics to improve access to quality mental health care. - With the support of grant funding, Children Now Improving California Students' Readiness to Learn will map the current state and district school-based health policy efforts and develop a list of policy options to improve school-based mental health services. Partner organizations will receive resources and technical assistance on best policies/ practices related to school discipline, teacher credentialing, mental health, school attendance, and Local Control Funding Formula - With the support of grant funding, KFH-Woodland Hills will continue to collaborate with community organizations to expand access to quality mental health resources and programs. 2.1 Support the education and training of licensed mental health professionals to be culturally competent. - With the support of grant funding, Hathaway-Sycamores Child and Family Services So. California Child Welfare Collaborative Phase 2 will provide training for group home foster care providers in Southern California so that they can become certified as Short Term Residential Therapeutic Programs. 3.1 Support efforts to improve the community and social support systems knowledge, attitudes, beliefs and perceptions about mental health, trauma and resilience. - With the support of grant funding, the Children's Partnership Advancing Health Equity for California's Children will provide families with culturally-informed materials and toolkits to help connect them to/keep health coverage, understand benefits available to them, and get needed care. - With the support of grant funding, the Village Family Services Mental Health & Wellness for Homeless Transition Age LGBTQ Youth Project seeks to reduce mental health stigma and improve resilience of LGBTQ youth providing and linking LGBTQ youth to services promoting health, wellness, and healthy social engagement in a community environment, while striving to decrease incidence of homelessness for LGBTQ youth. 3.2 Support the enhancement of organizational culture, practices and policies in schools and other institutions to be trauma-informed. - The Kaiser Permanente Public Good Projects Action Minded campaign is a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners in reducing stigma towards mental health conditions. While all the health needs prioritized in the 2019 Community Health Needs Assessment process are important to address, the implementation strategy planning process requires KFH-Woodland Hills to conduct a selection process based on critical criteria including health need severity, magnitude, inequity, and the extent to which KFH-Woodland Hills is in a position to meaningfully address the need. KFH-Woodland Hills plans to address all the needs identified in the CHNA: access to care and mental health are needs directly addressed through evidenced based and promising strategies and economic opportunity will be an overarching health need that includes educational attainment and housing/ homelessness. Similarly, the healthy eating, active living health need will address the root causes of obesity, cardiovascular disease, and diabetes. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/SCAL
A, 33, KFH VACAVILLE EXPLANATIONS PART V, SECTION B.Line 5: A broad range of community members provided input through key informant interviews, group interviews, and focus groups. We consulted individuals with knowledge, information, and expertise relevant to the health needs of the community. These individuals included representatives from health departments, school districts, local non-profits, and other regional public and private organizations. In addition, we gathered input from community leaders, clients of local service providers, and other individuals representing people who are medically underserved, low income, or who face unique barriers to health (e.g., race/ethnic minorities and individuals experiencing homelessness). Line 6A: NorthBay Healthcare Sutter Health Line 6B: Solano County Health and Social Services Community Health Insights Line 11: Health need 1: Mental Health and Wellness Long term goal All community members have access to high quality, culturally and linguistically appropriate health care services in coordinated delivery systems Intermediate goal(s) - Increase capacity of organizations and institutions to provide trauma-informed services and programs - Increased access to behavioral health care services for low-income and vulnerable populations - Develop a diverse, well trained behavioral health care workforce that provides culturally competent care Strategies - Provide funding to address trauma and adverse childhood experiences (ACEs) (including screening and counseling). - Provide grants for programs that support a network of services for children and families (e.g. family resource centers). - Support culturally appropriate programming to promote healing in communities with high rates of trauma and/or violence. - Provide funding for programs providing certified, evidence-based parenting programs to vulnerable populations. - Provide support for organizations providing trauma-informed and trauma-responsive trainings for staff/providers. - Provide grant funding to school districts participating in KP Thriving Schools initiatives to support staff and school leadership professional development and resilience. - Fund grants to improve early identification of behavior health needs (e.g. schools, clinics). - Implement the Public Good Projects Action Minded campaign, a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners, and KP employees as partners in reducing stigma towards mental health conditions. - Participate in Healthy Solano Collaborative and Solano Elder Justice Coalition. - Provide funding for programs focused on providing mental health services in vulnerable census tracts. - Provide grants for behavioral health case management. - Provide grants for programs that offer substance and tobacco education. - Provide grants for programs that offer resources and support for youth and families dealing with substance abuse. - Support the capacity of clinics, schools or other community-based organizations to provide trauma-informed care to youth. - Provide KPs Education Theater programs Ghosted, Nightmare on Puberty St., and Peace Signs. - Participate in Medi-Cal Managed care. - Provide Charitable Health Coverage. - KP Mental health training program participants rotate through community clinics and other community-based organizations to provide behavioral health services and education. - The Thrive Local bi-directional directory will allow KP staff to directly refer patients to community-based resources and services. - Support the rotation of residents and other trainees in community health centers and other community settings. - Provide and distribute KP health education materials and resources to community-based organizations, including community clinics. - ACEs screening through pilot at NSA KP facilities that link KP patients to community resources and services. - Provide direct linkages to social non-medical resources and services to new Medi-Cal members during onboarding through Social Medicine services. Expected outcomes - Increased enrollment in programs to improve social/emotional wellness - Increased screening for behavioral health needs - Increased organizational capacity to provide Adverse Childhood Experiences (ACE) screenings - Increased trauma-informed and trauma-responsive services, policies, and systems - Increased participation in drug and alcohol prevention programs - Improved capacity of systems or organizations to implement non-violent solutions to conflict and offer alternatives to punitive responses - Increased number of low-income patients who receive behavioral health care services - Increased integration of primary and behavioral health care services - Improved access to quality care for youth, families and communities experiencing violence - Increased number of individuals receiving mental health services Health need 2: Community and Family Safety Long term goal Cycles of violence are interrupted, and toxic stress is alleviated Intermediate goal(s) - Increased access to safe parks and public spaces. - Increased access to programs and support services for those experiencing or at risk of family violence. - Improve job readiness for people with barriers to employment. Strategies - Provide funding for programs focusing on development and/or beautification of neighborhood outdoor spaces servicing low income and vulnerable populations. - Provide funding for programming that promotes physical activity and social cohesion in underserved or vulnerable communities. - Participate in Healthy Solano Collaborative and Live Healthy Napa County Collaborative. - Participate in Vibe Solano collaborative. - Participate in Food, Agricultural, Nutrition Network of Solano(FANNS). - Provide grants for programs that support a network of services for children and families (e.g. family resource centers, family justice centers). - Fund prevention programs and support services for those at risk of family violence. - Support domestic violence and child abuse prevention programs that work with victims and/or perpetrators. - Support programs that provide access to job training programs for high-risk populations (e.g. homeless, reentry, foster youth, transition age youth). - Support organizations who work with re-entry population by providing training, wraparound services, and help them successfully access and maintain employment. - Support pathway programs to increase the diversity of the healthcare workforce by providing mentorship, academic enrichment, leadership development, and career exposure to disadvantaged and minority youth. - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers (KP LAUNCH). - Utilize KP Cares to recruit volunteers for community-based projects (e.g. neighborhood beautification projects). - Provide opportunities for KP business resource groups to support volunteer projects in the community. - Provide opportunities for KP business resource groups to service as speakers or present to local students regarding career paths. - Local KP participation in collaboratives of local health care institutions, community colleges, workforce development organizations, and chambers of commerce to support the pipeline and hiring of diverse populations in health care. Expected outcomes - Increased use of parks and public spaces - Increased community perception of safety - Increased trust between law enforcement and community members - Increased community perception that violence is a preventative public health issue - Increased participation in prevention programs and support services for those at risk of family violence - Increased organizational capacity to offer quality services to individuals and communities experiencing trauma/violence - Increased number of families receiving responsive services - Increased number of families screened for family violence - Increased proportion of referrals made for families experiencing family violence - Increased enrollment and completion of education and job training programs - Decreased recidivism - Increased number of individuals completing job-training programs
Health need 3: Economic OpportunityLong term goal All community members are economically secure in order to thrive Intermediate goal(s) - Increase high school graduation for underrepresented youth - Prevent individuals and families from falling into homelessness - Increase connections to supportive services for individuals experiencing homelessness - Improve job readiness for people with barriers to employment - Increase access to living-wage jobs for people with barriers to employment Strategies - Provide grants for youth development programs that support underrepresented students prepare academically for college. - Provide grant funding for programs assisting vulnerable youth access support and resources needed to graduate from high school and prepare them for college. - Provide grant funding for programs working to assist disconnected youth complete high school level education. - Provide support for programs offering education and resources around tenant protections and/or providing free or low-cost legal assistance for tenants facing eviction. - Provide funding for programs that support the connection of residents in affordable housing to a range of critical health and human services. - Provide funding to support rapid rehousing programs. - Support non-profit housing developers, housing programs, and shelters focused on expanding supportive housing and resources for those who are experiencing or at risk of homelessness. - Provide funding to support coordinated entry systems. - Support for programs providing emergency rental assistance to prevent eviction and homelessness. - Participate in Healthy Solano Collaborative. - Participate in Homelessness Roundtable meetings in the cities of Fairfield and Vacaville. - Participate in regular partnership meetings with Solano County hospital systems and health plans. - Support programs that provide access to job training programs for high-risk populations (e.g. homeless, reentry, foster youth, transition age youth). - Support organizations who work with re-entry population by proving training, wraparound services, and help them successfully access and maintain employment. - Support pathway programs to increase the diversity of the healthcare workforce by providing mentorship, academic enrichment, leadership development, and career exposure to disadvantaged and minority youth. - Funding to strengthen local homeless system of care through the Housing and Health Initiative. - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers (KP LAUNCH). - Provide opportunities for KP employees (e.g. Multi-cultural business resource groups) to service as speakers or present to local students regarding career paths. - Partnership with KP Division of Research to develop a predictive model for housing instability. - Provide opportunities for KP business resource groups to serve as speakers or present to local students regarding career paths. - Local KP participation in collaboratives of local health care institutions, community colleges, workforce development organizations, and chambers of commerce to support the pipeline and hiring of diverse populations in health care. - NSA Local impact hiring strategy will provide opportunities for people with barriers to employment. - Impact purchasing and small business capacity building to strengthen local and diverse businesses through sourcing strategies and programs. - Increase baseline spend for local and diverse businesses. Expected outcomes - Decreased rates of chronic absenteeism - Reduced high school dropout rate among low income and vulnerable youth - Increased college access among low income and vulnerable youth - Improvement of reading proficiency scores for third grade students - Increased availability and utilization of affordable housing - Increase in referral and coordination between medical providers and social non-medical services and providers - Increased number of families remaining stably housed while receiving prevention assistance - Increase in the number of assisted families who do not enter or re-enter emergency shelter or transitional housing after receiving housing assistance - Increased number of clients connected to housing opportunities - Increased enrollment and completion of education and job training programs - Decreased recidivism Health need 4: Access to Care and Coverage Long term goal All community members have access to high quality, culturally and linguistically appropriate health care services in coordinated delivery systems Intermediate goal(s) - Increase access to comprehensive health care coverage for low income individuals - Increase access to social non-medical services for low income and vulnerable populations - Reduce food insecurity among low-income families and individuals - Increase access to a diverse, culturally competent health care workforce - Improve the capacity of health care systems to provide quality health care services Strategies - Provide grants for programs focused on (increasing) enrollment in affordable health coverage options. - Funding programs and/or organizations to conduct targeted outreach and screening for chronic unmanaged health conditions specific to target populations or census tracts. - Fund FQHCs to expand and improve primary care access, navigation, and services. - Funding to support FQHCs around health education and outreach. - Provide subsidized health care coverage to children (18 & under) in low-income families who lack access to other sources of coverage. - Provide Medical Financial Assistance to patients who are unable to afford the cost of care. - Participate in regular partnership meetings with Solano County hospital systems and health plans. - Provide grants for programs that increase enrollment in federal food programs. - Support programs that advocate for equitable access to healthy food (e.g., community gardens, food systems, and local markets). - Support Market Match to provide incentives for CalFresh users to purchase produce at farmers markets. - Support programs focused on connecting vulnerable populations (e.g. seniors, low income families) to social non-medical services and resources (e.g. transportation, food). - Participate in Healthy Solano Collaborative and Live Healthy Napa County Collaborative. - Participate in Vibe Solano collaborative. - Participate in Food, Agricultural, Nutrition Network of Solano (FANNS). - Provide grant funding for programs providing respite and recuperative care for people without stable housing after being discharged. - Support pathway programs to increase the diversity of the healthcare workforce by providing mentorship, academic enrichment, leadership development, and career exposure to disadvantaged and minority youth. - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members (Food For Life). - Support screening for social non-medical service needs and connect low-income individuals and families to community and government resources (e.g. Thrive Local). - Support population health management approaches that improve health outcomes for safety net patients with diabetes and hypertension (PHASE). - Support community clinic consortia to develop programs and advocate for policies that improve access to quality health care for low income individuals - Participate in Medi-Cal Managed care. - Provide Charitable Health Coverage. - The Thrive Local bi-directional directory will allow KP staff to directly refer patients to community-based resources and services. - Provide direct linkages to social non-medical resources and services to new Medi-Cal members during onboarding through Social Medicine services. - Support the rotation of residents and other trainees in community health centers and other community settings. - Collaborate with HR and other internal stakeholders to develop a high-impact hiring program in NSA.
Expected Outcomes- Increased number of low-income patients who receive health care services/coverage provided by KP - Increased number of low-income patients that enroll in health care coverage programs - Increased use of preventative medical services by low utilizers - Increased referrals and coordination between healthcare providers and social non-medical services - Increased enrollment and participation in public benefit programs - Improved transportation for vulnerable populations (e.g. seniors) to necessary healthcare and social non-medical services - Improved capacity of health systems to provide population health management - Increased integration of primary and specialty health care services - Improved capacity of safety net providers to assuming capitated risk - Increased number of people from underrepresented groups enrolling in job training programs - Increased number of culturally and linguistically competent and skilled healthcare providers Health needs KFH-Vacaville does not intend to address Housing: This health need was not selected because, compared to other health needs, it scored relatively lower on the following criteria: disparities, leveraging organizational assets, and feasibility. The strategies identified within Economic Security will largely address the need associated with Housing. Additionally, there is significant existing attention and resources dedicated to addressing this issue in the community. Education: This health need was not selected because, compared to other health needs, it scored relatively lower on the ability to leverage organizational assets. Significant attention and resources in the service area are currently dedicated to addressing this health need, especially in the secondary education system by supporting programs providing mentorship and educational support systems for high school students and disconnected youth. Healthy Eating and Active Living (HEAL): This health need was not selected because, compared to other health needs, it scored relatively lower on disparities and leveraging organizational assets. Significant attention and resources in the service area are currently dedicated to this need around the issues of reducing food insecurity, providing access to healthy food, and increasing access to safe parks and outdoor spaces. Maternal & Infant Health: This health need was not selected because, compared to other health needs, it scored relatively lower on disparities and leveraging organizational assets. The strategies identified within Access to Care will largely address the challenges specific to the population of mothers and young children. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/NCAL
A, 34, KFH ANTIOCH EXPLANATIONS PART V, SECTION B.Line 5: Community input was provided by a broad range of community members using key informant interviews and focus groups. 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 as well as leaders, representatives, or members of medically underserved, low-income, and minority populations. Additionally, where applicable, other individuals with expertise of local health needs were consulted. Line 6A: John Muir Health Kaiser Foundation Hospital - Antioch Sutter Health Bay Area Line 6B: Contra Costa County Health Services Contra Costa County Employment & Human Services Line 11: Health need 1: Behavioral Health Long term goal All community members experience social emotional health and wellbeing and have access to high quality behavioral health care services when needed Intermediate goal(s) - Increase capacity of organizations and institutions to provide trauma-informed services and programs - Enhance community supports to mitigate impact of ACEs - Increase access to behavioral health care services for low-income and vulnerable populations - Develop a diverse, well trained behavioral health care workforce that provides culturally competent care Strategies - Increase access to trauma-informed services and training within (and around) school systems and organizations serving vulnerable populations (re-entry, foster care, transition aged youth, domestic violence) - Support programs providing trauma and ACEs training for school staff and/or self-care for teachers - Support the capacity of clinics, schools or other community-based organizations to provide trauma-informed care to youth - Implement the Public Good Projects' Action Minded campaign, a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners, and KP employees as partners in reducing stigma towards mental health conditions - Provide KPs Education Theater program, Resilience Squad - Provide workforce training programs to train current and future mental health practitioners with the skills and linguistic and cultural competence to meet the health care needs of diverse communities Expected outcomes - Increased scope and availability of trauma-informed services and programs available through programs serving vulnerable populations - Increased screening and referrals to behavioral health care services for low-income and vulnerable populations, especially youth (in settings such as FQHCs and schools) - Increased access for vulnerable populations to a diverse, well-trained behavioral health care workforce that provides culturally competent care - Increased help-seeking for behavioral health issues prompted by stigma reduction campaigns Health need 2: Access To Care Long term goal All community members have access to high quality, culturally and linguistically appropriate health care services in coordinated delivery systems Intermediate goal(s) - Increase access to comprehensive health care coverage for low income individuals - Increase access to subsidized care for those facing financial barriers to health care - Increase access to social non-medical services for low income and vulnerable populations - Increase access to a diverse, culturally competent health care workforce - Improve the capacity of health care systems to provide quality health care services Strategies - Increase capacity of organizations to conduct effective outreach and navigation to vulnerable populations to connect them to care - Provide capacity support for free clinics and those serving hard-to-reach populations - Increase FQHC and health system capacity to screen and refer clients to social, non-medical services (e.g., food, housing, employment) - Support screening for social non-medical service needs and connect low-income individuals and families to community and government resources - Participate in Medi-Cal Managed care - Provide Charitable Health Coverage - Provide Medical Financial Assistance Expected outcomes - Increased outreach to vulnerable populations that helps them access comprehensive health care coverage - Increased outreach to vulnerable populations that helps them navigate and connect to subsidized care - Reduced financial barriers to care by increasing access to Medical Financial Assistance - Increased access to trained navigators and community health workers that connect low-income and vulnerable populations to social non-medical services - Increased opportunities for diverse, culturally competent workers to enter the health care workforce Health need 3: Economic Security Long term goal All community members are economically secure in order to thrive Intermediate goal(s) - Improve economic vitality of local and diverse businesses - Increase in enrollment and participation in public benefit programs - Improve job readiness for people with barriers to employment - Increase connections to supportive services for individuals experiencing homelessness or at-risk of homelessness - Reduce food insecurity among low-income families and individuals Strategies - Provide support for programs that offer training and employment assistance to re-entry and homeless populations - Support outreach, navigation, and case management that connects individuals to coordinated entry services - Support food distribution programs that provide nutritious foods to low-income families and individuals - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members (Food For Life) - Funding to strengthen local homeless system of care through the Housing and Health Initiative - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers (KP LAUNCH) - Increase baseline spend for local and diverse businesses Expected outcomes - Increased use of local and diverse businesses as suppliers - Increased enrollment and participation in public benefit programs (e.g., CalFresh) - Improved job readiness for people with barriers to employment (especially due to re-entry, domestic violence, immigration status, homelessness) - Increased connections to supportive services (e.g., Coordinated Entry) for individuals experiencing homelessness - Reduced food insecurity among low-income families and individuals through access to nutritious foods via school, health, and community partner settings
Health needs KFH-Antioch does not intend to addressElements of Education and Literacy, Housing and Homelessness, and Healthy Eating / Active Living were incorporated into the Economic Security health need, particularly food security, job readiness, employment assistance, and navigation/case management services for people at risk for or experiencing homelessness. Health needs identified in the CHNA but not addressed in the Implementation Strategy include Community and Family Safety, Transportation and Traffic, and Climate/Natural Environment. Community and Family Safety received lower scores in terms of evidence-based or promising approaches, leveraging Kaiser Permanente expertise or organizational assets, and the feasibility of making an impact. Elements of the Access to Care and Behavioral Health strategies address the needs of survivors of violence, such as addressing trauma through the educational and behavioral health systems and connecting people to social, non-medical services. This is also the case with job training strategies under Economic Security. Transportation and Traffic and Climate/Natural Environment were both lowest on the list of CHNA priorities and on the CHIC rankings, receiving the lowest scores for feasibility, as well as for evidence-based/promising practices. Even though both affect health outcomes, CHIC members were concerned that they would not be able to make much of an impact. However, some of the improvements in health care access and delivery (such as connecting low-income children and families to care for asthma) offer potential ways to address the effects of poor air quality and pollution within the service area. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/NCAL
A, 35, KFH SOUTH SAN FRANCISCO EXPLANATIONS PART V, SECTION B.Line 5: Community input was provided by a broad range of community members using key informant interviews and focus groups. 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 as well as leaders, representatives, or members of medically underserved, low-income, and minority populations. Additionally, where applicable, other individuals with expertise of local health needs were consulted. Line 6A: Dignity Health Sequoia Hospital Hospital Consortium of San Mateo County Lucile Packard Childrens Hospital Stanford Seton Medical Center and Seton Coastside, part of Verity Health System Stanford Health Care Sutter Health Menlo Park Surgical Hospital and Sutter Health Mills Peninsula Medical Center Line 6B: Hospital Consortium of San Mateo County County of San Mateo Human Services Agency Peninsula Health Care District Line 11: Health need 1: Health Care Access and Delivery Long term goal All community members have access to high quality, culturally and linguistically appropriate health care services in coordinated delivery systems Intermediate goal(s) - Increase access to comprehensive health care coverage for low-income individuals - Increase access to subsidized care for those facing financial barriers to health care - Increase access to social non-medical services for low income and vulnerable populations - Increase access to a diverse, culturally competent health care workforce - Improve the capacity of health care systems to provide quality health care services Strategies - Address transportation barriers (e.g., ride-share partnerships with providers and non-profits to reach appointments), especially for low-income seniors - Support access to oral health care (e.g., mobile vans, Denti-Cal providers, access to dentures) for low-income residents - Increase capacity of organizations to conduct effective outreach and navigation to vulnerable populations to connect them to care - Provide subsidies/ support for non-Medi-Cal eligible patients - Promote systems for resource-sharing among providers to enhance and integrate referral networks - Increase FQHC and health system capacity to screen and refer clients to social, non-medical services (e.g., food, housing, employment) by providing training and information-sharing opportunities - Support partnerships with food banks for CalFresh enrollment and food pharmacy programs - Support training/ recruitment of diverse health and social system navigators who match patients demographics - Support screening for social non-medical service needs and connect low-income individuals and families to community and government resources (Thrive Local) - Support population health management approaches that improve health outcomes for safety net patients with diabetes and hypertension (PHASE) - Support community clinic consortia to develop programs and advocate for policies that improve access to quality health care for low income individuals - Participate in Medi-Cal Managed care - Provide Charitable Health Coverage - Provide Medical Financial Assistance - Provide workforce training programs to train current and future health care providers, including physicians, mental health practitioners, physical therapy, pharmacy, nurses, and allied health professionals, with the skills and linguistic and cultural competence to meet the health care needs of diverse communities - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers (KP LAUNCH) - School for Allied Health expanding access to training and certificate programs for underrepresented individuals Expected outcomes - Increased outreach to vulnerable populations that helps them access comprehensive health care coverage - Increased outreach to vulnerable populations that helps them navigate and connect to subsidized care - Increased enrollment in CalFresh - Reduced financial barriers to care by increasing access to Medical Financial Assistance - Increased access to trained navigators and community health workers that connect low-income and vulnerable populations to social non-medical services - Increased opportunities for diverse, culturally competent workers to enter the health care workforce Health need 2: Mental Health and Well-being Long term goal All community members experience social emotional health and wellbeing and have access to high quality behavioral health care services when needed Intermediate goal(s) - Increase capacity of organizations and institutions to provide trauma-informed services and programs - Increase access to behavioral health care services for low-income and vulnerable populations - Develop a diverse, well trained behavioral health care workforce that provides culturally competent care - Prevent and reduce misuse of drugs and alcohol Strategies - Provide training in culturally appropriate trauma-informed care (e.g., younger staff; staff in after-school programs) - Support programs/initiatives that reduce stigma associated with seeking help for behavioral health/substance use problems - Support programs that address adolescent suicide and suicide ideation - Support programs that use Evidence-Based Programs (EBPs) to address substance use/ addiction (e.g., among methamphetamine users) - Support the capacity of clinics, schools or other community-based organizations to provide trauma-informed care to youth - Implement the Public Good Projects Action Minded campaign, a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners, and Kaiser Permanente employees as partners in reducing stigma towards mental health conditions - Provide KPs Education Theater program, Resilience Squad - Participate in Medi-Cal Managed care - Provide Charitable Health Coverage - Provide workforce training programs to train current and future mental health practitioners with the skills and linguistic and cultural competence to meet the health care needs of diverse communities Expected outcomes - Increased scope and availability of trauma-informed services and programs available through programs serving vulnerable populations - Increased screening and referrals to behavioral health care services for low-income and vulnerable populations, especially youth (in settings such as FQHCs and schools) - Reduced adolescent suicide/ideation - Increased access for vulnerable populations to a diverse, well-trained behavioral health care workforce that provides culturally competent care - Increased help-seeking for behavioral health issues and misuse of drugs and alcohol prompted by stigma reduction campaigns Health need 3: Healthy Eating / Active Living Long term goal All community members eat better and move more as part of daily life Intermediate goal(s) - Reduce food insecurity among low-income families and individuals - Increase access to safe parks and public spaces - Increase variety of physical activity programming to meet needs of specific populations (e.g., seniors) Strategies - Increase regular access to healthy foods to reduce food insecurity among vulnerable populations - Support partnerships between food security agencies and other services (e.g., housing, employment) to connect low-income individuals to resources that reduce food insecurity - Increase number and accessibility of safe parks and public spaces (e.g., within walking distance of low-income neighborhoods that lack outdoor play/ recreational spaces) - Promote variety of physical activity among specific populations (e.g., seniors or others with disabilities who are chair-bound; culturally appropriate activities) - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members (Food for Life) Expected outcomes - Reduced food insecurity among low-income clients - Increased number of safe parks and public spaces within walking distance of low-income neighborhoods lacking outdoor play/recreational space
- Increased access for seniors and people with disabilities to physicalactivity programming Health need 4: Economic Security (Including Housing & Homelessness) Long term goal All community members have access to quality, affordable, and stable housing Intermediate goal(s) - Prevent individuals and families from falling into homelessness - Increase connections to supportive services for individuals experiencing homelessness Strategies - Support programs that aim to keep people in their homes (e.g., frail elderly) - Improve follow-up/support for newly housed (to prevent homelessness relapse) - Support individualized case management and advocacy for people experiencing homelessness - Support programs that decrease indignities of living rough (on streets, in cars) e.g., shower access, safe parking for people living in cars/vans - Partnership with KP Division of Research to develop a predictive model for housing instability - Funding to strengthen local homeless system of care through the Housing and Health Initiative Expected outcomes - Reduced homelessness among vulnerable populations (e.g., frail elderly) - Increased access to individualized case management to connect people experiencing homelessness to supportive services - Increased access to services for unhoused populations (e.g., people living in cars/vans) Health needs KFH-South San Francisco does not intend to address In considering which health needs to address, the KFH-South San Francisco CBAC members recognized that many health needs overlap and that a strong case could be made for addressing any of those that emerged from the CHNA process. The four selected priority health needs took into account community and partner input as well as the criteria of feasibility of intervening, leveraging both community and Kaiser Permanente assets, and the availability of evidence-based programs and practices. The health needs below did not score as highly as the four priority health needs described above and will not be addressed directly by the recommended strategies. Economic Security. The main driver of economic insecurity in the South San Francisco area (and in the Bay Area and California overall) is high housing costs that consume excessive proportions of family income, making it difficult for working families to afford basic necessities. KFH-South San Francisco agreed that by addressing housing and homelessness specifically, the main component of economic security is being addressed. In addition, food security issues are partially addressed within the Healthy Eating / Active Living priority health need. Oral/dental health. Oral health did not emerge as a priority health need through the CHNA process. However, it was raised during the Implementation Strategy process by partner agencies, who suggested including oral health access under the Access to Care health need and focusing on specific populations with gaps in care (e.g., seniors). Cancer. Cancer also did not emerge as a priority health need through the CHNA process. As a result, it was not selected as one of the priority health needs by KFH-South San Francisco. However, some of the risk factors that are correlated with many cancers-particularly unhealthy diets and lack of physical activity-are the focus of the Healthy Eating / Active Living priority health need. Strategies for that health need address lifelong health habits for children and youth, as well as healthier eating habits and increased mobility for people of all ages. In addition, the Access to Care health need supports access to ongoing care that could lead to regular screening, which in turn supports early detection of common cancers. Environment. Environmental interventions were viewed as less feasible than others, requiring resources and a scale of intervention beyond the scope of community grant-making. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/NCAL
A, 36, KFH SAN RAFAEL EXPLANATIONS PART V, SECTION B.Line 5: A broad range of community members provided input through key informant interviews, group interviews, and focus groups. We consulted individuals with knowledge, information, and expertise relevant to the health needs of the community. These individuals included representatives from health departments, school districts, local non-profits, and other regional public and private organizations. In addition, we gathered input from community leaders, clients of local service providers, and other individuals representing people who are medically underserved, low income, or who face unique barriers to health (e.g., race/ethnic minorities and individuals experiencing homelessness). Line 6A: Marin General Hospital Sutter Health Novato Community Hospital Line 6B: Marin County Health and Human Services Healthy Marin Partnership, members include: - Hospital Council of Northern and Central California - Northbay Leadership Council - Marin County Office of Education - Marin Community Foundation - San Rafael Chamber of Commerce Line 11: Health need 1: Access to care and coverage Long term goal All community members have access to high quality, culturally and linguistically appropriate health care services in coordinated delivery systems Intermediate goal(s) - Increase access to comprehensive health care coverage for low income individuals - Increase access to subsidized care for those facing financial barriers to health care - Increase access to social non-medical services for low income and vulnerable populations - Increase access to a diverse, culturally competent health care workforce - Improve the capacity of health care systems to provide quality health care services Strategies - Support free clinics offering healthcare services for uninsured or undocumented - Support programs that expand use of patient navigators, health coaches, promotores de salud or community application assisters - Expand capacity of CBOs to participate in electronic social service locators (Thrive Local) - Support pathway programs to increase the diversity of the healthcare workforce by providing mentorship, academic enrichment, leadership development, and career exposure to populations underrepresented in healthcare (low income, minority students) - Support cultural competency training of future and current healthcare workforce to meet the needs of diverse patient populations - Support programs that enhance patient-centered medical home models and team-based care/ healthcare extenders - Support programs that mobilize residents to advocate for policies that improve access to healthcare - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members (Food For Life) - Support screening for social non-medical service needs and connect low-income individuals and families to community and government resources (Thrive Local) - Support population health management approaches that improve health outcomes for safety net patients with diabetes and hypertension (PHASE) - Support community clinic consortia to develop programs and advocate for policies that improve access to quality health care for low income individuals - Provide KPs Education Theater program, Resilience Squad - Participate in Medi-Cal Managed care - Provide Charitable Health Coverage - Provide Medical Financial Assistance - Provide workforce training programs to train current and future mental health practitioners with the skills and linguistic and cultural competence to meet the health care needs of diverse communities - Care Experience Team, Chaplains and SW Dept to Partner with Center for Mind-body Medicine to increase the number of KP staff who are trained to foster community resilience (focus on non KP members) Expected outcomes - Reduced the percentage of individuals who are uninsured especially among low-income populations - Improved the capacity of free clinics to handle a greater volume of patients who are experiencing financial barriers to healthcare - Increased CalFresh enrollment, referrals to social health services, and receipt of non-medical needs such as housing vouchers and transportation - More trainings and pathways to healthcare careers for individuals identifying as racial or ethnic minorities - Better analyzed and implemented algorithms of healthcare workflows resulting in increases in the portion percentage of individuals with good diabetes management and hypertension control Health need 2: Educational Attainment Long term goal Youth thrive in school and are prepared for college, career, and community success Intermediate goal(s) - Improve school readiness for children entering kindergarten - Build resilience and address trauma among students and staff in schools - Increase academic success during elementary school - Increase high school graduation for underrepresented youth - Support exposure to career paths for underserved and underrepresented youth - Improve job readiness for people with barriers to employment Strategies - Support programs that improve the quality of early childhood workforce, such as through staff development and training - Support community education on the benefits for enrolling in preschool - Expand subsidized preschool slots for low and moderate income families - Support school-based climate improvement strategies focused on equity, empathy and engagement - Support on campus resources such as mental health counselors and peer support - Support programs that improve 3rd grade reading - Support programs that increase student engagement during the school day - Support programs that enrich mathematic instruction - Support enrichment opportunities at low income school sites to increase student engagement - Support tutoring and mentoring programming for academic success - Support career technical education and healthcare career pathways programs - Support skill development and academic resources for adults with barriers to employment - Support Educational Theater programs to increase participation and quality of interactive educational experiences - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers (KP LAUNCH) - Hospital Facilities and Human Resources to partner with Unions and/or other workforce investment partners to develop internships and career pathways for skilled labor Expected outcomes - Increased kindergarten staff training and preschool enrollment for racial/ethnic minority and disadvantaged groups - Improved youth truth survey results reflecting a positive school climate and increased catalogue of implemented school climate enhancements reflecting trauma reduction efforts - Increased academic success as indicated by 3rd grade reading proficiency and 5th grade math proficiency test scores - Increased secondary school graduation rates for racial and ethnic minorities - Increased participation in career pathway programs and increased completion rates of skill development trainings by underserved and underrepresented youth Health need 3: Economic Opportunity Long term goal All community members are economically secure in order to thrive Intermediate goal(s) - Improve economic vitality of local and diverse businesses - Increase in enrollment and participation in public benefit programs - Increase connections to supportive housing services for individuals experiencing homelessness or at risk of homelessness - Improve job readiness for people with barriers to employment Strategies - Support financial literacy training to small, diverse businesses seeking to increase their capacity and access new sources of funding - Support programs that increase access to healthy foods and public benefits - Support housing stabilization; permanent and supportive housing services - Support early identification services for those at risk of homelessness - Funding to strengthen local homeless system of care through the Housing and Health Initiative - Implement Community Solutions Built for Zero to address chronic and veteran homelessness - Support programming to increase pathways for employment for disadvantaged and/or system involved youth
