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Kaiser Foundation Hospitals

ONE KAISER PLAZA Suite 15L
Oakland, CA 94612
EIN: 941105628
Individual Facility Details: Kfh - Santa Rosa
401 Bicentennial Way
Santa Rosa, CA 95403
Bed count173Medicare provider number050690Member of the Council of Teaching HospitalsYESChildren's hospitalNO

Kaiser Foundation HospitalsDisplay data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
3.32%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data

Community Benefit Expenditures: 2021

  • 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$ 28,811,863,035
      Total amount spent on community benefits
      as % of operating expenses
      $ 955,586,888
      3.32 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 216,896,672
        0.75 %
        Medicaid
        as % of operating expenses
        $ 338,139,404
        1.17 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 1,493,408
        0.01 %
        Health professions education
        as % of operating expenses
        $ 143,065,121
        0.50 %
        Subsidized health services
        as % of operating expenses
        $ 0
        0 %
        Research
        as % of operating expenses
        $ 31,828,301
        0.11 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        $ 39,285,086
        0.14 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 184,878,896
        0.64 %
        Community building*
        as % of operating expenses
        $ 0
        0 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?Not available
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses
          $ 0
          0 %
          Physical improvements and housing
          as % of community building expenses
          $ 0
          Economic development
          as % of community building expenses
          $ 0
          Community support
          as % of community building expenses
          $ 0
          Environmental improvements
          as % of community building expenses
          $ 0
          Leadership development and training for community members
          as % of community building expenses
          $ 0
          Coalition building
          as % of community building expenses
          $ 0
          Community health improvement advocacy
          as % of community building expenses
          $ 0
          Workforce development
          as % of community building expenses
          $ 0
          Other
          as % of community building expenses
          $ 0
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2021

    • 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 2021 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 agencyNot 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

    Community Health Needs Assessment Activities: 2021

    • 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

    Supplemental Information: 2021

    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 $ 24062329128 including grants of $ 6581425) (Revenue $ 25742747856)
      PROVIDES HOSPITAL AND MEDICAL CARE, TRAINING AND CHARITY CARE. KAISER FOUNDATION HOSPITALS (KFH) PROVIDES HOSPITAL, MEDICAL AND SURGICAL CARE, INCLUDING EMERGENCY SERVICES, EXTENDED CARE AND HOME HEALTH CARE WITHOUT REGARDS TO AGE, SEX, RACE, RELIGION OR NATIONAL ORIGIN OR THE ABILITY TO PAY. KFH EDUCATES AND TRAINS MEDICAL STUDENTS, PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS AND PROMOTES SCIENTIFIC RESEARCH AND MEDICAL AND NURSING EDUCATION IN ORDER TO IMPROVE CARE FOR OUR MEMBERS AND OUR COMMUNITY. KFH DIRECTLY INVESTS IN IMPROVEMENTS IN COMMUNITY HEALTH BY WORKING TO INCREASE ACCESS FOR THE UNDERSERVED, DISSEMINATING CARE IMPROVEMENTS, ALTERING THE SOCIAL DETERMINANTS OF HEALTH AND EDUCATING TO IMPROVE HEALTH.
      4B (Expenses $ 2851203416 including grants of $ 0) (Revenue $ 2511570604)
      MEDICAID AND OTHER GOVERNMENT SPONSORED PROGRAMS. KAISER FOUNDATION HOSPITALS (KFH) IS COMMITTED TO IMPROVING MEDICAL CARE FOR BENEFICIARIES OF MEDICAID AND OTHER GOVERNMENT SPONSORED PROGRAMS, NOT ONLY FOR KAISER FOUNDATION HEALTH PLAN, INC. MEMBERS, BUT ALSO WITHIN THE COMMUNITIES WE SERVE. AT THE END OF 2021, OVER 1 MILLION INDIVIDUALS WERE RECEIVING ACCESS TO INPATIENT AND EMERGENCY CARE AT KFH'S FACILITIES UNDER MEDICAID MANAGED CARE PROGRAMS IN THE STATES OF CALIFORNIA, HAWAII AND OREGON, AND UNDER THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP). IN ADDITION, KFH PROVIDED HEALTH CARE ON A FEE-FOR-SERVICE BASIS FOR MEDICAID BENEFICIARIES WHO WERE NOT ENROLLED AS KAISER FOUNDATION HEALTH PLAN, INC. MEMBERS.
      4C (Expenses $ 224399605 including grants of $ 0) (Revenue $ 7502933)
      CHARITY CARE (MEDICAL FINANCIAL ASSISTANCE AND CHARITABLE HEALTH COVERAGE). KAISER FOUNDATION HOSPITALS (KFH) PROVIDES CHARITY CARE TO LOW-INCOME VULNERABLE PATIENTS THROUGH THE MEDICAL FINANCIAL ASSISTANCE (MFA) AND CHARITABLE HEALTH COVERAGE (CHC) PROGRAMS. KFH OFFERS FINANCIAL ASSISTANCE THROUGH THE MFA PROGRAM TO HELP FAMILIES AND INDIVIDUALS WITH A DEMONSTRATED FINANCIAL NEED PAY FOR ALL OR PART OF THE COST OF EMERGENCY OR MEDICALLY NECESSARY CARE PROVIDED IN KAISER PERMANENTE FACILITIES AND/OR BY KAISER PERMANENTE PROVIDERS. IN 2021, THIS PROGRAM ASSISTED OVER 173,000 PATIENTS THROUGH FINANCIAL ASSISTANCE. THE CHC PROGRAMS OFFER REGULAR KAISER FOUNDATION HEALTH PLAN MEMBERSHIP AT MINIMAL COST TO LOW INCOME FAMILIES WHO ARE NOT ELIGIBLE FOR OTHER PUBLIC OR PRIVATELY SPONSORED COVERAGE. OVER 3,800 PATIENTS WERE RECEIVING ACCESS TO COMPREHENSIVE HEALTH CARE THROUGH THESE PROGRAMS AT THE END OF 2021.
