View data for this organization below, or select additional hospitals to create a comparison view.
Compare tax-exempt hospitals
Search tax-exempt hospitals
for comparison purposes.
Kaiser Foundation Hospitals
One Kaiser Plaza - 26th Floor
Oakland, CA 94612
EIN: 941105628
37 hospitals in organization:
(click a facility name to update Individual Facility Details panel)
(click a facility name to update Individual Facility Details panel)
Individual Facility Details: Kfh - Downey9400 Rosecrans Avenue
Bellflower, CA 90706
Bellflower, CA 90706
| Bed count | 352 | Medicare provider number | 050139 | Member of the Council of Teaching Hospitals | YES | Children's hospital | NO |
Community Health Needs Assessment Activities: 2022
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Other Useful Tax-exempt Hospital Information: 2022
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 0 0 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2023 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 0 0 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more
Kaiser Foundation Hospitals
Community Benefit Spending- 2022
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
4.23%
Spending by Community Benefit Category- 2022
(as % of total functional expenses)
(as % of total functional expenses)
Community Benefit Spending Compared to Functional Expenses, 2010-2022
Additional data
Community Benefit Expenditures: 2022
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 29,363,176,353 Total amount spent on community benefits as % of operating expenses$ 1,243,522,525 4.23 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 206,893,752 0.70 %Medicaid as % of operating expenses$ 649,026,285 2.21 %Costs of other means-tested government programs as % of operating expenses$ 1,078,660 0.00 %Health professions education as % of operating expenses$ 153,719,341 0.52 %Subsidized health services as % of operating expenses$ 0 0 %Research as % of operating expenses$ 40,481,565 0.14 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 29,599,067 0.10 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 162,723,855 0.55 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Financial Assistance and Certain Other Community Benefits at Cost:Note: this information is reported on Schedule H (Form 990), part I, question 7.
Number of activities or programs (optional) See more 0 Persons served See more 0 Total community benefit expense See more $ 2,147,483,647 Direct offsetting revenue See more $ 2,006,168,807 Net community benefit expense See more $ 1,243,522,525 0.04 %
- Community building activities details:Note: this information is reported on Schedule H (Form 990), part II.
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) See more 0 Persons served (optional) See more 0 Community building expense
as % of operating expenses See more$ 0 0 %Direct offsetting revenue See more $ 0
Supplemental Information: 2022
This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 25144709281 including grants of $ 17100775) (Revenue $ 27086348708) PROVIDES HOSPITAL AND MEDICAL CARE, TRAINING AND CHARITY CARE. KAISER FOUNDATION HOSPITALS (KFH) PROVIDES HOSPITAL, MEDICAL AND SURGICAL CARE, INCLUDING EMERGENCY SERVICES, EXTENDED CARE AND HOME HEALTH CARE WITHOUT REGARDS TO AGE, SEX, RACE, RELIGION OR NATIONAL ORIGIN OR THE ABILITY TO PAY. KFH EDUCATES AND TRAINS MEDICAL STUDENTS, PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS AND PROMOTES SCIENTIFIC RESEARCH AND MEDICAL AND NURSING EDUCATION IN ORDER TO IMPROVE CARE FOR OUR MEMBERS AND OUR COMMUNITY. KFH DIRECTLY INVESTS IN IMPROVEMENTS IN COMMUNITY HEALTH BY WORKING TO INCREASE ACCESS TO HEALTH CARE, IMPROVING THE CONDITIONS FOR HEALTH AND EQUITY AND PROVIDING HEALTH EDUCATION.
4B (Expenses $ 2493416791 including grants of $ 0) (Revenue $ 1843311845) MEDICAID AND OTHER GOVERNMENT SPONSORED PROGRAMS. KAISER FOUNDATION HOSPITALS (KFH) IS COMMITTED TO IMPROVING MEDICAL CARE FOR BENEFICIARIES OF MEDICAID AND OTHER GOVERNMENT SPONSORED PROGRAMS, NOT ONLY FOR KAISER FOUNDATION HEALTH PLAN, INC. MEMBERS, BUT ALSO WITHIN THE COMMUNITIES WE SERVE. AT THE END OF 2022, OVER 1.1 MILLION INDIVIDUALS WERE RECEIVING ACCESS TO INPATIENT AND EMERGENCY CARE AT KFH'S FACILITIES UNDER MEDICAID MANAGED CARE PROGRAMS IN THE STATES OF CALIFORNIA, HAWAII AND OREGON, AND UNDER THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP). IN ADDITION, KFH PROVIDED HEALTH CARE ON A FEE-FOR-SERVICE BASIS FOR MEDICAID BENEFICIARIES WHO WERE NOT ENROLLED AS KAISER FOUNDATION HEALTH PLAN, INC. MEMBERS.
