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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
KAISER FOUNDATION HEALTH PLAN INC
 
Employer identification number
94-1340523
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) ACADEMY HEALTH
1666 K ST NW1100
WASHINGTON,DC20006
52-1260918 501(c)(3) 90,000       CONFERENCE SUPPORT
(2) AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE
DALLAS,TX75231
13-5613797 501(c)(3) 535,300       Community Impact Sponsorship
(3) AMERICAN ONLINE GIVING FOUNDATION INC
40 E MAIN ST 887
NEWARK,DE19711
81-0739440 501(c)(3) 174,422       BOARD OF DIRECTOR MATCHING DONATION
(4) CA ASIAN PACIFIC CHAMBER OF COMMERCE
2331 ALHAMBRA 100
SACRAMENTO,CA95817
38-3737264 501(c)(6) 10,000       2020 LEG SUMMIT & CA POLICY SUMMIT
(5) CA HISPANIC CHAMBER OF COMMERCE
1510 J STREET
SACRAMENTO,CA95814
68-0046058 501(c)(6) 10,000       2020 MEMBERSHIP / PARTNERSHIP
(6) CAL STATE UNIVERSITY FULLERTON FOUNDATION
2600 NUTWOOD 850
FULLLERTON,CA92831
33-0567945 501(c)(3) 7,500       CENTER FOR LEADERSHIP AWARDS EVENT
(7) CALIFORNIA LATINO ECONOMIC INSTITUTE
13011 I ST
SACRAMENTO,CA95814
81-3050673 501(c)(3) 10,000       2020 California Latino Economic Institute General
(8) CAMDEN COALITION OF HEALTHCARE PROVIDERS
800 COOPER ST 7TH FL
CAMDEN,NJ08102
32-0332843 501(c)(3) 50,000       RESEARCH, PRACTICE, & POLICY SUPPORT RELATED TO CO
(9) CAMPAIGN FOR SUSTAINABLE RX PRICING
1341 G ST NW STE 1100
WASHINGTON,DC20005
82-4482629 501(c)(6) 250,000       2021 COMMITMENT TO CSRXP
(10) CENTER FOR HEALTH POLICY DEVELOPMENT
2 MONUMENT SQ 910
PORTLAND,ME04101
52-1576801 501(c)(3) 250,000       PROJECT FUNDING SUPPORT
(11) CENTRAL CITY ASSOCIATION OF LOS ANGELES
626 WILSHIRE BLVD
LOS ANGELES,CA90017
95-0691090 501(c)(6) 10,000       2021 TREASURES EVENT
(12) CENTRAL CITY CONCERN
232 NW 6TH AVE
PORTLAND,OR97209
93-0728816 501(c)(3) 100,000       COVID-19 HOMELESS TARGET FUNDING
(13) CHARLES DREW UNIVERSITY OF MEDICAL
1731 E 120TH ST
LOS ANGELES,CA90059
95-6151774 501(c)(3) 12,500       20TH ANNUAL KJHL WOMENS HEALTH EXPO
(14) COMMITTEE FOR ECON DEV OF THE CONF BOARD
1530 WILSON BLVD 400
ARLINGTON,VA22209
13-1624108 501(c)(3) 10,000       SUPPORT FOR CED & TCB INDEPENDENT RESEARCH/OUTREAC
(15) COMMUNITY PARTNERS
11965 VENICE BLVD401
LOS ANGELES,CA90066
95-4302067 501(c)(3) 50,000       The California Accountability Communities for Heal
(16) CSAC FC
1100 K STREET
SACRAMENTO,CA95814
94-3010425 501(c)(4) 25,000       PLATINUM PARTNERSHIP
(17) DOCTORS WITHOUT BORDERS USA INC
333 7TH AVE 2ND FL
NEW YORK,NY10001
13-3433452 501(c)(3) 20,000       MSF LEBANON PROGRAMS
(18) EAST BAY COMMUNITY FOUNDATION
200 FRANK H OGAWA PLAZA
OAKLAND,CA94612
94-6070996 501(c)(3) 305,750,000       Grants for Program Support
(19) ECONOMIC DEV'T CORP OF LOS ANGELES COUNTY