      4D (Expenses $ 545035622 including grants of $ 185350050) (Revenue $ 145507064)
      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 Hospital Facilities: Community input was provided by a broad range of community members using key informant interviews, group interviews, focus groups, community events and listening sessions. Individuals with the knowledge, information, and expertise relevant to the health needs of the community were consulted. These individuals included representatives from county public health departments, school districts, local non-profits, regional public and private organizations as well as leaders, representatives, or members who reside and/or provide services in an under-resourced or medically underserved, low-income, and minority communities. Additionally, where applicable, other individuals with expertise of local health needs were consulted. Line 6a: KFH Anaheim & KFH Irvine: Hoag Memorial Hospital, St. Jude Medical Center, St. Joseph Medical Center, Mission Hospital, CHOC Children's Hospital KFH Antioch: John Muir Health, Sutter Health Bay Area KFH Downey: PIH Health Hospitals, St. Francis Medical Center KFH Fremont: Eden Medical Center, KFH San Leandro, St. Rose Hospital, UCSF Benioff Children's Hospital Oakland, Washington Hospital Healthcare System KFH Fontana: KFH Ontario KFH Fresno: Adventist Health Hanford, Adventist Health Reedley, Adventist Health Selma, Clovis Community Medical Center, Community Regional Medical, Fresno Heart and Surgery, Kaweah Delta Health Care District, Madera Community Hospital, San Joaquin Valley Rehabilitation Hospital, Sierra View Medical Center, Saint Agnes Community Medical Center, Valley Children's Healthcare KFH Honolulu: Adventist Health Castle, Kahi Mohala, Kahuku Medical Center, Kapiolani Medical Center for Women & Children, Kuakini Medical Center, Pali Momi Medical Center, The Queen's Medical Center, The Queen's Medical Center West Oahu, Rehabilitation Hospital of the Pacific, Shriners Hospitals for Children Honolulu, Straub Medical Center, Wahiawa General Hospital KFH Los Angeles: KFH West Los Angeles KFH Manteca: Adventist Health Lodi Memorial, Dameron Hospital, Dignity Health St. Joseph's Medical Center, Sutter Health KFH Moreno Valley: KFH Riverside KFH Oakland: Alta Bates Summit Medical Center, John Muir Health, UCSF Benioff Children's Hospital Oakland KFH Ontario: KFH Fontana KFH Panorama City: Dignity Health Northridge Hospital Medical Center, Providence Holy Cross Medical Center, Providence St. Joseph Medical Center KFH Redwood City: Dignity Health Sequoia Hospital, KFH South San Francisco, Lucile Packard Children's Hospital Stanford, Seton Medical Center and Seton Coastside, Stanford Health Care, Sutter Health Menlo Park Surgical Hospital and Sutter Health Mills-Peninsula Medical Center KFH Richmond: John Muir Health KFH Riverside: KFH Moreno Valley KFH Sacramento: Dignity Health, Sutter Health, University of California - Davis Medical Center KFH San Diego (Clairemont) & KFH San Diego (Zion): Palomar Health, Rady Children's Hospital San Diego, Scripps Health, Sharp HealthCare, Tri-City Medical Center, University of California - San Diego Health KFH San Francisco: Chinese Hospital, Dignity Health Saint Francis Memorial Hospital, Dignity Health St. Mary's Medical Center, Sutter Health - California Pacific Medical Center, University of California - San Francisco Medical Center KFH San Jose: El Camino Hospital, KFH Santa Clara, Lucile Packard Children's Hospital Stanford, O'Connor Hospital-Verity, Stanford Health Care, Saint Louise Regional Hospital-Verity KFH San Leandro: Eden Medical Center, KFH Fremont, St. Rose Hospital, UCSF Benioff Children's Hospital Oakland, Washington Hospital Healthcare System KFH San Rafael: Marin General Hospital, Sutter Health Novato Community Hospital KFH Santa Clara: El Camino Hospital, KFH San Jose, Lucile Packard Children's Hospital Stanford, O'Connor Hospital-Verity, Stanford Health Care, Saint Louise Regional Hospital-Verity KFH Santa Rosa: St. Joseph Health, Santa Rosa Memorial Hospital, Sutter Health Santa Rosa Regional Hospital KFH South Bay: Providence Little Company of Mary Medical Center, Torrance Memorial Medical Center KFH South Sacramento: Dignity Health, Sutter Health, University of California, Davis Medical Center KFH South San Francisco: Dignity Health Sequoia Hospital, Lucile Packard Children's Hospital Stanford, Seton Medical Center and Seton Coastside, Stanford Health Care, Sutter Health Menlo Park Surgical Hospital and Sutter Health Mills Peninsula Medical Center, KFH Redwood City KFH Sunnyside & KFH Westside: Adventist Medical Center, Legacy Health System, Oregon Health & Science University, PeaceHealth Southwest Medical Center, Providence Health, Tuality Community Hospital KFH Vacaville: NorthBay Healthcare, Sutter Health KFH Vallejo: Sutter Health KFH Walnut Creek: John Muir Health, San Ramon Regional Medical Center, Stanford Health Care-ValleyCare KFH West Los Angeles: Cedars Sinai, Providence Saint John's Health Center, UCLA Health, KFH Los Angeles KFH Woodland Hills: Valley Care Community Consortium, Ventura County Public Health KULA HOSPITAL, LANAI COMMUNITY HOSPITAL & MAUI MEMORIAL MEDICAL CENTER: MOLOKAI GENERAL HOSPITAL (QUEEN'S) MOLOKAI GENERAL HOSPITAL (QUEEN'S)
      Line 6b:
      KFH Antioch: Contra Costa County Health Services, Contra Costa County Employment & Human Services KFH Baldwin Park: San Gabriel Valley Consortium on Homelessness, San Gabriel Valley Mental Health Consortium, National Alliance on Mental Illness KFH Downey: Interfaith Food Center, Santa Fe Springs, Kaiser Permanente Watts Counseling and Learning Center, Compton Youth Build, Los Angeles County Service Area 7 Health Action Lab Coalitions KFH Fontana & KFH Ontario: Oral Health Action Coalition-Inland Empire, Hospital Association of Southern California Homeless Systems Assessment of Care, San Bernardino County Homeless Partnership, Office of Homeless Services, the High Desert Food Collaborative, Kaiser Permanente San Bernardino County Area Community Mental and Behavioral Health Convening KFH Fremont: Alameda County Health Care Services, Alameda County Public Health Department, Community Health Center Network, Alameda County Behavioral Health Care Services, First 5 Alameda County KFH Fresno: United Health Centers, Cal Viva Health Net, Fresno County Public Health KFH Los Angeles: A Place Called Home, Asian Pacific AIDS Intervention Team, Bienestar, Bravo Medical Magnet High School, Brotherhood Crusade, California Community Foundation, CHIRLA, Esperanza Community Housing Corporation, Foothill Family Services, Heart of Los Angeles, Hollywood Community Housing Corporation, Hollywood DMH, JWCH Institute, LA Care, LA Conservation Corps Sheila Kuehl, LA Promise Fund, Los Angeles Christian Health Services, Los Angeles Neighborhood Legal Services, LURN, Mayor's Office of Resident Engagement, Mi Centro Latino Equality Alliance, My Friends Place, Pasadena Black Infant Health Program, Pasadena Public Health Department, Pasadena Public Health Department, Tobacco Control, Pasadena Unified School District, PATH, RootDownLA, South Central Family Health Services, SPA 4 Health Office, St. Barnabas, St. Francis Center, STEM Academy, StepUp on 2nd, TEACH Public Schools, The Center at Blessed Sacrament, The Los Angeles LGBT Center, To Help Everyone Health and Wellness Centers, TransLatin Coalition, Youth Policy Institute KFH Manteca: First 5 San Joaquin, Health Net, Health Plan of San Joaquin, Community Medical Centers, San Joaquin County Public Health Services KFH Modesto: Stanislaus County Health Services Agency, Stanislaus County Behavioral Health Services, Stanislaus County Office of Education, First 5 Stanislaus County KFH Moreno Valley: Clinicas de Salud del Pueblo, Riverside Community Health Foundation, University of California - Riverside School of Medicine KFH Oakland: Alameda County Health Care Services, Alameda County Public Health Department, Alameda County Behavioral Health Services, First 5 Alameda County KFH Redwood City: San Mateo County Health Department, County of San Mateo Human Services Agency, Peninsula Health Care District KFH Richmond: Contra Costa County Health Care Services, West Contra Costa Unified School District, Community Clinic Consortium of Contra Costa and Solano Counties, Richmond Office of Neighborhood Safety KFH Riverside: Borrego Health, Riverside Community Health Foundation, University of California - Riverside School of Medicine KFH Sacramento: Sacramento County Department of Public Health, Yolo County Department of Health and Human Services KFH San