- Expand supportive services for job retention- Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members (Food For Life) - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers (KP LAUNCH) and Medical Assistant ROP program - Increase baseline spending for local and diverse businesses Expected outcomes - Increased proportion of minority owned businesses and the equity capital raised in order to improve the vitality of diverse and local entrepreneurial efforts - Increased number of people enrolled in CalFresh and other public benefits, and the amount of healthy food distributed through service programs - Preserved gains in minority owned assets and wealth created prior to 2019-21 grantmaking - Increased internship placements, job placements, and the support to maintain employment beyond 90 days for individuals facing barriers to economic opportunity Health need 4: Mental Health and Wellness Long term goal All community members experience social emotional health and wellbeing and have access to high quality behavioral health care services when needed Intermediate goal(s) - Increase capacity of organizations and institutions to provide trauma-informed services and programs - Enhance community supports to mitigate impact of ACEs - Increased access to behavioral health care services for low-income and vulnerable populations - Develop a diverse, well trained behavioral health care workforce that provides culturally competent care - Prevent and reduce misuse of drugs and alcohol Strategies - Expand community-based opportunities for trauma-informed services and programs - Support training of CBO workforce to ensure trauma informed practices - Support community-based organizations addressing adverse childhood experiences - Expand knowledge of community members about the impacts of ACEs through education, forums and media campaigns. - Expand counseling services within community based organizations - Support behavioral health programming for system-involved youth and previously incarcerated adults - Support peer to peer education and prevention services at schools and community settings - Support programming that reduces stigma and increases access to drug and alcohol treatment - Implement the Public Good Projects Action Minded campaign, a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners, and KP employees as partners in reducing stigma towards mental health conditions - Support the capacity of clinics, schools or other community-based organizations to provide trauma-informed care to youth - Provide KPs Education Theater program, Resilience Squad - Participate in Medi-Cal Managed care - Provide Charitable Health Coverage - Care Experience Team, Chaplains and SW Dept to Partner with Center for Mind-body Medicine to increase the number of KP staff who are trained to foster community resilience (focus on non KP members) Expected outcomes - Increased number of organizations implementing trauma-informed care training and the number of community members engaged in the resilience/self-healing community healing model - Increased number of organizations offering supportive services for ACEs and increased access to community-based ACEs education - Reduced caseloads and wait times for counseling services especially for low-income and vulnerable populations - Increased awareness of the adverse effects of substance use via media campaigns, increased reported age of first alcoholic drink, and reductions in the percentage of 11th graders reporting alcohol or substance abuse Health needs KFH San Rafael does not intend to address Healthy Eating and Active Living (HEAL): This health need was not selected due to its low rank in the CHNA community prioritization. Significant attention and resources from other providers in the service area are dedicated to this health need. Additionally, the four selected health needs contain strategies that address the needs related to HEAL. Oral Health: This health need was not selected due to its low rank in the CHNA community prioritization. Significant attention and resources from other providers in the service area are dedicated to this health need. Access to Care and Education incorporate strategies that address the needs related to Oral Health. Social Connectedness: This health need was not selected due to its low rank in the CHNA community prioritization. Strategies within the selected needs - especially Education, Access to Care and Mental Health and Wellness - address issues related to Social Connectedness. Violence and Injury Prevention: This health need was not selected due to its low rank in the CHNA community prioritization. Domestic violence will be addressed through the Mental Health & Wellness health need. Kaiser sponsors some initiatives related to this health need, such as its annual conference on trauma injury, and through providing high-quality care via trauma injury facilities. Housing and Homelessness: This health need was not selected because it was viewed as a symptom of upstream social and economic factors. Housing stabilization and reducing chronic homelessness are strategies incorporated within the Economic Opportunity health need. Maternal and Child Health: This health need was not selected because it was viewed more as a priority population that could be addressed through other selected health needs. The strategies identified within Access to Care will largely address the needs related to Maternal and Child Health. Additionally, there is significant existing attention and resources dedicated to this issue in the community. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/NCAL
A, 37, KFH FREMONT EXPLANATIONS PART V, SECTION B.Line 5: Community input was provided by a broad range of community members using key informant interviews and focus groups. 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 as well as leaders, representatives, or members of medically underserved, low-income, and minority populations. Additionally, where applicable, other individuals with expertise of local health needs were consulted. Line 6A: Eden Medical Center Kaiser Foundation Hospital - San Leandro St. Rose Hospital UCSF Benioff Childrens Hospital Oakland Washington Hospital Healthcare System Line 6B: Alameda County Health Care Services Alameda County Public Health Department Community Health Center Network Alameda County Behavioral Health Care Services First 5 Alameda County Line 11: Health need 1: Behavioral Health Long term goal All community members experience social emotional health and wellbeing and have access to high quality behavioral health care services when needed Intermediate goal(s) - Increase capacity of organizations and institutions to provide trauma-informed services and programs - Increase access to behavioral health care services for low-income and vulnerable populations - Develop a diverse, well trained behavioral health care workforce that provides culturally competent care Strategies - Support trauma-informed services and training for organizations serving vulnerable populations (re-entry, immigrant, foster care, transition age youth, domestic violence survivors, homeless) - Support programs providing direct mental health services in schools - Implement the Public Good Projects Action Minded campaign, a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners, and KP employees as partners in reducing stigma towards mental health conditions - Support programs providing trauma and ACEs training for school staff and/or self-care for teachers - Support FQHC capacity to screen and connect patients to mental health services - Support organizations that support caregivers by connecting them to navigators and services for themselves and the people for whom they are caring (Support the supporters) - Support telehealth options to increase access to behavioral health services by reducing transportation and stigma barriers - Support the capacity of clinics, schools or other community-based organizations to provide trauma-informed care to youth - Build student and staff resilience to address trauma and adverse childhood experiences (RISE) - Provide KPs Education Theater program, Resilience Squad - KP Behavioral Health Training program Expected outcomes - Increased scope and availability of trauma-informed services and programs available through programs serving vulnerable populations - Increased screening and referrals to behavioral health care services for low-income and vulnerable populations, especially youth (in settings such as FQHCs and schools) - Increased access for vulnerable populations to a diverse, well-trained behavioral health care workforce that provides culturally competent care - Increased help-seeking for behavioral health issues prompted by stigma reduction campaigns Health need 2: Access to care Long term goal All community members have access to high quality, culturally and linguistically appropriate health care services in coordinated delivery systems Intermediate goal(s) - Increase access to comprehensive health care coverage for low-income individuals - Increase access to subsidized care for those facing financial barriers to health care - Increase access to social non-medical services for low income and vulnerable populations - Increase access to a diverse, culturally competent health care workforce - Improve the capacity of health care systems to provide quality health care services Strategies - Increase capacity of organizations to conduct effective outreach and navigation to vulnerable populations to connect them to care - Increase FQHC and health system capacity to screen and refer clients to social, non-medical services (e.g., food, housing, employment) - Support partnerships with food banks for CalFresh enrollment and food pharmacy programs - Support training/ recruitment of community health workers (e.g., promotoras); Parent Ambassadors - Support training/ recruitment of health and social system navigators - Support screening for social non-medical service needs and connect low-income individuals and families to community and government resources (Thrive Local) - Support population health management approaches that improve health outcomes for safety net patients with diabetes and hypertension (PHASE) - Support community clinic consortia to develop programs and advocate for policies that improve access to quality health care for low income individuals Participate in Medi-Cal Managed Care - Provide Charitable Health Coverage - Provide Medical Financial Assistance - Provide workforce training programs to train current and future health care providers, including physicians, mental health practitioners, physical therapy, pharmacy, nurses, and allied health professionals, with the skills and linguistic and cultural competence to meet the health care needs of diverse communities - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers (KP LAUNCH) - School for Allied Health expanding access to training and certificate programs for underrepresented individuals Expected outcomes - Increased outreach to vulnerable populations that helps them access comprehensive health care coverage - Increased outreach to vulnerable populations that helps them navigate and connect to subsidized care - Reduced financial barriers to care by increasing access to Medical Financial Assistance - Increased access to trained navigators and community health workers that connect low-income and vulnerable populations to social non-medical services - Increased opportunities for diverse, culturally competent workers to enter the health care workforce
Health need 3: Economic SecurityLong term goal All community members are economically secure in order to thrive Intermediate goal(s) - Improve economic vitality of local and diverse businesses - Increase in enrollment and participation in public benefit programs - Improve job readiness for people with barriers to employment - Increase connections to supportive services for individuals experiencing homelessness or at-risk of homelessness - Reduce food insecurity among low-income families and individuals Strategies - Support outreach efforts to increase enrollment in CalFresh - Support food distribution programs that partner with school districts, health systems and community partners to provide nutritious foods - Provide support for programs that offer training and employment assistance to vulnerable populations (re-entry, immigrant, domestic violence survivors, homeless population) - Support outreach, navigation, and case management that connects individuals to coordinated entry services - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members (Food For Life) - Funding to strengthen local homeless system of care through the Housing and Health Initiatives - Increase baseline spend for local and diverse businesses Expected outcomes - Increased use of local and diverse businesses as suppliers - Increased enrollment and participation in public benefit programs (e.g., CalFresh) - Improved job readiness for people with barriers to employment (especially due to re-entry, domestic violence, immigration status, homelessness) - Increased connections to supportive services (e.g., Coordinated Entry) for individuals experiencing homelessness - Reduced food insecurity among low-income families and individuals through access to nutritious foods via school, health, and community partner settings Health needs KFH-Fremont does not intend to address Three health needs identified through the CHNA process are partially addressed in the strategies listed above. The Healthy Eating / Active Living health need received scores in the middle of the total rankings from CHIC members and was a lower priority in the CHNA process. The group agreed to incorporate one element of this health need-food security-into the Economic Security emphasis. Housing and Homelessness was ranked second among health needs by the CHIC members, in a tie with Economic Security. Recognizing the link between Economic Security and Housing and Homelessness, this health need was incorporated into the Economic Security priority health need. The Education and Literacy health need was rated as a medium priority in the CHNA and received similar rankings in the CHIC process. Relative to other health needs, it received lower rankings for the ability to leverage Kaiser Permanente expertise or organizational assets, and for the feasibility of making an impact. However, the CHIC members selected elements of Education and Literacy-notably job training and workforce development-in the higher-ranked Economic Security health need, as well as mental health and wellness for school-aged children under Behavioral Health. Three health needs were among the priorities that emerged from the CHNA process but are not addressed among the implementation strategies. Community and Family Safety received lower scores from the CHIC in terms of evidence-based or promising approaches, leveraging Kaiser Permanente expertise or organizational assets, and feasibility of making an impact. Some elements of Community and Family Safety are specifically addressed by strategies included in the priority health needs-particularly addressing trauma through the education and behavioral health systems, helping people navigate and access health and non-medical social services (including survivors of human trafficking and domestic violence), and supporting interventions that increase economic security and reduce homelessness. Climate/Natural Environment-particularly poor air quality-was recognized as a factor in health outcomes but received low scores in terms of leveraging community assets, applying evidence-based or promising approaches, leveraging Kaiser Permanente expertise and organizational assets, and feasibility of making an impact. Instead, some of the improvements in health care access and delivery (such as connecting low-income children and families to care for asthma) were considered more accessible ways to address the effects of climate issues within the service area. Transportation and traffic create barriers to health by lengthening commutes (making it more difficult for people to spend time being physically active or preparing healthy meals), increasing stress, and affecting access to care. However, CHIC members did not identify specific ways for Kaiser Permanente to address this structural issue. Of all the health needs considered, transportation and traffic received the lowest scores overall and for opportunities to leverage community and/or Kaiser Permanente assets, apply evidence-based approaches, and the feasibility of making an impact. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/NCAL
A, 38, KFH MORENO VALLEY Explanations Part V, Section B.Line 5: Residents, community leaders, and government and public health department representatives were selected for the CHNA sample. Selection criteria across these groups included (a) those best able to respond in rich detail to the strategic learning questions, (b) those who had expertise in local health needs, (c) those who resided and/or provided services in an under-resourced or medically underserved community, and (d) those able to represent the health needs of a given racial or ethnic minority group. Given the large size of the KFH-Moreno Valley service area, community engagement efforts set out to target those geographies most under-resourced and where health outcomes were the poorest. Once selected for engagement, participants were provided the opportunity to share their perspective on targeted health needs and raise any additional health needs outside the strategic lines of inquiry. Line 6A: KFH RIVERSIDE Line 6B: Local organizations helped us to gather community input during the engagement process. These include: Clinicas de Salud del Pueblo, Riverside Community Health Foundation, and University of California, Riverside School of Medicine. Line 11: Health Need 1: Access to Care Long Term Goal All community members have access to high quality health care services from a trained and diverse workforce in a coordinated delivery system. Strategic priorities 1. Increase coverage, access, and utilization of health care services for populations that are underserved, uninsured, and/or underinsured. 2. Improve and build the current and emerging workforce to meet the primary care needs of the community. 3. Improve the capacity of healthcare systems to provide quality healthcare, including interventions to address the social determinants of health. Strategies & Core Interventions 1.1 Provide access and comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. - The Kaiser Permanente Medicaid program provides high-quality medical care services to Medicaid eligible participants who would otherwise struggle to access care. - The Kaiser Permanente Medical Financial Assistance program provides temporary financial assistance to low-income individuals who receive care at Kaiser Permanente facilities and who cant afford medical expenses and/or cost sharing. - The Kaiser Permanente Charitable Health Coverage program provides access to comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. 1.2 Support access to care for patients through collaboration among community clinics, clinic networks, and other safety net providers. - With support of local grant funding, strengthen the capacity of California's community clinics and health centers and to advance local health delivery system transformation at the county level. 2.1 Support and implement physician and other pipeline and training programs, using evidence-based, culturally competent and patient-centered population management modules. - With support of local grant funding, develop and expand pipeline and training programs to increase workforce diversity and inclusion in the healthcare sector. 3.1 Design, pilot and implement systems for screening community members with social (non-medical) needs and refer to community-based programs. - KFH-Moreno Valley will implement the Kaiser Permanente Thrive Local initiative that integrates the social determinants of health into ongoing care plans by screening and connecting low-income individuals and families to community and government resources. 3.2 Strengthen the capacity and infrastructure of community clinics to effectively prevent and manage chronic disease, including cardiovascular health and diabetes. - KFH-Moreno Valley, through local grant funding and collaboration, will support community clinics, public hospitals and health systems to reduce cardiovascular disease by implementing innovative population health management practices. - KFH- Moreno Valley will participate in collaborative efforts that improve the integration of primary clinical care with oral health, vision and other health services. Health Need 2: Behavioral Health (Mental Health and Substance Abuse) Long Term Goal All community members have optimal levels of mental health and well-being through improved equitable access to evidence-based, high quality, appropriate care and reduced effects of stigma. Strategic priorities 1. Improve access and connection to mental health care in clinical and community settings. 2. Improve and build the current and emerging mental health workforce to meet community needs. 3. Reduce mental health stigma and improve knowledge, capacity, and resilience in individuals, communities, and organizations. Strategies & Core Interventions 1.1 Support the infrastructure and capacity building of community organizations and clinics to improve access to quality mental health care. - With the support of grant funding, Children Now Improving California Students' Readiness to Learn will map the current state and district school-based health policy efforts and develop a list of policy options to improve school-based mental health services. At least 200 partner organizations will receive resources and technical assistance on best policies/ practices related to school discipline, teacher credentialing, mental health, school attendance, and Local Control Funding Formula. 1.2 With support of grant-funding, support the integration of mental health care, case management, and navigation services into clinical care and community settings. - Support capacity building of community organizations and clinics to improve access to quality mental health care. - Integrate mental health care, case management, and navigation services into clinical care and community settings (e.g., schools, faith-based organizations, and other organizations.) - Improve screening and early detection of mental health and substance use, using evidenced-based tools in clinical care and other community settings. - Partner with local community-based organizations to improve access to high quality substance abuse treatment, including medication-assisted treatments to decrease the burden of addiction and promote resiliency and recovery. 2.1 Support the education and training of licensed mental health professionals to be culturally competent. - With the support of grant funding, the Family Service Association seeks to improve and build the current mental health workforce by training clinicians in Parent Child Interaction Therapy (PCIT), an evidence-based treatment for childhood behavioral issues. The program will also train all direct service staff in Adverse Childhood Experiences, Trauma Informed Practices, and will fully implement Adverse Childhood Experience (ACEs) screening with participants across all clinical programs. 2.2 Support the utilization of pipeline and training programs to increase the number of licensed and diverse mental health professionals. - With the support of grant funding, the Jewish Family Service of the Desert expands access to mental health counseling to children and families in the Coachella Valley, a designated medically underserved area. - With the support of grant funding, the Coachella Valley Mental Health Access and Workforce Development Project develops a pipeline of future mental health by exposing high school students to mental health careers and provide supervision to counselor trainees. 3.1 Support efforts to improve individual, the community, organizations, and social support systems knowledge, attitudes, beliefs and perceptions about mental health, trauma and resilience. - The Kaiser Permanente Public Good Projects Action Minded campaign is a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners in reducing stigma towards mental health conditions. 3.2 Support the enhancement of organizational culture, practices and policies in schools and other institutions to be trauma-informed. - The Thriving Schools Resilience in School Environments (RISE) initiative builds students and staff resilience to address trauma and adverse childhood experiences.
Health Need 3: Economic OpportunityLong Term Goal All community members experience improved economic security and access to social services, including affordable housing, educational attainment, training and employment. Strategic priorities 1. Preserve and improve the availability of affordable housing and improve care coordination to serve individuals experiencing homelessness and to prevent displacement. 2. Improve educational attainment and employment opportunities. Strategies & Core Interventions 1.1 Enhance the infrastructure and capacity of service providers to serve individuals at risk or experiencing homelessness. - Expand and protect the supply of affordable housing in communities at-risk of becoming unaffordable, such as rent control, relocation benefits, rental assistance, and anti-displacement policies. - KFH-Moreno Valley will leverage assets to improve quality of affordable housing, such as safety inspections and remediation for creating habitable living conditions. - Participate in collaboratives that bring service providers and government programs to improve coordinated entry systems. 1.2 Support and participate in collaboratives that support coordination and funding of resources (such as health services and housing) for individuals at risk or experiencing homelessness. - Participate in the collaborative that supports the Community Solutions Built for Zero (BFZ) initiative uses data-driven and technology enabled solutions to help city/county leaders, service providers, health care agencies, developers and other community leaders to focus their efforts on multiple pathways needed to end homelessness. - Through the collaborative of the Community Solutions BFZ initiative, the team will develop the countys Coordinated Entry System (CES) that connects homeless individuals to services. 2.1 Support the long-term economic vitality of communities through procurement, hiring and workforce development, and/or small business development impact investing. - Provide educational attainment and pathway programs for youth focused on increasing high school graduation rates, college readiness, preparation for careers in Science, Technology, Engineering, and Mathematics (STEM), or health care workforce training. - The Kaiser Permanente Inner City Capital Connections (ICCC) provides training, education and mentorship to small businesses helping to grow revenue, increase jobs, and improve their capacity and access to new sources of capital. - KFH-Moreno Valley will seek additional partnership opportunities for High Impact Hiring which is a talent-sourcing strategy that aligns business needs with positive community impact. High Impact Hiring creates career opportunities for people with employment barriers, focusing on specific populations of disadvantaged people or specific geographic areas. Health Need 4: Obesity/Diabetes/Stroke Long Term Goal All Community Members eat healthy and move more as part of daily life. Strategic priorities 1. Reduce food insecurity and improve access to healthy foods. 2. Improve environments and opportunities that enable daily physical activity. Strategies & Core Interventions 1.1 Design, pilot and implement programs and systems for promoting, screening and/or enrolling community members in food benefit programs. - The Kaiser Permanente Food for Life initiative delivers a multi-pronged approach to improve food security, such as CalFresh enrollment campaign which utilizes multi-modal outreach to increase CalFresh enrollment for eligible community members. - With support of grant funding, the California Food Policy Advocates increase access to food sources for underserved community members by increasing the number of households and individuals that are enrolled in CalFresh and supporting the acceptance of this benefit among food relators. 1.2 Support programs that procure, recover and/or redistribute food to food insecure communities. - The Kaiser Permanente Food Recovery and Food Redistribution program envision foodservices as the source of nutritious meals for patients, staff and the broader community by distributing food to food insecure communities. - With support of grant funding, the California Association of Food Banks Farm to Family utilizes advocacy and outreach efforts to procure and provide fresh produce to food banks serving individuals and families who are food insecure. 1.3 Support the capacity of communities and anchor organizations to adopt and implement policies and programs to ensure access to healthy foods. - The Kaiser Permanente Thriving Schools Healthy Eating Active Living (HEAL) Initiative, in partnership with Alliance for a Healthier Generation, supports Title 1 schools with the adoption and implementation of policies and practices to continuously improve the schools culture and practices around health. - Develop and sustain small-scale markets for healthy food options in under-resourced communities, such as farmers markets, community gardens, and healthy corner store initiatives. 2.1 Support the capacity of communities and anchor organizations to adopt and implement policies and programs to ensure access to safe spaces and physical activity opportunities. - The Kaiser Permanente Thriving Schools Healthy Eating Active Living (HEAL) Initiative, in partnership with Alliance for a Healthier Generation, supports Title 1 schools with the adoption and implementation of policies and practices to continuously improve the schools culture and practices around health. - The Kaiser Permanente Operation Splash program enables low income, underserved youth and families to be physically active by providing greater access to community pools through free swim classes. - Collaborate with local organizations to improve the built environment for access to active transportation, and physical activity, such as safe pedestrian bicycle routes, bicycle safety, and equitable transportation plans. While all the health needs prioritized in the 2019 Community Health Needs Assessment process are important to address, the implementation strategy planning process requires KFH-Moreno Valley to conduct a selection process based on critical criteria including health need severity, magnitude, inequity, and the extent to which KFH-Moreno Valley is in a position to meaningfully address the need. Health needs that were not elevated across these critical criteria were not selected for the implementation strategy plan. Health needs not selected include: asthma, cancer, and HIV/AIDS. Asthma was not selected as an area to address largely because the severity of the issue is not exceedingly alarming at this time-currently asthma results in a 13.3% reduction in length of life per year, which is lower than some of the other top health issues. Cancer was not selected due to low prevalence (3.9%) in Moreno Valley and (2.9%) in the Coachella Valley. In addition, there are currently community resources available to address the issue of cancer. HIV/AIDS was not selected because of low prevalence, affecting roughly 0.3% of the population in Moreno Valley and 0.2% of the population in the Coachella Valley. Lastly, there are other community organizations working to address HIV/AIDS. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/SCAL
A, 39, KFH RICHMOND EXPLANATIONS PART V, SECTION B.Line 5: Community input was provided by a broad range of community members using key informant interviews and focus groups. 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 as well as leaders, representatives, or members of medically underserved, low-income, and minority populations. Additionally, where applicable, other individuals with expertise of local health needs were consulted. Line 6A: John Muir Health Line 6B: 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 Line 11: Health need 1: Access to care Long term goal All community members have access to high quality, culturally and linguistically appropriate health care services in coordinated delivery systems Intermediate goal(s) - Increase access to comprehensive health care coverage for low income individuals - Increase access to subsidized care for those facing financial barriers to health care - Increase access to social non-medical services for low income and vulnerable populations - Increase access to a diverse, culturally competent health care workforce - Improve the capacity of health care systems to provide quality health care services Strategies - Increase capacity of organizations to conduct effective outreach and navigation to vulnerable populations to connect them to care - Increase FQHC and health system capacity to screen and refer clients to social, non-medical services (e.g., food, housing, employment) - Support training/ recruitment of community health workers (e.g., promotoras); Parent Ambassadors - Support training/ recruitment of health and social system navigators - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members (Food for Life) - Support screening for social non-medical service needs and connect low-income individuals and families to community and government resources (Thrive Local) - Support population health management approaches that improve health outcomes for safety net patients with diabetes and hypertension (PHASE) - Support community clinic consortia to develop programs and advocate for policies that improve access to quality health care for low income individuals - Participate in Medi-Cal Managed care - Provide Charitable Health Coverage - Provide Medical Financial Assistance - Provide workforce training programs to train current and future health care providers, including physicians, mental health practitioners, physical therapy, pharmacy, nurses, and allied health professionals, with the skills and linguistic and cultural competence to meet the health care needs of diverse communities - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers (KP LAUNCH) - School for Allied Health expanding access to training and certificate programs for underrepresented individuals Expected outcomes - Increased outreach to vulnerable populations that helps them access comprehensive health care coverage - Increased outreach to vulnerable populations that helps them navigate and connect to subsidized care - Reduced financial barriers to care by increasing access to Medical Financial Assistance - Increased access to trained navigators and community health workers that connect low-income and vulnerable populations to social non-medical services - Increased opportunities for diverse, culturally competent workers to enter the health care workforce Health need 2: Behavioral Health Long term goal All community members experience social emotional health and wellbeing and have access to high quality behavioral health care services when needed Intermediate goal(s) - Increase capacity of organizations and institutions to provide trauma-informed services and programs - Increase access to behavioral health care services for low-income and vulnerable populations - Develop a diverse, well-trained behavioral health care workforce that provides culturally competent care Strategies - Support trauma-informed services and training for organizations serving vulnerable populations (re-entry, immigrant, foster care, transition age youth, domestic violence survivors, homeless) - Support FQHC capacity to screen and connect patients to mental health services - Support telehealth options to increase access to behavioral health services by reducing transportation and stigma barriers - Support programs providing direct mental health services in schools - Support the capacity of clinics, schools or other community-based organizations to provide trauma-informed care to youth - Implement the Public Good Projects Action Minded campaign, a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners, and KP employees as partners in reducing stigma towards mental health conditions - Provide KPs Education Theater program, Resilience Squad - KP Behavioral Health Training program Expected outcomes - Increased scope and availability of trauma-informed services and programs available through programs serving vulnerable populations - Increased screening and referrals to behavioral health care services for low-income and vulnerable populations, especially youth (in settings such as FQHCs and schools) - Increased access for vulnerable populations to a diverse, well-trained behavioral health care workforce that provides culturally competent care - Increased help-seeking for behavioral health issues prompted by stigma reduction campaigns Health need 3: Economic Security Long term goal All community members are economically secure in order to thrive
Intermediate goal(s)- Improve economic vitality of local and diverse businesses - Increase in enrollment and participation in public benefit programs - Improve job readiness for people with barriers to employment - Increase connections to supportive services for individuals experiencing homelessness - Reduce food insecurity among low-income families and individuals Strategies - Provide support for programs that offer basic skills and other training and employment assistance to vulnerable populations (re-entry, immigrant, domestic violence survivors, homeless population) - Support outreach, navigation, and case management that connects individuals to coordinated entry services - Support food distribution programs that partner with school districts, health systems and community partners (e.g., immigration, housing) to provide nutritious foods to people who experience food insecurity - Funding to strengthen local homeless system of care through the Housing and Health Initiative - Implement Community Solutions Built for Zero to address chronic and veteran homelessness - Increase baseline spend for local and diverse businesses Expected outcomes - Increased use of local and diverse businesses as suppliers - Increased enrollment and participation in public benefit programs (e.g., CalFresh) - Improved job readiness for people with barriers to employment (especially due to re-entry, domestic violence, immigration status, homelessness) - Increased connections to supportive services (e.g., Coordinated Entry) for individuals experiencing homelessness - Reduced food insecurity among low-income families and individuals through access to nutritious foods via school, health, and community partner settings Health needs KFH-Richmond does not intend to address Healthy Eating / Active Living. The Healthy Eating / Active Living health need received high scores from CHIC members, but was a lower priority in the CHNA process. In addition, CHIC members noted that significant investments had already been made. The group agreed to incorporate one element of this health need-food security-into the Economic Security emphasis. Housing and Homelessness. Housing and Homelessness was ranked in the middle of the health needs by the CHIC members. This health need received lower scores than most of the other health needs (except Transportation / Traffic and Climate / Natural Environment) in terms of leveraging community assets and was also in a lowest tier in terms of the feasibility of Kaiser Permanente having an impact. Recognizing the link between Economic Security and Housing and Homelessness, this health need was incorporated into the Economic Security priority health need and is also being addressed by national strategies in the KFH-Oakland service area. Education and Literacy. This health need was rated as a medium priority in the CHNA and received similar rankings in the CHIC process. Relative to other health needs, it received lower rankings for the ability to leverage Kaiser Permanente expertise or organizational assets, and for the feasibility of making an impact. However, the CHIC members selected elements of Education and Literacy-notably job training and workforce development-in the Economic Security health need, as well as mental health and wellness for school-aged children under Behavioral Health. Community and Family Safety. This health need received relatively low rankings from CHIC members for the availability of evidence-based or promising approaches, the ability to leverage Kaiser Permanente expertise or assets, and the feasibility of making an impact. However, some elements of Community and Family Safety are specifically addressed by strategies included in the priority health needs-particularly addressing trauma through the education and behavioral health systems, helping people navigate and access health and non-medical social services (including survivors of domestic violence and human trafficking), and supporting interventions that increase economic security and reduce homelessness (such as providing specialized educational and behavioral health services designed for those experiencing re-entry or homelessness. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/NCAL
A, 40, KFH MANTECA EXPLANATIONS PART V, SECTION B.Line 5: Community input was provided by a broad range of community members using key informant interviews, focus groups, and surveys. Individuals with the knowledge, information, and expertise relevant to the health needs of the community were consulted. These individuals included representatives from local governmental and public health agencies as well as leaders, representatives, and members of medically underserved, low-income, and minority populations. Additionally, where applicable, other individuals with expertise on local health needs were consulted. Line 6A: Adventist Health Lodi Memorial Dameron Hospital Dignity Health St. Josephs Medical Center Sutter Health Line 6B: First 5 San Joaquin Health Net Health Plan of San Joaquin Community Medical Centers San Joaquin County Public Health Services Line 11: Health need 1: Access to care Long term goal All community members have access to high quality, culturally and linguistically appropriate health care services in coordinated delivery systems. Intermediate goal(s) - Increase access to comprehensive health care coverage for low income individuals. - Increase access to subsidized care for those facing financial barriers to health care. - Increase access to social non-medical services for low income and vulnerable populations. - Increase access to a diverse, culturally competent health care workforce. - Improve the capacity of health care systems to provide quality health care services. Strategies - Deploy KP resources to provide high-quality medical care to Medi-Cal participants who would otherwise struggle to access care. - Deploy KP resources to provide access and comprehensive health care to low-income individuals and families without access to public or private health coverage. - Deploy KP resources to provide financial assistance to low-income individuals who receive care at KP facilities and cant afford medical expenses and/or cost sharing. - Support screening for social non-medical service needs and connect low-income individuals and families to community and government resources. - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers. - Support development and implementation of programs and policies that improve access to quality health care for low income populations. Expected outcomes - Low income populations have improved access to comprehensive health care coverage. - Low income/underserved populations access subsidized care to meet health needs. - Low income/vulnerable populations have improved access to social non-medical services. - Health care workforce reflects the cultural diversity of the service area population. - Policies and programs in place that improve the capacity of health care systems to provide quality services to low income populations. Health need 2: Mental Health Long term goal All community members experience social emotional health and wellbeing and have access to high quality behavioral health care services when needed. Intermediate goal(s) - Increase capacity of organizations and institutions to provide trauma-informed services and programs. - Enhance community supports to mitigate impact of ACEs. - Increase access to behavioral health care services for low-income and vulnerable populations. - Develop a diverse, well trained behavioral health care workforce that provides culturally competent care. - Prevent and reduce misuse of drugs and alcohol. Strategies - Train school staff on responding to youth experiencing trauma and support schools/districts/SBHCs to infuse resilience strategies into the school day. - Expand screening services, counseling, support groups for students experiencing trauma or with documented ACEs. - Deploy KP resources to provide access to mental health services for Medi-Cal participants and low-income individuals and families without access to public or private health coverage who would otherwise struggle to access mental health care. - Implement the Public Good Projects Action Minded campaign, a digital community health intervention using education, social engagement and multi-media tools to engage the general public, issue-advocates and community partners, and KP employees as partners in reducing stigma towards mental health conditions. - Provide workforce training programs to train current and future mental health practitioners with the skills and linguistic and cultural competence to meet the health care needs of diverse communities. - Support FQHCs to expand current or initiate new services and programs addressing and preventing use of drugs, tobacco and alcohol. - Advance City Health policies including: control the amount of alcohol sales, raise the legal age for the sale of tobacco products to 21, smoke free indoor air policies. Expected outcomes - Capacity of organizations/institutions to provide trauma-informed services and programs increased. - Community supports to mitigate impact of ACEs enhanced. - Behavioral health care services more accessible for low-income and vulnerable populations. - Systems in place to develop a diverse, well trained behavioral health care workforce that provides culturally competent care. - Misuse of drugs and alcohol reduced. Health need 3: Economic Security Long term goal All community members are economically secure in order to thrive. Intermediate goal(s) - Improve economic vitality of local and diverse businesses. - Increase enrollment and participation in public benefit programs. - Improve job readiness for people with barriers to employment. - Increase connections to supportive services for individuals experiencing homelessness. - Increase and enhance transitional housing and shelter availability. - Support exposure to career paths for underserved and underrepresented youth. Strategies - Provide training, education and mentorship to small, diverse businesses seeking to increase their capacity and access new sources of funding. - Increase baseline spend for local and diverse businesses. - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members. - Support job readiness training for very low income and homeless populations. - Enhance community organization capacity to provide comprehensive and integrated support services, including case management for individuals experiencing homelessness. - Funding to strengthen local homeless system of care through the Housing and Health Initiative. - Implement health care workforce pipeline programs to introduce diverse, underrepresented school age youth and college students to health careers (KP LAUNCH). Expected outcomes - Local, diverse businesses have improved economic stability. - Enrollment and participation in public benefit programs increased. - Individuals with employment barriers are better prepared to enter the workforce. - Individuals experiencing/at risk for homelessness have increased access to supportive services. - Transitional/temporary housing access improved. - Underserved/underrepresented youth have increased awareness of mental health career paths.