4C (Expenses $ 213310014 including grants of $ 0) (Revenue $ 6416262) CHARITY CARE (MEDICAL FINANCIAL ASSISTANCE AND CHARITABLE HEALTH COVERAGE). KAISER FOUNDATION HOSPITALS (KFH) PROVIDES CHARITY CARE TO LOW-INCOME VULNERABLE PATIENTS THROUGH THE MEDICAL FINANCIAL ASSISTANCE (MFA) AND CHARITABLE HEALTH COVERAGE (CHC) PROGRAMS. KFH OFFERS FINANCIAL ASSISTANCE THROUGH THE MFA PROGRAM TO HELP FAMILIES AND INDIVIDUALS WITH A DEMONSTRATED FINANCIAL NEED PAY FOR ALL OR PART OF THE COST OF EMERGENCY OR MEDICALLY NECESSARY CARE PROVIDED IN KAISER PERMANENTE FACILITIES AND/OR BY KAISER PERMANENTE PROVIDERS. IN 2022, THIS PROGRAM ASSISTED A TOTAL OF 151,000 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.
4D (Expenses $ 461597972 including grants of $ 171365849) (Revenue $ 66432150) See part iii, line 4a-d description
-
Facility Information
Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
Line 5: The following response pertains to all KP hospital facilities. KAISER PERMANENTE'S APPROACH TO CHNA CONSIDERS BOTH PRIMARY AND SECONDARY DATA TO INFORM THE PRIORITIZATION OF HEALTH NEEDS. EACH KAISER PERMANENTE SERVICE AREA COLLECTED PRIMARY DATA THROUGH KEY INFORMANT INTERVIEWS WITH INDIVIDUALS AND GROUPS OF INDIVIDUALS. TO IDENTIFY ISSUES THAT MOST IMPACT THE HEALTH OF THE COMMUNITY, HOSPITALS REACHED OUT TO LOCAL PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS WITH EXPERTISE ON LOCAL HEALTH NEEDS, AND INDIVIDUALS WITH KNOWLEDGE AND/OR LIVED EXPERIENCE OF RACIAL HEALTH DISPARITIES. IF AVAILABLE, INSIGHTS FROM COMMUNITY PARTNERS' DATA COLLECTION WERE ALSO CONSIDERED IN THE ASSESSMENT OF NEEDS. KAISER PERMANENTE ALSO DEVELOPED A FREE, WEB-BASED DATA PLATFORM. THE DATA PLATFORM PROVIDES ACCESS TO A CORE SET OF APPROXIMATELY 100 PUBLICLY AVAILABLE INDICATORS TO UNDERSTAND HEALTH USING THE COUNTY HEALTH RANKINGS POPULATION HEALTH FRAMEWORK, WHICH EMPHASIZES SOCIAL AND ENVIRONMENTAL DETERMINANTS OF HEALTH. Line 6a: KFH ANTIOCH: John Muir Health, Sutter Health, UCSF Benioff Children's Hospital Oakland KFH BALDWIN PARK: Health Consortium of San Gabriel Valley: City of Hope, Huntington Hospital, Methodist Hospital of Southern California, Pomona Valley Hospital Medical Center KFH DOWNEY: Kaiser Permanente West Los Angeles Medical Center, Kaiser Permanente Los Angeles Medical Center, and Kaiser Permanente South Bay Medical Center KFH FREMONT: UCSF Benioff Children's Hospital Oakland KFH LOS ANGELES: Kaiser Permanente West Los Angeles Medical Center, Kaiser Permanente Downey Medical Center, Kaiser Permanente South Bay Medical Center, Kaiser Permanente Panorama City Medical Center, Kaiser Permanente Woodland Hills Medical Center KFH MANTECA: Adventist Health Lodi Memorial, Dameron Hospital, Dignity Health St. Joseph's Medical Center, San Joaquin General Hospital, Sutter Health Tracy KFH MAUI: Kahuku Medical Center, Kuakini Medical Center, Wahiawa General Hospital, Kapiolani Medical Center for Women & Children, Pali Momi Medical Center, Straub Medical Center, Wilcox Medical Center, The Queen's Medical Center, Molokai General Hospital, North Hawaii Community Hospital, Rehabilitation Hospital of the Pacific, Adventist Health Castle, Sutter Health Kahi Mohala, Kaiser Permanente Moanalua Medical Center, Shriners Hospitals for Children, Kula Hospital, Lanai Community Hospital, Maui Memorial Medical Center KFH OAHU: Kahuku Medical Center, Kuakini Medical Center, Wahiawa General Hospital, Kapiolani Medical Center for Women & Children, Pali Momi Medical Center, Straub Medical Center, Wilcox Medical Center, The Queen's Medical Center, Molokai General Hospital, North Hawaii Community Hospital, Rehabilitation Hospital of the Pacific, Adventist Health Castle, Sutter Health Kahi Mohala, Kaiser Permanente Moanalua Medical Center, Shriners Hospitals for Children, Kula Hospital, Lanai Community Hospital, Maui Memorial Medical Center KFH OAKLAND: John Muir Health, Sutter Health, UCSF Benioff Children's Hospital Oakland KFH REDWOOD CITY: Hospitals in the Healthy Community Collaborative of San Mateo County (HCC): AHMC Seton Medical Center, AHMC Seton Medical Center Coastside, Dignity Health, Sequoia Hospital, Kaiser Permanente South San Francisco, Lucile Packard Children's Hospital Stanford, Stanford Health Care, Sutter Health Menlo Park Surgical Hospital, Sutter Health Mills-Peninsula Medical Center KFH RICHMOND: John Muir Health, UCSF Benioff Children's Hospital Oakland KFH ROSEVILLE: Dignity Health, Sutter Health, UC Davis Health KFH SACRAMENTO: Dignity Health, Sutter Health, UC Davis Health KFH San Francisco: Hospitals in the San Francisco Health Improvement Partnership (SFHIP): Chinese Hospital, Dignity Health, St. Mary's Medical Center, Dignity Health, Saint Francis Memorial Hospital, Sutter Health, California Pacific Medical Center, University of California, San Francisco KFH SAN LEANDRO: St. Rose Hospital, Sutter Health, UCSF Benioff Children's Hospital Oakland KFH SAN RAFAEL: Sutter Novato Community Hospital; Marin Health Medical Center KFH SANTA ROSA: Sutter Santa Rosa Regional Hospital (SSRRH) KFH SOUTH BAY: Kaiser Permanente Downey Medical Center, Kaiser Permanente Los Angeles Medical Center, Kaiser Permanente West Los Angeles Medical Center KFH