Francisco: African American Community Health Equity Council, APA Family Support Services, Asian Pacific Islander Health Parity Coalition, Chicano Latino Indigena Health Equity Coalition, Bayview Hunter's Point Foundation for Community Improvement, Instituto Familiar de la Raza, Rafiki Wellness, Metta Fund, San Francisco Community Clinic Consortium, San Francisco Human Services Network, San Francisco Interfaith Council, San Francisco Department of Public Health, San Francisco Mayor's Office, San Francisco Unified School District, University of California - San Francisco KFH San Jose: Santa Clara County Community Benefit Coalition, Hospital Council of Northern & Central California, Santa Clara County Public Health Department KFH San Leandro: Alameda County Health Care Services, Alameda County Public Health Department, Community Health Center Network, Alameda County Behavioral Health Care Services, First 5 Alameda County KFH San Rafael: Marin County Health and Human Services, Hospital Council of Northern and Central California, Northbay Leadership Council, Marin County Office of Education, Marin Community Foundation, San Rafael Chamber of Commerce KFH Santa Clara: Santa Clara County Community Benefit Coalition, Hospital Council of Northern & Central California, Santa Clara County Public Health Department KFH Santa Rosa: Sonoma County Department of Health Services KFH South Bay: Boys and Girls Clubs LA Harbor, Boys and Girls Clubs of Metro Los Angeles, Boys and Girls Clubs of the South Bay, Compton Youthbuild, Kaiser Permanente Watts Counseling and Learning Center, Positive Results Corporation, Save Black Boys, ShareFest Community Development Inc., South Bay Coalition to End Homelessness KFH South Sacramento: Sacramento County Public Health Department KFH South San Francisco: Hospital Consortium of San Mateo County, County of San Mateo Human Services Agency, Peninsula Health Care District, Stanford Health Care KFH Sunnyside & KFH Westside: Health Share of Oregon, Clackamas County Public Health Division, Clark County Public Health Department, Multnomah County Health Department, Washington County Public Health Division, Community Action, Immigrant & Refugee Community Organization, Oregon Community Health Workers Association, Oregon Health Equity Alliance 8, Our House of Portland KFH Vacaville: Solano County Health and Social Services, Community Health Insights KFH Vallejo: Napa County Health and Human Services, Solano County Health and Social Services, Community Health Insights KFH Walnut Creek: Contra Costa County Health Services Department, Contra Costa County Employment & Human Services
      Line 11 Part 1: significant needs identified in
      Kaiser Foundation Hospitals facilities' most recently conducted CHNAs. Health Need: Access to care The following response pertains to all Hospital Facilities: - Charitable health coverage: Provide access and comprehensive health care to low-income individuals and families who do not have access to public or private health coverage. - Medical financial assistance: Provide financial assistance to low-income individuals who receive care at KAISER FOUNDATION HOSPITALS facilities and cannot afford medical expenses. - Medicaid: Provide high-quality medical care to Medicaid participants who would otherwise struggle to access care. - Support screening for social and non-medical service needs and connect low-income individuals and families to community and government resources. - Increase access to health care coverage and care for underserved communities through targeted outreach, enrollment, and retention strategies. Health Need: Mental and behavioral health The following response pertains to these hospital facilities: Anaheim, Antioch, Baldwin Park, Downey, Fontana, Fremont, Fresno, Irvine, Los Angeles, Manteca, Modesto, Moreno Valley, Northwest (Kaiser Westside Medical Center and Sunnyside Medical Center), Oakland, Panorama City, Ontario, Redwood City, Richmond, Riverside, Roseville, Sacramento, San Diego, San Francisco, San Jose, San Leandro, San Rafael, Santa Clara, Santa Rosa, South Bay, South Sacramento, South San Francisco, Vacaville, Vallejo, Walnut Creek, West Los Angeles, Woodland Hills - Support the infrastructure and capacity building of community organizations and clinics to improve access to quality mental health care. - Provide workforce pipeline and training programs to ensure a culturally competent mental health workforce with the skills to meet the needs of diverse communities. - Support and participate in school-based programs to build student and staff capacity to address trauma and adverse childhood experiences. - Implement a multi-media campaign to reduce stigma towards mental health conditions. Health Need: Economic Security The following response pertains to these hospital facilities: Anaheim, Antioch, Baldwin Park, Downey, Fontana, Fremont, Fresno, Honolulu, Irvine, Los Angeles, Manteca, Modesto, Moreno Valley, Northwest (Kaiser Westside Medical Center and Sunnyside Medical Center), Oakland, Panorama City, Ontario, Redwood City, Richmond, Riverside, Roseville, Sacramento, San Diego, San Leandro, San Rafael, South Bay, South Sacramento, South San Francisco, Vacaville, Vallejo, Walnut Creek, West Los Angeles, Woodland Hills - Improve food security, including support of outreach and enrollment campaigns to increase eligible community members' enrollment in the Supplemental Nutrition Assistance Program. - Increase access to permanent supportive housing, and support programs and services for those experiencing homelessness. - Support long-term economic vitality of communities through purchasing, hiring and workforce development, small business development, impact investing, and improvements in the built environment. - Support programs helping vulnerable youth access resources needed to graduate from high school and prepare for college. Health Need: Obesity / HEAL / Diabetes The following response pertains to these hospital facilities: Fresno, Manteca, Modesto, Moreno Valley, Honolulu, Panorama City, Redwood City, Riverside, Roseville, San Francisco, San Jose, Santa Clara, South San Francisco, Woodland Hills - Support community-driven efforts to increase access to healthy food and physical activity, including community gardens, farmers markets, parks, and safe play areas for children. - Support high-need schools with the adoption and implementation of healthy eating active living policies and practices. - Provide opportunities for increasing awareness of prevention and management of chronic disease, including cardiovascular health, diabetes, and obesity. - Support action-oriented research into healthy eating and active living, including the connections between food insecurity and health and active transportation gaps. Health Need: Community and family safety The following response pertains to these hospital facilities: Kula Hospital, Lanai Community Hospital, Maui Memorial Medical Center, Sacramento, South Sacramento, Vacaville, Vallejo - Support community efforts to reduce violence, including firearm prevention. - Increase access to parks and public spaces and beautification of neighborhood outdoor spaces serving low income and vulnerable populations. - Support domestic violence and child abuse prevention and provide community trauma education. Health Need: Housing/homelessness The following response pertains to these hospital facilities: San Francisco, San Jose, Santa Clara, Santa Rosa - Strengthen local homeless system of care through the Housing and Health Initiative. - Support availability of permanent supportive housing. - Support long-term housing for transitional-aged foster youth. Health Need: Social determinants/ Racism/ Racial equity The following response pertains to these hospital facilities: South Bay, West Los Angeles - Incorporate an equity lens throughout planning, implementation, and execution of implementation strategies. - Contribute to statewide policy conversations focused on mental health promotion and early childhood development. Health Need: Education and literacy The following response pertains to these hospital facilities: San Rafael, Santa Rosa - Support programs that enrich mathematics instruction and improve 3rd grade reading. - Support tutoring and mentoring programs for academic success. Health Need: HIV/AIDS/STDs The following response pertains to this hospital facility: Los Angeles - Support programs that improve referral of patients to evidence-based health promotion programs. - Build capacity for organizations to expand their offering of evidence-based programs addressing STI/HIV prevention and management.