Health need 4: Obesity/HEAL/DiabetesLong term goal All community members eat better and move more as part of daily life. Intermediate goal(s) - Reduce food insecurity among low-income families and individuals. - Improve access to healthy food in schools. - Increase access to safe parks and public spaces. - Increase opportunities for physical activity in schools. Strategies - Support food distribution organizations to expand amount of food provided as well as locations for distribution. - Support outreach and enrollment campaigns to increase CalFresh enrollment for eligible community members. - Use mobile food distribution to reach rural and migrant communities. - Support fresh produce access at school sites for students and families, complemented by healthy eating/cooking education. - Support high need schools to adopt policies and practices that promote HEAL. - Support park activation in selected neighborhoods to increase park safety and encourage increased use. - Support schools/after school programs to increase student participation in physical activities. - Advance complete streets policies. Expected outcomes - Low-income families and individuals have improved food security. - Schools provide access to fresh produce. - Low income community residents have increased access to and increased utilization of safe, appealing parks. - Expanded opportunities for physical activity during the school day and in after school programs. Health needs KFH Manteca does not intend to address Violence/Injury Prevention: This need received the lowest number of points during the scoring process to select needs to address; KP leadership perceived that organizational assets to address this need were not as strong as those available for other needs. Substance Abuse/Tobacco: Substance abuse/tobacco received the second lowest number of points during the scoring process to select the health needs to address. This need will be addressed in part by strategies conducted under Mental Health. Asthma: This health need was identified as a lower priority during the CHNA, with few focus groups and no key informants identifying asthma as a top health need for the KFH Manteca Service Area. Oral Health: This health need was identified as a lower priority during the CHNA. KFH Manteca does not offer dental services and does not have oral health expertise in house. Climate and Health: Climate and health was identified as a lower priority during the CHNA, scoring lowest of all health needs in the CHNA analysis based on secondary data (in terms of severity, disparities) and qualitative data from focus groups and interviews. Line 13A: KP PROVIDES A 100% DISCOUNT TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. Line 13H: 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 CHARITY CARE. 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 TO BE ELIGIBLE FOR CHARITY CARE. Line 16J: THE FAP PROGRAM MATERIALS ARE AVAILABLE ON THE KP WEBSITE AT WWW.KP.ORG/MFA/NCAL
FieldValueIRS element (for citing)
Facility11FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
KAISER PERMANENTE POST ACUTE CARE CENTER
1440 168TH AVESAN LEANDROCA94578SKILLED NURSING
SUNNYBROOK SURGICAL CENTER
10180 SOUTHEAST SUNNYSIDE RDCLACKAMASOR97015AMBULATORY SURGERY
INTERSTATE SURGICAL CENTER
3500 N INTERSTATE AVEPORTLANDOR97227AMBULATORY SURGERY
SANTA CLARA PHF
3840 HOMESTEAD RDSANTA CLARACA95051MENTAL HEALTH
SKYLINE SURGICAL CENTER
5135 SKYLINE ROAD SOUTHSALEMOR97306AMBULATORY SURGERY
BROOKSIDE RESIDENTIAL TREATEMENT CENTER
10180 SOUTHEAST SUNNYSIDE RDClackamasOR97015INPATIENT MENTAL HEALTH SVCS
KULA HOSPITAL - 35N
100 KEOKEA PLACEKULAHI96790SKILLED NURSING & INTERMEDIATE CARE FACILITY
MENTAL HEALTH CENTER
765 W COLLEGE STLOS ANGELESCA90012MENTAL HEALTH
LANAI COMMUNITY HOSPITAL 43-N
628 SEVENTH STREETLANAI CITYHI96763SKILLED NURSING & INTERMEDIATE CARE FACILITY
KULA HOSPITAL - IMR-7
100 KEOKEA PLACEKULAHI96790IMMEDIATE CARE FACILITY FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES
CENTER FOR HEALTH RESEARCH
3800 N INTERSTATE AVEPORTLANDOR97227RESEARCH CENTER

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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. In order to calculate the percentages reported in column (f) bad debt was excluded.
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.
2 - needs assessment********************************************************************** IN CALIFORNIA, HAWAII, 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. 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.
4 - community information********************************************************************** KFH SERVES COMMUNITIES IN CALIFORNIA, HAWAII, AND OREGON. THE COMMUNITIES WE SERVE ARE DIVERSE AND INCLUDE BOTH LESS POPULOUS AND DENSELY POPULATED CITIES AND COUNTIES. OUR COMMUNITIES ARE DIVERSE IN MANY WAYS INCLUDING INCOME, RATE OF UNINSURED, HIGH SCHOOL GRADUATION AND LIMITED ENGLISH PROFICIENCY. OUR FACILITIES AND THE PEOPLE WHO WORK WITHIN THEM ARE LOCATED WITHIN AND ARE PART OF OUR COMMUNITIES. KFH OWNS AND OPERATES 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. 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)* 13.1 23.6 1.4 3.5 Median Household Income**** $89,284 $71,877 $77,663 $66,844 below 100% fpl* 13.2% 15.10% 10.3% 14.00% w/o public or private health ins* 7.60% 10.50% 4.5% 8.30% Limited English Proficiency* 16.40% 20.40% 12.50% 6.60% High School Graduation Rate** 83.9%** 82.8%** 81.8%**^ 76.9%**^ Unemployment Rate (%)*** 3.7% 4.3% 2.2% 4.0% (SOURCE: US CENSUS 2010 AMERICAN COMMUNITY SURVEY S2701, CPO3, AND DP03 LIMITED TO APPROXIMATE KAISER SERVICE AREAS (MSA) IN EACH OF THE 4 REGIONS. (INCLUDES THE ENTIRE STATE OF HAWAII) * US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY: 2013-17 ** CALIFORNIA DEPARTMENT OF EDUCATION; 2014-2015. **^ US Department of Education, EDFacts; Accessed via DATA.GOV. Additional data analysis by CARES. 2014-15. *** US DEPARTMENT OF LABOR, BUREAU OF LABOR STATISTICS: 2018 - JUNE **** KAISER PERMANENTE UTILITY FOR CARE DATA ANALYSIS, ESRI 2019, HOUSEHOLD-WEIGHTED MEDIAN OF HOUSEHOLD INCOME MEDIANS FOR THE BLOCK GROUPS IN KP'S REGIONAL SERVICE AREAS (PREVIOUSLY REPORTED AS MEMBER-WEIGHTED MEDIAN OF MEDIAN HOUSEHOLD INCOME) KAISER PERMANENTE'S COMMITMENT TO THE COMMUNITY AND PROMOTION OF COMMUNITY HEALTH SINCE OUR BEGINNINGS, WE HAVE BEEN COMMITTED TO HELPING SHAPE THE FUTURE OF HEALTH CARE. KAISER PERMANENTE IS DEDICATED TO CARE INNOVATIONS, CLINICAL RESEARCH, HEALTH EDUCATION AND THE SUPPORT OF COMMUNITY HEALTH. KFH IS COMMITTED TO THE BELIEF THAT GOOD HEALTH IS A FUNDAMENTAL RIGHT SHARED BY ALL, AND WE RECOGNIZE THAT GOOD HEALTH EXTENDS BEYOND THE DOCTOR'S OFFICE AND THE HOSPITAL. LIKE OUR APPROACH TO MEDICINE, OUR WORK IN THE COMMUNITY TAKES A PREVENTION-FOCUSED, EVIDENCE-BASED APPROACH. WE GO BEYOND TRADITIONAL CORPORATE PHILANTHROPY OR GRANT-MAKING TO LEVERAGE FINANCIAL RESOURCES WITH MEDICAL RESEARCH, PHYSICIAN EXPERTISE, AND CLINICAL PRACTICES. HISTORICALLY, WE HAVE FOCUSED OUR INVESTMENTS IN THREE AREAS-HEALTH ACCESS, HEALTHY COMMUNITIES, AND HEALTH KNOWLEDGE-TO ADDRESS CRITICAL HEALTH ISSUES IN OUR COMMUNITIES. FOR MANY YEARS, WE HAVE WORKED COLLABORATIVELY WITH OTHER ORGANIZATIONS TO ADDRESS SERIOUS PUBLIC HEALTH ISSUES SUCH AS OBESITY, ACCESS TO CARE, AND VIOLENCE. WE HAVE CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) TO BETTER UNDERSTAND EACH COMMUNITY'S UNIQUE NEEDS AND RESOURCES. THE CHNA PROCESS INFORMS OUR COMMUNITY INVESTMENTS AND HELPS US DEVELOP STRATEGIES AIMED AT MAKING LONG-TERM, SUSTAINABLE CHANGE-AND IT ALLOWS US TO DEEPEN THE STRONG RELATIONSHIPS WE HAVE WITH OTHER ORGANIZATIONS THAT ARE WORKING TO IMPROVE COMMUNITY HEALTH. THE KFHP/KFH BOARD HAS A STANDING COMMUNITY BENEFIT COMMITTEE OF THE BOARD OF DIRECTORS TO OVERSEE THE PROGRAM-WIDE COMMUNITY BENEFIT PROGRAM. KAISER PERMANENTE ALSO HAS A NATIONAL EXECUTIVE OF KFHP AND KFH TO LEAD KAISER PERMANENTE'S COMMUNITY BENEFIT PROGRAM AS A FULL-TIME ASSIGNMENT. BECHARA CHOUCAIR, MD IS THE SENIOR VICE PRESIDENT FOR COMMUNITY HEALTH AND BENEFIT, AND CHIEF COMMUNITY HEALTH OFFICER REPORTING TO THE CEO AND CHAIRMAN OF THE BOARD.
5 - promotion of community health********************************************************************** KFH's principal purpose is to provide hospital, medical, and surgical care, including emergency services, extended care and home health care to members of the public without regard to age, sex, race, religion or national origin, or to the individual's ability to pay. KFH shares THE KAISER PERMANENTE mission, of providing affordable high quality health care to our members, and improving the health of our members and the communities we serve. KFH's general community benefits include: Emergency departments - KFH operates full-time emergency departments in each of its 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 70 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 Community benefit report to the Department of Human Services, Office for Oregon Health Policy and Research for the Sunnyside Medical Center located in the City of Clackamas.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (1004 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
100 MILE CLUB
2191 5TH ST STE 211NORCOCA92860208425786501(c)(3)$40,000Project Support
10000 DEGREES
1650 LOS GAMOS DR110SAN RAFAELCA94903953667812501(c)(3)$10,000Project Support
18 REASONS AKA MY THREE SQUARE
3150 18TH ST315SAN FRANCISCOCA94110453059509501(c)(3)$60,000Project Support
3STRANDS GLOBAL INC
3941 PARK DR20EL DORADO HILLSCA95762274594317501(c)(3)$30,000Project Support
4TH DIMENSION RECOVERY CENTER
3807 NE MLK JR BLVDPORTLANDOR97212462702985501(c)(3)$15,000Project Support
A BETTER WAY INC
3200 ADELINE STBERKELEYCA94703931190792501(c)(3)$98,000Project Support
A HOME WITHIN
1330 BROADWAY 300OAKLANDCA94612943402610501(c)(3)$10,000Project Support
A NEW WAY OF LIFE RE-ENTRY PROJECT
PO BOX 875288LOS ANGELESCA90087954782503501(c)(3)$12,500Project Support
A WORLD FIT FOR KIDS
678 S LA FAYETTE PK PLLACA90057330550994501(c)(3)$45,000Project Support
ACCESS INSTITUTE FOR PSYCHOLOGICAL SVCS
110 Gough St 301SAN FRANCISCOCA94102010595862501(c)(3)$20,000Project Support
ACKNOWLEDGE ALLIANCE
2483 OLD MIDDLEFIELDMOUNTAIN VIEWCA94043770393676501(c)(3)$60,000Project Support
ADAPTIVE PHYSICAL EDUCATION
1455 MADISON AVEREDWOOD CITYCA94061463037547501(c)(3)$10,000Project Support
ADELANTE MUJERES
2030 MAIN ST STE AFOREST GROVEOR97116030473181501(c)(3)$80,000Project Support
ADELANTE YOUTH ALLIANCE
805 N MADISON AVEPASADENACA91104154819333501(c)(3)$15,000Sponsorships
ADOLESCENT COUNSELING SERVICES INC
643 BAIR ISLAND RDREDWOOD CITYCA94063510192551501(c)(3)$20,000Project Support
AFGHAN COALITION
39155 LIBERTY ST D460FREMONTCA94538943398311501(c)(3)$45,000Project Support
AFGHAN ELDERLY ASSOCIATION
PO BOX 2346UNION CITYCA94587943290111501(c)(3)$20,000Project Support
AFRICAN AMERICAN COMMUNITY SERVICE
304 N 6TH STSAN JOSECA95112942494728501(c)(3)$26,620Project Support
AFRICAN FAMILY HOLISTIC HEALTH
NE 122ND AVEPORTLANDOR97294473225048501(c)(3)$30,000Project Support
AIM HIGH
PO BOX 410715SAN FRANCISCOCA94141943296338501(c)(3)$25,000Project Support
AL WOOTEN JR YOUTH AND ADULT CULTURAL
9106 S WESTERN AVELOS ANGELESCA90047954295918501(c)(3)$10,000Project Support
ALAMEDA BOYS & GIRLS CLUB INC
1900 3RD STALAMEDACA94501941312299501(c)(3)$20,000Project Support
ALAMEDA COUNTY ADULT DAY SERVICES
510 17TH ST 200OAKLANDCA94612204704743501(c)(3)$25,000Project Support
ALAMEDA COUNTY COMMUNITY FOOD BANK
7900 EDGEWATER DROAKLANDCA94621942960297501(c)(3)$170,000Project Support
ALAMEDA COUNTY HEALTH CARE SERVICES AGENCY
1000 SAN LEANDRO BLVDSAN LEANDROCA94577946000501501(c)(3)$35,000Project Support
ALBERTINA KERR CENTERS FOUNDATION
424 NE 22ND AVEPORTLANDOR97232931297104501(c)(3)$15,000Project Support
ALEXANDER MONTGOMERY FOUNDATION
105 SEMINARY RDSAN ANSELMOCA94960813850170501(c)(3)$90,000Project Support
ALL HANDS RAISED
2069 NE HOYT STPORTLANDOR97232931149789501(c)(3)$50,000Project Support
ALLIANCE FOR A HEALTHIER GENERATION INC
PO BOX 4800 UNIT 16PORTLANDOR97208272028308501(c)(3)$832,798Project Support
ALTAMED HEALTH SERVICES CORP
2040 Camfield AvenueLos AngelesCA90040952810095501(c)(3)$115,079Research / Project Support
ALUM ROCK COUNSELING CENTER
777 N 1ST ST 444SAN JOSECA95112237367637501(c)(3)$128,000Project Support
ALWAYS KNOCKING INC
7741 AMHERST STSACRAMENTOCA95832264635991501(c)(3)$25,000Project Support
ALZHEIMERS ASSOCIATION
2290 N 1ST ST 101SAN JOSECA95131133039601501(c)(3)$51,040Project Support
ALZHEIMERS DISEASE ASSOCIATION OF KERN
PO BOX 22108BAKERSFIELDCA93390770017561501(c)(3)$24,000Project Support
ALZHEIMERS ORANGE COUNTY
2515 MCCABE WAYIRVINECA92614953702013501(c)(3)$20,000Project Support
AMBROSE RECREATION & PARK
3105 WILLOW PASS ROADBAY POINTCA94565941622656501(c)(3)$10,000Project Support
AMERICAN CANCER SOCIETY
330 SW CURRY STPORTLANDOR97239131788491501(c)(3)$7,500Project Support
AMERICAN DIABETES ASSOCIATION INC
611 WILSHIRE BLVDLOS ANGELESCA90017131623888501(c)(3)$6,585Sponsorships
AMERICAN HEART ASSN
7425 N PALM BLUFFS AVEFRESNOCA93711135613797501(c)(3)$46,500Project Support
AMERICAN NATIONAL RED CROSS
11355 OHIO AVELOS ANGELESCA90002530196605501(c)(3)$197,500Project Support
AMERICAN ONLINE GIVING FDN
2454 N McMullen BoothClearwaterFL33759810739440501(c)(3)$101,435Project Support
AMERICAN SCORES BAY AREA
1885 MISSION STSAN FRANCISCOCA94103481272959501(c)(3)$65,000Project Support
ANTELOPE VALLEY COLLEGE FOUNDATION
3041 W AVENUE KLANCASTERCA93536954398700501(c)(3)$12,000Project Support
ANTIOCH UNIFIED SCHOOL DISTRICT
510 G STANTIOCHCA94509861134505501(c)(3)$140,000Project Support
ANTI-RECIDIVISM COALITION
1320 E 7TH ST 260LOS ANGELESCA90021462140915501(c)(3)$60,000Project Support
APA FAMILY SUPPORT SERVICES
10 NOTTINGHAM PLACESAN FRANCISCOCA94133943164091501(c)(3)$15,000Project Support
APLA HEALTH & WELLNESS
611 S KINGSLEY DRLOS ANGELESCA90005841661910501(c)(3)$40,000Project Support
APPLE CORE PROJECT INC
1916 G STBAKERSFIELDCA93301460601245501(c)(3)$22,000Project Support
ARIZONA STATE UNIVERSITY
PO Box 876011TempeAZ90021860196696Government$21,131Research / Project Support
ARROWHEAD UNITED WAY
646 NORTH D STSAN BERNARDINOCA94133951934586501(c)(3)$8,000Project Support
ASHBY VILLAGE INC
1821 CATALINA AVEBERKELEYCA92402272174330501(c)(3)$75,000Project Support
ASIAN AMERICAN DRUG ABUSE
PROGRAM INCLOS ANGELESCA94707952848695501(c)(3)$12,420Project Support
ASIAN AMERICANS ADVANCING JUSTICE
LOS ANGELESLOS ANGELESCA90016953854152501(c)(3)$9,200Sponsorships
ASIAN AMERICANS FOR COMMUNITY
2400 MOORPARK AVENUESAN JOSECA90017942292491501(c)(3)$20,000Project Support
ASIAN HEALTH SERVICES
101 8TH ST 100OAKLANDCA95128942235908501(c)(3)$30,000Project Support
ASIAN PACIFIC AMERICAN NETWORK OF OREGON
2788 SE 82ND AVE STE 203PORTLANDOR94607800252850501(c)(3)$30,000Project Support
ASIAN PACIFIC HEALTH CARE
VENTURE INCLOS ANGELESCA97266954177752501(c)(3)$10,000Project Support
ASIAN WOMEN S SHELTER
3543 18TH ST 19SAN FRANCISCOCA90029943030212501(c)(3)$10,000Project Support
Aviva Family & Children's Services
7120 Franklin AveLos AngelesCA94110951693616501(c)(3)$10,000Sponsorships
AXIS COMMUNITY HEALTH INC
4361 RAILROAD AVEPLEASANTONCA90046942232394501(c)(3)$40,000Project Support
BAKERSFIELD COLLEGE FOUNDATION
1801 PANORAMA DRBAKERFIELDCA94566510151490501(c)(3)$30,000Project Support
BALDWIN PARK CHARITABLE RELIEF
14403 PACIFIC AVEBALDWIN PARKCA93305475435073501(c)(3)$7,000Project Support
BALDWIN PARK UNIFIED SCHOOL DISTRICT
3699 N HOLY AVEBALDWIN PARKCA91706956000213GOVERNMENT$14,684Project Support
BATTLE GROUND HEALTHCARE
11117 NE 189TH STBATTLEGROUNDWA91706273148590501(c)(3)$23,000Project Support
BAY AREA COMMUNITY RESOURCES
171 CARLOS DRIVESAN RAFAELCA98604942346815501(c)(3)$168,000Project Support
BAY AREA SOUTH ASIAN NETWORK
39791 PASEO PADRE PKWYFREMONTCA94903823408134501(c)(3)$15,000Project Support
BAYLOR COLLEGE OF MEDICINE
PO BOX 301207DallasTX94538741613878501(c)(3)$57,791Research / Project Support
BAYLOR RESEARCH INSTITUTE
4236 Lowes DriveTempleAZ91706751921898501(c)(3)$105,106Research / Project Support
BEATS RHYMES AND LIFE
450 SANTA CLARA AVEOAKLANDCA76502452382705501(c)(3)$105,000Project Support
BENEFICENT TECHNOLOGY INC
480 CALIFORNIA AVEPALO ALTOCA94610770555413501(c)(3)$90,000Project Support
BENICIA COMMUNITY ACTION COUNCIL
480 MILITARY EASTBENICIACA94306680294153501(c)(3)$10,000Project Support
BERKELEY COMMUNITY HEALTH
2339 DURANT AVEBERKELEYCA94510941697002501(c)(3)$20,000Project Support
BERKELEY YOUTH ALTERNATIVES
1255 ALLSTON WAYBERKELEYCA94708941711728501(c)(3)$20,000Project Support
BETHEL EDUCATION FOUNDATION
3455 ROYAL AVEEUGENEOR94702270745177501(c)(3)$10,000Project Support
BIG BROTHERS BIG SISTERS OF ORANGE
2155 CHICAGO AVE 100RIVERSIDECA97402951992702501(c)(3)$10,000Project Support
BIG BROTHERS BIG SISTERS OF PORTLAND
1827 NE 44TH AVE 215PORTLANDOR92507931303640501(c)(3)$15,000Project Support
BIG BROTHERS BIG SISTERS OF SACRAMENTO
1451 RIVER PARK DRSACRAMENTOCA97213941559853501(c)(3)$10,000Project Support
BIG SUNDAY
6111 MELROSELOS ANGELESCA95815421765317501(c)(3)$9,400Sponsorships
BIKE EAST BAY
466 WATER STOAKLANDCA90038942585652501(c)(3)$20,000Project Support
BikeVentura
490 N Ventura AveVenturaCA94607262180702501(c)(3)$8,155Project Support
BILL WILSON CENTER
3490 THE ALAMEDASANTA CLARACA93001942221849501(c)(3)$25,000Project Support
BLACK WOMEN FOR WELLNESS
4340 11TH AVELOS ANGELESCA95050954624707501(c)(3)$20,000Project Support
BLANCHET HOUSE OF HOSPITALITY
310 NW GLISAN STPORTLANDOR90008936031009501(c)(3)$15,000Project Support
BOARD OF TRUSTEES OF THE GLIDE
330 ELLIS STSAN FRANCISCOCA97209941156841501(c)(3)$15,000Project Support
BORLAND FREE CLINIC
3550 SW BORLAND RDTUALATINOR94102461070038501(c)(3)$6,300Project Support
BOSTON MEDICAL CENTER CORPORATION
660 Harrison AvenueBostonMA97062043314093501(c)(3)$32,116Research / Project Support
BOYS & GIRLS CLUB OF HOLLYWOOD
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BOYS & GIRLS CLUB OF NORTH SAN MATEO CTY
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BOYS & GIRLS CLUB OF SAN LEANDRO
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BOYS & GIRLS CLUB OF THE COASTSIDE
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BOYS & GIRLS CLUB OF WEST SAN GABRIEL
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BOYS & GIRLS CLUBS OF FRESNO COUNTY
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BOYS & GIRLS CLUBS OF GREATER
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BOYS & GIRLS CLUBS OF GREATER SACRAMENTO
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BREATHE CALIFORNIA SACRAMENTO REGION
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BRIDGE TO HOME SCV
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BUDDHIST TZU CHI MEDICAL FOUNDATION
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BUILDING A GENERATION
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BUILDING OPPORTUNITIES
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BURMA REFUGEE FAMILY NETWORK
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CALIFORNIA AQUATIC THERAPY
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California CASA Association
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CALIFORNIA COMMUNITY FOUNDATION
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CALIFORNIA COVERAGE AND HEALTH
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CALIFORNIA HEALTH COLLABORATIVE
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CALIFORNIA HEALTHCARE SAFETY NET
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CALIFORNIA INDIAN MUSEUM AND CULTURAL
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CALIFORNIA PAN-ETHNIC HEALTH NETWORK
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CALIFORNIA PARENTING INSTITUTE
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CA Partnership for Safe Communities
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CALIFORNIA PRIMARY CARE ASSOCIATION
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CALIFORNIA SCHOOL-BASED HEALTH ALLIANCE
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CALIFORNIA STATE UNIVERSITY DOMINGUEZ
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CALIFORNIA STATE UNIVERSITY SACRAMENTO
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CAMARENA HEALTH
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CAMBODIAN ASSOCIATION OF AMERICA
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CAMINAR
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CANAL ALLIANCE
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CANCER CAREPOINT INC
2505 SAMARITAN DRSAN JOSECA94901273029691501(c)(3)$36,500Project Support
Cancer Support Community Valley
530 Hampshire RDWestlake VILCA95124770205691501(c)(3)$20,000Project Support
CAPITOL IMPACT LLC
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CARE HARBOR
18436 HAWTHORNE BLVD204TORRANCECA95811272984870501(c)(3)$55,000Sponsorships
CAREGIVERS VOLUNTEERS ASSISTING
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CAROUSEL RANCH
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CASA OF LOS ANGELES
201 CENTRE PLAZA DRMONTEREY PARKCA91390953890446501(c)(3)$16,000Project Support
CASA OF MARION COUNTY INC
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CASA PACIFICA
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CASCADE AIDS PROJECT INC
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CASCADE PACIFIC RC&D INC
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CATHOLIC CHARITIES CYO
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CATHOLIC CHARITIES DIOCESE OF STOCKTON
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CATHOLIC CHARITIES OF LOS ANGELES INC
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CATHOLIC CHARITIES OF THE DIOCESE
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CATHOLIC CHARITIES SAN BERNARDINO
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CATHOLIC COMMUNITY SERVICES
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CENTER FOR DOMESTIC PEACE
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CENTER FOR ELDERS INDEPENDENCE
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CENTER FOR YOUTH WELLNESS
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CENTRAL CALIFORNIA FOOD BANK
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CENTRAL CITY CONCERN
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CENTRAL COAST YMCA
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CENTRO LATINO AMERICANO
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CERRITOS COLLEGE FOUNDATION
11110 ALONDRA BLVDNORWALKCA97402953387108501(c)(3)$22,000Sponsorships
CHABOT-LAS POSITAS COMMUNITY COLLEGE
25555 HESPERIAN BLVDHAYWARDCA90650941670563501(c)(3)$30,000Project Support
CHAPMAN UNIVERSITY
One University DriveOrangeCA94545951643992501(c)(3)$112,115Research
CHARLES DREW UNIVERSITY
1731 E 120TH STLOS ANGELESCA92866956151774501(c)(3)$18,702Sponsorships
CHILD & FAMILY CENTER
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CHILD ABUSE COUNCIL OF SACRAMENTO
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CHILD ABUSE PREVENTION COUNCIL
2120 DIAMOND BLVDCONCORDCA95660680046163501(c)(3)$45,000Project Support
CHILD ADVOCATES OF SAN BERNARDINO COUNTY
851 S MOUNT VERNON AVE 7ACOLTONCA94520330362613501(c)(3)$16,500Project Support
CHILD HAVEN INC
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CHILDREN NOW
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CHILDRENS CANCER ASSOCIATION
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CHILDRENS CLINIC SERVING CHILDREN AND
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CHILDRENS COUNCIL OF SAN FRANCISCO
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CHILDRENS DISCOVERY MUSEUM
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CHILDRENS FUND INC
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CHINATOWN SERVICE CENTER
767 N HILL ST 400LOS ANGELESCA92408952918844501(c)(3)$18,100Project Support
CITY OF BALDWIN PARK
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City of Berkeley Public Health Department
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CITY OF CARSON
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CITY OF EL MONTE
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CITY OF HOPE MEDICAL FOUNDATION
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CITY OF MORENO VALLEY
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CITY OF REFUGE SACRAMENTO
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CITY OF RIALTO
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CITY OF RICHMOND
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CITY OF RIVERSIDE
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CITY OF SACRAMENTO
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CITY OF SELMA
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CITY OF VALLEJO
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CITY YEAR DENVER
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CLACKAMAS EDUCATION SERVICE DISTRICT
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CLARK COUNTY PUBLIC HEALTH
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CLINICA SIERRA VISTA
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COACHELLA VALLEY RESCUE MISSION
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COALITION FOR HUMANE IMMIGRANT
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COALITION OF ORANGE COUNTY
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COALITION TO ABOLISH SLAVERY
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COASTAL KIDS HOME CARE
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CODE FOR AMERICA LABS INC
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COLLEGE OF THE CANYONS FOUNDATION
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COLUMBIA UNIVERSITY
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116th and BroadwayNew YorkNY94804800496512501(c)(3)$43,244Research
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COMMUNITY ACTION PARTNERSHIP OF
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COMMUNITY ACTION PARTNERSHIP OF SAN BERNARDINO
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COMMUNITY AGAINST SEXUAL HARM
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COMMUNITY CLINIC CONSORTIUM
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COMMUNITY COALITION FOR SUBSTANCE ABUSE
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COMMUNITY CYCLING CENTER
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COMMUNITY FOUNDATION SANTA CRUZ CTY
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COMMUNITY HEALTH ALLIANCE OF PASADENA
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COMMUNITY HEALTH INITIATIVE NAPA COUNTY
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COMMUNITY HEALTH PARTNERS
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COMMUNITY HEALTH PARTNERSHIP
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COMPASS FAMILY SERVICES
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Concordia College Corporation
901 8th St SMoorheadMN94102410693977501(c)(3)$15,000Project Support
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1485 CIVIC CT 1200CONCORDCA56562680474731501(c)(3)$20,000Project Support
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CONTRA COSTA HEALTH SVCS PUBLIC HEALTH DIV
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COPE FAMILY CENTER
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CORNERSTONE COMMUNITY DEVELOPMENT
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COUNCIL FOR THE HOMELESS
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COUNCIL OF COMMUNITY CLINICS
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COUNTY OF KERN
1800 MT VERNON AVEBAKERSFIELDCA92123956000925GOVERNMENT$30,000Project Support
COUNTY OF MADERA
1606 SUNRISE AVEMADERACA93306946000518GOVERNMENT$50,000Project Support
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COURT APPOINTED SPECIAL ADVOCATES PROG
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COVENANT HOUSE CALIFORNIA
1325 N WESTERN AVELOS ANGELESCA94520133391210501(c)(3)$30,000Project Support
CRISTO REY SAN JOSE HIGH SCHOOL
1389 E SANTA CLARA STSAN JOSECA90027462594689501(c)(3)$40,000Project Support
CRUZMED FOUNDATION INC