SOUTH SACRAMENTO: Dignity Health, Sutter Health, UC Davis Health KFH SOUTH SAN FRANCISCO: Hospitals in the Healthy Community Collaborative of San Mateo County (HCC): AHMC Seton Medical Center, AHMC Seton Medical Center Coastside, Dignity Health, Sequoia Hospital, Kaiser Permanente Redwood City, Lucile Packard Children's Hospital Stanford, Stanford Health Care, Sutter Health Menlo Park Surgical Hospital, Sutter Health Mills-Peninsula Medical Center KFH VACAVILLE: Partnership Health Plan, North Bay Healthcare, Sutter Health KFH VALLEJO: Adventist Health, OLE Health, Providence / Queen of the Valley Medical Center, Partnership Health Plan, North Bay Healthcare, Sutter Health KFH WALNUT CREEK: John Muir Health, Stanford Health Care - ValleyCare, UCSF Benioff Children's Hospital Oakland KFH WEST LOS ANGELES: Kaiser Permanente Downey Medical Center, Kaiser Permanente Los Angeles Medical Center, Kaiser Permanente South Bay Medical Center
Line 6b: KFH ANTIOCH: Contra Costa Health Services KFH FREMONT: Alameda County Public Health Department KFH MANTECA: San Joaquin County Public Health Services, Community Foundation of San Joaquin, Community Medical Centers, First 5 San Joaquin, Health Net, Health Plan of San Joaquin, San Joaquin County Office of Education, University of the Pacific KFH MAUI: Aloha United Way, Department of Health for the State of Hawaii, Community First Hawaii, Hawaii Public Health Institute, Kauai District Health Office, Project Vision, County of Hawaii, Hawaii Children's Action Network, Residential Youth Services and Empowerment Hawaii, The Institute for Human Services, Inc., Marshallese Task Force, Hawaii Health and Harm Reduction Center, Hawaii Community Foundation, Papa Ola Lokahi, We Are Oceania, Honolulu County Executive on Aging, Domestic Violence Action Center KFH MORENO VALLEY: Coachella Valley Economic Partnership, Community Health Association Inland Southern Region, Desert Healthcare District, Feeding America of Riverside and San Bernardino Counties, Moreno Valley Unified School District, Morongo Basin Healthcare, Riverside County Department of Public Social Services, Riverside County Workforce Development, Riverside University Health System-Public Health, UC Riverside School of Medicine KFH OAHU: Aloha United Way, Department of Health for the State of Hawaii, Community First Hawaii, Hawaii Public Health Institute, Kauai District Health Office, Project Vision, County of Hawaii, Hawaii Children's Action Network , Residential Youth Services and Empowerment Hawaii, The Institute for Human Services, Inc., Marshallese Task Force, Hawaii Health and Harm Reduction Center, Hawaii Community Foundation, Papa Ola Lokahi, We Are Oceania, Honolulu County Executive on Aging, Domestic Violence Action Center KFH OAKLAND: Alameda County Public Health Department KFH REDWOOD CITY: John W. Gardner Center for Youth and Their Communities, Stanford University, Peninsula Health Care District, San Mateo County Health, Sequoia Health Care District, Healthy Community Collaborative of San Mateo County (HCC) KFH RICHMOND: Contra Costa Health Services KFH RIVERSIDE: Community Health Association Inland Southern Region, Feeding America of Riverside and San Bernardino Counties, The Greater Riverside Chamber of Commerce, Riverside Community Health Foundation, Riverside County Department of Public Social Services, Riverside County Workforce Development, Riverside University Health System-Public Health, UC Riverside School of Medicine KFH SAN DIEGO: The Hospital Association of San Diego and Imperial Counties (HASD&IC) KFH SAN FRANCISCO: Partners in SFHIP: African American Community Health Equity Council, Asian Pacific Islander Health Parity Coalition, Chicano/Latino/Indigena Health Equity Coalition, Instituto Familiar de la Raza, Rafiki Coalition, RAMS, Inc., San Francisco Community Clinic Consortium, San Francisco Human Services Network, San Francisco Unified School District, San Francisco Public Health Department KFH SAN LEANDRO: Alameda County Public Health Department KFH SAN RAFAEL: Healthy Marin Partnership including Marin Community Foundation, Marin County Health & Human Services, Public Health Department KFH SANTA ROSA: Sonoma County Department of Health Services KFH SOUTH SAN FRANCISCO: Partners in the HCC: Peninsula Health Care District, San Mateo County Health, Sequoia Health Care District KFH VACAVILLE: Community Health Insights, Solano County Public Health KFH VALLEJO: Napa County Public Health, Community Health Insights, Solano County Public Health KFH WALNUT CREEK: Alameda County Public Health Department, Contra Costa Health Services