      Line 11 Part 2: needs identified but not currently addressed in
      Kaiser Foundation Hospitals facilities' most recently conducted CHNAs. Health Need: Climate and health/ Environment The following response pertains to these hospital facilities: Antioch, Fremont, Fresno, Kula Hospital, Lanai Community Hospital, Manteca, Maui Memorial Medical Center, Modesto, Honolulu, Oakland, Redwood City, Sacramento, San Jose, San Leandro, Santa Clara, South Sacramento, South San Francisco, Walnut Creek - Less feasibility to make an impact on this need. - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. - Lack of feasible evidence-based or promising practices to address this need. - Less ability to leverage community assets to address this need. Health Need: Community and family safety/ Violence and injury prevention The following response pertains to these hospital facilities: Antioch, Fremont, Fresno, Manteca, Modesto, Oakland, Richmond, San Francisco, San Jose, San Leandro, San Rafael, Santa Clara, Santa Rosa, Walnut Creek - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. - Aspects of this need will be addressed in strategies for other needs. - Lack of feasible evidence-based or promising practices to address this need. - Less feasibility to make an impact on this need. Health Need: Obesity/ HEAL/ Diabetes The following response pertains to these hospital facilities: Antioch, Fontana, Fremont, Northwest (Kaiser Westside Medical Center and Sunnyside Medical Center), Oakland, Ontario, Richmond, San Diego, San Leandro, San Rafael, Santa Rosa, South Sacramento, Vacaville, Vallejo, Walnut Creek - This need is incorporated into other needs selected. - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. - Significant KAISER FOUNDATION HOSPITALS investments already have been made to address this need. Health Need: Education and literacy The following response pertains to these hospital facilities: Antioch, Fremont, Oakland, Richmond, San Leandro, South Bay, Vacaville, Vallejo, Walnut Creek, Woodland Hills - This need is incorporated into other needs selected. - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. - Less feasibility to make an impact on this need. Health Need: Housing/ homelessness The following response pertains to these hospital facilities: Antioch, Fremont, Oakland, Richmond, San Leandro, San Rafael, South Bay, South San Francisco, Vacaville, Vallejo, Walnut Creek - This need is incorporated into other needs selected. - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. - Less feasibility to make an impact on this need. Health Need: Transportation and traffic The following response pertains to these hospital facilities: Antioch, Fremont, Oakland, San Jose, San Leandro, Walnut Creek - This need is incorporated into other needs selected. Health Need: Asthma The following response pertains to these hospital facilities: Fontana , Fresno, Manteca, Modesto, Moreno Valley, Ontario, Riverside, San Jose, Santa Clara - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. - Less ability to leverage community assets to address this need. - Severity of this need is relatively low. Health Need: Cancer The following response pertains to these hospital facilities: Modesto, Moreno Valley, Redwood City, Riverside, San Jose, Santa Clara, South San Francisco - This need is incorporated into other needs selected. Severity of this need is relatively low. - Sufficient community resources exist to address this need. Health Need: Maternal and child health The following response pertains to these hospital facilities: Fontana, Northwest (Kaiser Westside Medical Center and Sunnyside Medical Center), Panorama City, Ontario, Roseville, San Rafael, Santa Rosa, South Sacramento, Vacaville, Vallejo - This need is incorporated into other needs selected. - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. Health Need: Substance use/ tobacco The following response pertains to these hospital facilities: Fontana, Fresno, Northwest (Kaiser Westside Medical Center and Sunnyside Medical Center), Kula Hospital, Lanai Community Hospital, Manteca, Maui Memorial Medical Center, Modesto, Ontario, San Diego - This need is incorporated into other needs selected. Health Need: HIV/ AIDS/ STDs The following response pertains to these hospital facilities: Moreno Valley, Panorama City, Riverside, San Francisco - Severity of this need is relatively low. - Sufficient community resources exist to address this need. Health Need: Economic security The following response pertains to these hospital facilities: Kula Hospital, Lanai Community Hospital, Maui Memorial Medical Center, San Jose, Santa Clara, Santa Rosa - Aspects of this need will be addressed in strategies for other needs. - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. - Lack of feasible evidence-based or promising practices to address this need. - Less feasibility to make an impact on this need. Health Need: Oral health The following response pertains to these hospital facilities: Fresno, Manteca, Modesto, Redwood City, San Rafael, South San Francisco - Aspects of this need will be addressed in strategies for other needs. - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. Health Need: Chronic disease/ CVD/ stroke The following response pertains to these hospital facilities: Anaheim, Irvine, Panorama City, Santa Rosa, Woodland Hills - This need is incorporated into other needs selected. Health Need: Mental/behavioral health The following response pertains to these hospital facilities: Kula Hospital, Lanai Community Hospital, Maui Memorial Medical Center, Honolulu - Less ability for KAISER FOUNDATION HOSPITALS to leverage expertise or assets to address this need. Health Need: Suicide The following response pertains to these hospital facilities: Anaheim, Irvine - This need is incorporated into other needs selected. Health Need: SDOH/ Structural racism and exclusion/ Racial equity The following response pertains to these hospital facilities: Los Angeles, San Rafael - This need is incorporated into other needs selected.