1975 SOQUEL DR 215SANTA CRUZCA95116452774675501(c)(3)$15,000Project Support
CSERF
5380 ELVAS AVESACRAMENTOCA95065237003581501(c)(3)$35,000Project Support
CURRY SENIOR CENTER
333 TURK STSAN FRANCISCOCA95819237362588501(c)(3)$20,000Project Support
DAILY BOWL
525 H STUNION CITYCA94102813341265501(c)(3)$20,000Project Support
DANA-FARBER CANCER INSTITUTE
450 Brookline AvenueBostonMA94587042263040501(c)(3)$229,272Research / Project Support
DANCE BRIGADE A NEW GROUP FROM
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DE LA SALLE NORTH CATHOLIC HIGH SCHOOL
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DELTA HEALTH CARE AND MANAGEMENT
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DENVER HEALTH & HOSPITAL AUTHORITY
777 Bannock StDenverCO95207841343242Government$459,926Research / Project Support
Department of Health & Human Services
8600 Rockville PikeBethesdaMD80204520821668Government$150,000Project Support
DESERT AIDS PROJECT
1695 N SUNRISE WAYPALM SPRINGSCA20894330068583501(c)(3)$25,000Project Support
DIENTES COMMUNITY DENTAL CARE
1830 COMMERCIAL WAYSANTA CRUZCA92262770311752501(c)(3)$200,000Project Support
DISCOVERY COUNSELING CENTER
16275 MONTEREY RD CMORGAN HILLCA95065912153275501(c)(3)$20,688Project Support
DIVERSITY IN HEALTH TRAINING INSTITUTE
1900 EMBARCADEROOAKLANDCA95037352432876501(c)(3)$98,000Project Support
DIXON FAMILY SERVICES
155 N 2ND STDIXONCA94606680041829501(c)(3)$19,985Project Support
DIXON UNIFIED SCHOOL DISTRICT
180 S 1ST ST 11DIXONCA95620320183755501(c)(3)$12,000Project Support
DONATE LIFE NORTHWEST
PO BOX 532PORTLANDOR95620930867552501(c)(3)$8,288Project Support
DOVES OF BIG BEAR VALLEY
PO BOX 3646BIG BEAR LAKECA97207330109115501(c)(3)$15,000Project Support
DOWNTOWN NAPA FARMERS MARKET CORPORATION
PO BOX 10822NAPACA92315320285560501(c)(3)$10,000Project Support
DOWNTOWN STREETS INC
1671 THE ALAMEDA 306SAN JOSECA94581205242330501(c)(3)$73,000Project Support
DOWNTOWN WOMENS CENTER
442 S SAN PEDRO STLOS ANGELESCA95126311597223501(c)(3)$8,500Sponsorships
DRESS FOR SUCCESS OREGON
1532 NE 37TH AVEPORTLANDOR90013931250115501(c)(3)$15,000Project Support
DUKE UNIVERSITY
2024 W Main StDurhamNC97232560532129501(c)(3)$122,270Research
Dunwoody United Methodist Church Inc
1548 Mount Vernon RdDunwoodyGA27705581994231501(c)(3)$12,500Project Support
EARTH ISLAND INSTITUTE INC
2150 ALLSTON WY 460BERKELEYCA30338942889684501(c)(3)$95,000Project Support
EAST BAY AGENCY FOR CHILDREN
303 VAN BUREN AVEOAKLANDCA94704941358309501(c)(3)$128,000Project Support
EAST BAY COLLEGE FUND
2030 FRANKLIN ST 210OAKLANDCA94610542103707501(c)(3)$5,000,000Project Support
EAST BAY COMMUNITY FOUNDATION
200 Frank Ogawa PlazaOaklandCA94612946070996501(c)(3)$197,500,000Project Support
EAST BAY FAMILY DEFENDERS
101 CALLAN AVE 210SAN LEANDROCA94612824028390501(c)(3)$40,000Project Support
EAST LOS ANGELES WOMENS CENTER
1431 S ATLANTIC BLVDLOS ANGELESCA94577510204577501(c)(3)$10,000Sponsorships
EAST OAKLAND COMMUNITY PROJECT
7515 INTERNATIONAL BLVDOAKLANDCA90022943078181501(c)(3)$20,000Project Support
ECO URBAN GARDENS
4647 KINGSWELL AVELOS ANGELESCA94621474933807501(c)(3)$10,000Project Support
ECUMENICAL COUNCIL OF THE PASADENA AREA
PO BOX 41125PASADENACA90027951644608501(c)(3)$7,000Sponsorships
ECUMENICAL MINISTRIES OF OREGON
0245 SW BANCROFT ST BPORTLANDOR91114930625359501(c)(3)$45,000Project Support
EDEN I & R INC
570 B STHAYWARDCA97239942339050501(c)(3)$50,000Project Support
EDEN YOUTH & FAMILY CENTER
680 W TENNYSON RDHAYWARDCA94541942442586501(c)(3)$50,000Project Support
EDGEWOOD CENTER FOR CHILDREN
1801 VICENTE STSAN FRANCISCOCA94544941186168501(c)(3)$40,000Project Support
EDUCARE FOUNDATION
16134 WYANDOTTE STVAN NUYSCA94116954285350501(c)(3)$10,000Project Support
EDUCATIONAL SERVICE DISTRICT 112
2500 NE 65TH AVEVANCOUVERWA91406910847188Government$50,000Project Support
EL CENTRO DE AMISTAD INC
566 S BRAND BLVDSAN FERNANDOCA98661953498639501(c)(3)$15,000Project Support
EL CENTRO DE LIBERTAD
1230 HOPKINS ST AREDWOOD CITYCA91340943189174501(c)(3)$10,000Project Support
EL MONTE SOUTH EL MONTE EMERGENCY
10900 MULHALL STEL MONTECA94062956097318501(c)(3)$10,000Project Support
EL NIDO FAMILY CENTERS
440 SHATTO PL 417LOS ANGELESCA91731953186429501(c)(3)$30,000Sponsorships
EL SOL NEIGHBORHOOD EDUCATIONAL CENTER
766 N WATERMAN AVESAN BERNARDINOCA90020330552297501(c)(3)$10,000Project Support
ELEVATE YOUR G A M E
2019 E 120TH STLOS ANGELESCA92410680533404501(c)(3)$50,000Project Support
ELK GROVE FOOD BANK SERVICES
POBOX 1447ELK GROVECA90059383664737501(c)(3)$30,000Project Support
ELK GROVE UNIFIED SCHOOL DISTRICT
9510 ELK GROVE-FLORIN RDELK GROVECA95759946002501GOVERNMENT$139,870Project Support
EMERALD CITIES COLLABORATIVE INC
1140 CONNECTICUT AVEWASHINGTONDC95624270920269501(c)(3)$90,000Project Support
EMERGENCY FOOD BANK
7 W SCOTTS AVESTOCKTONCA20036680002165501(c)(3)$10,000Project Support
EMORY UNIVERSITY
1599 Clifton Rd NEAtlantaGA95203580566256501(c)(3)$25,085Research / Project Support
ENCOMPASS COMMUNITY SERVICES
380 ENCINAL ST 200SANTA CRUZCA30322237275290501(c)(3)$187,983Project Support
ENCORE ORG
1007 GEN KENNEDY AVESFCA95060943274339501(c)(3)$95,000Project Support
END 68 HOURS OF HUNGER
5271 PENNING PLFAIRFIELDCA94129450998251501(c)(3)$20,000Project Support
ENTERPRISE COMMUNITY PARTNERS INC
11000 BROKEN LAND PKWYCOLUMBIAMD94533521231931501(c)(3)$180,000Project Support
ENTRENOUS YOUTH EMPOWERMENT SERVICES
PO BOX 7205LONG BEACHCA21044455621689501(c)(3)$50,000Project Support
ENVIRONMENTAL HEALTH COALITION
2727 HOOVER AVE202NATIONAL CITYCA90807953798792501(c)(3)$45,000Project Support
ESPERANZA COMMUNITY HOUSING CORPORATION
3655 SOUTH GRAND AVELOS ANGELESCA91950954230345501(c)(3)$10,000Project Support
ESSENTIA INSTITUTE OF RURAL HEALTH
502 E 2nd StreetDuluthMN90007271291124501(c)(3)$30,055Research / Project Support
ESSENTIAL ACCESS HEALTH
3600 WILSHIRE BLVDLOS ANGELESCA55805952564024501(c)(3)$310,000Project Support
EVER FORWARD-SIEMPRE ADELANTE
1714 FRANKLIN ST100-337OAKLANDCA90010061750500501(c)(3)$20,000Project Support
EVERY NEIGHBORHOOD PARTNERSHIP
2044 E NEES AVEFRESNOCA94612870814198501(c)(3)$30,000Project Support
FAIRFIELD COMMUNITY SERVICES FOUNDATION
PO BOX 147FAIRFIELDCA93720680344658501(c)(3)$15,000Project Support
FAIRFIELD POLICE ACTIVITIES LEAGUE
PO BOX 3342FAIRFIELDCA94533261184406501(c)(3)$13,700Project Support
FAIRFIELD-SUISUN UNIFIED SCHOOL DISTRICT
2490 HILBORN RDFAIRFIELDCA94533680128848GOVERNMENT$15,000Project Support
FAITH IN ACTION
3303 WHITEMARSH LANEFAIRFIELDCA94534680431992501(c)(3)$15,000Project Support
FAMILIAS UNIDAS
205 - 39TH STRICHMONDCA94534942751073501(c)(3)$98,000Project Support
FAMILY ASSISTANCE PROGRAM
15075 SEVENTH STVICTORVILLECA94805330107971501(c)(3)$15,000Project Support
FAMILY EQUALITY COUNCIL
475 PARK AVE S RM 2100NEW YORKNY92395521438455501(c)(3)$10,000Sponsorships
FAMILY FORWARD OREGON
PO BOX 15146PORTLANDOR10016800436735501(c)(3)$15,000Project Support
FAMILY FOUNDATIONS COUNSELING SERVICES
2610 W SHAW LN 104FRESNOCA97293273301215501(c)(3)$98,000Project Support
FAMILY HEALTHCARE NETWORK
305 E CENTER AVEVISALIACA93711942525145501(c)(3)$95,000Project Support
FAMILY JUSTICE CENTER SONOMA COUNTY
2755 MENDOCINO AVE100SANTA ROSACA93291453160831501(c)(3)$190,000Project Support
FAMILY RESOURCE AND REFERRAL CENTER
509 W WEBER AVE104STOCKTONCA95403941691503501(c)(3)$90,000Project Support
FAMILY SERVICE AGENCY OF SAN
1005 ATLANTIC AVEALAMEDACA95203941156530501(c)(3)$10,000Project Support
FAMILY SERVICE AGENCY OF SAN BERNARDINO
1669 NORTH E STSAN BERNARDINOCA94501951641436501(c)(3)$15,000Project Support
FAMILY SERVICE ASSOCIATION
21250 BOX SPRINGS RDMORENO VALLEYCA92405951803694501(c)(3)$25,000Project Support
FAMILY SERVICES OF THE DESERT INC
14080 PALM DRDESERT HOT SPRINGSCA92557952549152501(c)(3)$15,000Project Support
FAMILY SUPPORT NETWORK
1894 N MAIN STORANGECA92240330248195501(c)(3)$20,000Project Support
FAMILY SUPPORT SERVICES
303 HEGENBERGER RD 400OAKLANDCA92865943108205501(c)(3)$75,000Project Support
FARMERS MARKET FUND
240 N BROADWAY 129PORTLANDOR94621453804465501(c)(3)$7,000Project Support
FARMWORKER HOUSING DEVELOPMENT
1274 5TH ST APT 1AWOODBURNOR97227931055994501(c)(3)$30,000Project Support
FEEDING AMERICA RIVERSIDE AND SAN
2950 JEFFERSON ST ARIVERSIDECA97071330072922501(c)(3)$25,000Project Support
FIGHTING BACK PARTNERSHIP
505 SANTA CLARA ST FL 3VALLEJOCA92504680298092501(c)(3)$65,000Project Support
FILIPINO ADVOCATES FOR JUSTICE
310 8TH ST 309OAKLANDCA94590942218907501(c)(3)$20,000Project Support
FIRST 5 SANTA CRUZ COUNTY
4450 CAPITOLA RD 106CAPITOLACA94607946000534501(c)(3)$35,000Project Support
FIRST 5 SOLANO
601 TEXAS STFAIRFIELDCA95010946000538501(c)(3)$245,000Project Support
FIRST CHRISTIAN CHURCH OF DOWNEY
10909 NEW STDOWNEYCA94533951803687501(c)(3)$50,000Project Support
FIRST PLACE FOR YOUTH
426 17TH STOAKLANDCA90241943341034501(c)(3)$75,000Project Support
FIRST STEP HOUSING
PO BOX 188228SACRAMENTOCA94612352537631501(c)(3)$15,000Project Support
FIT KIDS FOUNDATION INC THE
2682 MIDDLEFIELD RDREDWOOD CITYCA95818274987709501(c)(3)$8,545Project Support
FOLSOM CORDOVA UNIFIED SCHOOL DISTRICT
1965 BIRKMONT DRRANCHO CORDOVACA94063946002505501(c)(3)$30,000Project Support
FOOD BANK OF CONTRA COSTA & SOLANO
4010 NELSON AVECONCORDCA95742942418054501(c)(3)$145,000Project Support
FOOD FINDERS INC
3744 INDUSTRY AVE 401LAKEWOODCA94520330412749501(c)(3)$6,000Sponsorships
FOOD LITERACY CENTER
2973 3RD AVESACRAMENTOCA90712453973268501(c)(3)$10,000Project Support
FOODBANK OF SOUTHERN CALIFORNIA
1444 SAN FRANCISCO AVELONG BEACHCA95817953557056501(c)(3)$10,000Project Support
FOODWHAT INCORPORATED
1156 HIGH STSANTA CRUZCA90813812590280501(c)(3)$20,000Project Support
FOOTHILL AIDS PROJECT
233 W HARRISON AVECLAREMONTCA95064330341665501(c)(3)$17,500Project Support
FOOTHILL FAMILY SERVICE
2500 E FOOTHILL BLVDPASADENACA91711951690990501(c)(3)$13,500Project Support
FOOTHILL FAMILY SHELTER INC
1501 W 9TH ST DUPLANDCA91107330341818501(c)(3)$10,000Project Support
FOOTHILL UNITY CENTER INC
790 W CHESTNUT AVEMONROVIACA91786954310817501(c)(3)$10,000Project Support
FORGET ME NOT CHILDRENS SERVICES
PO BOX 1986SANTA ROSACA91016263464770501(c)(3)$20,000Project Support
FOSTER YOUTH IN ACTION
2140 SHATTUCK AVEBERKELEYCA95402263757824501(c)(3)$15,000Project Support
FOUNDATION FOR CLOVIS SCHOOLS
1450 HERNDON AVECLOVISCA94704770140576501(c)(3)$50,000Project Support
FOUNDATION FOR STUDENTS RISING ABOVE
PO BOX 29174SAN FRANCISCOCA93611810615887501(c)(3)$50,000Project Support
FRANKLIN NEIGHBORHOOD DEVELOPMENT
5383 FRANKLIN BLVD CSACRAMENTOCA94129465011667501(c)(3)$50,000Project Support
FRED HUTCHINSON CANCER RESEARCH CTR
1100 Fairview Ave NSeattleWA95820237156071501(c)(3)$188,751Research / Project Support
FREE CLINIC OF SOUTHWEST WASHINGTON
4100 PLOMONDON STVANCOUVERWA98109911707542501(c)(3)$33,000Project Support
FREE GEEK
1731 SE 10TH AVEPORTLANDOR98661931292010501(c)(3)$10,000Project Support
FREEMONT FAMILY RESOURCE CENTER
POBOX 5006FREMONTCA97214943333831501(c)(3)$25,000Project Support
FRESH APPROACH
5060 COMMERCIAL CIRCLECONCORDCA94537262438206501(c)(3)$160,000Project Support
FRESH LIFELINES FOR YOUTH INC
568 VALLEY WAYMILPITASCA94520222234595501(c)(3)$30,000Project Support
FRESH PRODUCERS INC
420 I STSACRAMENTOCA95035208747234501(c)(3)$15,000Project Support
FRESNO BUILDING HEALTHY COMMUNITIES
4991 E MCKINLEY AVE 107FRESNOCA95814813711032501(c)(3)$6,000Project Support
FRESNO COUNTY SUPERINTENDENT OF SCHOOLS
1111 VAN NESS AVEFRESNOCA93727946002210GOVERNMENT$464,400Project Support
FRESNO INTERDENOMINATIONAL REFUGEE
1940 N FRESNO STFRESNOCA93721770357297501(c)(3)$150,000Project Support
FRESNO METROPOLITAN MINISTRY
4270 N BLACKSTONE AVEFRESNOCA93703942181848501(c)(3)$100,000Project Support
FRESNO POLICE CHAPLAINCY
905 N FULTON STFRESNOCA93726770304652501(c)(3)$40,000Project Support
FRESNO UNIFIED SCHOOL DISTRICT
2309 TULARE STFRESNOCA93728946002206GOVERNMENT$225,000Project Support
FRESNO UNITED NEIGHBORHOODS
1515 E DIVISADERO STFRESNOCA93721770348220501(c)(3)$30,000Project Support
FRIENDS FOR YOUTH
1741 BROADWAYREDWOOD CITYCA93721942961034501(c)(3)$20,000Project Support
FRIENDS OF ALAMEDA COUNTY COURT
1000 SAN LEANDRO BLVDSAN LEANDROCA94063943309728501(c)(3)$30,000Project Support
FRIENDS OF SANTA CRUZ COUNTY PARKS
870 17TH AVE 2SANTA CRUZCA94577770209249501(c)(3)$15,000Project Support
FRIENDS OF THE LOS ANGELES FREE CLINIC
8405 BEVERLY BLVDLOS ANGELESCA95062953433824501(c)(3)$8,500Sponsorships
FRIENDS OF ZENGER FARM
11741 SE FOSTER RDPORTLANDOR90048931269630501(c)(3)$40,000Project Support
FUTURE LEADERS OF AMERICA
PO BOX 51637OXNARDCA97266770071036501(c)(3)$40,000Project Support
GARFIELD HEALTH CENTER
210 N GARFIELD AVEMONTEREY PARKCA93031760733752501(c)(3)$7,500Project Support
GATHERING INN
201 BERKELEY AVEROSEVILLECA91754841657746501(c)(3)$60,000Project Support
GEISINGER HEALTH SYSTEM
100 N Academy AveDanvillePA95678236291113501(c)(3)$83,881Research / Project Support
GENDER HEALTH CENTER
2020 29TH STSACRAMENTOCA17822263839452501(c)(3)$85,000Project Support
GEORGIA STATE UNIVERSITY
PO Box 3999AtlantaGA95817581845423Government$9,530Research / Project Support
GIRL SCOUTS OF NORTHERN CALIFORNIA
1650 HARBOR BAY PARKWAYALAMEDACA91786941551410501(c)(3)$25,000Project Support
GIRLS INC OF THE PACIFIC NORTHWEST
4800 SW MACADAM AVE 309PORTLANDOR94502542073930501(c)(3)$65,000Project Support
GIRLS INCORPORATED OF ALAMEDA COUNTY
510 16TH STOAKLANDCA97239941558073501(c)(3)$25,000Project Support
GIRLS ON THE RUN NAPA VALLEY INC
3299 CLAREMONT WAY 6NAPACA94618550906534501(c)(3)$20,000Project Support
GIRLS ON THE RUN OF THE BAY AREA INC
3543 18TH ST 31SAN FRANCISCOCA94558710890558501(c)(3)$34,000Project Support
GIVE EVERY CHILD A CHANCE
322 SUN WEST PLMANTECACA94110680399384501(c)(3)$45,000Project Support
GLOBAL CENTER FOR SUCCESS INC
1055 AZUAR DRVALLEJOCA95337710896807501(c)(3)$15,000Project Support
GOOD SHEPHERD GRACENTER
1310 BACON STSAN FRANCISCOCA94592941156670501(c)(3)$10,000Project Support
GOODWILL INDUSTRIES OF ORANGE COUNTY
410 N FAIRVIEW STSANTA ANACA94134951644018501(c)(3)$25,000Project Support
GOODWILL SOUTHERN CALIFORNIA
342 N SAN FERNANDO RDLOS ANGELESCA92703951641441501(c)(3)$50,000Project Support
GOSPEL CENTER RESCUE MISSION
445 S SAN JOAQUIN STSTOCKTONCA90031941375835501(c)(3)$75,000Project Support
GREENHOUSE
PO BOX 348138SACRAMENTOCA95203300116551501(c)(3)$10,000Project Support
GREENLINING INSTITUTE
360 14TH ST FL 2OAKLANDCA95834943173571501(c)(3)$90,000Project Support
GRIMM FAMILY EDUCATION FOUNDATION
11001 RIVER RUN BLVDBAKERSFIELDCA94612273194151501(c)(3)$20,000Project Support
GROWING GARDENS
2203 NE OREGON STPORTLANDOR93311931213728501(c)(3)$15,000Project Support
GRYD FOUNDATION
1933 S BROADWAYLOS ANGELESCA97232454927250501(c)(3)$45,000Project Support
HACIENDA COMMUNITY DEVELOPMENT
6700 NE KILLINGSWORTH STPORTLANDOR90007930979064501(c)(3)$30,000Project Support
HARBOR AREA GANG ALTERNATIVES PROGRAM
309 W OPP STREETWILMINGTONCA97218330322451501(c)(3)$10,000Project Support
HARBOR COMMUNITY CLINIC INC
593 W 6TH STREETSAN PEDROCA90744237103245501(c)(3)$10,000Project Support
HARC
41550 ECLECTIC STPALM DESERTCA90731205719074501(c)(3)$15,000Project Support
HARD Foundation
1099 E STHAYWARDCA92260942901655501(c)(3)$30,000Project Support
HARMONY ACADEMY
PO BOX 22MARYLHURSTOR94541831791415501(c)(3)$15,000Project Support
HARVARD PILGRIM HEALTH CARE INC
133 Brookline AvenueBostonMA97036042452600501(c)(3)$209,196Research / Project Support
HAVEN HILLS INC
PO BOX 260CANOGA PARKCA02215953196247501(c)(3)$27,167Project Support
HAYNES FAMILY OF PROGRAMS
PO BOX 400LA VERNECA91305951506150501(c)(3)$8,000Project Support
HEAL PROJECT
PO BOX 3051HALF MOON BAYCA91750270192940501(c)(3)$20,000Project Support
HEALTH CARE WITHOUT HARM
12355 SUNRISE VALLEY DRRESTONVA94019522358837501(c)(3)$190,549Project Support
HEALTH CAREER CONNECTION
300 FRANK H OGAWA PLZ243OaklandCA20191251904312501(c)(3)$90,000Project Support
HEALTH EDUCATION COUNCIL
3950 INDUSTRIAL BLVDWEST SACRAMENTOCA94612680249296501(c)(3)$150,000Project Support
HEALTH IMPROVEMENT PARTNERSHIP
1800 GREEN HILLS RDSCOTTS VALLEYCA95691010826156501(c)(3)$75,000Project Support
HEALTH RESEARCH INC
PO Box 2966BuffaloNY95066141402155501(c)(3)$730,518Research / Project Support
HEALTHIER KIDS FOUNDATION SANTA CLARA CTY
4040 MOORPARK AVESAN JOSECA94240770545774501(c)(3)$35,000Project Support
HEALTHPARTNERS INSTITUTE
POBox1524 Mail 21111RBloomingtonMN95117411670163501(c)(3)$523,704Research
HEALTHQUEST CPR PETALUMA HEALTH CARE DIST
1425 N MCDOWELL BLVDPETALUMACA95425946033418Government$30,000Project Support
HEALTHY & ACTIVE BEFORE 5
1035 DETROIT AVE 500CONCORDCA94954942383037501(c)(3)$65,000Project Support
HEALTHY AGING ASSOCIATION
3500 COFFEE RD 19MODESTOCA94518770546574501(c)(3)$38,256Project Support
HEALTHY COMMUNITY FORUM FOR SACRAMENTO
819 19TH ST 220SACRAMENTOCA95355680377256501(c)(3)$228,000Project Support
HEARING AND SPEECH CENTER OF
1234 DIVISADERO STSAN FRANCISCOCA95811941322198501(c)(3)$10,000Project Support
HENRY FORD HEALTH SYSTEM FOUNDATION
1 Ford Place 2FDetroitMI94115237383042501(c)(3)$65,715Research / Project Support
HENRY FORD HEALTH SYSTEMS
One Ford PlaceDetroitMI48202381357020501(c)(3)$58,894Research / Project Support
HERSMILE
294 CRESTVIEW AVEMARTINEZCA94592470992161501(c)(3)$20,000Project Support
HIDDEN HARVEST CORP
PO BOX 266COACHELLACA94553330821743501(c)(3)$15,000Project Support
HI-DESERT MEMORIAL HEALTH CARE DISTRICT
6530 LA CONTENTA RDYUCCA VALLEYCA92236952281302501(c)(3)$25,000Project Support
HIGH DESERT SECOND CHANCE
16666 SMOKE TREE ST B4HESPERIACA92284464690286501(c)(3)$25,000Project Support
HINDS HOSPICE
2490 W SHAW AVE 101FRESNOCA92345770071360501(c)(3)$25,024Project Support
HOME OWNERSHIP FOR PERSONAL EMPOWERMENT
21231 HAWTHORNE BLVDTORRANCECA93711330618316501(c)(3)$10,000Project Support
HOMEAID ORANGE COUNTY
24 EXECUTIVE PARK 100IRVINECA90503330568079501(c)(3)$90,000Project Support
HOMEBOY INDUSTRIES
130 W BRUNO STLOS ANGELESCA92614954800735501(c)(3)$15,000Sponsorships
HOMEFIRST SERVICES OF SANTA CLARA COUNTY
507 VALLEY WAYMILPITASCA90012942684272501(c)(3)$150,000Project Support
HOMELESS HEALTH CARE LOS ANGELES
2330 BEVERLY BLVDLOS ANGELESCA95035954074970501(c)(3)$9,400Sponsorships
HOMEPLATE YOUTH SERVICES
PO BOX 1413BEAVERTONOR90057261666325501(c)(3)$15,000Project Support
HOMES FOR GOOD HOUSING AGENCY
177 DAY ISLAND RDEUGENEOR97075936002480501(c)(3)$750,000Project Support
HOPE
634 S SPRING STLOS ANGELESCA97401954718409501(c)(3)$70,000Project Support
HOPE CENTERS UNITED
1100 BLUE RAVINE RDFOLSOMCA90014463748740501(c)(3)$10,000Project Support
HOPE OF THE VALLEY RESCUE MISSION
PO BOX 7609MISSION HILLSCA95630272053273501(c)(3)$10,000Project Support
HOPE THROUGH HOUSING FOUNDATION
9421 HAVEN AVERANCHO CUCAMONGACA91346330802554501(c)(3)$20,000Project Support
HOPES CORNER INC
748 MERCY STMOUNTAIN VIEWCA91730473754161501(c)(3)$10,000Project Support
HOSPICE OF SANTA CRUZ COUNTY
940 DISC DRSCOTTS VALLEYCA94041942497618501(c)(3)$50,000Project Support
HOUSE OF RUTH INC
PO BOX 459CLAREMONTCA95066953276033501(c)(3)$17,500Project Support
HOUSING MATTERS
115B CORAL STSANTA CRUZCA91711770126783501(c)(3)$80,000Project Support
HUCKLEBERRY YOUTH PROGRAMS INC
3310 GEARY BLVDSAN FRANCISCOCA95060941687559501(c)(3)$133,000Project Support
HUMAN OPTIONS
PO BOX 53745IRVINECA94118953667817501(c)(3)$20,000Project Support
HUMANIDAD THERAPY & EDUCATION SERVICES
95 MONTGOMERY DRSANTA ROSACA92619463725156501(c)(3)$20,000Project Support
HUNGER ACTION LOS ANGELES
961 S MARIPOSA AVELOS ANGELESCA95404205142259501(c)(3)$56,280Project Support
IMTASIK FAMILY COUNSELING SERVICES INC
6809 INDIANA AVE 205RIVERSIDECA90006465525893501(c)(3)$15,000Project Support
Imua Family Services
95 Mahalani St Ste 19AWailukuHI92506990194402501(c)(3)$12,133Research / Project Support
INDIANA UNIVERSITY
509 E 3rd StreetBloomingtonIN96793330100208Government$13,052Research / Project Support
INFO LINE OF SAN DIEGO COUNTY
3860 CALLE FORTUNADASAN DIEGOCA47401331029843501(c)(3)$33,546Project Support
INITIATIVE FOR A COMPETITIVE INNER CITY
56 WARREN ST STE 300ROXBURYMA92123133772904501(c)(3)$200,000Project Support
INLAND VALLEY COUNCIL OF CHURCHES
1753 N PARK AVEPOMONACA02119952674837501(c)(3)$10,000Project Support
INNER CITY ACTION INC
1800 N WILSON WAYSTOCKTONCA91768901025382501(c)(3)$25,000Project Support
INNOVATIVE SERVICES NW
9414 NE 4TH PLAIN RDVANCOUVERWA95205910782136501(c)(3)$15,000Project Support
INSTITUTO FAMILIAR DE LA RAZA
2919 MISSION STSAN FRANCISCOCA98662942523608501(c)(3)$40,000Project Support
INSURE THE UNINSURED PROJECT
1107 9TH ST 1025SACRAMENTOCA94110274159194501(c)(3)$97,790Project Support
INTERFACE CHILDREN FAMILY SERVICES
4001 MISSION OAKS BLVDCAMARILLOCA95814952944459501(c)(3)$20,000Project Support
INTERNATIONAL INSTITUTE OF THE BAY AREA
476 3RD STOAKLANDCA93012941156554501(c)(3)$30,000Project Support
INTERNATIONAL PRE-DIABETES CENTER INC
14500 ROSCOE BLVDPANORAMA CITYCA94607471341290501(c)(3)$13,500Project Support
IRCO
10301 NE GLISAN STPORTLANDOR91402930806295501(c)(3)$30,000Project Support
JACOBS HEART CHILDRENS CANCER SUPPORT
680 W BEACH STWATSONVILLECA97220680413822501(c)(3)$20,000Project Support
JAMBOREE HOUSING CORPORATION
17701 COWAN 200IRVINECA95076330413518501(c)(3)$40,000Project Support
JAPANESE COMMUNITY YOUTH COUNCIL
2012 PINE STSAN FRANCISCOCA92614237092514501(c)(3)$500,000Project Support
JEFFERSON UNION HIGH SCHOOL
699 SERRAMONTE BLVD100DALY CITYCA94115943083772501(c)(3)$30,000Project Support
JEWISH COMMUNITY FREE CLINIC
50 MONTGOMERY DRSANTA ROSACA94015943386103501(c)(3)$20,000Project Support
JEWISH FAMILY & CHILDREN SERVICE
3801 E WILLOW STLONG BEACHCA95404952273033501(c)(3)$12,500Project Support
JEWISH FAMILY & COMMUNITY SERVICES
2484 SHATTUCK AVE210BERKELEYCA90815943250304501(c)(3)$40,000Project Support
JK GROUP INC TRUSTEES FOR KAIS
PO BOX 7174PrincetonNJ94704222984759501(c)(3)$22,538Project Support
JOHNS HOPKINS UNIVERSITY
3910 Keswick Rd N2100BaltimoreMD08543520595110501(c)(3)$463,901Research
JOIN
PO BOX 16490PORTLANDOR21211931090005501(c)(3)$30,000Project Support
JOVENES INC
1208 PLEASANT AVELOS ANGELESCA97292954342434501(c)(3)$30,000Project Support
J-SEI INC
1285 66TH STEMERYVILLECA90033942496799501(c)(3)$15,000Project Support
JUMA
131 STEUART ST201SAN FRANCISCOCA94608943203203501(c)(3)$15,000Project Support
JUNIOR ACHIEVEMENT OF NORTHERN
3003 OAK RD 109WALNUT CREEKCA94105941322179501(c)(3)$10,000Project Support
JURUPA UNIFIED SCHOOL DISTRICT
4850 PEDLEY RDJURUPA VALLEYCA94597330740037501(c)(3)$20,000Project Support
JUSTICE IN AGING
3660 WILSHIRE BLVDLOS ANGELESCA92509953132674501(c)(3)$95,000Project Support
JWCH INSTITUTE INC
5650 JILLSON STCOMMERCECA90010952289916501(c)(3)$38,500Project Support
KABOOM
4301 CONNECTICUT AVE NWML1WASHINGTONDC90040521970904501(c)(3)$500,000Project Support
KAINOS HOME AND TRAINING CENTER FOR THE
3631 JEFFERSON AVEREDWOOD CITYCA20008237408490501(c)(3)$10,000Project Support
KP BERNARD J TYSON SCHOOL OF MEDICINE
100 S Los RoblesPasadenaCA94062814053028501(c)(3)$61,273,719Project Support
KEATON RAPHAEL MEMORIAL FOR
2260 DOUGLAS BLVD140ROSEVILLECA91101680406980501(c)(3)$15,000Project Support
KEEP YOUTH DOING SOMETHING INC
7026 SOPHIA AVEVAN NUYSCA95661954426350501(c)(3)$20,000Project Support
KERN COUNTY CHILDREN & FAMILIES
2724 L STREETBAKERSFIELDCA91406770529128501(c)(3)$30,000Project Support
KIDPOWER TEENPOWER FULLPOWER INTERNATIONAL
PO BOX 2163CASTRO VALLEYCA93301770226712501(c)(3)$35,000Project Support
KIDS COMMUNITY CLINIC OF BURBANK
400 W ELMWOOD AVEBURBANKCA94546954791296501(c)(3)$30,000Project Support
KIDS FIRST
124 MAIN STROSEVILLECA91506680195225501(c)(3)$25,000Project Support
KIDWORKS COMMUNITY DEVELOPMENT CORP
1902 W CHESTNUT AVESANTA ANACA95678743081569501(c)(3)$20,000Project Support
KIVA
875 HOWARD ST 340SAN FRANCISCOCA92703710992446501(c)(3)$90,000Project Support
KIWANIS CLUB OF THE DELTA ANTIOCH
3377 DEER VALLEY RD239ANTIOCHCA94103161693220501(c)(3)$18,200Project Support
KOREAN HEALTH EDUCATION
3727 W 6TH STREETLOS ANGELESCA94531954074660501(c)(3)$39,002Project Support
L A FAMILY HOUSING CORP
7843 LANKERSHIM BLVDN HOLLYWOODCA90020953920560501(c)(3)$20,750Project Support
LA CLINICA DE LA RAZA INC
PO BOX 22210OAKLANDCA91605941744108501(c)(3)$308,000Project Support
LA LUZ CENTER
17560 GREGER STSONOMACA94623680228235501(c)(3)$20,000Project Support
LA PROMISE FUND
202 W 1ST ST 160LOS ANGELESCA95476204562686501(c)(3)$10,000Project Support
LARKIN STREET YOUTH SERVICES
134 GOLDEN GATE AVESAN FRANCISCOCA90012942917999501(c)(3)$15,000Project Support
LAS BEST
201 N SPRING ST M120LOS ANGELESCA94102954311058501(c)(3)$20,000Sponsorships
Latino Center for Prevention & Action in H
450 W 4th StreetSanta AnaCA90012330562943501(c)(3)$45,000Project Support
LATINO COMMUNITY FOUNDATION
235 MONTGOMERY STSAN FRANCISCOCA92701810564400501(c)(3)$350,000Project Support
LATINO LEADERSHIP COUNCIL
2945 BELL ROAD 274AUBURNCA94104270970476501(c)(3)$40,000Project Support
LATINO NETWORK
410 NE 18TH AVEPORTLANDOR95603731675402501(c)(3)$114,948Project Support
LATINO PHYSICIANS OF CALIFORNIA
400 CAPITOL MALL FL 22SACRAMENTOCA97232453502281501(c)(3)$25,000Project Support
LAVA MAE
1015 FILLMORE STSAN FRANCISCOCA95814810832318501(c)(3)$150,000Project Support
LEADERSHIP COUNSEL FOR JUSTICE AND
764 P ST 12FRESNOCA94115461517800501(c)(3)$14,013Project Support
LEADERSHIP EXCELLENCE
1714 FRANKLIN STOAKLANDCA93721330488726501(c)(3)$75,000Project Support
LEAHS PANTRY INC
3019 MISSION STSAN FRANCISCOCA94612205512442501(c)(3)$10,000Project Support
LEARNING CENTERS AT FAIRPLEX
1101 W MCKINLEY AVEPOMONACA94110954686764501(c)(3)$15,000Project Support
LEGAL AID OF SONOMA COUNTY
144 SOUTH E ST 100SANTA ROSACA91768680008581501(c)(3)$90,000Project Support
LIFE LAB SCIENCE PROGRAM
1156 HIGH STSANTA CRUZCA95404942778848501(c)(3)$15,000Project Support
LIFELONG MEDICAL CARE
2344 SIXTH STBERKELEYCA95064942502308501(c)(3)$132,119Project Support
LIFEMOVES
181 CONSTITUTION DRMENLO PARKCA94710770160469501(c)(3)$65,000Project Support
LIFEWORKS OF SONOMA COUNTY
1260 N DUTTON AVE105SANTA ROSACA94025680375462501(c)(3)$110,000Project Support
LIGHTHOUSE COUNSELING AND FAMILY
427 A ST SUITE 400LINCOLNCA95401352252834501(c)(3)$25,000Project Support
LIGHTHOUSE OF HOPE COUNSELING CENTER
1515 PARTRIDGE AVESUNNYVALECA95648270910581501(c)(3)$35,000Project Support
LIGHTHOUSE SOCIAL SERVICE CENTERS
1003 E COOLEY DR 205COLTONCA94087753147113501(c)(3)$19,000Project Support
LINCOLN
1266 14TH STOAKLANDCA92324941156501501(c)(3)$98,000Project Support
LIVE LOVE NW
9200 NE FREMONT STPORTLANDOR94607824840745501(c)(3)$15,000Project Support
LIVE OAK SCHOOL DISTRICT
984 BOSTWICK LN 1SANTA CRUZCA97220946002632501(c)(3)$30,000Project Support
LIVERMORE AREA RECREATION
4444 EAST AVELIVERMORECA95062946000849501(c)(3)$25,000Project Support
LIVERMORE VALLEY JOINT
685 E JACK LONDON BLVDLIVERMORECA94550942175582501(c)(3)$30,000Project Support
LOAVES AND FISHES OF CONTRA COSTA
835 FERRY STMARTINEZCA94551680018077501(c)(3)$40,000Project Support
LONG BEACH BAR FOUNDATION INC
3515 LINDEN AVELONG BEACHCA94553330585482501(c)(3)$10,000Project Support
LOS ANGELES BROTHERHOOD CRUSADE INC
200 E SLAUSON AVELOS ANGELESCA90807952543819501(c)(3)$20,000Sponsorships
LOS ANGELES CHRISTIAN HEALTH CENTERS
202 W 1ST ST 4 0435LOS ANGELESCA90011954315734501(c)(3)$50,000Project Support
LOS ANGELES GAY & LESBIAN CTR
1625 N SCHRADER BLVDLOS ANGELESCA90012953567895501(c)(3)$34,250Project Support
LOS ANGELES TRADE TECH COLLEGE
400 W WASHINGTON BLVDLOS ANGELESCA90028953813527501(c)(3)$9,500Sponsorships
LOS ANGELES YOUTH NETWORK
1857 TAFT AVELOS ANGELESCA90015953953979501(c)(3)$30,000Project Support
LOVE IN THE NAME OF CHRIST OF COWLITZ
3609 COLUMBIA HEIGHTS RDLONGVIEWWA90028273261065501(c)(3)$7,000Project Support
LOVE OVERWHELMING
PO BOX 42KELSOWA98632464721592501(c)(3)$109,520Project Support
LYNWOOD UNIFIED SCHOOL DISTRICT
11321 BULLIS RDLYNWOODCA98626952798626GOVERNMENT$45,000Project Support
MADERA COUNTY FOOD BANK
225 S PINE STMADERACA90262770513488501(c)(3)$10,000Project Support
MAGEE-WOMENS RESEARCH INSTITUTE AND
3339 Ward StreetPittsburghPA93637250965420501(c)(3)$36,890Research / Project Support
MANDELA MARKETPLACE INC
1364 7TH STOAKLANDCA15213113754129501(c)(3)$30,000Project Support
MARIN HORIZON SCHOOL INC
305 MONTFORD AVEMILL VALLEYCA94607942427732501(c)(3)$15,000Project Support
MARION-POLK FOOD SHARE INC
1660 SALEM INDUSTRIAL DR NESALEMOR94941943034161501(c)(3)$10,000Project Support
MARJAREE MASON CENTER