Line 11 Part 1: Significant needs identified in Kaiser Foundation Hospitals facilities' most recently conducted CHNAs. HEALTH NEED: ACCESS TO CARE HOSPITALS: The following pertains to all KP hospital facilities unless otherwise noted - Medical Financial Assistance: Provide temporary financial assistance to low-income individuals who receive care at KP facilities and can't afford medical expenses and/or cost sharing - Medicaid and Children's Health Insurance Plan (CHIP): Provide high-quality medical care services to low-income populations who would otherwise struggle to access care. CHIP is active in Sunnyside, Westside, Oahu. - Charitable Health Coverage: Provide access to comprehensive health care and to coverage for low-income individuals and families who do not have access to public or private health coverage - Provide operating support to safety net organizations to strengthen their clinical, financial, and operational capacity to meet evolving needs of their patients - Support organizations that build capacity, provide information about coverage options, assist with eligibility screening, application and enrollment, and advocate for increasing coverage options for low-income individuals - Support partnerships with local, regional, or national organizations to grow networks of community-based organizations that address social health needs and coordinate care HEALTH NEED: MENTAL AND BEHAVIORAL HEALTH HOSPITALS: Antioch, Baldwin Park, Downey, Fontana & Ontario, Fremont, Fresno, Kern County, Los Angeles, Manteca, Maui, Modesto, Moreno Valley & Coachella Valley, Sunnyside, Westside, Oakland, OC - Anaheim & Irvine, Panorama City & Antelope Valley, Redwood City, Richmond, Riverside, Roseville, Sacramento, San Diego, San Francisco, San Jose & Santa Cruz, San Leandro, San Rafael, Santa Clara, Santa Rosa, South Bay, South Sacramento, South San Francisco, Vacaville, Vallejo, Walnut Creek, West Los Angeles, Woodland Hills-West Ventura County - Increase access to behavioral health care services for low-income and vulnerable populations - Extend school and district adoption and integration of Kaiser Permanente Thriving Schools initiatives, tools, and resources - Provide core support to safety net organizations, allowing these organizations to implement initiatives appropriate for the needs of their population (e.g., expansion of mental and behavior health care services, providing more virtual care for nonsurgical specialties such as counseling and behavioral health therapies) HEALTH NEED: INCOME & EMPLOYMENT HOSPITALS: Antioch, Baldwin Park, Downey, Fontana & Ontario, Fremont, Fresno, Kern County, Los Angeles, Manteca, Maui, Modesto, Moreno Valley & Coachella Valley, Sunnyside, Westside, Oahu, Oakland, OC - Anaheim & Irvine, Panorama City & Antelope Valley, Redwood City, Richmond, Riverside, Roseville, Sacramento, San Diego, San Francisco, San Leandro, San Rafael, South Bay, South Sacramento, South San Francisco, Vacaville, Vallejo, Walnut Creek, West Los Angeles, Woodland Hills-West Ventura County - Support organizations that provide culturally and linguistically relevant training and technical assistance to small businesses and entrepreneurs of color - Improve individual financial health by supporting housing, workforce development, or other organizations that embed or enhance financial coaching services HEALTH NEED: HOUSING HOSPITALS: Baldwin Park, Downey, Fontana & Ontario, Kern County, Los Angeles, Maui, Moreno Valley & Coachella Valley, Sunnyside, Westside, Oahu, Oakland, OC - Anaheim & Irvine, Panorama City & Antelope Valley, Redwood City, Riverside, Roseville, Sacramento, San Diego, San Francisco, San Jose & Santa Cruz, Santa Clara, Santa Rosa, South Bay, South Sacramento, Vacaville, Vallejo, West Los Angeles, Woodland Hills-West Ventura County - Provide resources for preserving or enhancing the supply of affordable housing - Support expansion of housing-related legal support for at-risk tenants - Support evidence-based housing stabilization assistance - Support system-level approaches to reducing homelessness (e.g., achieving quality data) HEALTH NEED: FOOD INSECURITY HOSPITALS: Downey, Fontana & Ontario, Oahu, OC - Anaheim & Irvine, San Diego, South Bay, West Los Angeles - Support organizations that increase enrollment in programs that extend food dollars such as in the Supplemental Nutrition Assistance Program (SNAP), Special Supplemental Nutrition Program for Women, Infants and Children (WIC), and federal school meal programs - Support organizations that distribute food such as medically tailored meals, prepared food, produce, or other food and meals to school children, families, and those in underserved communities - Support local and state policy, research, and advocacy organizations leading efforts that have a direct impact on community food security strategies HEALTH NEED: STRUCTURAL RACISM HOSPITALS: Downey, Los Angeles, Moreno Valley & Coachella Valley, Riverside, South Bay, West Los Angeles - Support grassroots and advocacy organizations and initiatives - Support Black, Indigenous, People of Color (BIPOC)-led organizations HEALTH NEED: EDUCATION HOSPITALS: Baldwin Park, Fontana & Ontario, Panorama City & Antelope Valley, San Diego, San Rafael, Santa Rosa, Woodland Hills-West Ventura County - Support community programs that improve high school and college attendance and enrollment rates, achievement, and/or graduation for students of color in low-income areas HEALTH NEED: HEALTHY EATING ACTIVE LIVING OPPORTUNITIES HOSPITALS: Fresno, San Jose & Santa Cruz, Santa Clara - Reduce food insecurity among low-income families and individuals - Increase opportunities for physical activity in schools, access to safe parks and public spaces, and access to health food in schools HEALTH NEED: SEXUAL HEALTH HOSPITALS: Los Angeles - 