      Line 13a:
      The following response pertains to all hospital facilities located in California and Hawaii: THE HOSPITAL PROVIDES FREE CARE (100% DISCOUNT) ON THE PATIENT COST FOR ELIGIBLE SERVICES TO ALL CHARITY ELIGIBLE PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED. THE DISCOUNT AMOUNT IS NOT ADJUSTED BASED ON INCOME LEVEL. The following response pertains to hospital facilities: Sunnyside Medical Center and Westside Medical Center: THE HOSPITALS PROVIDE FREE CARE (100% DISCOUNT) ON THE PATIENT COST FOR ELIGIBLE SERVICES TO ALL CHARITY ELIGIBLE PATIENTS WITH A HOUSEHOLD INCOME LESS THAN OR EQUAL TO 300% OF THE FEDERAL POVERTY GUIDELINES (FPG). ELIGIBLE PATIENTS WITH A HOUSEHOLD INCOME GREATER THAN 300% AND LESS THAN OR EQUAL TO 400% OF THE FPG RECEIVE DISCOUNTED CARE ON THE PATIENT COST FOR ELIGIBLE SERVICES AS FOLLOW: - ELIGIBLE PATIENTS WITH A HOUSEHOLD INCOME GREATER THAN 300% AND LESS THAN OR EQUAL TO 350% OF THE FPG RECEIVE A 50% DISCOUNT) - ELIGIBLE PATIENTS WITH A HOUSEHOLD INCOME GREATER THAN 350% AND LESS THAN OR EQUAL TO 400% OF THE FPG RECEIVE A 25% DISCOUNT. - DISCOUNTS ON ELIGIBLE SERVICES ARE AVAILABLE TO ALL PATIENTS REGARDLESS OF WHETHER THEY ARE UNINSURED OR UNDERINSURED.
      Line 13h:
      The following response pertains to all hospital facilities located in California, Hawaii (excluding Maui) and Oregon: A PATIENT OF ANY HOUSEHOLD INCOME LEVEL WITH INCURRED OUT-OF-POCKET MEDICAL AND PHARMACY EXPENSES FOR ELIGIBLE SERVICES OVER A 12 MONTH PERIOD GREATER THAN OR EQUAL TO 10% OF THEIR ANNUAL HOUSEHOLD INCOME IS ELIGIBLE FOR FREE CARE. The following response pertains to hospital facilities located in California only: KAISER FOUNDATION HEALTH PLAN, INC. (KFHP) MEMBERS WHO HAVE A DEDUCTIBLE MUST HAVE INCURRED OUT-OF-POCKET MEDICAL AND PHARMACY EXPENSES FOR ELIGIBLE SERVICES OVER A 12 MONTH PERIOD GREATER THAN OR EQUAL TO 10% OF THEIR ANNUAL HOUSEHOLD INCOME IS ELIGIBLE FOR FREE CARE. The following response pertains to these hospital facilities: Maui Memorial Medical Center, Kula Hospital, and Lanai Community Hospital: A PATIENT OF ANY HOUSEHOLD INCOME LEVEL WITH INCURRED OUT-OF-POCKET MEDICAL AND PHARMACY EXPENSES FOR ELIGIBLE SERVICES OVER A 12 MONTH PERIOD GREATER THAN OR EQUAL TO 15% OF THEIR ANNUAL HOUSEHOLD INCOME IS ELIGIBLE FOR FREE CARE. Line 20a: The hospitals in facility reporting group B do not perform extraordinary collection actions.
      Supplemental Information
      Schedule H (Form 990) Part VI
      1 - Part I Line 3c
      ********************************************************************** THERE ARE THREE DISTINCT ELIGIBILITY CRITERIA FOR FREE AND DISCOUNTD CARE UNDER KP'S MEDICAL FINANCIAL ASSISTANCE POLICY; (1) MEANS TESTED (INCOME-BASED), (2) HIGH MEDICAL EXPENSES AND (3) SITUATIONS WHERE THE PATIENT HAS BEEN PREQUALIFIED. MEANS-TESTED (NCAL, SCAL, HI, NW, MHS & WA): A PATIENT OF A HOUSEHOLD INCOME LESS THAN OR EQUAL TO KFH'S MEANS TESTING CRITERIA AS A PERCENTAGE OF THE FEDERAL POVERTY GUIDELINES (FPG) IS ELIGIBLE FOR FREE CARE. NOTE: ASSETS ARE NOT USED IN ELIGIBILITY DETERMINATION. HIGH MEDICAL EXPENSES (NCAL, SCAL, HI, NW & WA): A PATIENT OF ANY HOUSEHOLD INCOME LEVEL WITH INCURRED OUT-OF-POCKET MEDICAL AND PHARMACY EXPENSES FOR ELIGIBLE SERVICES OVER A 12 MONTH PERIOD GREATER THAN OR EQUAL 10% OF ANNUAL HOUSEHOLD INCOME IS ELIGIBLE FOR FINANCIAL ASSISTANCE. HIGH MEDICAL EXPENSES (MHS): A PATIENT OF ANY HOUSEHOLD INCOME LEVEL WITH INCURRED OUT-OF-POCKET MEDICAL AND PHARMACY EXPENSES FOR ELIGIBLE SERVICES OVER A 12 MONTH PERIOD GREATER THAN OR EQUAL 15% OF ANNUAL HOUSEHOLD INCOME IS ELIGIBLE FOR FINANCIAL ASSISTANCE. PREQUALIFICATION: A PATIENT IS PRESUMED TO MEET THE PROGRAM ELIGIBILITY CRITERIA AND IS NOT REQUIRED TO PROVIDE PERSONAL, FINANCIAL AND OTHER INFORMATION TO VERIFY FINANCIAL STATUS WHEN THE PATIENT: 1. IS ENROLLED IN A COMMUNITY PROGRAM TO WHICH PATIENTS HAVE BEEN REFERRED AND PREQUALIFIED THROUGH (1) FEDERAL, STATE OR LOCAL GOVERNMENT, (2) A PARTNERING COMMUNITY-BASED ORGANIZATION, OR (3) AT A KFH SPONSORED COMMUNITY HEALTH EVENT, OR 2. IS ENROLLED IN A KP COMMUNITY BENEFIT PROGRAM DESIGNED TO SUPPORT ACCESS TO CARE FOR LOW-INCOME PATIENTS AND PREQUALIFIED BY DESIGNATED KFH/HP PERSONNEL, OR 3. IS ENROLLED IN A CREDIBLE MEANS-TESTED HEALTH COVERAGE PROGRAM (E.G., MEDICARE LOW INCOME SUBSIDY PROGRAM), OR 4. WAS GRANTED A PRIOR MEDICAL FINANCIAL ASSISTANCE AWARD WITHIN THE LAST 30 DAYS. 1 - Part I Line 7 ********************************************************************** THE LOSSES ATTRIBUTED TO PROVIDING CHARITY CARE (MEDICAL FINANCIAL ASSISTANCE AND CHARITABLE HEALTH COVERAGE) AND PARTICIPATION IN SELECT GOVERNMENT OR COMMUNITY SPONSORED HEALTH COVERAGE PROGRAMS ARE CALCULATED USING A COST-BASED METHODOLOGY FOR PATIENTS IN THOSE PROGRAMS. THE COST-BASED LOSS IS GENERATED THROUGH THE STANDARD SYSTEMS USED TO REPORT ON MARKET SEGMENTS FOR KFHP/KFH'S COMMERCIAL BUSINESS LINES.