1600 M STFRESNOCA97301941156639501(c)(3)$50,000Project Support
MARTIN LUTHER KING JR FREEDOM CENTER
333 EAST 8TH STOAKLANDCA93721943390034501(c)(3)$75,000Project Support
MARTIN LUTHER KING JR COMMUNITY HEALTH
1680 E 120TH STLOS ANGELESCA94606454433505501(c)(3)$15,000Sponsorships
MARYS MERCY CENTER INC
PO BOX 7563SAN BERNARDINOCA90059330632426501(c)(3)$17,100Project Support
MASSACHUSETTS GENERAL HOSPITAL
399 Revolution DriveSomervilleMA92411041564655501(c)(3)$26,056Research / Project Support
MEALS ON WHEELS FAMILY AND COMMUNITY
1300 CIVIC DRWALNUT CREEKCA02145680044205501(c)(3)$10,000Project Support
MEALS ON WHEELS OF SAN FRANCISCO
1375 FAIRFAX AVESAN FRANCISCOCA94596941741155501(c)(3)$525,000Project Support
MEALS ON WHEELS OF SOLANO COUNTY
95 MARINA CENTERSUISUNCA94124942453452501(c)(3)$30,000Project Support
MEALS ON WHEELS PEOPLE
7710 SW 31ST AVEPORTLANDOR94585930584318501(c)(3)$15,000Project Support
MEDICAL EDUCATION IN COOPERATION WITH CUBA
1714 FRANKLIN ST100 282OaklandCA97219311603765501(c)(3)$50,000Project Support
MEDICAL MISSION ADVENTURES
11540 BONHAM AVELAKEVIEW TERRACECA94612043661520501(c)(3)$10,000Project Support
MEN EDUCATING MEN INC
537 CYPRESS AVEPASADENACA91342272773299501(c)(3)$7,500Sponsorships
MEND-MEET EACH NEED WITH DIGNITY
10641 N SAN FERNANDO RDPACOIMACA91103237306337501(c)(3)$21,620Sponsorships
MENTAL HEALTH AMERICA OF LOS ANGELES
200 PINE AVE 400LONG BEACHCA91331951881491501(c)(3)$24,126Project Support
MENTAL HEALTH ASSOCIATION OF SAN MATEO
2686 SPRING STREDWOOD CITYCA90802946034112501(c)(3)$15,000Project Support
MENTIS
709 FRANKLIN STNAPACA94063941236934501(c)(3)$29,968Project Support
MENTORING IN MEDICINE AND SCIENCE
333 HEGENBERGER RD 208OaklandCA94559273263074501(c)(3)$95,000Project Support
MERCY FOUNDATION BAKERSFIELD
PO BOX 119BAKERSFIELDCA94621770201321501(c)(3)$34,000Project Support
MERCY HOUSE LIVING CENTERS
PO BOX 1905SANTA ANACA93302330315864501(c)(3)$10,000Project Support
MET
PO BOX 283PORTLANDOR92702931151949501(c)(3)$30,000Project Support
METROPOLITAN PUBLIC DEFENDER SERVICES
630 SW 5TH AVE STE 500PORTLANDOR97207930591637501(c)(3)$99,000Project Support
MEXICAN AMERICAN LEGAL DEFENSE
634 S SPRING ST 11LOS ANGELESCA97204741563270501(c)(3)$18,050Sponsorships
MF PLACE INC
PO BOX 3867HOLLYWOODCA90014954834034501(c)(3)$30,000Project Support
MICHELLES PLACE BREAST CANCER RESOURCE
41669 Winchester Rd 101TEMECULACA90078330951216501(c)(3)$20,000Project Support
MICHIGAN STATE UNIVERSITY
426 Auditorium RdEast LansingMI92590386005984Government$22,499Research / Project Support
MID-PENINSULA BOYS & GIRLS CLUB
200 NORTH QUEBEC STSAN MATEOCA48824941431583501(c)(3)$10,000Project Support
MIND BODY AWARENESS PROJECT
PO BOX 7541OAKLANDCA94143912167480501(c)(3)$10,000Project Support
MINDFUL LIFE PROJECT
124 WASHINGTON AVE BRICHMONDCA94601475066819501(c)(3)$95,000Project Support
MINDFUL SCHOOLS
1260 45TH ST BEMERYVILLECA94801273261154501(c)(3)$75,000Project Support
MISSION CITY COMMUNITY NETWORK
8527 SEPULVEDA BLVDNORTH HILLSCA94608954226189501(c)(3)$15,000Project Support
MISSION LANGUAGE & VOCATIONAL SCHOOL
2929 19TH ST 2ND FLSAN FRANCISCOCA91343942174237501(c)(3)$500,000Project Support
MISSION NEIGHBORHOOD CENTERS INC
362 CAPP STSAN FRANCISCOCA94110941408150501(c)(3)$1,000,000Project Support
MODEL NEIGHBORHOOD PROGRAM
1242 ALDINE CTSAN PEDROCA94110954615739501(c)(3)$10,000Project Support
MOMENTUM ALLIANCE
221 NW 2ND AVE STE 203PORTLANDOR90731454176224501(c)(3)$30,000Project Support
MOMENTUM FOR MENTAL HEALTH
438 N WHITE RDSAN JOSECA97209941496052501(c)(3)$90,000Project Support
MONARCH SERVICES SERVICIOS MONARCA
233 E LAKE AVEWATSONVILLECA95127942462783501(c)(3)$30,000Project Support
MONUMENT CRISIS CENTER
1990 MARKET STCONCORDCA95076412111171501(c)(3)$40,000Project Support
MONUMENT IMPACT
1760 CLAYTON RDCONCORDCA94520943370919501(c)(3)$25,000Project Support
MOSES HOUSE MINISTRIES
PO BOX 2033VICTORVILLECA94520330568537501(c)(3)$10,000Project Support
MOTION PACIFIC DANCE INC
131 FRONT ST ESANTA CRUZCA92393465251353501(c)(3)$6,700Project Support
MOVEMENT STRATEGY CENTER
436 14TH ST FL 5OAKLANDCA95060201037643501(c)(3)$20,000Project Support
MUJERES UNIDAS Y ACTIVAS
3543 18TH ST 23SAN FRANCISCOCA94612202986926501(c)(3)$30,000Project Support
MULTICULTURAL INTEGRATED KIDNEY
9155 SW BARNES RD 219PORTLANDOR94110450520604501(c)(3)$15,000Project Support
MUTUAL ASSISTANCE NETWORK OF DEL PASO
811 GRAND AVESACRAMENTOCA97225680332694501(c)(3)$30,000Project Support
MY SISTERS HOUSE
PO BOX 188218SACRAMENTOCA95838680464114501(c)(3)$20,000Project Support
NAMI CALIFORNIA
1851 HERITAGE LN 150SACRAMENTOCA95818942676057501(c)(3)$139,320Project Support
NAMI SAN MATEO COUNTY
1650 BOREL PLSAN MATEOCA95815942650681501(c)(3)$20,000Project Support
NAMI SONOMA COUNTY
182 FARMERS LN 202SANTA ROSACA94402680041644501(c)(3)$20,000Project Support
NAMI-VENTURA COUNTY
5251 VERDUGO WAY KCAMARILLOCA95405770037450501(c)(3)$8,155Project Support
NAPA EMERGENCY WOMENS SERVICES
1141 PEAR TREE LANE 220NAPACA93012942745889501(c)(3)$20,000Project Support
NAPA SOLANO SANE SART
1141 PEAR TREE LN 220NAPACA94558680285816501(c)(3)$20,000Project Support
NAPA VALLEY CHILD ADVOCACY NETWORK INC
1909 JEFFERSON STNAPACA94558562498308501(c)(3)$20,000Project Support
NARIKA
PO BOX 7779BERKELEYCA94559943162871501(c)(3)$20,000Project Support
NATIONAL MEDICAL FELLOWSHIPS INC
12 E 46TH ST FL 5ENEW YORKNY94707010963657501(c)(3)$13,750Sponsorships
NEIGHBORHOOD HOMEWORK HOUSE
777 E ALOSTA AVEAZUSACA10017954713600501(c)(3)$7,500Project Support
NEIGHBORHOOD HOUSING SERVICES OF
3926 WILSHIRE BLVDLOS ANGELESCA91702953938955501(c)(3)$10,000Project Support
NEW DIRECTIONS FOR YOUTH INC
7315 N LANKERSHIM BLVDN HOLLYWOODCA90010952973008501(c)(3)$14,000Project Support
NEW HAVEN UNIFIED SCHOOL DISTRICT
34200 ALVARADO NILES RDUNION CITYCA91605941717886GOVERNMENT$56,000Project Support
NEW HOPE FREE CLINIC INC
PO BOX 8157REDLANDSCA94587462473576501(c)(3)$12,500Project Support
NEW HORIZONS CAREGIVERS GROUP
3129 S HACIENDA BLVDHACIENDA HEIGHTSCA92375753132090501(c)(3)$9,000Project Support
NEXT DOOR SOLUTIONS TO DOMESTIC
234 E GISH RDSAN JOSECA91745942420708501(c)(3)$45,000Project Support
NIROGA INSTITUTE
111 FAIRMOUNT AVENUEOAKLANDCA95112202620278501(c)(3)$130,000Project Support
NONPROFIT ASSOCIATION OF OREGON
5100 SW MACADAM AVE 360PORTLANDOR94611930685385501(c)(3)$24,500Project Support
NONPROFIT RESOURCE CENTER
2031 K ST 2ND FLSACRAMENTOCA97239680173440501(c)(3)$50,000Project Support
NORTH BAY CHILDRENS CENTER
932 C STNOVATOCA95811943024246501(c)(3)$20,000Project Support
NORTH BY NORTHEAST COMMUNITY HEALTH
714 NE ALBERTA STPORTLANDOR94949721618287501(c)(3)$65,000Project Support
NORTH MARIN COMMUNITY SERVICES
680 WILSON AVENUENOVATOCA97211941735064501(c)(3)$105,000Project Support
NORTH VALLEY CARING SERVICES INC
15435 RAYEN STNORTH HILLSCA94947954444561501(c)(3)$10,000Project Support
NORTHEAST VALLEY HEALTH CORP
1172 N MACLAY AVESAN FERNANDOCA91343237120632501(c)(3)$25,000Project Support
NORTHERN CALIFORNIA CENTER
101 BROOKWOOD AVESANTA ROSACA91340931144835501(c)(3)$30,000Project Support
NORTHWEST FAMILY SERVICES
6200 SE KING RDPORTLANDOR95404930841022501(c)(3)$75,000Project Support
NORTHWEST HOUSING ALTERNATIVES
2316 SE WILLARD STMILWAUKIEOR97222930814473501(c)(3)$15,000Project Support
NORTHWEST HUMAN SERVICES INC
681 CENTER ST NESALEMOR97222930605570501(c)(3)$30,000Project Support
NORTHWEST PILOT PROJECT INC
1430 SW BROADWAY 200PORTLANDOR97301930635871501(c)(3)$30,000Project Support
NORTHWESTERN UNIVERSITY
633 Clark St EvanstonEvanstonIL97201362167817501(c)(3)$55,151Research
NYU WINTHROP HOSPITAL
259 1ST STMINEOLANY60208111633486501(c)(3)$193,742Research
OAK GROVE INSTITUTE FOUNDATION INC
24275 JEFFERSON AVEMURRIETACA11501330470446501(c)(3)$20,000Project Support
OAKLAND CALIFORNIA YOUTH OUTREACH INC
PO BOX 19500OAKLANDCA92562274707108501(c)(3)$40,000Project Support
OAKLAND COMMUNITIES UNITED FOR EQUITY &
4799 SHATTUCK AVEOAKLANDCA94619301005887501(c)(3)$25,000Project Support
OAKLAND ELIZABETH HOUSE
6423 COLBY STOAKLANDCA94609943225949501(c)(3)$20,000Project Support
OAKLAND POLICE ACTIVITIES LEAGUE
PO BOX 6788OAKLANDCA94618942826718501(c)(3)$40,000Project Support
OAKLAND PUBLIC EDUCATION FUND
PO BOX 71005OAKLANDCA94603432014630501(c)(3)$24,500Project Support
OCEAN PARK COMMUNITY CENTER
2116 ARLINGTON AVELOS ANGELESCA94612956143865501(c)(3)$18,000Project Support
OCHIN
1881 SW Naito ParkwayPortlandOR90018200195556501(c)(3)$784,606Research / Project Support
OLE HEALTH
1100 TRANCAS STNAPACA95076237221695501(c)(3)$130,000Project Support
OLIVE CREST
555 TECHNOLOGY CT 300RIVERSIDECA94558952877102501(c)(3)$20,000Project Support
ON THE MOVE
780 LINCOLN AVENUENAPACA92507753149095501(c)(3)$40,000Project Support
ONE GENERATION
17400 VICTORY BLVDVAN NUYSCA94558954066979501(c)(3)$13,000Project Support
ONE IN LONG BEACH INC
2017 E 4TH STLONG BEACHCA91406953523149501(c)(3)$10,000Project Support
ONE MIND
PO BOX 680RUTHERFORDCA90814680359707501(c)(3)$1,500,000Project Support
ONE STEP A LA VEZ
421 SESPE AVEFILLMORECA94573454604852501(c)(3)$8,155Project Support
ONEILL SEA ODYSSEY
2222 E CLIFF DR 222SANTA CRUZCA93015770464784501(c)(3)$10,000Project Support
ON-SITE DENTAL CARE FOUNDATION INC
PO BOX 41111SAN JOSECA95062770495262501(c)(3)$50,000Project Support
ONTARIO MONTCLAIR SCHOOL
950 WEST D STREETONTARIOCA95160956002267501(c)(3)$15,000Project Support
ONTARIO-MONTCLAIR SCHOOL FOUNDATION
PO BOX 1426ONTARIOCA91762900716973501(c)(3)$10,000Project Support
OPAL ENVIRONMENTAL JUSTICE OREGON
3202 SE 82ND AVE STE BPORTLANDOR91762202782595501(c)(3)$45,000Project Support
OPEN HEART KITCHEN OF LIVERMORE INC
1141 CATALINA DR 137LIVERMORECA97266943396038501(c)(3)$40,000Project Support
OPERATION ACCESS
1119 MARKET STSAN FRANCISCOCA94550943180356501(c)(3)$350,000Project Support
OPERATION DIGNITY INC
3850 SAN PABLO AVE102EMERYVILLECA94103943176007501(c)(3)$95,000Project Support
OPERATION SAFE HOUSE INC
9685 HAYES STRIVERSIDECA94608330326090501(c)(3)$20,000Project Support
ORANGEWOOD FOUNDATION
1575 E 17TH STSANTA ANACA92503953616628501(c)(3)$80,000Project Support
OREGON CHILDRENS FOUNDATION
101 SW MARKET STPORTLANDOR92705931051724501(c)(3)$15,000Project Support
OREGON COLLEGE OF ORIENTAL MEDICINE
75 NW COUCHPORTLANDOR97201930845182501(c)(3)$15,000Project Support
OREGON COMMUNITY FOUNDATION THE
1221 SW YAMHILL 100PORTLANDOR97209237315673501(c)(3)$5,000,000Project Support
OREGON COMMUNITY HEALTH WORKERS
411 NE 19TH AVEPORTLANDOR97205931259522501(c)(3)$208,000Project Support
OREGON FOOD BANK INC
PO BOX 55370PORTLANDOR97232930785786501(c)(3)$15,000Project Support
OREGON HEALTH & SCIENCE UNIVERSITY
3181 SW Sam Jackson PrkPortlandOR97238931176109Government$110,281Research / Project Support
OREGON PARTNERSHIP INC
5101 SW MACADAM AVE 400PORTLANDOR91702930725294501(c)(3)$215,000Project Support
OREGON PRIMARY CARE ASSOCIATION
333 SW 5TH AVE STE 250PORTLANDOR97239930877986501(c)(3)$95,000Project Support
OREGON SCHOOL-BASED HEALTH ALLIANCE
911 NE DAVIS STPORTLANDOR97204364588657501(c)(3)$163,000Project Support
OREGON STATE HOSPITAL MUSEUM OF MENTAL
PO BOX 851SALEMOR97232271850784501(c)(3)$15,000Project Support
OUTSIDE IN
1132 SW 13TH AVEPORTLANDOR97308930567549501(c)(3)$94,000Project Support
PACIFIC CLINICS
800 S SANTA ANITA AVEARCADIACA97205951644034501(c)(3)$14,333Sponsorships
PACIFICA RESOURCE CENTER
1809 PALMETTO AVEPACIFICACA91006811496989501(c)(3)$10,000Project Support
PAJARO VALLEY LOAVES AND FISHES INC
150 2ND STWATSONVILLECA94044770319247501(c)(3)$15,000Project Support
PAJARO VALLEY PREVENTION & STUDENT
335 E LAKE AVEWATSONVILLECA95076770269322501(c)(3)$98,000Project Support
PAJARO VALLEY UNIFIED SCHOOL DISTRICT
294 GREEN VALLEY RDWATSONVILLECA95076770375541GOVERNMENT$20,000Project Support
Palo Alto Medical Foundation Res Instit
795 E Camino RealPalo AltoCA95076941156581501(c)(3)$90,055Research
PARENT TEACHER HOME VISIT PROJECT INC
2411 15TH STSACRAMENTOCA94301510477445501(c)(3)$30,000Project Support
PARTI
2576 GUMDROP DRSAN JOSECA95818760832431501(c)(3)$15,000Project Support
PARTNERS FOR A HUNGER FREE OREGON
712 SE HAWTHORNE-STE 202PORTLANDOR95148204970868501(c)(3)$15,000Project Support
PARTNERS IN CARE FOUNDATION
732 MOTT ST 150SAN FERNANDOCA97214953954057501(c)(3)$9,750Sponsorships
PARTNERSHIPS FOR TRAUMA RECOVERY
1936 UNIVERSITY AVE191BERKELEYCA91340473948973501(c)(3)$25,000Project Support
PASADENA SENIOR CENTER
85 E HOLLY STPASADENACA94704952085393501(c)(3)$15,000Sponsorships
PEACE OVER VIOLENCE
1015 WILSHIRE BLVDLOS ANGELESCA91103510179305501(c)(3)$8,848Sponsorships
PENINSULA FAMILY CONNECTIONS
220 TWIN DOLPHIN DRREDWOOD CITYCA90017943315163501(c)(3)$10,000Project Support
PENINSULA FAMILY SERVICE
24 SECOND AVENUESAN MATEOCA94065941186169501(c)(3)$15,000Project Support
PENINSULA VOLUNTEERS INC
800 MIDDLE AVEMENLO PARKCA94401941294939501(c)(3)$10,000Project Support
Pennsylvania State University
227 Beaver Ave Ste 401State CollegePA94025246000376Government$261,175Research / Project Support
PEOPLE ASSISTING THE HOMELESS
340 N MADISON AVELOS ANGELESCA16801953950196501(c)(3)$15,000Project Support
PEOPLE REACHING OUT INC
5299 AUBURN BLVDSACRAMENTOCA90004942795430501(c)(3)$20,000Project Support
PHYSICIANS MEDICAL FORUM
6114 LA SALLE AVE601OAKLANDCA95841300086728501(c)(3)$75,000Project Support
PITTSBURG UNIFIED SCHOOL DISTRICT
3200 LOVERIDGE RDPITTSBURGCA94611521771225GOVERNMENT$90,000Project Support
PLACER COUNTY OFFICE OF EDUCATION
360 NEVADA STAUBURNCA94565946002096GOVERNMENT$20,000Project Support
PLACER FOOD BANK
8284 INDUSTRIAL AVEROSEVILLECA95603941740316501(c)(3)$130,000Project Support
PLANNED PARENTHOOD
400 WEST 30TH STREETLOS ANGELESCA95678952408623501(c)(3)$12,000Project Support
PLANNED PARENTHOOD MAR MONTE INC
1746 THE ALAMEDASAN JOSECA90007941583439501(c)(3)$20,000Project Support
PLANNED PARENTHOOD SHASTA DIABLO
2185 PACHECO STCONCORDCA95126941575233501(c)(3)$20,000Project Support
PLAYWORKS EDUCATION ENERGIZED
460 E CARSON PLAZA DR106CARSONCA94520943251867501(c)(3)$190,000Project Support
POGO PARK
2604 ROOSEVELT AVERICHMONDCA90746320318691501(c)(3)$20,000Project Support
POMONA COMMUNITY HEALTH CENTER
1450 EAST HOLT AVEPOMONACA94804223914738501(c)(3)$15,000Project Support
POMONA UNIFIED SCHOOL DISTRICT
800 S GAREY AVEPOMONACA91767956002457GOVERNMENT$18,000Project Support
PORTLAND CHILDRENS MUSEUM
4015 SW CANYON RDPORTLANDOR91766931278089501(c)(3)$15,000Project Support
PORTLAND LEADERSHIP FOUNDATION
809 N RUSSELL ST 203PORTLANDOR97221264224606501(c)(3)$70,000Project Support
PORTLAND MEET PORTLAND
1320 SE 122ND AVEPORTLANDOR97227472471876501(c)(3)$10,000Project Support
PORTLAND PARKS FOUNDATION
1500 SW 1ST AVE STE 760PORTLANDOR97233931319970501(c)(3)$15,000Project Support
PORTLAND WORKFORCE ALLIANCE
7100 SE DIVISION STPORTLANDOR97201272964874501(c)(3)$10,000Project Support
PORTOLA FAMILY CONNECTION CENTER
2565 SAN BRUNO AVESAN FRANCISCOCA97206943213689501(c)(3)$15,000Project Support
PORTUGUESE ORGANIZATION FOR SOCIAL
1115 E SANTA CLARA STSAN JOSECA94134510187655501(c)(3)$35,000Project Support
POSITIVE RESULTS CORPORATION
1128 W GARDENA BLVDGARDENACA95116954455668501(c)(3)$60,000Project Support
POVERELLO HOUSE
412 F STFRESNOCA90247770007985501(c)(3)$75,000Project Support
PRC
170 9TH STSAN FRANCISCOCA93706943078431501(c)(3)$10,000Project Support
PRESCHOOL COLLABRATION PTA
900 TRAVIS BLVDFAIRFIELDCA94103901074067501(c)(3)$20,000Project Support
PRESIDENT AND FELLOWS OF HARVARD COLLEGE
677 Huntington AveBostonMA94533042103580501(c)(3)$37,586Research / Project Support
PRIMARY SCHOOL EAST PALO ALTO
1765 E BAYSHORE RDEAST PALO ALTOCA02115473334579501(c)(3)$200,000Project Support
PROJECT ACCESS INC
2100 W ORANGEWOOD AVE230ORANGECA94303330834635501(c)(3)$25,000Project Support
PROJECT ACCESS NOW
PO BOX 10953PORTLANDOR92868208928388501(c)(3)$897,543Project Support
PROJECT ANGEL FOOD
922 VINE STLOS ANGELESCA97296954115863501(c)(3)$43,500Project Support
PROJECT AVARY INC
PO BOX 150088SAN RAFAELCA90038680433289501(c)(3)$20,000Project Support
PROJECT HEAL
3818 WEST DRDOUGLASTONNY94915262614278501(c)(3)$10,000Project Support
PROJECT SISTER FAMILY SERVICES
PO BOX 1369POMONACA11363237116161501(c)(3)$17,000Project Support
PROUD GROUND
5288 N INTERSTATE AVEPORTLANDOR91769931290320501(c)(3)$30,000Project Support
Providence Health Systems
5251 NE Glisan Street APortlandOR97217930386906501(c)(3)$45,000Project Support
PUBLIC COUNSEL
610 S ARDMORE AVELOS ANGELESCA97213237105149501(c)(3)$9,000Sponsorships
PUBLIC HEALTH ADVOCATES
PO BOX 2309DAVISCA90005954723901501(c)(3)$220,000Project Support
PUBLIC HEALTH INSTITUTE
555 12TH ST 10TH FLOAKLANDCA95617941646278501(c)(3)$415,000Project Support
PV COMMUNITY HEALTH TRUST
85 NEILSON STWATSONVILLECA94607941149702501(c)(3)$75,000Project Support
QUEST CENTER FOR INTEGRATIVE HEALTH
2901 E BURNSIDEPORTLANDOR95076931121778501(c)(3)$15,000Project Support
RAFIKI COALITION FOR HEALTH & WELLNESS
601 CESAR CHAVEZSAN FRANCISCOCA97214943098879501(c)(3)$40,000Project Support
RANCHO LOS AMIGOS FOUNDATION
7601 IMPERIAL HWY TRLR 1DOWNEYCA94124953849600501(c)(3)$7,500Sponsorships
RAND
1776 Main StreetSanta MonicaCA90242951958142501(c)(3)$17,531Research / Project Support
RAPE TRAUMA SERVICES
1860 EL CAMINO REAL SUITE 406BURLINGAMECA90401943215045501(c)(3)$15,000Project Support
RAPHAEL HOUSE OF SAN FRANCISCO INC
1065 SUTTER STSAN FRANCISCOCA94010943141608501(c)(3)$15,000Project Support
RAVENSWOOD EDUCATION FOUNDATION
PO BOX 396MENLO PARKCA94109260166433501(c)(3)$20,000Project Support
REACH OUT AND READ INC
56 ROLAND ST STE 100DBOSTONMA94026043481253501(c)(3)$98,000Project Support
REACH OUT WEST END
1126 W FOOTHILL BLVD 250UPLANDCA91786952642747501(c)(3)$25,000Project Support
REBEKAH CHILDRENS SERVICES
290 IOOF AVENUEGILROYCA91786941167402501(c)(3)$50,000Project Support
REBUILDING TOGETHER SILICON VALLEY
1701 S 7TH ST 10SAN JOSECA95020770289381501(c)(3)$20,000Project Support
RECOVERY CAFE SAN JOSE INC
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RECTOR WARDENS AND VESTRY OF THE CHURCH
4368 SANTA ANITA AVEEL MONTECA95112951765149501(c)(3)$10,000Project Support
REDWOOD CITY POLICE ACTIVITIES LEAGUE
3399 BAY ROADREDWOOD CITYCA91731943229506501(c)(3)$10,000Project Support
REDWOOD COMMUNITY HEALTH COALITION
1310 REDWOOD WAYPETALUMACA94063943220029501(c)(3)$119,500Project Support
REGENTS OF THE UNIVERSITY OF MICHIGAN
3003 S State StreetAnn ArborMI94954386006309Government$705,208Research / Project Support
REGENTS OF THE UNIVERSITY OF Minnesota
200 Oak St SEMinneapolisMN48109061793666Government$64,036Research / Project Support
REGENTS UNIVERSITY OF CALIFORNIA
10889 WILSHIRE BLVDLOS ANGELESCA95455956006143501(c)(3)$711,607Research
REGIONAL PARKS FOUNDATION
2950 PERALTA OAKS CTOAKLANDCA90024237011877501(c)(3)$70,000Sponsorships
REIMAGINE MACK ROAD FOUNDATION
75 QUINTA CTSACRAMENTOCA94605464193875501(c)(3)$60,000Project Support
RENAISSANCE ENTREPRENEURSHIP CENTER
275 5TH STSAN FRANCISCOCA95823942793122501(c)(3)$90,000Project Support
RESCUE MISSION ALLIANCE
315 NORTH A STOXNARDCA94103237278002501(c)(3)$10,000Project Support
RESEARCH FOUNDATION FOR THE STATE Univ NY
402 Crofts HallBuffaloNY93030141368361501(c)(3)$5,222Research / Project Support
RESOURCES FOR COMMUNITY DEVELOPMENT
2220 OXFORD STBERKELEYCA14260942952466501(c)(3)$30,000Project Support
RETURNING VETERANS PROJECT
833 SE MAIN ST 429PORTLANDOR94704204034255501(c)(3)$15,000Project Support
RICHMOND AREA MULTI-SERVICES
4355 GEARY BLVDSAN FRANCISCOCA97214237389436501(c)(3)$40,000Project Support
RIGHTWAY FOUNDATION
3650 W MLK JR BLVDLOS ANGELESCA94118900761009501(c)(3)$10,000Project Support
RIM FAMILY SERVICES INC
PO BOX 578SKYFORESTCA90008330496148501(c)(3)$20,000Project Support
RIVER CITY FOOD BANK
PO BOX 160204SACRAMENTOCA92385911851398501(c)(3)$15,000Project Support
RIVER TO COAST CHILDRENS SERVICES INC
PO BOX 16GUERNEVILLECA95816942378459501(c)(3)$20,000Project Support
RIVERSIDE AREA RAPE CRISIS CENTER
1845 CHICAGO AVERIVERSIDECA95446953245057501(c)(3)$20,000Project Support
RIVERSIDE COMMUNITY HEALTH FOUNDATION
4275 LEMON STRIVERSIDECA92507237276444501(c)(3)$20,000Project Support
RIVERSIDE MEDICAL CLINIC CHARITABLE
PO BOX 2605RIVERSIDECA92501300796418501(c)(3)$24,600Sponsorships
RIVERSIDE UNIVERSITY HEALTH SYSTEM
PO BOX 9850MORENO VALLEYCA92516330374018501(c)(3)$25,000Project Support
ROBBY POBLETE FOUNDATION
5055 BUSINESS CENTER DRFAIRFIELDCA92552820740692501(c)(3)$20,000Project Support
ROBERT F KENNEDY INSTITUTE OF COMMUNITY
544 N AVALON BLVD309WILMINGTONCA94534330531975501(c)(3)$10,000Project Support
ROBERTS FAMILY DEVELOPMENT CENTER
770 DARINA AVESACRAMENTOCA90744680470557501(c)(3)$30,000Project Support
ROOTS COMMUNITY HEALTH CENTER
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ROSEWOOD INITIATIVE
16126 SE STARK STPORTLANDOR94603273823320501(c)(3)$90,000Project Support
ROTACARE BAY AREA INC
514 VALLEY WAYMILPITASCA97233770328723501(c)(3)$45,000Project Support
RUBICON PROGRAMS INC
2500 BISSELL AVENUERICHMONDCA95035942301550501(c)(3)$100,000Project Support
RYSE INC
205 41ST STRICHMONDCA94804260692904501(c)(3)$30,000Project Support
SAC HEALTH SYSTEM
250 S G STSAN BERNARDINOCA94805330664371501(c)(3)$15,000Project Support
SACRAMENTO CHILDRENS HOME
2750 SUTTERVILLE RDSACRAMENTOCA92410941156588501(c)(3)$20,000Project Support
SACRAMENTO CITY UNIFIED SCHOOL
5735 47TH AVESACRAMENTOCA95820946002491GOVERNMENT$148,000Project Support
SACRAMENTO FOOD BANK & FAMILY SERVICES
3333 THIRD AVENUESACRAMENTOCA95824943315566501(c)(3)$95,000Project Support
SACRAMENTO LOAVES AND FISHES
PO BOX 2161SACRAMENTOCA95817680189897501(c)(3)$25,000Project Support
SACRAMENTO NEIGHBORHOOD HOUSING SERVICES
2411 ALHAMBRA BLVD200SACRAMENTOCA95811680118032501(c)(3)$15,000Project Support
SACRAMENTO SELF-HELP HOUSING INC
PO BOX 188445SACRAMENTOCA95817680217383501(c)(3)$20,000Project Support
SAFE & SOUND
1757 WALLER STSAN FRANCISCOCA95818942455072501(c)(3)$15,000Project Support
SAFE ALTERNATIVES TO VIOLENT ENVIRONMENTS
1900 MOWRY AVEFREMONTCA94117942520559501(c)(3)$20,000Project Support
SAFE PASSAGES
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SAFE ROUTES TO SCHOOL NATIONAL
PO BOX 102088PASADENACA94612462694434501(c)(3)$400,000Project Support
SALEM FREE MEDICAL CLINIC
1301 BROADWAY ST NE 104SALEMOR91189203549992501(c)(3)$23,000Project Support
SALEM HARVEST INC
PO BOX 483SALEMOR97301453043885501(c)(3)$9,000Project Support
SALEM HOSPITAL
PO BOX 14001SALEMOR97308930579722501(c)(3)$2,644,218Project Support
SALEM-KEIZER COALITION FOR EQUALITY
3850 PORTLAND RD NE 100SALEMOR97309651203900501(c)(3)$50,000Project Support
SALUD PARA LA GENTE
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SAMARITAN COUNSELING CENTER
1126 W FOOTHILL BLVD 111UPLANDCA95076953160005501(c)(3)$15,000Project Support
SAMARITAN HOUSE
4031 PACIFIC BLVDSAN MATEOCA91786237416272501(c)(3)$35,000Project Support
SAN BERNARDINO CITY UNIFIED SCHOOL
777 N F STSAN BERNARDINOCA94403952285577Government$17,100Project Support
SAN BERNARDINO SEXUAL ASSAULT
444 N ARROWHEAD AVESAN BERNARDINOCA92410953543081501(c)(3)$22,100Project Support
SAN DIEGO STATE UNIVERSITY
5250 Campanile DriveSan DiegoCA92401330373293Government$164,168Research / Project Support
SAN FERNANDO COMMUNITY HOSPITAL
732 MOTT ST 100SAN FERNANDOCA94109510142144501(c)(3)$14,000Project Support
SAN FRANCISCO COMMUNITY CLINIC
2720 TAYLOR STSAN FRANCISCOCA91340942897258501(c)(3)$20,000Project Support
SAN FRANCISCO MARKET CORPORATION
2095 JERROLD AVESAN FRANCISCOCA94133454849844501(c)(3)$10,000Project Support
SAN FRANCISCO PARKS ALLIANCE
1663 MISSION ST320SAN FRANCISCOCA94124237131784501(c)(3)$1,765,000Project Support
SAN FRANCISCO PARTICULAR COUNCIL
1175 HOWARD STSAN FRANCISCOCA94103941571017501(c)(3)$10,000Project Support
SAN GABRIEL UNIFIED SCHOOL
408 JUNIPERO SERRA DRSAN GABRIELCA94103956000777Government$10,651Project Support
SAN GABRIEL VALLEY FOUNDATION FOR DENTAL
14101 E NELSON AVELA PUENTECA91776954590029501(c)(3)$10,000Project Support
San Gabriel Valley Habitat for Humanity
400 South Irwindale AveAzusaCA91746954244947501(c)(3)$10,000Project Support
SAN JOAQUIN COUNTY OFFICE
PO BOX 213030STOCKTONCA91702680006282GOVERNMENT$70,000Project Support
SAN JOSE EVERGREEN COMMUNITY COLLEGE
600 S BASCOM AVE T-124SAN JOSECA95213770100756GOVERNMENT$30,000Project Support
SAN JOSE PARKS RECREATION SVCS
200 E SANTA CLARA STSAN JOSECA95128946000419GOVERNMENT$44,408Project Support
SAN JUAN UNIFIED SCHOOL DISTRICT
3738 WALNUT AVECARMICHAELCA95113946002533GOVERNMENT$90,000Project Support
SAN MATEO COUNTY SHERIFFS ACTIVITIES
3151 EDISON WAYREDWOOD CITYCA95608450617342501(c)(3)$20,000Project Support
SAN MATEO POLICE ACTIVITIES
200 FRANKLIN PARKWAYSAN MATEOCA94063311593896501(c)(3)$15,000Project Support
SAN PABLO POLICE DEPARTMENT
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SANGER UNIFIED SCHOOL DISTRICT
1905 7TH STSANGERCA94806956002210GOVERNMENT$75,000Project Support
SANTA CLARITA VALLEY BOYS
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SANTA CRUZ COMMUNITY HEALTH CENTERS
125 WATER ST A2SANTA CRUZCA91321237428303501(c)(3)$300,000Project Support
SANTA CRUZ MAH
705 FRONT STSANTA CRUZCA95060942718861501(c)(3)$10,000Project Support
SANTA ROSA COMMUNITY HEALTH
3569 ROUND BARN CIRSANTA ROSACA95060680365296501(c)(3)$348,000Project Support
SANTA ROSA JUNIOR COLLEGE
1501 MENDOCINO AVESANTA ROSACA95403946033759government$20,000Project Support
SANTA ROSA PARKS FOUNDATION
1014 HOPPER AVESANTA ROSACA95401461409462501(c)(3)$500,000Project Support
SATELLITE AFFORDABLE HOUSING ASSOCIATES
1835 ALCATRAZ AVEBERKELEYCA95403943186770501(c)(3)$25,000Project Support
SAVE BLACK BOYS
1842 N BULLIS RD QCOMPTONCA94703472096517501(c)(3)$27,500Project Support
SCHOOL HEALTH CLINICS OF SANTA CLARA
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SCOPA HAS A DREAM INC
PO BOX 1004HEALDSBURGCA95119273044487501(c)(3)$110,000Project Support
SCOTTS VALLEY EDUCATIONAL FOUNDATION
245 MOUNT HERMON RDSCOTTS VALLEYCA95448770006718501(c)(3)$10,000Project Support
SEATTLE CHILDRENS HOSPITAL
2001 Eighth AvenueSeattleWA95066911156519501(c)(3)$273,030Research / Project Support
SECOND HARVEST FOOD BANK
8014 MARINE WAYIRVINECA92516320362611501(c)(3)$25,000Project Support
SECOND HARVEST FOOD BANK OF SAN JOAQUIN
1220 VANDERBILT CIRMANTECACA92618680376587501(c)(3)$30,000Project Support
SECOND HARVEST FOOD BANK SANTA CRUZ
800 OHLONE PKWYWATSONVILLECA95337770326685501(c)(3)$95,000Project Support
Second Harvest of Silicon Valley
4001 N First StSan JoseCA95076942614101501(c)(3)$95,000Project Support
SEEDS COMMUNITY RESOLUTION CENTER
2530 SAN PABLO AVEBERKELEYCA95134943054165501(c)(3)$25,000Project Support
SELF ENHANCEMENT INC
3920 N KERBY AVEPORTLANDOR94702931086629501(c)(3)$50,000Project Support
SENECA FAMILY OF AGENCIES
6925 CHABOT RDOAKLANDCA97227942971761501(c)(3)$128,000Project Support
SENIOR COASTSIDERS
925 MAIN STHALF MOON BAYCA94618943119310501(c)(3)$10,000Project Support
SENIOR SUPPORT OF THE TRI VALLEY
5353 SUNOL BOULEVARDPLEASANTONCA94019203225569501(c)(3)$20,000Project Support
SENIORS FIRST
12183 LOCKSLEY LNAUBURNCA94596680430154501(c)(3)$22,500Project Support
SFGH FOUNDATION CO HEROES AND HEARTS
2789 25TH ST 2028SAN FRANCISCOCA95602943189424501(c)(3)$5,000,000Project Support
SHANTI PROJECT INC
730 POLK ST FL 3SAN FRANCISCOCA94110942297147501(c)(3)$20,000Project Support
SHARE INC
2306 NE ANDRESEN RDVANCOUVERWA94109911205119501(c)(3)$45,000Project Support
SHAREFEST COMMUNITY DEVELOPMENT INC
638 S BEACON ST 700SAN PEDROCA98661205651596501(c)(3)$10,000Project Support
SHELTER INC OF CONTRA COSTA COUNTY
PO BOX 5368CONCORDCA90731680117241501(c)(3)$207,500Project Support
SHELTER PARTNERSHIP INC
520 S GRAND AVE 695LOS ANGELESCA94524953976214501(c)(3)$13,750Sponsorships
SHELTERCARE
499 W 4TH AVEEUGENEOR90071237115003501(c)(3)$407,376Project Support
SHERIFFS COMMUNITY IMPACT PROGRAM THE
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Shirley Ware Education Foundation
1000 Broadway675OaklandCA95825943319072501(c)(3)$32,500,000Project Support
Shrine of the Holy Cross Parish Daphne
612 Main StreetDaphneAL94607473618645501(c)(3)$7,500Project Support
SIERRA FOREVER FAMILIES
8928 VOLUNTEER LN100SACRAMENTOCA36526680002878501(c)(3)$20,000Project Support
SIERRA HEALTH FOUNDATION CENTER FOR
1321 GARDEN HWY 210SACRAMENTOCA95826455282243501(c)(3)$125,000Project Support
SIERRA VISTA CHILD AND FAMILY SERVICES
100 POPLAR AVENUEMODESTOCA95833942158023501(c)(3)$150,000Project Support
SINGLE MOTHERS OUTREACH
24781 APPLE ST BSANTA CLARITACA95354954646004501(c)(3)$10,000Project Support