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 BIPOC, LGBTQ+, homeless and other at risk for or with STIs/HIV HEALTH NEED: CHRONIC DISEASE & DISABILITY HOSPITALS: Woodland Hills-West Ventura County - Support organizations that increase enrollment in programs that extend food dollars such as in the Supplemental Nutrition Assistance Program (SNAP), Special Supplemental Nutrition Program for Women, Infants and Children (WIC), and federal school meal programs - Support organizations that distribute food such as medically tailored meals, prepared food, produce, or other food and meals to school children, families, and those in underserved communities HEALTH NEED: FAMILY & SOCIAL SUPPORT HOSPITALS: Panorama City & Antelope Valley - Support organizations that increase enrollment in programs that extend food dollars such as in the Supplemental Nutrition Assistance Program (SNAP), Special Supplemental Nutrition Program for Women, Infants and Children (WIC), and federal school meal programs - Support organizations that distribute food such as medically tailored meals, prepared food, produce, or other food and meals to school children, families, and those in underserved communities
Line 11 Part 2: Needs identified but not currently addressed in Kaiser Foundation Hospitals facilities' most recently conducted CHNAs. HEALTH NEED: CHRONIC DISEASE & DISABILITY HOSPITALS: Fresno, Modesto REASONS: - Aspects will be addressed in strategies for other needs - Community does not prioritize this need over other issues HEALTH NEED: CLIMATE & ENVIRONMENT HOSPITALS: Roseville, Sacramento, Santa Rosa REASONS: - Aspects will be addressed in strategies for other needs - Community does not prioritize this need over other issues - Less ability for Kaiser Permanente to leverage expertise or assets - Less ability to leverage community assets - Less feasibility to make an impact on this need HEALTH NEED: COMMUNITY SAFETY HOSPITALS: Fresno, Oakland, Richmond, Roseville, Sacramento, San Leandro, Santa Rosa, South Sacramento, Vacaville REASONS: - Aspects will be addressed in strategies for other needs - Less ability for Kaiser Permanente to leverage expertise or assets - Less feasibility to make an impact on this need - This need is incorporated into other needs selected HEALTH NEED: EDUCATION HOSPITALS: Manteca, OC - Anaheim & Irvine, Redwood City, South San Francisco REASONS: - Aspects will be addressed in strategies for other needs - Community does not prioritize this need over other issues - This need is incorporated into other needs selected HEALTH NEED: FAMILY & SOCIAL SUPPORT HOSPITALS: South Sacramento, Vallejo REASONS: - Aspects will be addressed in strategies for other needs - Community does not prioritize this need over other issues - Less ability for Kaiser Permanente to leverage expertise or assets - Less ability to leverage community assets - Less feasibility to make an impact on this need - This need is incorporated into other needs selected HEALTH NEED: FOOD INSECURITY HOSPITALS: Sunnyside, Westside, San Jose & Santa Cruz, Santa Clara, Santa Rosa REASONS: - Aspects will be addressed in strategies for other needs - Sufficient community resources exist - This need is incorporated into other needs selected HEALTH NEED: HEALTHY EATING ACTIVE LIVING OPPORTUNITIES HOSPITALS: Modesto, San Francisco REASONS: - Aspects will be addressed in strategies for other needs - Community does not prioritize this need over other issues - Less ability for Kaiser Permanente to leverage expertise or assets - Less ability to leverage community assets HEALTH NEED: HOUSING HOSPITALS: Antioch, Fremont, Fresno, Manteca, Modesto, Richmond, San Leandro, San Rafael, South San Francisco, Walnut Creek REASONS: - Aspects will be addressed in strategies for other needs - Less ability for Kaiser Permanente to leverage expertise or assets - Less ability to leverage community assets - Less feasibility to make an impact on this need - Significant Kaiser Permanente investments already have been made - This need is incorporated into other needs selected HEALTH NEED: INCOME & EMPLOYMENT HOSPITALS: Santa Rosa REASONS: - Aspects will be addressed in strategies for other needs - This need is incorporated into other needs selected HEALTH NEED: STRUCTURAL RACISM HOSPITALS: Redwood City, San Francisco, San Rafael, South San Francisco REASONS: - Aspects will be addressed in strategies for other needs - This need is incorporated into other needs selected HEALTH NEED: TRANSPORTATION HOSPITALS: Vacaville, Vallejo, Walnut Creek REASONS: - Aspects will be addressed in strategies for other needs - Community does not prioritize this need over other issues - Less ability for Kaiser Permanente to leverage expertise or assets - Less ability to leverage community assets - Less feasibility to make an impact on this need - This need is incorporated into other needs selected HEALTH NEED: UNHEALTHY SUBSTANCE USE HOSPITALS: San Rafael, Santa Rosa REASONS: - Aspects will be addressed in strategies for other needs - This need is incorporated into other needs selected