      1 - Part III Line 8
      ********************************************************************** None of the amounts reported on Part III, line 7 has been treated as community benefit. The Medicare hospital cost reports are the source document to capture the Medicare revenue and Medicare allowable costs. To determine the direct costs, the cost report takes inputs from the general ledger by hospital location and applies a step-down methodology to allocate overhead costs. The costs are then passed through additional cost report computations to determine allowable Medicare costs. The total allowable Medicare cost is subtracted from the total revenue by region to determine the Medicare surplus or shortfall.
      1 - Part III Line 9b
      ********************************************************************** The debt collection policy is included in the National MFA policy. When a patient/guarantor indicates an inability to pay (charity care), the patient/guarantor will be evaluated for charity care in accordance with established criteria outlined in the Medical Financial Assistance (MFA) policy. In addition, outside collection agencies will cancel and return on a retrospective basis any accounts that either would have qualified or now qualify for charity care according to the criteria outlined in the MFA policy. Additionally, information related to extraordinary collections actions is included in the National MFA policy.
      2 - needs assessment
      ********************************************************************** IN CALIFORNIA, HAWAII (INCLUDING THE MAUI HEALTH SYSTEM), OREGON, AND WASHINGTON EACH KFH MEDICAL CENTER IS REQUIRED TO CONDUCT A COMMUNITY NEEDS ASSESSMENT EVERY THREE YEARS. THE ASSESSMENTS MAY BE CONDUCTED INDIVIDUALLY BY EACH HOSPITAL OR IN COLLABORATION WITH OTHER HOSPITALS, COMMUNITY-BASED AGENCIES AND PUBLIC SERVICE ORGANIZATIONS. EACH NEEDS ASSESSMENT PROVIDES A SUMMARY OF THE NEEDS ASSESSMENT PROCESS UNDERTAKEN INCLUDING THE METHODOLOGIES AND DATA SOURCES UTILIZED, INDIVIDUALS AND ORGANIZATIONS CONSULTED, A COMPLETE LISTING OF THE NEEDS IDENTIFIED AND DESCRIPTION OF THE METHOD USED TO PRIORITIZE NEEDS FOR INCLUSION IN THE INDIVIDUAL COMMUNITY BENEFIT PLANS. THE MOST RECENT NEEDS ASSESSMENTS WERE COMPLETED IN 2019.
      5 - promotion of community health
      ********************************************************************** KFH'S PRINCIPAL PURPOSE IS TO PROVIDE HOSPITAL, MEDICAL, AND SURGICAL CARE, INCLUDING EMERGENCY SERVICES, EXTENDED CARE AND HOME HEALTH CARE TO MEMBERS OF THE PUBLIC WITHOUT REGARD TO AGE, SEX, RACE, RELIGION OR NATIONAL ORIGIN, OR TO THE INDIVIDUAL'S ABILITY TO PAY. KFH SHARES THE KAISER PERMANENTE MISSION, OF PROVIDING AFFORDABLE HIGH-QUALITY HEALTH CARE TO OUR MEMBERS, AND IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. KFH'S GENERAL COMMUNITY BENEFITS INCLUDE: EMERGENCY DEPARTMENTS - KFH OPERATES FULL-TIME EMERGENCY DEPARTMENTS IN EACH OF ITS 42 LICENSED HOSPITALS, INCLUDING FIVE LICENSED HOSPITALS WITH MULTIPLE CAMPUSES IN CALIFORNIA, HAWAII, AND OREGON. EMERGENCY MEDICAL SERVICES ARE AVAILABLE TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. CARE PROVIDED TO ALL PATIENTS - HOSPITAL CARE IS PROVIDED TO INDIVIDUALS WITH HEALTH CARE COVERAGE FROM ANY PRIVATE OR GOVERNMENT-SPONSORED HEALTH PLAN, INSURED AND UNINSURED REFERRALS FROM SAFETY NET AND OTHER PUBLIC HEALTH PARTNERSHIPS, AND UNINSURED PATIENTS ADMITTED THROUGH THE EMERGENCY DEPARTMENT. OPEN MEDICAL STAFF PRIVILEGES - STAFF PRIVILEGES IN THE HOSPITALS ARE AVAILABLE TO COMMUNITY PRACTITIONERS WHO ARE NOT AFFILIATED WITH A PERMANENTE MEDICAL GROUP. REINVESTMENT OF SURPLUS REVENUES - KFHP PAYS KFH FOR HOSPITAL SERVICES AND SURPLUS REVENUES ARE REINVESTED IN THE FURTHERANCE OF THE EXEMPT PURPOSE, FOR CAPITAL REPLACEMENT OR EXPANSION OF FACILITIES AND EQUIPMENT, DEBT AMORTIZATION, IMPROVEMENT IN PATIENT CARE AND SERVICES, AND OTHER COMMUNITY BENEFIT SERVICES INCLUDING CHARITY CARE, MEDICAL EDUCATION AND RESEARCH. IN ADDITION, KFH IS COMMITTED TO OPERATING TO INTENTIONALLY PROTECT AND PRESERVE THE ENVIRONMENT AND SCARCE RESOURCES. POOR ENVIRONMENTAL QUALITY CONTRIBUTES TO DISEASE AND ECONOMIC INSECURITY. KAISER FOUNDATION HOSPITALS HAS THEREFORE COMMITTED ITSELF TO PROTECTING AND IMPROVING THE NATURAL ENVIRONMENT AS A KEY COMPONENT OF OUR MISSION TO IMPROVE HEALTHCARE QUALITY AND AFFORDABILITY. TO FULFILL THIS COMMITMENT, KAISER FOUNDATION HOSPITALS MAINTAINS A STRUCTURE FOR ENVIRONMENTAL STEWARDSHIP THAT ENABLES THE ORGANIZATION TO CONTINUOUSLY IMPROVE ITS ENVIRONMENTAL PERFORMANCE. THIS STRUCTURE INCLUDES CLEARLY DEFINED ROLES, RESPONSIBILITIES, PLANS AND ROUTINES, AND HAS RESULTED IN FIVE ORGANIZATION-WIDE FOCUS AREAS THAT HAVE BEEN SELECTED BASED ON THEIR ABILITY TO HAVE THE MOST IMPACT ON THE ENVIRONMENTAL FORCES THAT SHAPE ENVIRONMENTAL- AND HUMAN-HEALTH: 1. FINDING SAFE ALTERNATIVES TO HARMFUL INDUSTRIAL CHEMICALS 2. RESPONDING TO CLIMATE CHANGE 3. PROMOTING SUSTAINABLE FARMING AND FOOD CHOICES 4. REDUCING, REUSING, AND RECYCLING TO ELIMINATE WASTE 5. CONSERVING WATER IN EACH OF THESE FOCUS AREAS, KAISER FOUNDATION HOSPITALS HAS ESTABLISHED AMBITIOUS GOALS, IMPLEMENTED INITIATIVES, ACHIEVED MEASURABLE IMPROVEMENTS, AND REGULARLY REPORTED PROGRESS TO OUR BOARD OF DIRECTORS, OUR STAFF, AND THE COMMUNITIES WE SERVE.