SMILE UNTO HIM
1317 W FOOTHILL BLVD 138UPLANDCA91321473989669501(c)(3)$20,000Project Support
SOCIAL ADVOCATES FOR YOUTH
2447 SUMMERFIELD RDSANTA ROSACA91786941711490501(c)(3)$20,000Project Support
SOCIAL GOOD FUND
12651 SAN PABLO AVE5473RICHMONDCA95405461323531501(c)(3)$13,000Project Support
SOCIAL JUSTICE LEARNING INSTITUTE INC
600 CENTINELA AVEINGLEWOODCA94805263413373501(c)(3)$10,000Project Support
SOCIAL SCIENCE SERVICES INC
18612 SANTA ANA AVEBLOOMINGTONCA90302952914237501(c)(3)$15,000Project Support
SOCIETY OF ST VINCENT DE PAUL
8101 SE CORNWELL STPORTLANDOR92316930456525501(c)(3)$30,000Project Support
SOCIETY OF ST VINCENT DE PAUL OF CONTRA
2210 GLADSTONE DRPITTSBURGCA97206941448577501(c)(3)$40,000Project Support
SOIL BORN FARMS URBAN PROJECT
PO BOX 661175SACRAMENTOCA94565200774693501(c)(3)$35,000Project Support
SOLANO COUNTY OFFICE OF EDUCATION
5100 BUSINESS CENTER DRFAIRFIELDCA95866946002197GOVERNMENT$45,000Project Support
SOLUTIONS FOR AT RISK YOUTH
579 WILLOW CTBENICIACA94533680479787501(c)(3)$10,000Project Support
SOMALI AMERICAN COUNCIL OF OREGON
1511 SE 122ND AVEPORTLANDOR94510320338616501(c)(3)$30,000Project Support
SONOMA COUNTY COMMUNITY DEVELOPMENT
1440 GUERNEVILLE RDSANTA ROSACA97233942158408501(c)(3)$75,000Project Support
SONOMA COUNTY HEALTH SERVICES
DHS PUBLIC HEALTH LABSANTA ROSACA95403946000539GOVERNMENT$208,000Project Support
SONOMA COUNTY OFFICE OF
5340 SKYLANE BLVDSANTA ROSACA95405946002635GOVERNMENT$110,000Project Support
SONRISAS DENTAL HEALTH INC
430 N EL CAMINO REALSAN MATEOCA95403943390196501(c)(3)$40,000Project Support
SOUTH BAY FAMILY
23430 HAWTHORNE BLVDTORRANCECA94401237049937501(c)(3)$10,000Project Support
SOUTH CENTRAL FAMILY HEALTH CENTER
1111 E VERNON AVELOS ANGELESCA90505953877793501(c)(3)$17,750Project Support
SOUTH SAN FRANCISCO PARKS DEPT
33 ARROYO DRSO SAN FRANCISCOCA90011946000435GOVERNMENT$12,500Project Support
SOUTHERN ALAMEDA COUNTY COMMITTEE FOR
21455 BIRCH ST STE 5HAYWARDCA94080942297155501(c)(3)$125,000Project Support
SOUTHLAND INTEGRATED SERVICES INC
1618 W 1ST STSANTA ANACA94541953403526501(c)(3)$20,000Project Support
SOW A SEED COMMUNITY FOUNDATION
35 E 10TH ST D1TRACYCA92703113821058501(c)(3)$68,600Project Support
SPECIAL SERVICE FOR GROUPS
905 E 8TH STLOS ANGELESCA95376951716914501(c)(3)$84,000Project Support
SPOON FOUNDATION
135 SE MAIN ST STE 201PORTLANDOR90021260712302501(c)(3)$15,000Project Support
SPUR
654 MISSION STSAN FRANCISCOCA97214941498232501(c)(3)$40,000Project Support
ST JOHNS PROGRAM FOR REAL CHANGE
2443 FAIR OAKS BLVDSACRAMENTOCA94105680132934501(c)(3)$25,000Project Support
ST FRANCIS CENTER OF REDWOOD CITY
151 BUCKINGHAM AVEREDWOOD CITYCA95825943052056501(c)(3)$15,000Project Support
ST JEANNE DE LESTONNAC FREE CLINIC
1215 E CHAPMAN AVEORANGECA94063953499011501(c)(3)$55,000Project Support
ST JOHNS WELL CHILD & FAMILY CENTER INC
808 W 58TH STLOS ANGELESCA92866954067758501(c)(3)$10,000Sponsorships
ST MARYS CENTER
925 BROCKHURST STOAKLANDCA90037680172229501(c)(3)$20,000Project Support
ST MARYS DINING ROOM
545 W SONORA STSTOCKTONCA94608942687280501(c)(3)$50,000Project Support
ST VINCENT DE PAUL SOCIETY ROSEVILLE
503 GIUSEPPE CT 8ROSEVILLECA95203680205405501(c)(3)$30,000Project Support
ST JOSEPHS MEDICAL CENTER
1800 North California StStocktonCA95678510432777501(c)(3)$3,307,494Project Support
STAND AGAINST DOMESTIC
1410 DANZIG PLAZA 200CONCORDCA95204942476576501(c)(3)$98,000Project Support
STAND FOR CHILDREN LEADERSHIP CENTER INC
2121 SW BROADWAY 111PORTLANDOR94520521957214501(c)(3)$24,500Project Support
STAND UP PLACER INC
PO BOX 5462AUBURNCA97201942578871501(c)(3)$25,000Project Support
STANFORD UNIVERSITY
3160 Porter DrivePalo AltoCA95604941156365501(c)(3)$319,286Research / Project Support
STANISLAUS COUNTY HEALTH SERVICES AGENCY
251 E HACKETT RDMODESTOCA94304946000540501(c)(3)$135,000Project Support
STARVISTA
610 ELM ST 212SAN CARLOSCA95358943094966501(c)(3)$105,000Project Support
STATE CENTER COMMUNITY COLLEGE
390 W FIR AVECLOVISCA94070770190269GOVERNMENT$25,000Project Support
STILES HALL
2400 BANCROFT WAYBERKELEYCA93611941156636501(c)(3)$85,000Project Support
STORE TO DOOR
PO BOX 4665PORTLANDOR94704943105555501(c)(3)$15,000Project Support
STREET LEVEL HEALTH PROJECT
3125 E 15TH STOAKLANDCA97208562324355501(c)(3)$30,000Project Support
STRENGTH IN SUPPORT
23461 S POINTE DRLAGUNA HILLSCA94601461896501501(c)(3)$80,000Project Support
STUDENTS RUN AMERICA
5252 CREBS AVETARZANACA92653954430502501(c)(3)$11,500Project Support
SUNNYVALE COMMUNITY SERVICES
725 KIFER RDSUNNYVALECA91356941713897501(c)(3)$45,000Project Support
SUNSET DISTRICT COMMUNITY
3918 JUDAH STREETSAN FRANCISCOCA94086931004117501(c)(3)$10,000Project Support
SUPPLYBANK ORG
7730 PARDEE LNOAKLANDCA94122510671019501(c)(3)$50,000Project Support
SUPPORTING MAMAS
1144 ARDSLEY CTSAN JOSECA94621474561203501(c)(3)$20,947Project Support
SUSTAINABLE ECONOMIC
1125 W 6TH ST 500LOS ANGELESCA95120954597000501(c)(3)$45,000Project Support
SWORDS TO PLOWSHARES VETERANS RIGHTS
1060 HOWARD STSAN FRANCISCOCA90017942260626501(c)(3)$20,000Project Support
T H E CLINIC INC
714 W OLYMPIC BLVDLOS ANGELESCA94103237351622501(c)(3)$10,000Project Support
TARZANA TREATMENT CENTERS INC
18646 OXNARD STTARZANACA90015942219349501(c)(3)$15,000Project Support
TEEN KITCHEN PROJECT
2880 RESEARCH PARK DRSOQUELCA91356270524692501(c)(3)$15,000Project Support
TENDERLOIN NEIGHBORHOOD
201 EDDY STSAN FRANCISCOCA95073942761808501(c)(3)$20,000Project Support
THE ABUNDANT TABLE
1012 W VENTURA BLVDCAMARILLOCA94102262243787501(c)(3)$8,332Project Support
THE ALANO CLUB OF PORTLAND
909 NW 24TH AVEPORTLANDOR93010930370227501(c)(3)$24,500Project Support
THE CATALYST FOUNDATION
547 W LANCAR BLVDLANCASTERCA97210770357456501(c)(3)$11,314Project Support
THE CHILDRENS BOOK BANK
1915 NE 7TH AVEPORTLANDOR93534261600475501(c)(3)$15,000Project Support
THE DIVERSITY CENTER
1117 SOQUEL AVESANTA CRUZCA97212770212967501(c)(3)$20,000Project Support
THE EDWARD BOSS PRADO FOUNDATION
35 PEEBLES AVEMORGAN HILLCA95062811659497501(c)(3)$15,000Project Support
THE EXPLORATORIUM
PIER 17 SUITE 100San FranciscoCA95037941696494501(c)(3)$15,000Project Support
THE HEALTH COMMUNICATION RESEARCH INST
5025 J ST STE 311SACRAMENTOCA94111680195121501(c)(3)$25,000Project Support
THE HEALTH TRUST
3180 NEWBERRY DRSAN JOSECA95819946050231501(c)(3)$50,000Project Support
THE KENNEDY COMMISSION
17701 COWAN 200IRVINECA95118330959380501(c)(3)$40,000Project Support
THE LATINA CENTER
3701 BARRETT AVERICHMONDCA92614680470904501(c)(3)$20,000Project Support
THE LEAVEN
2220 BOYNTON AVE AFAIRFIELDCA94805263653717501(c)(3)$55,000Project Support
THE SALVATION ARMY
2626 PACIFIC STHIGHLANDCA94533941156347501(c)(3)$30,000Project Support
THE UNITY COUNCIL
1900 FRUITVALE AVENUEOAKLANDCA92346941670490501(c)(3)$1,500,000Project Support
THINK TOGETHER
2101 E 4TH ST 200BSANTA ANACA94601330781751501(c)(3)$102,500Project Support
TIBURCIO VASQUEZ HEALTH CENTER
22331 MISSION BLVDHAYWARDCA92705237118361501(c)(3)$145,000Project Support
TIDES CENTER
1438 WEBSTER ST STE 101OAKLANDCA94541943213100501(c)(3)$791,022Project Support
TIME FOR CHANGE FOUNDATION
PO BOX 25040SAN BERNARDINOCA94612522405277501(c)(3)$10,000Project Support
TOURO UNIVERSITY CALIFORNIA
1310 CLUB DRVALLEJOCA92406133838740501(c)(3)$25,000Project Support
TRANSITION PROJECTS
665 NW HOYT STPORTLANDOR94592930591582501(c)(3)$54,500Project Support
TRANSITIONAL LIVING & COMMUNITY SUPPORT
650 HOWE AVE BLDG 400SACRAMENTOCA97209942777955501(c)(3)$40,427Project Support
TRI-CITY ELDER COALITION
3300 CAPITAL AVE BLDG BFREMONTCA95825946027361501(c)(3)$90,000Project Support
TRI-CITY HEALTH CENTER
40910 FREMONT BLVDFREMONTCA94537237255435501(c)(3)$60,000Project Support
TRILLIUM FAMILY SERVICES
3415 SE POWELL BLVDPORTLANDOR94538930386966501(c)(3)$15,000Project Support
TRI-VALLEY HAVEN FOR WOMEN
3663 PACIFIC AVENUELIVERMORECA97202942462357501(c)(3)$15,000Project Support
TRI-VALLEY NONPROFIT ALLIANCE
PO BOX 2467LIVERMORECA94551474672151501(c)(3)$20,000Project Support
TRUST FOR PUBLIC LAND
1410 N GRANT STDENVERCO94551237222333501(c)(3)$95,000Project Support
TUCKER MAXON ORAL SCHOOL
2860 SE HOLGATE BLVDPORTLANDOR80203930391592501(c)(3)$15,000Project Support
TUFTS MEDICAL CENTER INC
800 Washington StreetBostonMA97202042720360Government$29,372Research / Project Support
Turning Point Foundation
557 E Thompson BlvdVenturaCA02111770213467501(c)(3)$20,000Project Support
UC REGENTS
3333 California StSan FranciscoCA93001946036494Government$1,533,777Research / Project Support
UNCOMMON GOOD
211 W FOOTHILL BLVDCLAREMEONTCA94143954792792501(c)(3)$10,000Project Support
UNION GOSPEL MISSION
400 BANNON STSACRAMENTOCA91711946103618501(c)(3)$15,000Project Support
UNITED CAMBODIAN COMMUNITY
2201 E ANAHEIM ST 200LONG BEACHCA95811953442295501(c)(3)$7,500Project Support
UNITED HEALTH CENTERS
PO BOX 790PARLIERCA90804941732538501(c)(3)$90,000Project Support
UNITED SAMARITANS FOUNDATION
220 SOUTH BROADWAYTURLOCKCA93648770393321501(c)(3)$130,000Project Support
UNITED STATES VETERANS INITIATIVE
800 W 6TH ST 1505LOS ANGELESCA95380954382752501(c)(3)$95,750Project Support
UNITED WAY FRESNO AND MADERA COUNTIES
4949 E KINGS CANYON RDFRESNOCA90017941156514501(c)(3)$50,000Project Support
UNITED WAY OF SANTA CRUZ COUNTY
4450 CAPITOLA RD 106CAPITOLACA93727941422471501(c)(3)$70,000Project Support
UNITED WAY OF THE BAY AREA
550 KEARNY STSAN FRANCISCOCA95010941312348501(c)(3)$95,000Project Support
UNITED WAY OF THE STANISLAUS AREA
422 MCHENRY AVEMODESTOCA94108941212129501(c)(3)$90,000Project Support
UNITED WAY OF THE WINE COUNTRY
975 CORP CTR PKWYSANTA ROSACA95354941669646501(c)(3)$105,000Project Support
UNIVERSITY MUSLIM MEDICAL ASSOCIATION
711 W FLORENCE AVELOS ANGELESCA95407954666712501(c)(3)$10,250Project Support
UNIVERSITY OF ALABAMA AT BIRMINGHAM
1720 2nd AvenueBirminghamAL90044636001138Government$77,713Research / Project Support
UNIVERSITY OF CALIFORNIA BERKELEY
1608 4TH StreetBerkeleyCA94710946002123Government$6,008Research / Project Support
UNIVERSITY OF CALIFORNIA SAN FRANCISCO
2200 Post StreetSan FranciscoCA94710946036493Government$449,591Research / Project Support
UNIVERSITY OF CHICAGO PRESS
6030 S EllisChicagoIL95358362177139Government$18,613Research / Project Support
UNIVERSITY OF FLORIDA HEALTH
2197 Mowry RoadGainesvilleFL60637596002052Government$15,163Research / Project Support
University of Hawaii
2440 Campus RoadHonoluluHI32611996000354Government$28,676Research
UNIVERSITY OF MASSACHUSETTS WORCESTER
55 Lake Ave NorthWorcesterMA96822046013152Government$202,121Research / Project Support
UNIVERSITY OF PITTSBURGH
123 University PlacePittsburghPA01655250965591Government$67,643Research / Project Support
UNIVERSITY OF THE PACIFIC
3601 PACIFIC AVESTOCKTONCA15213941156266501(c)(3)$40,000Project Support
UNIVERSITY OF UTAH
201 S President CirSalt Lake CityUT95211876000525Government$70,703Research / Project Support
UNIVERSITY OF WASHINGTON
4333 Brooklyn Ave NESeattleWA91356916001537Government$1,077,361Research / Project Support
UPVALLEY FAMILY CENTERS
1440 SPRING STSAINT HELENACA98195800023012501(c)(3)$35,000Project Support
URBAN DESIGN 4 HEALTH INC
353 Rockingham StRochesterNY94574113756463501(c)(3)$98,540Research / Project Support
URBAN GLEANERS
PO BOX 6344PORTLANDOR94621204641665501(c)(3)$15,000Project Support
URBAN HABITAT
2000 FRANKLIN STOAKLANDCA97228200275424501(c)(3)$95,000Project Support
URBAN LEAGUE OF PORTLAND
10 N RUSSELL STPORTLANDOR94612930395590501(c)(3)$95,000Project Support
UT SOUTHWESTERN MEDICAL CENTER
5323 Harry Hines BlvdDallasTX97227741587488501(c)(3)$830,356Research / Project Support
VACAVILLE NEIGHBORHOOD BOYS
100 HOLLY LANEVACAVILLECA75390134223488501(c)(3)$56,000Project Support
VALLEJO CITY UNIFIED DISTRICT
665 WALNUT AVEVALLEJOCA95688680111380GOVERNMENT$19,558Project Support
VALLEY CARE COMMUNITY CONSORTIUM
7515 VAN NUYS BLVDVAN NUYSCA94592205569606501(c)(3)$9,350Sponsorships
VALLEY FAMILY CENTER
302 S BRAND BLVDSAN FERNANDOCA91405954105054501(c)(3)$19,000Project Support
VALLEY VERDE
376 W VIRGINIA STSAN JOSECA91340453084814501(c)(3)$35,000Project Support
VALLEY VILLAGE
20830 SHERMAN WAYWINNETKACA95125237314159501(c)(3)$15,000Project Support
VENICE FAMILY CLINIC FOUNDATION
604 ROSE AVEVENICECA91306273484548501(c)(3)$10,000Sponsorships
VERITY COMPASSION SAFETY SUPPORT
835 PINER RD DSANTA ROSACA90291942437947501(c)(3)$20,144Project Support
VIA CARE COMMUNITY HEALTH CENTER INC
501 S ATLANTIC BLVDLOS ANGELESCA95403800699156501(c)(3)$30,000Project Support
VICTOR VALLEY COMMUNITY SERVICES COUNCIL
PO BOX 1992VICTORVILLECA90022952041473501(c)(3)$10,000Project Support
VIETNAMESE AMERICAN COMMUNITY
655 INTERNATIONAL BLVDOAKLANDCA92393205358946501(c)(3)$20,000Project Support
VILLAGES NW-METRO
1402 SE CORA STPORTLANDOR94606464190513501(c)(3)$15,000Project Support
VIRGINIA GARCIA MEMORIAL FOUNDATION
PO BOX 6149BEAVERTONOR97202912077840501(c)(3)$15,000Project Support
VISION Y COMPROMISO
2536 EDWARDS AVEEL CERRITOCA97007320071651501(c)(3)$138,000Project Support
VISTA COMMUNITY CLINIC
1000 VALE TERRACEVISTACA94530952815615501(c)(3)$20,000Project Support
VITALANT
270 Masonic AveSan FranciscoCA92084860098929501(c)(3)$84,421Research / Project Support
VOLUNTEER CENTER
1740 17TH AVESANTA CRUZCA94118941702678501(c)(3)$12,000Project Support
VOLUNTEERS IN MEDICINE CLINIC
2260 MARCOLA RDSPRINGFIELDOR95062931276816501(c)(3)$23,000Project Support
WALL LAS MEMORIAS PROJECT
5619 MONTE VISTA STLOS ANGELESCA97477954468225501(c)(3)$32,300Project Support
WARMING CENTER PROGRAM
PO BOX 462SANTA CRUZCA90042822706806501(c)(3)$25,000Project Support
Washington State University
PO Box 641025PullmanWA95061916001108Government$175,775Project Support
Washington State University Foundation
Po Box 641927PullmanWA99164911075542501(c)(3)$30,000Project Support
WEAVE INC
1900 K STSACRAMENTOCA99164942493158501(c)(3)$25,000Project Support
WELL OF HEALING MOBILE MEDICAL CLINIC
7625 EAST AVEFONTANACA95811330831503501(c)(3)$15,000Project Support
WELLSPACE HEALTH INC
777 12TH ST 250SACRAMENTOCA92336941713704501(c)(3)$289,184Project Support
WEST COUNTY COMMUNITY SERVICES
16390 MAIN STGUERNEVILLECA95814942277740501(c)(3)$60,000Project Support
WEST COUNTY HEALTH CENTERS INC
PO BOX 1449GUERNEVILLECA95446237310613501(c)(3)$250,000Project Support
WEST COVINA UNIFIED SCHOOL DISTRICT
1717 W MERCED AVEWEST COVINACA95446956003481Government$11,415Project Support
WEST MARIN SENIOR SERVICES
11435 SR ONEPT REYES STATIONCA91790510192320501(c)(3)$20,000Project Support
WEST MODESTO COMMUNITY COLLABORATIVE
601 S MLK DRMODESTOCA94956311751288501(c)(3)$180,000Project Support
WESTCARE CALIFORNIA INC
1900 N GATEWAY BLVDFRESNOCA95351237368450501(c)(3)$150,000Project Support
Westminster Free Clinic
5560 Napoleon AveOak ParkCA93727770563241501(c)(3)$40,000Project Support
WESTSIDE FAMILY HEALTH CENTER
1711 OCEAN PARK BLVDSANTA MONICACA91377952931931501(c)(3)$15,000Project Support
WHAT WOULD JESUS DO MINISTRIES INC
236 S SANTA CRUZ AVE AMODESTOCA90405272849449501(c)(3)$6,000Project Support
WILLAMETTE FAMILY INC
687 CHESHIRE AVEEUGENEOR95354930569684501(c)(3)$92,857Project Support
WILLIAM TEMPLE HOUSE
2023 NW HOYT STPORTLANDOR97402930559964501(c)(3)$15,000Project Support
WILMINGTON COMMUNITY CLINIC
1009 N AVALON BLVDWILMINGTONCA97209953137803501(c)(3)$10,000Project Support
WIND YOUTH SERVICES
815 S STSACRAMENTOCA90744237348227501(c)(3)$25,000Project Support
WINDS FOUNDATION INC
PO BOX 3633VICTORVILLECA95811271404608501(c)(3)$22,100Project Support
Winters Healthcare
310 Main StWintersCA92393680454670501(c)(3)$250,000Project Support
WISE & HEALTHY AGING
1527 4TH ST 2ND FLSANTA MONICACA95694952788014501(c)(3)$40,000Project Support
WOMEN AGAINST GUN VIOLENCE
10401 VENICE BLVDLOS ANGELESCA90401954738754501(c)(3)$9,300Sponsorships
WOMEN HELPING WOMEN
2803 MCGAW AVEIRVINECA90034330576900501(c)(3)$25,000Project Support
WOMENS CROWNED IN GLORY INC
7120 HAYVENHURST AVE314VAN NUYSCA92614954808038501(c)(3)$8,155Project Support
WOMENS EMPOWERMENT
1590 A STSACRAMENTOCA91406030520643501(c)(3)$20,000Project Support
WRITE AROUND PORTLAND
133 SW 2ND AVE STE 304PORTLANDOR95811841482706501(c)(3)$15,000Project Support
YALE UNIVERSITY
150 Munson StreetNew HavenCT97204060646973501(c)(3)$34,534Research / Project Support
YES NATURE TO NEIGHBORHOODS
3029 MACDONALD AVERICHMONDCA06520030458294501(c)(3)$20,000Project Support
YMCA OF SAN FRANCISCO
50 CALIFORNIA STSAN FRANCISCOCA94804940997140501(c)(3)$112,500Project Support
YMCA OF SILICON VALLEY
80 SARATOGA AVESANTA CLARACA94111941156318501(c)(3)$50,000Project Support
YMCA OF WEST SAN GABRIEL VALLEY
401 CORTO STALHAMBRACA95051951644051501(c)(3)$8,750Project Support
YOLO COUNTY CHILDRENS
600 A ST YDAVISCA91801680526185501(c)(3)$125,000Project Support
YOLO COUNTY EMS
137 N COTTONWOOD ST1300WOODLANDCA95616946000548GOVERNMENT$50,000Project Support
YOLO HEALTHY AGING ALLIANCE
600 A ST CDAVISCA95695461075195501(c)(3)$10,000Project Support
YOUNG ARTIST CONSERVATORY
500 DAVIS STVACAVILLECA95616202734913501(c)(3)$24,000Project Support
YOUNG MENS CHRISTIAN ASSOCIATION
1553 N SCHRADER BLVDLOS ANGELESCA95688951644052501(c)(3)$77,295Project Support
YOUTH ALIVE
3300 ELM STOAKLANDCA90028943143254501(c)(3)$128,000Project Support
YOUTH OUTSIDE
436 14TH ST 1209OAKLANDCA94609800565914501(c)(3)$75,000Project Support
YOUTH POLICY INSTITUTE
6464 W SUNSET BLVDLOS ANGELESCA94612521278339501(c)(3)$7,500Sponsorships
YOUTH RADIO
1701 BROADWAYOAKLANDCA90028943180825501(c)(3)$188,000Project Support
YOUTH SPEAKS INC
1663 MISSION ST604SAN FRANCISCOCA94612912134499501(c)(3)$20,000Project Support
YWCA
PO BOX 3506SANTA ROSACA94103942347428501(c)(3)$20,000Project Support
YWCA OF GLENDALE
735 E LEXINGTON DRGLENDALECA95402951644057501(c)(3)$25,000Project Support
YWCA PASADENA-FOOTHILL VALLEY
50 N HILL AVE 301PASADENACA91206951644059501(c)(3)$29,850Project Support
ZERO BREAST CANCER
30 N San Pedro RdSan RafaelCA91106680386016501(c)(3)$24,147Research / Project Support
HEALTHPARTNERS INC
PO Box 1524MinneapolisMN55440411693838501(c)(3)$522,990research
FieldValueIRS element (for citing)
Total501c3 Org1003Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeScholarshipsGrantTypeTxt
Recipient513RecipientCnt
Cash Grant$1,158,000CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationGrantees 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionYes (true)InitialContractExceptionInd
Rebuttable Presumption ProcYes (true)RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (84 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Gregory Adams
Chairman & CEO$0$1,311,861$0$3,637,446$0$556,058$0$681,386$0$26,506$0$6,213,257$0$1,174,224
Ramon F Baez
Director$0$236,500$0$0$0$13,530$0$1,555$0$0$0$251,585$0$0
David J Barger
Director$0$227,000$0$0$0$0$0$4,554$0$0$0$231,554$0$0
Mary Ann Barnes
Region President - HI$0$0$0$143,745$0$9,315$0$0$0$0$0$153,060$0$0
Anthony Barrueta
SVP, Government Relations$0$476,664$0$759,021$0$41,881$0$433,858$0$22,743$0$1,734,167$0$0
Raymond Baxter
SVP, CB Research & Hlth Policy$0$0$0$102,909$0$12,700$0$39,447$0$0$0$155,056$0$0
Kristin Bear
Assistant Secretary$0$238,589$0$117,747$0$12,739$0$195,193$0$19,787$0$584,055$0$0
Kathryn Beiser
SVP Chf Communications Officer$0$452,538$0$564,897$0$549,895$0$446,962$0$31,502$0$2,045,794$0$0
Vanessa Benavides
SVP,Chf Compliance & Priv. Off$0$448,467$0$560,813$0$49,263$0$236,769$0$20,317$0$1,315,629$0$0
Regina M Benjamin MD MBA
Director$0$210,500$0$0$0$8,668$0$36,843$0$0$0$256,011$0$0
Chuck Bevilacqua
SVP, Health Plan Svc & Admin$0$773,320$0$865,615$0$25,303$0$350,814$0$25,675$0$2,040,727$0$0
Chandrika Bhalla
SVP, CFO - NCAL$0$575,962$0$444,490$0$19,612$0$277,153$0$28,693$0$1,345,910$0$0
Maryann Bodayle
Assistant Secretary$0$162,592$0$13,052$0$2,285$0$59,564$0$9,977$0$247,470$0$0
Christopher Boyd
SVP, Area Manager Large$0$429,117$0$207,520$0$363,557$0$148,729$0$19,656$0$1,168,579$0$305,294
William Caswell
SVP, Operations$0$566,862$0$448,651$0$129,194$0$188,489$0$23,783$0$1,356,979$0$0
Bechara Choucair
SVP, Chief Cmty Health Officer$0$518,350$0$414,572$0$50,946$0$304,173$0$22,428$0$1,310,469$0$24,211
Greg Christian
SVP, Area Mgr - San Bernadino$0$470,258$0$270,622$0$118,485$0$299,586$0$23,870$0$1,182,821$0$78,376
Judith Coffey
SVP, Area Manager Group - NCAL$0$72,724$0$229,444$0$50,972$0$65,624$0$5,870$0$424,634$0$24,494
Jeffrey Collins
SVP,Health Plan &Hospital Opns$0$522,491$0$287,106$0$442,211$0$161,897$0$25,521$0$1,439,226$0$303,134
Charles Columbus
SVP, Chief HR Officer$0$230,517$0$1,175,960$0$1,161,687$0$182,369$0$10,260$0$2,760,793$0$1,130,390
Diane Comer
SVP, Business Info Officer$0$399,903$0$528,140$0$549,199$0$175,797$0$26,061$0$1,679,100$0$404,423
Mark Costa
SVP, Area Manager Large$0$454,057$0$296,762$0$409,949$0$175,632$0$25,360$0$1,361,760$0$289,306
Patrick Courneya
EVP, Chief Medical Officer$0$594,720$0$716,678$0$439,925$0$1,214,561$0$23,683$0$2,989,567$0$282,719
Richard Daniels
EVP, Chief Information Officer$0$824,474$0$1,391,759$0$370,014$0$1,334,363$0$38,320$0$3,958,930$0$0
George Disalvo
SVP, CFO - SCAL$0$626,267$0$829,725$0$190,593$0$219,939$0$22,563$0$1,889,087$0$0
Jeffrey E Epstein
Director$0$243,000$0$0$0$8,395$0-$26,164$0$0$0$225,231$0$0
Elizabeth Finley
SVP, Area Manager - San Diego$0$451,359$0$222,472$0$103,065$0$386,239$0$24,375$0$1,187,510$0$0
Deborah Friberg
Bus Planning & Corp Dev't Exec$0$247,583$0$0$0$55,384$0$88,656$0$31,537$0$423,160$0$0
Daniel Garcia
SVP, Chief Compliance Officer$0$0$0$0$0$58,564$0$0$0$0$0$58,564$0$49,611
Michelle Gaskill
SVP,Health Plan &Hospital Opns$0$488,858$0$270,051$0$70,088$0$143,172$0$28,238$0$1,000,407$0$0
Bernice Gould
Assistant Secretary$0$208,314$0$24,065$0$2,566$0$187,578$0$10,678$0$433,201$0$0
William Graber
Director$0$0$0$0$0$10,284$0$0$0$0$0$10,284$0$0
Ron Groepper
SVP, Area Manager - Greater SF$0$532,998$0$271,563$0$429,871$0$131,879$0$25,674$0$1,391,985$0$0
Thomas Hanenburg
SVP, Chief Operating Officer$0$647,884$0$557,820$0$42,804$0$228,287$0$27,426$0$1,504,221$0$0
Corwin Harper
SVP, Area Mgr - Central Valley$0$432,755$0$246,761$0$426,761$0$195,889$0$31,372$0$1,333,538$0$386,332
Patricia Harvey
SVP, Qlty, Reg, & Clinical Ops$0$373,118$0$278,669$0$92,284$0$274,807$0$18,569$0$1,037,447$0$0
Leslie S Heisz
Director$0$235,500$0$0$0$17,787$0$8,494$0$0$0$261,781$0$0
David F Hoffmeister
Director$0$222,000$0$0$0$12,880$0-$3,793$0$0$0$231,087$0$0
Kimberly Horn
Regional President - MAS$0$759,542$0$817,506$0$30,363$0$1,861,441$0$34,622$0$3,503,474$0$0
Judith A Johansen JD
Director$0$263,500$0$0$0$9,375$0-$13,027$0$0$0$259,848$0$0
Laurel Junk
SVP, Enterprise Shared Svcs$0$546,353$0$467,317$0$25,718$0$265,055$0$17,173$0$1,321,616$0$0
Kim J Kaiser
Director$0$26,300$0$0$0$13,160$0$0$0$0$0$39,460$0$0
Tami Lamp
SVP, Chief HR Officer$0$291,211$0$550,000$0$270,346$0$14,000$0$11,770$0$1,137,327$0$0
Kathryn Lancaster
EVP & CFO$0$1,110,792$0$1,801,204$0$3,309,963$0$482,339$0$16,037$0$6,720,335$0$2,480,584
Janet Liang
Regional President - NCAL$0$901,432$0$1,208,753$0$45,679$0$1,351,044$0$35,798$0$3,542,706$0$0
Roland Lyon
SVP, Natl Del System Strategy$0$508,767$0$658,824$0$92,278$0$292,052$0$27,654$0$1,579,575$0$0
Gerald A Mccall
SVP, Operations$0$268,737$0$448,651$0$100,289$0$13,499$0$11,509$0$842,685$0$0
Colleen Mckeown
SVP, Area Manager Large$0$616,128$0$219,447$0$111,446$0$323,391$0$24,095$0$1,294,507$0$0
Thomas Meier
SVP, Corporate Treasurer$0$488,751$0$565,117$0$123,880$0$226,729$0$33,614$0$1,438,091$0$0
Julie Miller-Phipps
Region President - SCAL$0$931,027$0$991,580$0$342,570$0$1,388,524$0$23,233$0$3,676,934$0$0
Susan Mullaney
Region President - WA$0$674,750$0$453,055$0$24,465$0$643,008$0$28,608$0$1,823,886$0$0
Janet O'Hollaren
VP, COO$0$460,177$0$260,425$0$78,885$0$485,368$0$24,740$0$1,309,595$0$0
Donald Orndoff
SVP, NFS$0$445,801$0$478,235$0$632,179$0$148,482$0$28,439$0$1,733,136$0$576,482
Wade Overgaard
SVP, Health Plan Ops - CA$0$768,317$0$865,615$0$192,689$0$383,419$0$32,444$0$2,242,484$0$0
Arlene Peasnall
Interim SVP, Chief HR Officer$0$504,768$0$283,912$0$302,408$0$328,576$0$18,838$0$1,438,502$0$0
Edward YW Pei
Director$0$238,000$0$0$0$14,531$0$19,000$0$0$0$271,531$0$0
Margaret E Porfido JD
Director$0$281,500$0$0$0$20,262$0-$23,196$0$0$0$278,566$0$0
Michael Ramseier
Region President - Colorado$0$282,615$0$950,000$0$18,526$0$250,665$0$11,538$0$1,513,344$0$0
Frank Richardson
Assistant Secretary - HI$0$249,511$0$112,400$0$22,948$0$200,778$0$30,064$0$615,701$0$0
Christine Robisch
SVP,Operations-Op Strat &Impln$0$512,835$0$349,877$0$22,179$0$388,656$0$17,990$0$1,291,537$0$0
Rochelle Roth
Assistant Secretary$0$172,901$0$49,992$0$2,261$0$128,451$0$18,048$0$371,653$0$0
Michael Rowe
SVP, Chf Bus Dev & Strat Exec$0$632,824$0$760,937$0$26,297$0$260,376$0$31,738$0$1,712,172$0$80,822
Kathleen Scheirman
SVP, IT Operations$0$453,938$0$454,226$0$387,203$0$148,587$0$24,943$0$1,468,897$0$346,335
Richard P Shannon MD
Director$0$235,500$0$0$0$0$0$8,391$0$0$0$243,891$0$0
James Simpson
Region President - GA$0$536,844$0$351,637$0$759,163$0$284,048$0$38,297$0$1,969,989$0$679,741
Arthur Southam
EVP, Health Plan Operations$0$1,115,013$0$1,813,133$0$2,402,892$0$475,052$0$31,693$0$5,837,783$0$1,916,554
Michael Sutten
SVP Info Technology & CTO$0$66,412$0$456,072$0$931,881$0$75,579$0$20,699$0$1,550,643$0$316,807
Paul Swenson
SVP, Chief Strategy Officer$0$645,746$0$627,127$0$670,314$0$129,523$0$25,663$0$2,098,373$0$585,218
Cynthia A Telles PHD
Director$0$257,500$0$0$0$13,108$0-$6,498$0$0$0$264,110$0$0
Bernard Tyson
Chairman & CEO$0$1,597,794$0$13,057,701$0$1,459,234$0$19,325,730$0$39,080$0$35,479,539$0$2,727,724
David Underriner
Region President - HI$0$516,144$0$344,861$0$126,714$0$0$0$19,237$0$1,006,956$0$126,776
Alfonse Upshaw
SVP,Corporate Controller & CAO$0$463,195$0$446,852$0$38,745$0$179,095$0$21,077$0$1,148,964$0$0
Ronald Vance
Interim Regional President -HI$0$1,186,875$0$0$0$0$0$0$0$0$0$1,186,875$0$0
Max Villalobos
COO - North County$0$351,073$0$141,838$0$14,823$0$276,010$0$21,982$0$805,726$0$0
Cesar Villalpando
SVP, Enterprise Shared Svcs$0$0$0$211,698$0$0$0$268,565$0$0$0$480,263$0$0
A Eugene Washington MD
Director$0$229,500$0$0$0$2,545$0-$8,669$0$0$0$223,376$0$0
Matthew Weber
Assistant Secretary$0$325,337$0$155,050$0$68,759$0$180,954$0$28,139$0$758,239$0$39,755
Lesley Wille
SVP, Operations$0$509,364$0$259,704$0$19,817$0$303,165$0$24,579$0$1,116,629$0$0
Vita Willett
SVP, Area Manager - Riverside$0$471,562$0$290,694$0$388,942$0$389,298$0$24,394$0$1,564,890$0$346,745
Ruth Williams-Brinkley
Region President - NW$0$658,126$0$857,676$0$55,945$0$390,761$0$24,814$0$1,987,322$0$111,354
John Yamamoto
Assistant Secretary$0$348,338$0$236,942$0$71,962$0$307,825$0$29,515$0$994,582$0$0
Philip Young Jr
Assistant Secretary$0$328,707$0$260,121$0$17,767$0$244,848$0$28,669$0$880,112$0$0
Hong-Sze Yu
VP, Brd & Corp Gov & Asst Secy$0$264,788$0$101,619$0$17,527$0$260,726$0$26,177$0$670,837$0$0
Mark Zemelman
SVP, General Counsel & Secy$0$733,254$0$1,044,587$0$296,430$0$290,533$0$38,147$0$2,402,951$0$0

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3METHODS 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 - Tami Lamp $ 72,459 Michael Sutten 551,815 David Underriner 92,308 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 4BSUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS: Gregory Adams $ 501,612 Christopher Boyd 320,559 William Caswell 84,396 Greg Christian 96,764 Jeffrey Collins 360,133 Charles Columbus 1,130,390 Diane Comer 490,568 Mark Costa 366,889 Patrick Courneya 391,885 Richard Daniels 312,548 George Disalvo 145,008 Elizabeth Finley 60,042 Ron Groepper 270,171 Corwin Harper 405,649 Kathryn Lancaster 3,257,380 Gerald A. Mccall 82,776 Colleen Mckeown 52,960 Thomas Meier 79,722 Julie Miller-Phipps 310,731 Donald Orndoff 605,306 Wade Overgaard 164,986 Arlene Peasnall 54,832 Kathleen Scheirman 363,652 James Simpson 713,728 Arthur Southam 2,350,243 Michael Sutten 356,897 Paul Swenson 614,479 Bernard Tyson 1,079,066 Matthew Weber 49,985 Vita Willett 364,082 John Yamamoto 52,212 Mark Zemelman 239,768 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 7Non-fixed payments: THE ORGANIZATION PROVIDED NON-FIXED PAYMENTS TO SOME OF THE PERSONS LISTED. PAYMENTS WERE MADE UNDER INCENTIVE PLANS, BASED ON ATTAINMENT OF ORGANIZATIONAL PERFORMANCE GOALS AND INDIVIDUAL PERFORMANCE, DESIGNED TO SUPPORT THE ORGANIZATION'S MISSION TO PROVIDE HIGH-QUALITY, AFFORDABLE CARE AND IMPROVE THE HEALTH OF ITS MEMBERS AND THE COMMUNITIES IT SERVES. 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 ONE INDIVIDUAL IN 2019.