Line 13a: The following response pertains to all hospital facilities located in California: The hospital provides free care (100% discount) on the patient cost for eligible services to all charity eligible patients with a household income of 400% or less of the federal poverty guidelines (FPG). The discount amount is not adjusted based on income level. The following response pertains to all hospital facilities located in Hawaii: The hospital provides free care (100% discount) on the patient cost for eligible services to all charity eligible patients with a household income of 200% of the federal poverty guidelines (FPG). Eligible patients with a household income greater than 200% and less than or equal to 300% of the FPG receive a 50% discount on the patient cost for eligible services. The following response pertains to all hospital facilities located in Oregon: The hospitals provide free care (100% discount) on the patient cost for eligible services to all charity eligible patients with a household income less than or equal to 200% of the federal poverty guidelines (FPG). Eligible patients with a household income greater than 200% and less than or equal to 400% of the FPG receive discounted care on the patient cost for eligible services as follow: - Eligible patients with a household income greater than 200% and less than or equal to 300% of the FPG receive a 75% discount) - Eligible patients with a household income greater than 300% and less than or equal to 350% of the FPG receive a 50% discount. - Eligible patients with a household income greater than 350% and less than or equal to 400% of the FPG receive a 25% discount.
Line 13h: The following response pertains to all hospital facilities located in California, Hawaii (excluding Maui), Oregon: A patient of any household income level with incurred out-of-pocket medical and pharmacy expenses for eligible services over a 12-month period greater than or equal to 10% of their annual household income is eligible for free care. The following response pertains to hospital facilities located in California only: Kaiser Foundation Health Plan, Inc. (KFHP) members who have a deductible must have incurred out-of-pocket medical and pharmacy expenses for eligible services over a 12-month period greater than or equal to 10% of their annual household income is eligible for free care. The following response pertains to these hospital facilities: Maui Memorial Medical Center, Kula Hospital, and Lanai Community Hospital: A patient of any household income level with incurred out-of-pocket medical and pharmacy expenses for eligible services over a 12-month Period greater than or equal to 15% of their annual household income is eligible for free care.
-
Supplemental Information
Schedule H (Form 990) Part VI
1 - Part I Line 3c There are three distinct eligibility criteria for free and discounted care under KP's Medical Financial Assistance Policy; (1) means tested (income-based), (2) high medical expenses and (3) situations where the patient has been prequalified. - Means-tested (NCAL, SCAL, MHS): A patient of a household income less than or equal to KFH's means testing criteria as a percentage of the federal poverty guidelines (FPG) is eligible for free care. Note: Assets are not used in eligibility determination. - Means-tested (HI & NW): A patient of a household income less than or equal to KFH's means testing criteria as a percentage of the federal poverty guidelines (FPG) is eligible for free or discounted care. Note: Assets are not used in eligibility determination. - High medical expenses (NCAL, SCAL, HI, NW & WA): A patient of any household income level with incurred out-of-pocket medical and pharmacy expenses for eligible services over a 12-month period greater than or equal 10% of annual household income is eligible for financial assistance. - High medical expenses (MHS): A patient of any household income level with incurred out-of-pocket medical and pharmacy expenses for eligible services over a 12-month period greater than or equal 15% of annual household income is eligible for financial assistance. - Prequalification (NCAL, SCAL, HI, NW & WA): A patient is presumed to meet the program eligibility criteria and is not required to provide personal, financial, and other information to verify financial status when the patient: 1. Is enrolled in a community program to which patients have been referred and prequalified through (1) federal, state, or local government, (2) a partnering community-based organization, or (3) at a KFH sponsored community health event, or 2. Is enrolled in a KP community benefit program designed to support access to care for low-income patients and prequalified by designated KFH/HP personnel, or 3. Is enrolled in a credible means-tested health coverage program (e.g., Medicare low-income subsidy program), or 4. Was granted a prior medical financial assistance award within the last 30 days. 1 - Part I Line 7 The losses attributed to providing charity care (medical financial assistance and charitable health coverage) and participation in select government or community sponsored health coverage programs are calculated using a cost-based methodology for patients in those programs. The cost-based loss is generated through the standard systems used to report on market segments for KFHP/KFH's commercial business lines.