      3 - patient education of eligibility for assistance
      ********************************************************************** IN CALIFORNIA, HAWAII, OREGON, AND WASHINGTON INFORMATION REGARDING ASSISTANCE IS WIDELY AVAILABLE THROUGHOUT THE FACILITIES TO ALL PATIENTS. INFORMATION REGARDING THE AVAILABILITY OF KAISER PERMANENTE'S MEDICAL FINANCIAL ASSISTANCE PROGRAM (MFAP) IS POSTED IN THE EMERGENCY DEPARTMENTS AND ADMITTING AREAS OF ALL KAISER PERMANENTE HOSPITALS. THE POSTED INFORMATION CONTAINS CONTACT INFORMATION FOR FURTHER ASSISTANCE. KAISER PERMANENTE ADMISSION AND DISCHARGE STAFF ARE ALSO A SOURCE OF INFORMATION FOR PATIENTS THAT EXPRESS FINANCIAL HARDSHIP OR REQUEST MEDICAL FINANCIAL ASSISTANCE. THIS STAFF CAN PROVIDE A COPY OF THE FINANCIAL ASSISTANCE POLICY SUMMARY, PROGRAM APPLICATION, OR CONNECT A PATIENT WITH A FINANCIAL COUNSELOR WHO CAN ASSIST PATIENTS IN DETERMINING ELIGIBILITY FOR GOVERNMENT PROGRAMS OR THE MFAP. PATIENT DISCHARGE PACKETS ALSO INCLUDE A COPY OF THE MFAP POLICY SUMMARY. IN ADDITION, MFAP INFORMATION, INCLUDING THE POLICY, POLICY PLAIN LANGUAGE SUMMARY AND APPLICATION, CAN ALSO BE FOUND ON THE PUBLICLY ACCESSIBLE KP MEDICAL FINANCIAL ASSISTANCE WEBSITE. ALL PATIENT BILLING STATEMENTS INCLUDE INFORMATION THAT FINANCIAL ASSISTANCE IS AVAILABLE AS WELL AS WHERE TO GET ADDITIONAL INFORMATION OR ASSISTANCE. THE MFAP POLICY PLAIN LANGUAGE SUMMARY IS ALSO INCLUDED WITH THE FIRST HOSPITAL BILLING STATEMENT TO ALL PATIENTS. ADDITIONALLY, IF PATIENTS ARE REFERRED TO BAD DEBT COLLECTIONS, PRIOR TO PERFORMING EXTRAORDINARY COLLECTIONS ACTIONS, THE PATIENT RECEIVES NOTIFICATION THAT FINANCIAL ASSISTANCE IS AVAILABLE. THE PROGRAM POLICY, POLICY PLAIN LANGUAGE SUMMARY, AND APPLICATION ARE AVAILABLE WITHOUT CHARGE IN ENGLISH AS WELL AS ALL THE LANGUAGES THAT MEET THE LIMITED ENGLISH PROFICIENCY POPULATION CRITERIA (LESSER OF 1,000 INDIVIDUALS OR 5% OF THE COMMUNITY). LANGUAGES SUPPORTED INCLUDE, BUT ARE NOT LIMITED TO SPANISH, CHINESE, JAPANESE, KOREAN, LAOTIAN, TAGALOG, RUSSIAN, FARSI AND VIETNAMESE. IN HAWAII'S MAUI HEALTH SYSTEM (MHS), INFORMATION REGARDING ASSISTANCE IS WIDELY AVAILABLE THROUGHOUT THE FACILITIES TO ALL PATIENTS. INFORMATION REGARDING THE AVAILABILITY OF MHS FINANCIAL ASSISTANCE PROGRAM (FAP) IS POSTED IN THE EMERGENCY DEPARTMENTS AND ADMITTING AREAS OF THE MHS HOSPITAL. THE POSTED INFORMATION CONTAINS CONTACT INFORMATION FOR FURTHER ASSISTANCE. MHS ADMISSION AND DISCHARGE STAFF ARE ALSO A SOURCE OF INFORMATION FOR PATIENTS THAT EXPRESS FINANCIAL HARDSHIP OR REQUEST FINANCIAL ASSISTANCE. THIS STAFF CAN PROVIDE A COPY OF THE FINANCIAL ASSISTANCE POLICY SUMMARY, PROGRAM APPLICATION, OR CONNECT A PATIENT WITH A FINANCIAL COUNSELOR WHO CAN ASSIST PATIENTS IN DETERMINING ELIGIBILITY FOR GOVERNMENT PROGRAMS OR THE FAP. PATIENT DISCHARGE PACKETS ALSO INCLUDE A COPY OF THE FAP POLICY SUMMARY. IN ADDITION, FAP INFORMATION, INCLUDING THE POLICY, POLICY PLAIN LANGUAGE SUMMARY AND APPLICATION, CAN ALSO BE FOUND ON THE PUBLICLY ACCESSIBLE MHS FINANCIAL ASSISTANCE WEBSITE. ALL PATIENT BILLING STATEMENTS INCLUDE INFORMATION THAT FINANCIAL ASSISTANCE IS AVAILABLE AS WELL AS WHERE TO GET ADDITIONAL INFORMATION OR ASSISTANCE. THE FAP POLICY PLAIN LANGUAGE SUMMARY IS ALSO INCLUDED WITH THE FIRST HOSPITAL BILLING STATEMENT TO ALL PATIENTS. THE PROGRAM POLICY, POLICY PLAIN LANGUAGE SUMMARY, AND APPLICATION ARE AVAILABLE WITHOUT CHARGE IN ENGLISH AS WELL AS ALL THE LANGUAGES THAT MEET THE LIMITED ENGLISH PROFICIENCY POPULATION CRITERIA (LESSER OF 1,000 INDIVIDUALS OR 5% OF THE COMMUNITY).