SCHEDULE J, PART II, COLUMN CTHE ACTUARIAL VALUE FOR SOME INDIVIDUALS' BENEFIT PLAN DECLINED IN 2019, RESULTING IN NEGATIVE VALUES IN COLUMN (C) IN SOME INSTANCES.
SCHEDULE J, PART II, COLUMN FAMOUNTS 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 ORGANIZATIONONE OFFICER RECEIVED COMPENSATION FROM AN UNRELATED ORGANIZATION, ALVAREZ & MARSAL HOLDINGS, LLC.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
2003 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
A521598225130911RW22003-08-06$213,060,000PAR REFUNDING CHFFA 83,85,93 SER Cfalsefalsefalse
2004 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
B680164610130911WF32004-03-30$1,600,000,000FINANCE HEALTH CARE FACILITIESfalsefalsefalse
2006 CSCDA CHFFA Variable
C52164382813033FK742006-06-08$600,000,000FINANCE HEALTH CARE FACILITIESfalsefalsefalse
2008 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
D680164610130795SZ12008-05-01$500,000,000PAR REFUNDING 04A-D ARS BONDS& 04Hfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndSubstantial CompletionSubstantialCompletionYr
A$168,620,000$0$213,060,000$0$0$0$0$0$0$0$213,060,000$0Yes (true)falseYes (true)Yes (true)
B$879,480,000$0$1,639,884,612$0$88,159,219$0$6,375,000$10,073,543$0$1,535,276,850$0$0falsefalseYes (true)Yes (true)2009
C$73,800,000$0$602,245,616$0$5,674,726$0$0$0$0$596,570,889$0$0falsefalseYes (true)Yes (true)2009
D$370,000,000$0$500,000,000$0$0$0$0$0$0$0$500,000,000$0Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdPrivate Bus Use By OthersPrivateBusUseByOthersPctOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0
B0falseYes (true)Yes (true)falseYes (true)falsefalsefalsefalseYes (true)
C0falseYes (true)Yes (true)falseYes (true)falsefalsefalsefalseYes (true)
D0falseYes (true)Yes (true)falseYes (true)falsefalsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndException To RebateExceptionToRebateIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndNo Rebate DueNoRebateDueInd
0
AfalseYes (true)Yes (true)falsefalse0falseYes (true)
0
BfalseYes (true)falsefalse0Yes (true)Yes (true)Yes (true)
0
CfalseYes (true)Yes (true)falsefalse0falseYes (true)
0
DfalseYes (true)Yes (true)falsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
2009 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
A680164610130795D382009-06-03$1,638,437,048FINANCE HEALTH CARE FACILITIESfalsefalsefalse
2008 CALIFORNIA STATEWIDE CMNTYS DEV AUTH
B680164610130795TP22009-05-29$149,996,162REOFFERING OF 2008C CSCDA (PREMIUMfalsefalsefalse
2012 CALIFORNIA STATEWIDE COMNTYS DEV AUTH
C6801646101307955G82012-04-18$1,007,791,119FINANCE HEALTH CARE FACILITIESfalsefalsefalse
2017 CALIFORNIA HEALTH FACILITIES FINANCING AUTH
D52164382813032UMQ82017-05-03$1,528,834,768REFUNDING OF PROJECTS (2002C,2011,falsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$894,510,000$0$1,639,188,993$0$71,262,216$0$0$0$0$1,567,926,777$0$02011falsefalseYes (true)Yes (true)
B$3,131,162$0$149,996,162$0$0$0$0$0$0$0$149,996,162$0Yes (true)falseYes (true)Yes (true)
C$100,000,000$0$1,007,791,119$0$0$0$0$0$0$1,007,791,119$0$02014falsefalseYes (true)Yes (true)
D$0$0$1,528,834,768$0$0$0$41,768$0$0$0$1,528,793,000$0Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)falseYes (true)false0falsefalsefalseYes (true)
BfalseYes (true)Yes (true)falseYes (true)false0falsefalsefalseYes (true)
CfalseYes (true)Yes (true)falseYes (true)false0falsefalsefalseYes (true)
DfalseYes (true)Yes (true)falseYes (true)false0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndException To RebateExceptionToRebateIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalseYes (true)Yes (true)falsefalse0falseYes (true)
0
BfalseYes (true)Yes (true)falsefalse0falseYes (true)
0
CfalseYes (true)Yes (true)falsefalse0falseYes (true)
0
DfalseYes (true)Yes (true)falsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line12017 CALIFORNIA HEALTH FACILITIES FINANCING AUTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN521643828BondIssuerEIN
CUSIP13032UMP0CUSIPNum
Bond Issued2017-05-03BondIssuedDt
Issue Price$812,493,279IssuePriceAmt
PurposeFINANCE HEALTH CARE FACILITIESPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
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Form8038 T FiledfalseForm8038TFiledInd
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Schedule L IRS990ScheduleL

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Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ANGELA PATRICIA BENNAGE
FAM. Mbr OF Fmr Key Empl.$186,176COMPENSATIONfalse
CAROL MCMENAMY
FAMILY MEMBER OF KEY EMPLOYEE$164,368COMPENSATIONfalse
JOSHUA SCRUGGS
FAM. Mbr OF Fmr Key Empl.$124,802COMPENSATIONfalse
CHRIS ZIPPERT
FAMILY MEMBER OF KEY EMPLOYEE$107,253COMPENSATIONfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINE 4B - FOREIGN COUNTRIES CONTINUEDINDONESIA ISRAEL INDIA JAPAN KENYA SOUTH KOREA MALAYSIA NIGERIA Philippines 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 BOARDS 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 4 SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS: The Bylaws of the Corporation were materially amended in 2019 as follows: On March 8, 2019, Article E, Section E-7.B.4 was amended to add subsection e regarding an official oversight role of the Compensation Committee on pay equity matters. On June 13, 2019, Article E, Sections E-8.C.3.a and E-8.C.3.b were amended to increase the Board approval threshold for (i) investments with combined capital and one-time operating expenditures and (ii) property and equipment leases from over $50 million to over $150 million. On December 12, 2019, Article D, Section D-9, was amended so that the Executive Vice President and Chief Financial Officer is designated to perform the duties of the Executive Vice President and Group President in his or her absence or disability. In addition, Article E, Sections E-8.C.2.a, E-8.C.3.e and E-8.C.3.h were amended to increase the Board approval threshold for (i) bond financings and other major financing transactions from over $25 million to over $150 million, (ii) the purchase, sale, or closure of subsidiaries or lines of business from over $50 million to over $150 million and (iii) long-term extensions of credit from over $25 million to over $150 million; and to require Board approval of refinancing transactions only in excess of $1 billion and guarantees of obligations only over $150 million. Form 990, Part VI, Line 2 Family or Business Relationships Board members Eugene Washington, MD and Richard Shannon, MD have a business relationship.
FORM 990, PART VI, LINE 11BForm 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 12CETHICS AND COMPLIANCE ENFORCEMENT A. REGULARLY AND CONSISTENTLY MONITORS COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY - KAISER PERMANENTE REGULARLY MONITORS COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY IN 3 KEY WAYS: A1. THE KAISER PERMANENTE COMPLIANCE HOTLINE IS AVAILABLE TO ALL EMPLOYEES AND VENDORS TO REPORT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. ALL CALLS ARE ANSWERED BY A THIRD PARTY AND PROVIDED TO KAISER PERMANENTE'S NATIONAL COMPLIANCE OFFICE FOR REVIEW AND APPROPRIATE ACTION. EMPLOYEES CAN REPORT ANONYMOUSLY. RETALIATION IS PROHIBITED. REPORTS OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST ARE GENERATED AND INVESTIGATIONS ARE CONDUCTED AS REQUIRED AND INFORMATION IS TRACKED AND TRENDED TO DETERMINE IF ADDITIONAL GUIDANCE IS REQUIRED TO AVOID OR MANAGE CONFLICTS OF INTEREST. COMPLIANCE HOTLINE REPORTS ARE PROVIDED FOR REVIEW AND ACTION TO THE KAISER FOUNDATION HEALTH PLAN/HOSPITALS BOARDS OF DIRECTORS ANNUALLY. A2.a - ETHICS AND COMPLIANCE ANNUALLY REVIEWS THE DIRECTORS', OFFICERS', KEY EMPLOYEES', AND EXECUTIVES' ANNUAL CONFLICTS OF INTEREST QUESTIONNAIRE DISCLOSURES AND PROVIDES DIRECTION ON ANY INVESTIGATIONS REQUIRED. INVESTIGATIONS ARE DOCUMENTED, TRACKED AND TRENDED TO DETERMINE IF ADDITIONAL CONTROLS OR EDUCATION IS REQUIRED. IN ADDITION, CONFLICTS OF INTEREST QUESTIONNAIRE REPORTS ARE PROVIDED FOR REVIEW AND ACTION TO THE KAISER FOUNDATION HEALTH PLAN/HOSPITALS BOARDS OF DIRECTORS ANNUALLY; AND A2.b - ANNUALLY, EMPLOYEES IN ROLES WITH AN ELEVATED RISK OF CONFLICTS OF INTEREST COMPLETE A CONFLICTS OF INTEREST QUESTIONNAIRE. RESPONSES ARE REVIEWED AND ASSESSED. WHEN ACTION IS WARRANTED, THE SITUATION IS ADDRESSED IN ACCORDANCE WITH WRITTEN STANDARDS. DOCUMENTATION AND TRACKING IS MAINTAINED IN THE SAME WAY AS DIRECTORS, OFFICERS, AND KEY EMPLOYEES. A2.c - IN ADDITION TO THE CONFLICTS OF INTEREST QUESTIONNAIRE, ETHICS AND COMPLIANCE RECEIVES, CONSULTS, MONITORS, AND REPORTS ONGOING DISCLOSURES MADE BY EMPLOYEES THROUGHOUT THE YEAR. A3. ANNUALLY, AS A COMPONENT OF THE EXTERNAL AUDIT, AN OUTSIDE CERTIFIED PUBLIC ACCOUNTING FIRM REVIEWS THE ANNUAL CONFLICTS OF INTEREST QUESTIONNAIRES PROCESS COMPLETED BY DIRECTORS, OFFICERS, KEY EMPLOYEES, AND EXECUTIVES, AND ACTIONS TAKEN AS A RESULT OF THE DISCLOSURES. THE RESULTS OF THE ANNUAL AUDIT, INCLUDING ANY FINDINGS IN THIS AREA, ARE PRESENTED TO THE KAISER FOUNDATION HEALTH PLAN/HOSPITALS AUDIT AND COMPLIANCE COMMITTEE. B. REGULARLY AND CONSISTENTLY ENFORCES COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY - TO ENSURE CONSISTENCY IN THE ENFORCEMENT OF THE POLICY KAISER PERMANENTE USES THE FOLLOWING STEPS AS A GENERAL GUIDELINE: B1. REPRESENTED EMPLOYEES ARE SUBJECT TO ANY CORRECTIVE/DISCIPLINARY ACTION PROVISIONS DESCRIBED IN SPECIFIC REGIONAL/NATIONAL COLLECTIVE BARGAINING AGREEMENTS AND/OR ORGANIZATIONAL POLICIES AND PRACTICES. B2. KAISER PERMANENTE NOTIFIES EMPLOYEES OF THE NATIONAL HUMAN RESOURCES POLICY NO. 14. CORRECTIVE/DISCIPLINARY ACTION POLICY DURING NEW EMPLOYEE ORIENTATION AND IN ANNUAL COMPLIANCE TRAINING. B3. IN THE EVENT THAT IT IS NECESSARY TO DISCIPLINE ANY EMPLOYEE BECAUSE OF, BUT NOT LIMITED TO, FAILURE TO COMPLY WITH APPLICABLE LEGAL/REGULATORY REQUIREMENTS, KAISER PERMANENTE POLICIES AND PROCEDURES, OR THE PRINCIPLES OF RESPONSIBILITY, OR FOR UNSATISFACTORY PERFORMANCE OR MISCONDUCT, COACHING/COUNSELING AND/OR CORRECTIVE/DISCIPLINARY ACTION MAY INCLUDE, BUT IS NOT LIMITED TO: - ORAL DISCUSSION AND/OR WARNING BY THE EMPLOYEE'S IMMEDIATE SUPERVISOR OR HIGHER LEVEL MANAGER TO CORRECT THE PROBLEM; - WRITTEN NOTICE, WITH OR WITHOUT FINAL WARNING; - PAID OR UNPAID SUSPENSION, WITH OR WITHOUT FINAL WARNING; - TERMINATION OF EMPLOYMENT.
FORM 990, PART VI, LINE 15A/BCOMPENSATION DETERMINATION THE EXECUTIVE COMPENSATION PROGRAM AS ADMINISTERED BY KAISER FOUNDATION HEALTH PLAN, INC. IS DESIGNED TO RECRUIT, RETAIN AND MOTIVATE QUALIFIED SENIOR MANAGEMENT PERSONNEL. SENIOR MANAGEMENT PERSONNEL HAVE A SIGNIFICANT IMPACT ON THE STRATEGIC AND POLICY DIRECTION AND RESULTS OF THE ORGANIZATION. THEREFORE, THE EXECUTIVE COMPENSATION PROGRAM IS, TO A SIGNIFICANT DEGREE, PERFORMANCE-BASED. THE COMPENSATION PROGRAM IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE MANAGEMENT COMMITTEE ON COMPENSATION. PRIOR TO PAYMENT, ALL PROGRAMS AND PAYMENTS TO THE CEO, EXECUTIVE DIRECTOR, AND TOP MANAGEMENT OFFICIALS (EXECUTIVES) ARE REVIEWED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE MANAGEMENT COMMITTEE ON COMPENSATION. BASE PAY FOR EXECUTIVE POSITIONS IS ESTABLISHED AT A LEVEL COMPARABLE TO THE RELEVANT MARKET. IN ADDITION, OTHER COMPONENTS OF THE COMPENSATION PROGRAM BEAR 'AT-RISK' FEATURES DESIGNED TO FOCUS ON STRATEGICALLY IMPORTANT PERFORMANCE GOALS AND TO ASSIST IN ATTRACTING AND RETAINING TOP PERFORMERS. THE EXECUTIVE COMPENSATION PROGRAM IS TARGETED TO BE COMPETITIVE TO THE COMPARABLE EXTERNAL MARKET IN WHICH THE ORGANIZATION COMPETES FOR EXECUTIVE LEADERSHIP. EVALUATION OF COMPARABLE PAY DATA IS PERFORMED BY AN INDEPENDENT COMPENSATION, BENEFIT & HUMAN 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 18Forms 990 are available on www.guidestar.org.
FORM 990, PART VI, LINE 19Public Inspection Copy: Governing documents, 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: Vice President, Communications Kaiser Foundation Health Plan and Hospitals One Kaiser Plaza, 18th floor Oakland, CA 94612
FORM 990, PART VII, SECTION A, COLUMN BHours for Related Organization: Individuals who are both officers and members of Boards of Directors work full time as employees as well as fulfill their board assignment. All officers work full time in their employee capacity. Full time work may require in excess of the traditional 40 hour week. Given the integrated nature of our organization, employees may provide support for various Kaiser Permanente companies. The average hours per week reported for the filing organization and related organizations was estimated.
FORM 990, PART XI, LINE 9Other Changes in Net Assets or Fund Balances: Change in donated capital $ (4,112,134) Change in inter-regional transfer (175,478,806) Change in dividends, partnership 1,247,777,164 Non-Controlling Interest Adjustment 525,993 Change in Other Comprehensive Income (2,132,380,589) Book tax difference in sub income (6,486,829) OTTI losses (204,214,953) Gain/loss on sale on investment - Book 3,001,649,241 Gain/loss on sale on investment - Tax (1,253,788,148) Transfer to Affiliates 61,273,719 ------------------ TOTAL $ 534,764,658
FORM 990, PART III, LINES 4A-4DI. 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 Americas 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. Among the innovations Kaiser Permanente has brought to U.S. health care are: - Prepaid health plans, which spread the cost to make it more affordable - A focus on preventing illness and disease as much as on caring for the sick - An organized, coordinated system that puts as many services as possible under one roof-all connected by an electronic medical record Kaiser Permanente is an integrated health care delivery system comprised of Kaiser Foundation Hospitals (KFH), Kaiser Foundation Health Plan (KFHP), and physicians in the Permanente Medical Groups. Today we serve more than 12.2 million members in eight states and the District of Columbia. Our mission is to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. Care for members and patients is focused on their Total Health and guided by their personal 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 Permanentes Approach to Community Health For 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. We believe good health is a fundamental right shared by all and we recognize that good health extends beyond the doctors office and the hospital. It begins with healthy environments: fresh fruits and vegetables in neighborhood stores, successful schools, clean air, accessible parks, and safe playgrounds. Good health for the entire community requires equity and social and economic well-being. These are the vital signs of healthy communities. Better health outcomes begin where health starts, in our communities. 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 pair financial resources with medical research, physician expertise, and clinical practices. Our community health strategy focuses on three areas: - Ensuring health access by providing individuals served at Kaiser Permanente or by our safety-net partners with integrated clinical and social services; - Improving conditions for health and equity by engaging members, communities, and Kaiser Permanente's workforce and assets; and - Advancing the future of community health by innovating with technology and social solutions. C. Kaiser Permanentes Total Contribution Kaiser Permanente provided $3.4 billion in community benefits in 2019. The amounts attributable to Kaiser Foundation Hospitals are $1.6 billion as follows: - Financial Assistance at cost - $311.6 million - Medicaid - $658 million - Costs of other means-tested government programs - $2.1 million - Community health improvement services and community benefit operations - $51.2 million - Health Professions Education - $120.5 million - Research - $40.1 million - Cash and in-kind contributions from community benefit - $431 million In addition to our direct spend on community benefits, 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. Ensure Health Access A. Summary of The Strategy 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 cant maintain health care coverage, an emergency room is often the only place they receive care. At Kaiser Permanente, were 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 Childrens 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 (not assigned to Kaiser Permanente), and second, via the Medical Financial Assistance (MFA) program, which is Kaiser Permanentes 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 2019, Kaiser Foundation Hospitals spent a total of $971.7 million on our coverage and care programs (at cost, net of all related revenues). In addition, it provided $175 million in grants to help improve health access challenges, including but not limited to funding key safety-net partner organizations. B. 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 2019, Kaiser Foundation Hospitals was providing access to care to over 791,000 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 2019, Kaiser Foundation Hospitals was providing access to care to approximately 15,000 people through the CHC program.
C. CareTo 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 2019 due to Kaiser Permanente's participation in these government programs, Kaiser Foundation Hospitals also provided care to approximately 214,000 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 2019, Kaiser Foundation Hospitals subsidized care for over 246,000 people through the MFA program. D. Social Health: Thrive Local As an integrated health system committed to total health, Kaiser Permanente must not only provide excellent medical care and health services, it must also address social health - for Kaiser Permanente members and in our communities. To help address unmet social needs, Kaiser Permanente is deploying Thrive Local in each of its regions. Thrive Local integrates clinical and social care and is supported by data integration and partnerships with community-based organizations. Thrive Local consists of three components: a resource directory that provides current, up-to-date and searchable information on community resources; geographically based community partner networks of social service organizations; and a technology platform that allows for two-way referrals between health care providers and social care providers. By linking clinical and social care delivery and building social health networks for our members and the communities we serve, Kaiser Permanente is making a bold move to transform health. Specific example(s) of our efforts in 2019 include: Kaiser Foundation Hospitals Northwest launched Thrive Local, a new social health network in Oregon and Southwest Washington that will be the most comprehensive, far-reaching network of its kind. Thrive Local will create connections between health care providers and social services agencies to address pressing social needs such as housing, food, safety, transportation, and utilities. Kaiser Foundation Hospitals Northwest kicked off the implementation of Thrive Local with a Community kick-off event attended by more than 300 individuals representing a wide range of health and social service providers. These organizations and many others subsequently met in smaller groups to learn more about the Thrive Local community network and how to join it. The community network launched on December 17, 2019. Kaiser Permanente Community Health contracted with Insight for Action to evaluate the process of building the Community Network and share learnings with regions slated for subsequent implementation. Kaiser Foundation Hospitals funded 24 agencies addressing food insecurity a total of $1,727,000 to increase their capacity to meet the needs of food insecure residents. The agencies will also assist all eligible residents, which includes Kaiser Permanente members and others to apply for enrollment in the federal Supplemental Nutrition Assistance Program, known as CalFresh in California. For example, Kaiser Foundation Hospitals Northern California funded a grant for $95,000 to the Catholic Charities of the Diocese of Stockton who will provide outreach and application assistance to eligible Seniors, Latinos, and other low-income individuals throughout San Joaquin County. The Program will screen 8,000 individuals and 1,200 eligible individuals will be assisted to complete a CalFresh application and 1,500 will be assisted with retention of benefits. Kaiser Foundation Hospitals funded $625,000 in core support grants to 211 information and referral agencies in counties served by Northern California. The 10 agencies who received these grants, will use the funds to expand their reach with uninsured populations, provide additional core services, and connect people to essential emergency resources such as, food, shelter and utilities. These agencies, which include United Way of the Bay Area and Contra Costa Crisis Center among others, have served their communities for more than a decade and will be invited to partner with Kaiser Permanente as the Thrive Local initiative is implemented in their geographies. Kaiser Foundation Hospitals partnered with Health Leads, a national nonprofit organization focused on social health and health equity in Northern California. Through the partnership, Health Leads convened 211 information and referral agencies in the Greater San Francisco Bay Area to develop a plan to integrate their work with Thrive Local in order to build on assets already developed in the community, avoid duplication of effort, and optimize coordination among a large number of partners. Additionally, Kaiser Permanente convened leaders of Federally Qualified Health Centers and public hospitals in Northern California to solicit their input on how most effectively to integrate safety net health providers into the Community Networks in their respective geographies. Kaiser Permanente will continue this engagement and expand it to Southern California to ensure that the needs of the safety net are met as Thrive Local is implemented. Kaiser Foundation Hospitals Northwest partnered with ten community-based organizations as part of its Community Clinic Integration Initiative to support the organizations' capacity to increase the availability of community resources for community members who are experiencing housing and poverty related issues, including homelessness or evictions. The initiative supports both direct services and new processes to track and report outcome data between social service organizations and healthcare systems.
E. Safety-Net PartnershipsKaiser Permanente is committed to building partnerships with the institutions that serve on the front lines of health care for the uninsured and underserved, often referred to as the health care "safety net." Through grants, training, and technical assistance, we're working with safety-net hospitals and health centers to help these institutions reach people in our communities who are low-income, uninsured, or under-resourced. Specific example(s) of our efforts in 2019 include: Kaiser Foundation Hospitals Northern California provided a $5,000,000 grant to the San Francisco General Hospital Foundation. The funds support the Foundation in assisting Zuckerberg San Francisco General to integrate EPIC, its electronic health record (EHR) system with its 14 primary care clinics. Key components of this project will include patient engagement to connect patients, families, and clinicians as well as integrating with the Epic coordinated care management application. Approximately 70,000 patients are expected to be impacted by this contribution. Kaiser Foundation Hospitals Northern California provided a $300,000 grant to Clinica Sierra Vista, a federally qualified health center system. The funds will be used to increase access to comprehensive and coordinated quality primary care services in Fresno through the addition of a new access point known as the McKinley/Blackstone Community Health Center. The health center will be on the same premises as a low-income housing unit and senior center and will serve as a precepting site for students seeking medical careers. Approximately 36,500 patients are expected to be reached by this contribution. Kaiser Foundation Hospitals Southern California provided a $30,000 grant to the Kids' Community Dental Clinic (KCDC). KCDC's mission is to improve the oral health of children from low income families with quality procedures, preventative treatments, and oral health education. This funding will support KCDC's ability to offer free dental services to children at their schools including teaching them to prevent tooth decay, screening to find those with rampant decay, and offering care to those who lack dental access to dental care. Approximately 2,700 children are expected to be reached by this contribution. Kaiser Permanente 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 2019, Kaiser Foundation Hospitals Northwest region provided a grant for $415,543 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. This support will help Project Access NOW reach over 16,000 individuals over a 12-month period. III. Improve Conditions for Health and Equity A. Summary of the Strategy Healthy individuals need healthy communities, and healthy communities need healthy people to thrive. At Kaiser Permanente, we are working to improve the conditions for health and equity in the community by addressing the root causes of health, such as economic opportunity, affordable housing, safe and supportive schools, and a healthy environment. 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 organizations 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 2019, Kaiser Foundation Hospitals spent a total of $187.5 million on charitable contributions designed to improve conditions for health and equity. In addition to the charitable contributions awarded to improve conditions for health and equity, Kaiser Foundation Hospitals also provided $3.8 million in charitable contributions for other Community Health activities and programs. B. Social Health: Food for Life Kaiser Permanente is tackling the most basic of human needs-food-by helping at-risk members and communities access the food and nutrition they need to live a full and healthy life. We launched Food for Life to transform the economic, social and policy environments connected to food so that people across the nation have access to, and can afford, healthy food. Specific example(s) of our efforts in 2019 include: Kaiser Permanente launched a texting and multimodal campaign to boost enrollment in CalFresh among low-income members. To date, weve reached over 440,000 households and over 6,000 households have submitted an application and another 6,000 applications are in process across our Northern California and Southern California regions. In future years, Food for Life will be exploring a community-based model, policy work, a research agenda, and other interventions to improve access to healthy, affordable food for people in our communities.