1 - Part III Line 8 None of the amounts reported on Part III, line 7 has been treated as community benefit. The Medicare hospital cost reports are the source document to capture the Medicare revenue and Medicare allowable costs. To determine the direct costs, the cost report takes inputs from the general ledger by hospital location and applies a step-down methodology to allocate overhead costs. The costs are then passed through additional cost report computations to determine allowable Medicare costs. The total allowable Medicare cost is subtracted from the total revenue by region to determine the Medicare surplus or shortfall.
1 - Part III Line 9b The debt collection policy is included in the National MFA policy. When a patient/guarantor indicates an inability to pay (charity care), the patient/guarantor will be evaluated for charity care in accordance with established criteria outlined in the Medical Financial Assistance (MFA) policy. In addition, outside collection agencies will cancel and return on a retrospective basis any accounts that either would have qualified or now qualify for charity care according to the criteria outlined in the MFA policy. Additionally, information related to extraordinary collections actions is included in the National MFA policy.
2 - needs assessment In California, Hawaii (including the Maui Health System), and Oregon each KFH hospital 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 2022.
6 - affiliated health care system
"Kaiser Permanente is a not for profit, integrated health care delivery system comprised of Kaiser Foundation Hospitals, Kaiser Foundation Health Plan, and The Permanente Medical Groups. For more than 75 years, Kaiser Permanente has been dedicated to providing high-quality, affordable health care services and to improving the health of our members and the communities we serve. Kaiser Foundation Hospitals (KFH) and Kaiser Foundation Health Plan, Inc. (KFHP), with its five principal operating tax-exempt subsidiary health plans-Kaiser Foundation Health Plan of Colorado; Kaiser Foundation Health Plan of Georgia, Inc.; Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.; Kaiser Foundation Health Plan of the Northwest; and Kaiser Foundation Health Plan of Washington, are nonprofit corporations that are part of the integrated health care delivery system known as the Kaiser Permanente Medical Care Program or ""Kaiser Permanente."" Kaiser Permanente is an integrated health care delivery system that combines the provision and financing of health care services. People who elect to enroll in a Kaiser Permanente health plan receive a full range of prepaid health care services, including hospital care, professional care in hospitals and physicians' offices, x-ray and laboratory services, physical therapy, emergency, ambulance transportation, preventive services, health education and certain prescribed drugs. More comprehensive drug coverage is also provided through a separate coverage rider. Persons enroll in Kaiser Permanente through KFHP or one of the Health Plan subsidiaries (""Health Plan""). Health Plan provides and arranges comprehensive health care services for members on a predominantly prepaid basis and fulfills its contractual obligations to group and individual members by contracting with KFH, in CA, HI, and OR based regions, and a Permanente Medical Group to provide the required health care services. KFHP and KFH are separate corporations governed by identical boards of directors. KFH accepts responsibility to provide or arrange necessary hospital services and facilities for Health Plan members. KFH owns and operates 42 licensed hospitals, including five licensed hospitals with multiple campuses in California, Hawaii and Oregon. KFH provides emergency and in-patient services to all persons in the community regardless of membership or ability to pay. Staff privileges are available on a nondiscriminatory basis to physicians in the communities served. KFH also contracts with other community hospitals to provide hospital services to members for specialized care and other services."
7 - state filing of community benefit report KFH annually prepares and submits a Consolidated Community Benefit Plan to the California Office of Statewide Health Planning and Development in compliance with Health and Safety Code Section 127340 et seq. The consolidated plan includes a hospital-specific community benefit plan for each individual medical center campus in California. KFH also annually prepares and submits a comprehensive Oregon Community Benefit Report to the Department of Human Services, Office for Oregon Health Policy and Research for the Sunnyside and Westside Medical Centers.