      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.
      4 - community information
      ********************************************************************** KFH SERVES COMMUNITIES IN CALIFORNIA, HAWAII (INCLUDING THE MAUI HEALTH SYSTEM), OREGON, AND WASHINGTON. THE COMMUNITIES WE SERVE ARE DIVERSE AND INCLUDE BOTH LESS POPULOUS AND DENSELY POPULATED CITIES AND COUNTIES. OUR COMMUNITIES ARE DIVERSE IN MANY WAYS INCLUDING INCOME, RATE OF UNINSURED, HIGH SCHOOL GRADUATION AND LIMITED ENGLISH PROFICIENCY. OUR FACILITIES AND THE PEOPLE WHO WORK WITHIN THEM ARE LOCATED WITHIN AND ARE PART OF OUR COMMUNITIES. KFH OWNS AND OPERATES 42 LICENSED HOSPITALS, INCLUDING FIVE LICENSED HOSPITALS WITH MULTIPLE CAMPUSES IN CALIFORNIA, HAWAII AND OREGON. IN CALIFORNIA, KFH MEDICAL CENTERS ARE LOCATED IN THE CITIES OF ANAHEIM, ANTIOCH, BALDWIN PARK, DOWNEY, FONTANA, FREMONT, FRESNO, HARBOR CITY, IRVINE, LOS ANGELES, MANTECA, MODESTO, MORENO VALLEY, OAKLAND, ONTARIO, PANORAMA CITY, REDWOOD CITY, RICHMOND, RIVERSIDE, ROSEVILLE, SACRAMENTO, SAN DIEGO, SAN FRANCISCO, SAN JOSE, SAN LEANDRO, SAN RAFAEL, SANTA CLARA, SANTA ROSA, SOUTH SACRAMENTO, SOUTH SAN FRANCISCO, VACAVILLE, VALLEJO, WALNUT CREEK, WEST LOS ANGELES, AND WOODLAND HILLS. IN HAWAII, THE MOANALUA MEDICAL CENTER IS LOCATED IN THE CITY OF HONOLULU ON THE ISLAND OF OAHU. THE MAUI HEALTH SYSTEM OPERATES MAUI MEMORIAL MEDICAL CENTER, KULA HOSPITAL, AND LANAI COMMUNITY HOSPITAL ALL LOCATED IN MAUI COUNTY IN THE STATE OF HAWAII. IN OREGON, THE SUNNYSIDE MEDICAL CENTER IS LOCATED IN THE CITY OF CLACKAMAS AND KAISER WESTSIDE MEDICAL CENTER IN HILLSBORO. IN WASHINGTON, CENTRAL HOSPITAL IS LOCATED IN THE CITY OF SEATTLE. Ncal scal Hawaii nw ---- ---- ------ -- Total population in area (mil)*** 12.8 22.9 1.4 3.7 Median Household Income*** $96,858 $77,466 $85,522 $73,167 below 100% fpl* 11.0% 13.4% 9.6% 11.2% w/o public or private health ins* 5.1% 8.8% 3.8% 6.3% Limited English Proficiency(Household)* 8.3% 10.5% 5.8% 3.0% On-time High School Graduation Rate** 83.6% 83.8% 83.2% 79.5 Unemployment Rate (%)*** 14.8% 16.4% 19.4% 10.8% *US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY: 2015-19 ** US DEPARTMENT OF EDUCATION *** ESRI VIA KAISER PERMANENTE UTILITY FOR CARE DATA ANALYSIS, 2020 AS THE NATION'S LARGEST NONPROFIT INTEGRATED HEALTH CARE ORGANIZATION, KAISER PERMANENTE IS MISSION DRIVEN TO IMPROVE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE AND COMMITTED TO SHAPING THE FUTURE OF HEALTH CARE. KAISER PERMANENTE IS DEDICATED TO CARE INNOVATIONS, CLINICAL RESEARCH, HEALTH EDUCATION AND THE SUPPORT OF COMMUNITY HEALTH. KFH IS COMMITTED TO THE BELIEF THAT GOOD HEALTH IS A FUNDAMENTAL RIGHT SHARED BY ALL, AND WE RECOGNIZE THAT GOOD HEALTH EXTENDS BEYOND THE DOCTOR'S OFFICE AND THE HOSPITAL. LIKE OUR APPROACH TO MEDICINE, OUR WORK IN THE COMMUNITY TAKES A PREVENTION-FOCUSED, EVIDENCE-BASED APPROACH. WE GO BEYOND TRADITIONAL CORPORATE PHILANTHROPY OR GRANT-MAKING TO LEVERAGE FINANCIAL RESOURCES WITH MEDICAL RESEARCH, PHYSICIAN EXPERTISE, AND CLINICAL PRACTICES. HISTORICALLY, WE HAVE FOCUSED OUR INVESTMENTS IN THREE AREAS-HEALTH ACCESS, HEALTHY COMMUNITIES, AND HEALTH EQUITY TO ADDRESS CRITICAL HEALTH ISSUES IN OUR COMMUNITIES. FOR MANY YEARS, WE HAVE WORKED COLLABORATIVELY WITH OTHER ORGANIZATIONS TO ADDRESS SERIOUS PUBLIC HEALTH ISSUES, IMPROVE CONDITIONS FOR HEALTH IN OUR COMMUNITIES, ADVANCE HEALTH AND DRIVE AFFORDABILITY ACROSS THE NATION. WE HAVE CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) TO BETTER UNDERSTAND EACH COMMUNITY'S UNIQUE NEEDS AND RESOURCES. THE CHNA PROCESS INFORMS OUR COMMUNITY INVESTMENTS AND HELPS US DEVELOP STRATEGIES AIMED AT MAKING LONG-TERM, SUSTAINABLE CHANGE-AND IT ALLOWS US TO DEEPEN THE STRONG RELATIONSHIPS WE HAVE WITH OTHER ORGANIZATIONS THAT ARE WORKING TO IMPROVE COMMUNITY HEALTH. THE KFHP/KFH BOARD HAS A STANDING COMMUNITY BENEFIT COMMITTEE OF THE BOARD OF DIRECTORS TO OVERSEE THE PROGRAM-WIDE COMMUNITY BENEFIT PROGRAM. KAISER PERMANENTE ALSO HAS A NATIONAL EXECUTIVE OF KFHP AND KFH TO LEAD KAISER PERMANENTE'S COMMUNITY BENEFIT PROGRAM AS A FULL-TIME ASSIGNMENT.