C. Thriving SchoolsOur 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. Kaiser Permanente 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. A distinguishing feature of Thriving Schools is our complementary focus: we support students, staff, and teachers, and we address their physical, emotional, and social wellness. This approach builds a culture of wellness across the entire school. Specific example(s) of our efforts in 2019 include: Kaiser Foundation Hospitals supported the RISE (Resilience in School Environments) initiative, an enterprise-wide effort with the Alliance for Healthier Generation. RISE is designed to empower schools and districts to create safe and supportive learning environments by cultivating practices that strengthen the social and emotional health of all students and staff, understand and integrate social and emotional well-being into all aspects of school life. Across Northern California, Southern California, and Northwest, 26 schools and 4 districts were recruited in 2019 to participate in RISE onsite program. Kaiser Foundation Hospitals funded over $671,000 to the Alliance for a Healthier Generation for the Healthy Schools Program also known as the Healthy Eating Active Living initiative. The Healthy Eating Active Living initiative empowers school and district leaders to create and sustain healthier learning environments for students, staff and teachers. School and districts receive a range of school health resources and information through onsite support and a virtual platform to help them choose smart snacks and healthier school breakfast and lunch programs, including movement in the classroom, support for health and physical education instruction, healthy food procurement, and adopting school and district wellness policies that guide positive, healthy practices. In Northern California, Southern California, and Northwest, 166 schools made one or more improvements in physical activity, nutrition, or staff wellness meeting the guidelines of the Healthy Schools Program. Kaiser Foundation Hospitals Northern California funded a $98,000 grant to the Santa Rosa Community Health Centers for the Trauma-Informed Care program. The program targets 1,275 teens at the Elsie Allen High School campus to ensure access to trauma-informed mental and physical health services, strengthen student/teacher awareness of services and collaboration with Elsie Allen High School/Santa Rosa City Schools administrations, and improve student experience of diversity, equity, and inclusion. On the clinical side, Santa Rosa Community Health Centers will maintain access to services like screening, counseling and groups, while also deepening the type of trauma informed services offered to these high-needs, low-resourced students and the teachers/staff who work with them. Kaiser Foundation Hospitals Southern California supported OneOC-Kid Healthy for the HEAL Zone program. This effort impacted Anaheim Elementary School District and focused on supporting a parent-led, health and wellness program that empowers parents to be leaders in school-based wellness policies, advocacy, peer to peer health education and leadership development. HEAL Zone also provided increased physical activity through parent-led active recess 3 days per week at 3 Elementary Schools, as well as scale to 3 additional Anaheim schools. Kaiser Foundation Hospitals Northwest funded a $98,000 grant to the Oregon School-Based Health Alliance, whose mission is to strengthen school-based health services and systems that promote the health and academic success of young people. This grant will help to increase health equity in school-based health centers through youth-adult partnership. The effort is designed to reach and support 400 students to increase health equity at their school and student involvement in planning school health services, while improving adult support for youth-led projects. D. 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 Permanente's 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. Specific example(s) of our efforts in 2019 include: Kaiser Permanente continued as a partner in CityHealth, an initiative of the de Beaumont Foundation and Kaiser Permanente that advances a package of evidence-based policy solutions that will help millions of people live longer, better lives in vibrant, prosperous communities. CityHealth recognized large cities across the country for specific policies related to health and quality of life, including Pre-K, Tobacco 21, complete streets, smoke-free indoor air, and healthy food procurement. In the policy areas assessed by CityHealth among the 40 largest cities, a total of 35 new policy advances occurred since 2018. San Francisco and Portland were recognized by CityHealth for policy advancements related to complete streets and Pre-K. These policies are projected to make streets safer for all types of users, enhance quality metrics for Pre-K programs, help to bolster Pre-K quality for young students and set them on a trajectory for success through high quality, accessible early education. Kaiser Permanente supported the strengthening of these policies, and CityHealth provided policy technical assistance. These policy enhancements also helped propel San Francisco to an overall gold medal for 2019. Kaiser Foundation Hospitals has funded the Healthy Eating, Active Living (HEAL) Cities Campaign since its initiation in 2008. Programs were active in 2019 in Kaiser Foundation Hospitals Northern California, Southern California and Northwest. Since 2008, a total of 373 cities, including 206 throughout the state of California and 40 in the Northwest, have committed to pass and implement policies addressing healthy eating and active living. These policies range from health in general or comprehensive plans to healthy food procurement to complete streets and worksite wellness. Kaiser Foundation Hospitals, Northern California paid $150,000 to Public Health Advocates in 2019 in support of this work.
E. Economic OpportunityInclusive 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 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. Specific examples of our efforts in 2019 include: Kaiser Foundation Hospitals partnered with the Inner-City Capital Connections program to support 85 small businesses in Sacramento & Stockton (64% minority-owned; 52% women-owned), 82 small businesses in Los Angeles (71% minority-owned; 60% women-owned), 56 small businesses in San Diego (54% minority-owned; 70% women-owned), 70 small businesses in Oahu and Maui (71% minority-owned; 51% women-owned) and 93 small businesses in Portland (37% minority-owned; 62% women-owned) 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. Kaiser Foundation Hospitals Northern California provided a grant for $1.5M to the Unity Council to support comprehensive programs of educational, career, financial, and housing development programs for low-income, limited-English, and non-white residents of Oakland. Particularly, over 250 high school aged youth of color will receive education and career mentorship through the Latinx Mentorship and Achievement programs, which leads to academic success, career readiness, positive identity formation and improved social-emotional well-being. Kaiser Foundation Hospitals Southern California provided a grant for $50,000 to Goodwill Industries Southern California, to support career services for 2,190 individuals experiencing re-entry, homelessness, disabilities, unemployed military veterans, and disconnected youth and help connect them into middle-wage, family-sustaining jobs. The Career Pathways Program includes a Certified Nursing Assistant (CNA) Training Program with Victor Valley College, a Strong Workforce Apprenticeship Group (SWAG) program with manufacturing sector such as Northrop Grumman, and the Uniquely Abled Program with San Bernardino Valley Community College to train individuals with autism as Computer Numerically Controlled (CNC) Machinists. Kaiser Foundation Hospitals formed partnerships with community workforce development organizations in every one of our service areas in Southern California, with a total of 17 partner organizations, to support hiring disadvantaged community residents into gainful employment at KP. These partnerships supported hiring 112 individuals across Southern California into a wide variety of jobs such as Environmental Services, Food & Nutrition Services, Licensed Vocational Nurse (LVN), Appointment Clerks, Admitting Clerks, and Surgical transporter. Kaiser Foundation Hospitals Northwest provided grants to seven organizations for a total of $140,000 to support young people and low-income families to overcome structural barriers to economic advancement. One of these grants included supporting the Mamas Lead program which provides leadership development and civic education to low-income women, women of color, and/or immigrant women to create the support systems and the opportunities for these women to get involved in shaping the public policies that affect their lives. These grants also included support for Girls Inc. of the Pacific Northwest for their Eureka Program which is an intensive five-year program that utilizes a STEM-based (Science, Technology, Engineering, and Mathematics) approach to engaging and empowering 8th-12th grade girls to see themselves as an important part of the workforce of the future. The long-term goal of the Eureka program is to motivate, and support girls living in low-income communities to make healthy life choices and pursue post-secondary education and careers in STEM fields. Kaiser Permanente continued its commitment to source goods and services from the minority, women, veteran, disabled, and LGBTQ-owned business community as a member of the Billion Dollar Roundtable. As part of this commitment, we encouraged our own suppliers to also increase their sourcing of goods and services from the minority, women, veteran, disabled, and LGBTQ-owned business community. Furthermore, we also began to measure job creation that resulted from our procurement spending and in 2019, found that our procurement spending led our supplier partners to create new jobs.
F. Housing for HealthHousing stability is a key factor in a person's overall health and well-being. Without a safe, stable place to live, it is nearly impossible to maintain health or sustain health improvements achieved in a medical setting. With homelessness affecting more than 550,000 people every day throughout our country, the need for safe, stable and affordable housing has never been greater. Kaiser Permanente understands the connection between housing and health. Our impact investments aim to create more affordable housing, reduce the displacement of lower-and middle-income households, and end homelessness by ensuring access to supportive housing. Specific example(s) of our efforts in 2019 include: Kaiser Foundation Hospitals Northern California partnered with Bay Area Community Services (BACS) to rapidly house 515 frail seniors over the age of 50 with at least one chronic condition who were also experiencing homelessness. The Bay Area Community Services achieved this goal though comprehensive outreach, housing coordination, landlord development, and tenancy sustaining services. Core to this effort was equipping BACS with a flexible funding pool to provide rental subsidies and other support for individuals to be housed quickly and sustainably. BACS employed a "Housing First" homeless assistance strategy that prioritized providing permanent housing to people experiencing homelessness, thus enabling them to pursue personal goals and improve their quality of life. Several lessons were learned through this effort which will inform future investments and influence opportunities to strengthen systems of care for unhoused individuals. This effort has been hailed as the single most impactful investment addressing homelessness in Oakland in 2019. Kaiser Foundation Hospitals partnered with Community Solutions in Southern California, Hawaii and Northwest to drive reductions in chronic and veteran homelessness. Community Solutions is Kaiser Permanentes national partner for ending veteran and chronic homelessness in Kaiser Permanente communities. Community Solutions is a nonprofit that leads Built for Zero, a movement of more than 80 cities and counties using data to radically change how they work and the impact they can achieve; and proving that it is possible to make homelessness rare and brief. In order to propel this movement to end homelessness up and over a tipping point, Community Solutions works with communities to solve the most persistent challenges that stand in the way. In Southern Californias Bakersfield service area, Community Solutions reduced the number of individuals experiencing chronic homelessness and are looking to expand their work to additional sub-populations. In Riverside County, the partnership with Community Solutions is working to re-engage key stakeholders to continue driving reductions in veteran homelessness. In Hawaii, Community Solutions has been working in Honolulu with Veteran Affairs, the local Continuum of Care and Catholic Charities Hawaii to reduce the number of chronically homeless veterans and has already seen a 30-40% reduction and are working on a proposal to catalyze additional reductions. In the Northwest, Community Solutions worked in 5 communities to drive reductions in chronic and veteran homelessness. These communities are still in the beginning stages of establishing quality By-Name-List data. This data will help inform Community Solutions and the communities to set bold targets and determine appropriate interventions. Kaiser Foundation Hospitals funded $200,000 to Montgomery Housing Partnership, Inc. to support the planning and pre-development of the Hillbrooke Towers and Hillwood Manor Affordable Housing Preservation. The Hillbrooke Towers and Hillwood Manor Affordable Housing Preservation will preserve affordability for 242 low-income families facing potential displacement from gentrification along the Purple Line Light Rail Transit Corridor in Montgomery County, Virginia. The partnership will support planning activities, including acquisition of building permits and property studies needed to secure financing and start construction by summer 2020. Kaiser Foundation Hospitals Northern California supported the Alameda Point Collaborative to support pre-development, planning and development and architectural activities for the development of a medical respite and Permanent Supportive Housing facility in Alameda, California. In addition to the 50-bed medical respite facility and 90 units of permanent supportive housing, these funds will also support the development of an on-site resource center for unsheltered and at-risk seniors. These facilities are expected to serve 275 formerly homeless seniors and medically vulnerable individuals experiencing homelessness. Kaiser Foundation Hospitals Northern California supported 11 organizations as part of Kaiser Permanente's Housing for Health Initiative to address gaps in the local homeless response system using data-driven approaches and evidence-based strategies for immediate and long-term solutions to address homelessness. These partnerships will support the 11 organizations to leverage technology, support real time data collection, optimize local housing resources and accelerate the spread of proven strategies. The organizations include homeless service providers and continuum of care agencies. Kaiser Foundation Hospitals Southern California funded a $54,000 grant to Special Service for Groups, Inc., a non-profit organization dedicated to providing community-based solutions to the social and economic issues facing those in greatest need. The grant will fund capacity building and technical assistance for the Special Service for Groups Homeless Outreach Program to connect 100 homeless patients in the West Los Angeles service area, including South Los Angeles to medical homes, providing intensive case management, and permanent housing patients. This program is expected to increase linkages to permanent supportive housing and improve the quality of life for the most vulnerable frequent utilizers of the emergency and related services. Kaiser Foundation Hospitals Northwest funded a total of $750,000 to Homes for Good Housing Agency who strives to provide safe, affordable, energy-efficient housing for all low-income Lane County residents. These funds will contribute capital and infrastructure dollars to the Homes for Good Housing Agency and Lane County effort to develop a 50-unit permanent supportive housing community. This effort uses the Housing First/harm reduction model to provide safe and dignified permanent supportive housing for chronically homeless individuals in Lane County. Kaiser Foundation Hospitals Northwest launched the Regional Supportive Housing Investment Fund (RSHIF) and the Portland Metro "300" to catalyze long-term systems change and rapidly house 300 seniors experiencing homelessness and one or more disabling condition. The RSHIF is a multi-sector innovative fund that will pool flexible funding from philanthropy, health systems, businesses, and Medicaid to prioritize housing and services for individuals experiencing homelessness and complex medical needs.
G. Environmental StewardshipWe 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. Specific example(s) of our efforts in 2019 include: Kaiser Permanente finalized an agreement for a major renewable energy purchase, enabling us to achieve our goal of becoming carbon neutral in 2020. Kaiser Permanente dedicated 20% of overall spending on products to items that met our Environmentally Preferable Purchasing standards and dedicated 42% of spending on food to items produced locally or from farms and producers that use sustainable practices, including using antibiotics responsibly. Kaiser Foundation Hospitals Northern California reduced the energy use intensity (kilowatt hours/rentable square foot) of its facilities by 10% compared to its 2010 baseline; reduced the water use intensity (gallons/rentable square foot) of its facilities by 15% compared to its 2013 baseline; and responsibly reused, recycled or composted over 14,592 tons of materials. The region also dedicated 25% of its overall spending on products to items that met Kaiser Permanente's Environmentally Preferable Purchasing standards; dedicated 46% of spending on food to items produced locally or from farms and producers that use sustainable practices, including using antibiotics responsibly; and verified that its new all-electric medical office building in Santa Rosa has produced Zero Net Energy and Zero Net Carbon over a full one-year period. Kaiser Foundation Hospitals Southern California reduced the energy use intensity (kilowatt hours/rentable square foot) of its facilities by 2% compared to its 2010 baseline; reduced the water use intensity (gallons/rentable square foot) of its facilities by 15% compared to its 2013 baseline; and responsibly reused, recycled or composted over 18,495 tons of materials. The region also dedicated 24% of its overall spending on products to items that met Kaiser Permanente's Environmentally Preferable Purchasing standards; and dedicated 43% of spending on food to items produced locally or from farms and producers that use sustainable practices, including using antibiotics responsibly. Kaiser Foundation Hospitals Hawaii dedicated 22% of its overall spending on products to items that met Kaiser Permanente's Environmentally Preferable Purchasing standard; and dedicated 18% of spending on food to items produced locally or from farms and producers that use sustainable practices, including using antibiotics responsibly. The region also responsibly reused, recycled or composted over 552 tons of materials and reduced the water use intensity (gallons/rentable square foot) of its facilities by 31% compared to its 2013 baseline. Kaiser Foundation Hospitals Northwest dedicated 22% of its overall spending on products to items that met Kaiser Permanente's Environmentally Preferable Purchasing standards; and dedicated 30% of spending on food to items produced locally or from farms and producers that use sustainable practices, including using antibiotics responsibly. The region also responsibly reused, recycled or composted over 1,623 tons of materials and reduced the water use intensity (gallons/rentable square foot) of its facilities by 7% compared to its 2013 baseline. Kaiser Foundation Hospitals partnered with Breathe California Sacramento Region, an organization that seeks creative solutions to cleaning the air and improving lung health. The partnership will support the organizations work with youth education facilities in communities disproportionately affected by poor air quality to improve indoor air-quality during unhealthy and hazardous air-quality events. These interventions are expected to improve health outcomes and reduce the need for health services for vulnerable populations while providing information about additional beneficial services. Kaiser Foundation Hospitals partnered with O'Neill Sea Odyssey, an organization that engages low-income youth sailing Monterey Bay to provide a hands-on educational experience to encourage the protection and preservation of our living sea and communities. The partnership with O'Neill Sea Odyssey's Healthy Ocean Stewards Program will enable 240 students to participate in a community service project that supports the health of their home watershed while receiving education about career opportunities in sustainability and ocean science. The majority of these students have never been on the ocean, are English Language Learners from Spanish speaking families, and have a higher likelihood of exposure to environmental toxins including pesticides, poor air and water quality, toxic waste including tobacco products, and the negative impacts of climate change. Kaiser Foundation Hospitals partnered with Esperanza Community Housing, an organization with a mission to achieve long-term, community development by addressing housing; health equity and access to care; environmental justice; economic development; and arts and culture. The partnership will enable 100 households to receive in-home education, case management, assessment and interventions addressing environmental health hazards affecting the health of individuals and families residing in the home. Additionally, 50 households will receive non-toxic cleaning supplies if they are not able to purchase the items based on their income and resources; and 10 community outreach and education presentations are to be conducted to increase awareness of the Healthy Homes program and recruit potential program participants.
IV. Advance the Future of Community HealthA. Summary of the Strategy Kaiser Permanente works in partnership with our communities, using our collective knowledge to identify and implement creative solutions to difficult community health problems by: - Inspiring young people to pursue careers in health care - Conducting research to identify and eliminate disparities in care - Advancing health innovation and achieving greater and more equitable health outcomes In 2019, Kaiser Foundation Hospitals spent a total of $225.6 million on programs to advance the future of community health (at cost, net of all related revenues). This included $120.5 million in health professionals education, $40.1 million in research and $65 million in charitable contributions designed to spur innovation in the community health field. B. 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. In 2019, Kaiser Foundation Hospitals supported approximately 6,000 interns and residents through the GME program. 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. C. 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 Permanentes research efforts are core to the organizations mission to improve population health, and its commitment to continued learning. Research activities are conducted at Kaiser Permanentes eight regional research centers and three national groups: Kaiser Permanente Research Bank, Kaiser Permanente Center for Effectiveness & Safety Research; and Utility for Care Data Analysis. In addition, the Kaiser Foundation Research Institute administers and supports research at the research centers. Kaiser Permanente researchers study critical health issues including: cancer, cardiovascular conditions, diabetes, behavioral and mental health, and health care delivery improvement. Kaiser Permanente 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 do research due to its rich, longitudinal, electronic clinical databases that capture virtually complete health care delivery, payment, decision-making and behavioral data in detail to support primary, secondary and tertiary clinical care across inpatient, outpatient and emergency department settings for its geographically and demographically diverse members. In 2019, Kaiser Foundation Hospitals engaged in approximately 1,900 active studies including over 850 clinical trials and published over 1,600 journal articles. The following are examples of research projects conducted in 2019: Kaiser Foundation Hospitals Northern California research center, the Division of Research (DOR) was established in 1961. DORs program is built on a base of rigorous epidemiologic investigation in a large, well-characterized population, and has made major contributions in risk factor identification, prevention and drug safety. New areas of inquiry include the role of genes and the environment in health, the use of health informatics, managing chronic conditions, and delivery science to enhance specialty care. Investigators at DOR conduct research on a broad range of topics including behavioral health and aging; cancer; cardiovascular and metabolic conditions; health care delivery and policy; and vaccines. Decades of research have indicated that high systolic blood pressure is more likely than high diastolic pressure to result in adverse outcomes such as heart attack or stroke. However, a study published in the New England Journal of Medicine in 2019 by a team from the Division of Research in Kaiser Foundation Hospitals Northern California demonstrated that high systolic and high diastolic blood pressure are both strongly, independently linked to cardiovascular risk. The researchers examined more than 36 million blood pressure readings from over 1 million people and concluded that both blood pressure numbers should be considered in the treatment of hypertension. Kaiser Foundation Hospitals Southern California research center, the Department of Research & Evaluation was established in 1963 and focuses on conducting research with real-world implications and translating findings into practice. The department is expanding and building scientific expertise in research areas including health services research and implementation science. This helps the organization to bridge the gap between research and practice and to understand how to provide better care for members and the communities in which they live. Investigators at the Department of Research & Evaluation conduct research on a broad range of topics, including cancer; cardiovascular diseases; diabetes; health services research and implementation science; and obesity. Chest pain is the second most common reason people visit the emergency department (ED). HEART (history, electrocardiography, age, risk factors, and troponin) is an objective risk score that helps clinicians decide which patients presenting with chest pain need further observation or testing in the hospital and which patients can be safely discharged. A study published in 2019 in the Annals of Emergency Medicine by a team from Kaiser Foundation Hospitals Southern California examined the impact of implementing the HEART care pathway in the EDs of 13 KPSC community hospitals. The study looked at 65,000 patients, comparing how many were admitted to the hospital or were given an order for noninvasive stress testing before and after adoption of the HEART care pathway. The researchers found that using the HEART care pathway to risk-stratify patients with chest pain resulted in less inpatient care and less noninvasive cardiac testing. Kaiser Foundation Hospitals Hawaii research center, the Center for Integrated Health Care Research was established in 1999 and is specially attuned to the health issues of the local population, which suffers disproportionately from several chronic diseases, primarily diabetes and heart disease. Hawaii has one of the world's most ethnically diverse populations. Japanese and Caucasians constitute about a quarter of the population, Native Hawaiians and other Pacific Islander populations are about 20%, Filipinos about 12%, Chinese about 8%, and other groups-mostly Southeast Asian and Korean-make up the balance. This mix of cultures, lifestyles, and practices creates a challenging and fascinating environment for research on cultural issues and on the mixing of cultures. Investigators in Hawaii conduct research on a broad range of topics, including cancer; chronic disease (e.g., diabetes); mental health; and patient safety.
Falls are the leading cause of non-fatal injury in thecommunity-dwelling older adult population. About one-third of adults aged 65 and older fall each year. An estimated half of all falls result in an injury (10% experience a serious injury), with the percentage increasing with advanced age. One of the keys to preventing falls is identifying older adults with a history of falls, as these individuals are at higher risk for future injurious events. History of falls data are unreliable, however, because these patients often have difficulty with recall and are thus prone to under-reporting. A study published in the Journal of the American Geriatrics Society in 2019 by a team from the Center for Integrated Health Care Research in Kaiser Foundation Hospitals Hawaii explored whether it would be possible to use electronic medical record (EMR) data to ascertain falls in an older population and to develop a fall risk prediction model. The team examined 3 years of data for 58,000 patients aged 60 and older. The study demonstrated that the EMR could be used to develop a preliminary fall risk prediction model and that concurrent work with clinical providers to enhance fall documentation is needed to improve the ability of the EMR to capture falls and the ability of the model to predict fall risk. kaiser Foundation Hospitals Northwest's research center, the Center for Health Research (CHR) has been a leader in the field of health research since its founding in 1964. As the research landscape has shifted over that time, CHR has adapted and cultivated new strengths, while remaining true to its guiding mission of advancing knowledge to improve health. The CHR covers a broad range of topics including cancer, diabetes, cardiovascular disease, obesity, health disparities, population health management, mental health and addiction, maternal and child health, evidence-based medicine and policy, genetics, health economics, social determinants, implementation science, and oral health (in collaboration with the Kaiser Permanente Northwest Dental Care Program, the only program of its kind in Kaiser Permanente). Lynch syndrome (LS) is the most common hereditary colorectal cancer syndrome, accounting for about 3% of cases. While there have been efforts to improve LS diagnosis rates, less is known about the care patients receive after diagnosis. A study published in the journal Hereditary Cancer in Clinical Practice in 2019 concluded that improved care coordination and clearer documentation of the LS diagnosis is needed. The study was undertaken by the Center for Health Research in Kaiser Foundation Hospitals Northwest in collaboration with researchers from Vanderbilt, Case Western Reserve, MD Anderson, and Dana-Farber. The team assessed trends in diagnosis of LS and adherence to recommended LS-related care among Kaiser Foundation HEALTH PLAN OF THE Northwests members. The researchers identified fewer than expected patients with LS in such a large care system, indicating that there is still a diagnostic care gap. However, patients with LS were found to be likely to receive and follow colorectal cancer surveillance recommendations. D. Advancing Innovation Despite our nation's best efforts at addressing the myriad of challenges facing the health of our communities, we see that social, economic and health disparities among people continue to grow. At Kaiser Permanente, we're trying to shift that paradigm by working to advance conditions for health through the spread of best practices, innovation and technology. Kaiser Permanente works in partnership with our communities, using our collective knowledge to identify and implement creative solutions to difficult community health problems. Using technology as the backbone of our efforts, we are exploring new approaches for accelerating and scaling community health solutions to create greater impact. Together, we are advancing health innovation and achieving greater and more equitable health outcomes. Specific example(s) of our efforts in 2019 include: Kaiser Permanente partnered with The Public Good Projects (PGP) to reduce stigma and raise awareness around mental health conditions. PGP's Action Minded Mental Health campaign has four components which include Therapy Pets, Like One Another, Mental Health Champions, and Community Partners and each component tailors its evidence-based approach to reach a specific audience. PGPs disease surveillance system monitors all publicly available media sources for mentions of mental health topics, and PGP tailors its messaging to address trending mental health topics.

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ONE KAISER PLAZA 15LOAKLANDCA94612581592076HEALTH CAREGA501(c)(3)10KFHP INCYes (true)
KAISER FOUNDATION HEALTH PLAN OF THE MAS
ONE KAISER PLAZA 15LOAKLANDCA94612520954463HEALTH CAREMD501(c)(3)10KFHP INCYes (true)
KAISER FOUNDATION HEALTH PLAN OF THE NW
ONE KAISER PLAZA 15LOAKLANDCA94612930798039HEALTH CAREOR501(c)(3)10KFHP INCYes (true)
KAISER FDN HEALTH PLAN OF WASHINGTON
ONE KAISER PLAZA 15LOAKLANDCA94612910511770HEALTH CAREWA501(c)(3)3KFHPW HLDINGYes (true)
KAISER HOSPITAL ASSET MANAGEMENT INC
ONE KAISER PLAZA 15LOAKLANDCA94612943299125ASSET MGTCA501(c)(3)12-IKFHYes (true)
KAISER HEALTH PLAN ASSET MANAGEMENTINC
ONE KAISER PLAZA 15LOAKLANDCA94612943299124ASSET MGTCA501(c)(3)12-IKFHP INCYes (true)
CAMP BOWIE SERVICE CENTER
ONE KAISER PLAZA 15LOAKLANDCA94612943299123ADMINCA501(c)(3)12-IKFHP INCYes (true)
LOKAHI ASSURANCE LTD
ONE KAISER PLAZA 15LOAKLANDCA94612912171891WC PLACEMENTHI501(c)(3)12-IKFHP INCYes (true)
1800 HARRISON FOUNDATION
ONE KAISER PLAZA 15LOAKLANDCA94612943317484FINANCINGCA501(c)(3)12-IKFHP INCYes (true)
KAISER HOSPITAL ASSISTANCE CORPORATION
ONE KAISER PLAZA 15LOAKLANDCA94612311779500FINANCINGCA501(c)(3)12-IKFHYes (true)
KAISER HEALTH ALTERNATIVES
ONE KAISER PLAZA 15LOAKLANDCA94612930954562HEALTH CAREOR501(C)(3)10KFHP INCYes (true)
KP BERNARD J TYSON SCHOOL OF MEDICINE
ONE KAISER PLAZA 15LOAKLANDCA94612814053028MEDICAL EDUCA501(C)(3)2KFHYes (true)
KFHPW HOLDINGS
ONE KAISER PLAZA 15LOAKLANDCA94612930480268HEALTH CAREWA501(C)(3)12-IKFHP INCYes (true)
GROUP HEALTH NORTHWEST
ONE KAISER PLAZA 15LOAKLANDCA94612911216856INACTIVEWA501(C)(3)12-IKFHP OF WAYes (true)
GROUP HEALTH OF WASHINGTON
ONE KAISER PLAZA 15LOAKLANDCA94612911314907inactiveWA501(C)(3)12-IKFHP OF WAYes (true)
KAISER FDN FOR THE ADV OF INTEGRATED HC
ONE KAISER PLAZA 15LoaklandCA94612823819611ADVOCACYCA501(C)(4)N/AKFHP INCYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
PANTHEON GLOBAL HO FUND LP
600 MONTGOMERY ST 23RD FLSAN FRANCISCOCA94111800948707INVESTMENTDEKFHEXCL. UNDER SEC 512$103,197,135$542,310,654false$6,307,430false1.00000
NXT CAP SR FD ILLC
191 N Wacker Dr 1200CHICAGOIL60606371651297INVESTMENTDEKFHEXCL. UNDER SEC 512$25,967,726$411,981,121false$0false0.98207
GOLDMAN SACHS HO FUND B LP
30 HUDSON STREET 15TH FLOORJERSEY CITYNJ07302464966204INVESTMENTNJKFHEXCL. UNDER SEC 512$28,609,908$567,314,267false$2,435,914false0.99481
AG KFHDL FUND LP
245 PARK AVE 26TH FLNEW YORKNY10167473496708INVESTMENTNYKFHEXCL. UNDER SEC 512$2,476,151$27,623,701false$0false0.99877
PANTHEON GLOBAL REAL ASSETS HO FUND LP
600 MONTGOMERY ST 23RD FLSAN FRANCISCOCA94111474226360INVESTMENTDEKFHEXCL. UNDER SEC 512$17,431,916$387,542,373false-$2,725,890false1.00000
KFH STRATEGIC PRIVATE INVESTMENTS LP
600 MONTGOMERY STREETSAN FRANCISCOCA94111811186461INVESTMENTCAKFHEXCL. UNDER SEC 512$8,137,389$214,211,474false$51,083false1.00000
AG DIRECT LENDING FUND II LP
245 PARK AVE 26TH FLOORNEW YORKNY10167371830579INVESTMENTCAKFHEXCL. UNDER SEC 512$9,448,711$145,546,042false$303,133false0.98336
INVESCO INSTITUTIONAL TRUST BALANCED
20 TRAFALGAR SQUARE STE 449NASHUANH03063452193767INVESTMENTCAKFHEXCL. UNDER SEC 512$51,877,961$305,761,708false$0false0.81411
FORTRESS REAL ESTATE OPPORTUNITIES FUND
PO BOX 5098NEW YORKNY10185611796658INVESTMENTNYKFHEXCL. UNDER SEC 512$1,218,260$16,821,704false$397,951false0.58742
LAZARD KP EM SOLUTIONS FUND LLC
30 ROCKEFELLER PLAZA 55TH FLOORNEW YORKNY10112824364389INVESTMENTNYKFHEXCL. UNDER SEC 512$13,264,081$588,422,498false$0false1.00000
HOUSING FOR HEALTH FUND LLP
11000 BROKEN LAND PARKWAY STE 700COLUMBIAMD21044371913493INVESTMENTMDKFHEXCL. UNDER SEC 512-$770,993$5,252,750false$0false0.99990
KFH ABSOLUTE LP
875 THIRD AVENUENEW YORKNY10022825076948INVESTMENTDEKFHEXCL. UNDER SEC 512$24,475,681$368,960,678false$0false0.99999

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationIndOwnershipOwnershipPct
OAK TREE ASSURANCE LTD
ONE KAISER PLAZA 15LOAKLANDCA94612030329760INSURANCEVTNAC CORP$0$0Yes (true)
KAISER PERMANENTE INSURANCE COMPANY
ONE KAISER PLAZA 15LOAKLANDCA94612943203402INSURANCECANAC CORP$0$0Yes (true)
KAISER PERMANENTE INTERNATIONAL
ONE KAISER PLAZA 15LOAKLANDCA94612943245176CONSULTINGCANAC CORP-$43,114$837,133Yes (true)1.00000
GROUP HEALTH SERVICES INC
ONE KAISER PLAZA 15LOAKLANDCA94612911392222INACTIVEWANAC CORP$0$0Yes (true)
KFHP OF WASHINGTON OPTIONS INC
ONE KAISER PLAZA 15LOAKLANDCA94612911467158INSURANCEWANAC CORP$0$0Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgYes (true)AssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (true)AssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (54 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
KAISER FOUNDATION HEALTH PLAN INC
A$2,692,404PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
C$162,244PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
G$227,721PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
H$198,293PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
I$635,887PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
L$21,969,204,270PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
M$1,696,811,228PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
P$597,682,521PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
Q$1,941,954,817PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
R$1,311,652,497PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
S$3,079,685,558PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF COLORADO
A$1,680,000PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF COLORADO
J$7,443,456PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF COLORADO
L$209,708,950PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF COLORADO
P$1,681,817PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF COLORADO
Q$2,552,890PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF GEORGIA
A$33,123,294PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF GEORGIA
B$116,077,724PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF GEORGIA
L$98,938,972PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF GEORGIA
P$92,653,936PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF GEORGIA
Q$6,029,026PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE MAS
A$23,167,873PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE MAS
L$243,902,934PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE MAS
M$1,382,503PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE MAS
P$13,621,641PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE MAS
Q$10,641,199PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE NW
I$2,996,695PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE NW
L$234,611,903PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE NW
M$149,961PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE NW
P$2,080,242PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE NW
Q$4,028,826PER AGREEMENT
KFHPW HOLDINGS
A$1,131,613PER AGREEMENT
KAISER FDN HEALTH PLAN OF WASHINGTON
L$290,278PER AGREEMENT
KAISER FDN HEALTH PLAN OF WASHINGTON
P$9,048,908PER AGREEMENT
KAISER FDN HEALTH PLAN OF WASHINGTON
Q$24,053,506PER AGREEMENT
Camp Bowie Service Center
Q$1,302,915PER AGREEMENT
KAISER PERMANENTE INSURANCE COMPANY
M$23,665,218PER AGREEMENT
KAISER PERMANENTE INSURANCE COMPANY
Q$129,926PER AGREEMENT
LOKAHI ASSURANCE LTD
A$78,280,993PER AGREEMENT
LOKAHI ASSURANCE LTD
D$81,055,544PER AGREEMENT
LOKAHI ASSURANCE LTD
E$20,057,673PER AGREEMENT
LOKAHI ASSURANCE LTD
L$168,475,369PER AGREEMENT
LOKAHI ASSURANCE LTD
M$264,004,870PER AGREEMENT
LOKAHI ASSURANCE LTD
P$276,285,698PER AGREEMENT
LOKAHI ASSURANCE LTD
Q$144,655,009PER AGREEMENT
LOKAHI ASSURANCE LTD
R$6,831,331PER AGREEMENT
LOKAHI ASSURANCE LTD
S$68,879PER AGREEMENT
KAISER HOSPITAL ASSET MANAGEMENT INC
H$7,008,016PER AGREEMENT
KAISER HOSPITAL ASSET MANAGEMENT INC
K$166,499,447PER AGREEMENT
KAISER HOSPITAL ASSET MANAGEMENT INC
R$2,549,218PER AGREEMENT
KAISER HOSPITAL ASSET MANAGEMENT INC
S$31,893,995PER AGREEMENT
KP BERNARD J TYSON SCHOOL OF MEDICINE
A$362,608PER AGREEMENT
KP BERNARD J TYSON SCHOOL OF MEDICINE
B$61,273,719PER AGREEMENT
KP BERNARD J TYSON SCHOOL OF MEDICINE
P$141,148PER AGREEMENT