3 - patient education of eligibility for assistance In California, Hawaii, and Oregon, information regarding assistance is 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. The 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 Oregon, as per state notification requirements, eligible patients are notified of the program and their potential eligibility prior to placing the patients' outstanding balances with a debt collection agency. - In addition, MFAP information, including the policy, policy plain language summary and application, can also be found on the publicly accessible KP medical financial assistance website. - All patient billing statements include information that financial assistance is available as well as where to get additional information or assistance. The MFAP policy plain language summary is also included with the first hospital billing statement to all patients. Additionally, if patients are referred to bad debt collections, prior to performing extraordinary collections actions, the patient receives notification that financial assistance is available. - The program policy, policy plain language summary, and application are available without charge in English as well as all the languages that meet the limited English proficiency population criteria (lesser of 1,000 individuals or 5% of the community). Languages supported include, but are not limited to Spanish, Chinese, Japanese, Korean, Laotian, Tagalog, Russian, Farsi and Vietnamese. In Hawaii's Maui Health System (MHS), information regarding assistance is available throughout the facilities to all patients. Information regarding the availability of MHS financial assistance program (FAP) is posted in the emergency departments and admitting areas of the MHS hospital. The posted information contains contact information for further assistance. MHS admission and discharge staff are also a source of information for patients that express financial hardship or request financial assistance. The staff can provide a copy of the financial assistance policy summary, program application, or connect a patient with a financial counselor who can assist patients in determining eligibility for government programs or the FAP. Patient discharge packets also include a copy of the FAP policy summary. - In addition, FAP information, including the policy, policy plain language summary and application, can also be found on the publicly accessible MHS financial assistance website. - All patient billing statements include information that financial assistance is available as well as where to get additional information or assistance. The FAP policy plain language summary is also included with the first hospital billing statement to all patients. - The program policy, policy plain language summary, and application are available without charge in English as well as all the languages that meet the limited English proficiency population criteria (lesser of 1,000 individuals or 5% of the community).
4 - community information KFH serves communities in California, Oregon, Hawaii (including the Maui Health System). 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 39 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 Oregon, the Sunnyside Medical Center is located in the city of Clackamas and Kaiser Westside Medical Center in Hillsboro. In Hawaii, the Moanalua Medical Center is located in the city of Honolulu on the island of Oahu. Additionally, KFH operates 3 hospitals on behalf of the Maui Health Systems, including Maui Memorial Medical Center, Kula Hospital, and Lanai Community Hospital all located in Maui County in the state of Hawaii. Ncal scal Hawaii nw ---- ---- ------ ---- Total population in area (mil)*** 12.8 22.7 1.4 3.6 Median Household Income**** $94,287 $78,758 $84,842 $71,600 below 100% fpl* 10.4% 12.8% 9.3% 10.9% w/o public or private health ins* 5.0% 8.4% 3.9% 6.3% Limited English Proficiency(Household)* 7.9% 10.1% 5.5% 2.9% On-time High School Graduation Rate** 87.9% 87.8% 85.3% 82.6% Unemployment Rate (%)*** 6.8% 9.1% 8.8% 6.1% * US Census Bureau, American Community Survey: 2016-2020 ** US Department of Education *** ESRI via Kaiser Permanente Utility for Care Data Analysis, 2021 **** Kaiser Permanente Quality Data, Analytics & Reporting, ESRI 2021, Household-Weighted Median of Household Income Medians for the Block Groups in KP's Regional Service Areas As the nation's largest nonprofit integrated health care organization, Kaiser Permanente is mission driven to improve health and well-being in the communities we serve and committed to shaping the future of health care. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. KFH is committed to the belief that good health is a fundamental right shared by all, and we recognize that good health extends beyond the doctor's office and the hospital. Like our approach to medicine, our work in the community takes a prevention-focused, evidence-based approach. We go beyond traditional corporate philanthropy or grant-making to leverage financial resources with medical research, physician expertise, and clinical practices. Historically, we have focused our investments in three areas-health access, healthy communities, and health equity to address critical health issues in our communities. For many years, we have worked collaboratively with other organizations to address serious public health issues, improve conditions for health in our communities, advance health, and drive affordability across the nation. We have conducted Community Health Needs Assessments (CHNA) to better understand each community's unique needs and resources. The CHNA process informs our community investments and helps us develop strategies aimed at making long-term, sustainable change-and it allows us to deepen the strong relationships we have with other organizations that are working to improve community health. The KFHP/KFH board has a standing community benefit committee of the boards 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.
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 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. KFH believes it is our responsibility as a health care provider to minimize our environmental impact. We know one way to improve the health of the people who live in the communities we serve is by improving their environmental conditions. We also prioritize partnerships with others to develop policies and systems that strengthen community health and protect the environment. Through innovations in energy use, construction and building strategies, supply chain, food systems, finance, and clinical practice that promote community health, we are leading the health care sector in reducing environmental contributors to disease and illness. We have, and will continue to, set ambitious goals to drive both internal and sector-wide action. We prioritize reducing greenhouse gas emissions to lower our carbon footprint and lower the climate impact on the health of the communities we serve. KFH believes that the race to halting climate change is a collaborative one. We prioritize building partnerships and support organizations with shared goals and incentives for combating the causes of a changing climate. We are focused on changing the narrative by putting health at the center of climate change. Kaiser Permanente's mission reflects our belief that where and how people live has a meaningful impact on their health and wellbeing. We will continue to work to improve the conditions for health and equity in the communities we serve by addressing the root causes of health, such as economic opportunity, affordable housing, health and wellness in schools and a healthy environment. We do this by listening to our communities, ensuring health access, shaping policy, making systems change and advancing the future of community health through innovation.