444 S FLOWER ST 37FL
LOS ANGELES,CA90071
95-3643339 501(c)(3) 10,000       2021 EDDY AWARDS SILVER SPONSOR
(20) EVIDENCE FOR HEALTHCARE IMPROVEMENT
2 LIBERTY SQ FL 9
BOSTON,MA02109
46-3250612 501(c)(3) 150,000       INSTITUTE FOR CLINICAL & ECONOMIC REVIEW GRANT SUP
(21) FOOTHILL UNITY CENTER
790 W CHESTNUT AVE
MONROVIA,CA91016
95-4310817 501(c)(3) 25,000       EMERGENCY FOOD GRANT
(22) FRIENDS IN DEED
444 E WASHINGTON BLVD
PASADENA,CA91104
95-1644608 501(c)(3) 25,000       EMERGENCY FOOD GRANT
(23) GEORGE WASHINGTON UNIVERSITY
2175 K ST NW 257
WASHINGTON,DC20037
53-0196584 501(c)(3) 25,000       CONFERENCE SPONSORSHIP
(24) HAWAII APPLESEED CENTER FOR LAW & ECONOMIC JUSTICE
733 BISHOP ST 1180
HONOLULU,HI96813
76-0748976 501(c)(3) 50,000       PRESERVING HOMES AND PREVENTING EVICTION DURING PA
(25) HAWAII HOMELESS HEALTHCARE
1301 PUNCHBOWL ST 406
HONOLULU,HI96813
82-3190718 501(c)(3) 50,000       MEDICAL RESPITE SERVICE FOR HOMELESS PATIENTS
(26) HAWAII PUBLIC HEALTH INSTITUTE
850 RICHARDS ST 201
HONOLULU,HI96813
68-0637054 501(c)(3) 90,000       ADVANCING POLICY, SUSTAINABLE SOLUTIONS, AND COVID
(27) HAWAIIAN COMMUNITY ASSETS INC
200 N VINEYARD BLVD A300
HONOLULU,HI96817
99-0348767 501(c)(3) 95,000       SAVE FOR OPPORTUNITY
(28) HEALTH CARE COST INSTITUTE
1100 G ST NW 600
WASHINGTON,DC20005
38-3917409 501(c)(3) 200,000       Grants for Program Support
(29) HENRY M JACKSON FOUNDATION
6720A ROCKLEDGE DR
BETHESDA,MD20817
52-1317896 501(c)(3) 15,000       SPONSORSHIP
(30) HIGH DESERT SECOND CHANCE
16666 SMOKETREE ST 4
HESPERIA,CA92345
46-4690286 501(c)(3) 10,000       Chamber Membership
(31) HOLLYWOOD CHAMBER COMMERCE COMMUNITY FDN
6255 SUNSET BLVD 150
HOLLYWOOD,CA90028
95-4557923 501(c)(3) 6,000       HOLLYWOOD CHAMBER COMMUNITY FOUNDATION HEROES OF H
(32) HOMELESS HEALTH CARE LOS ANGELES
2330 BEVERLY BLVD
LOS ANGELES,CA90057
95-4074970 501(c)(3) 100,000       COVID-19 HOMELESS TARGET FUNDING
(33) HONOLULU CIVIL BEAT INC
3465 WAIALAE AVE 200
HONOLULU,HI96816
81-2803662 501(c)(3) 30,000       Grants for Program Support
(34) HOPE SERVICES HAWAII INC
357 WAIANUENUE AVE
HILO,HI96720
27-3412984 501(c)(3) 95,000       COVID-19 RESPONSE AND RECOVERY
(35) HUI NO KE OLA PONO INC
95 MAHALANI ST RM 21
WAILUKU,HI96793
99-0287193 501(c)(3) 95,000       Grants for Program Support
(36) INSTITUTE FOR HEALTHCARE
PO BOX 133
LAGRANGE,IL60525
38-3017223 501(c)(3) 15,000       CONFERENCE SPONSORSHIP
(37) KA HALE A KE OLA HOMELESS RESOURCE
670 WAIALE RD
WAILUKU,HI96793
99-0301740 501(c)(3) 95,000       COVID-19 IMPACT CLIENT ASSISTANCE PROGRAM
(38) KNOWLEDGE ECOLOGY INTERNATIONAL
1621 CONNECTICUT AVE NW500
WASHINGTON,DC20009
83-0461554 501(c)(3) 250,000       Project "Follow the money" case studies
(39) KULA NO NA POE HAWAII
2150 TANTALUS DR
HONOLULU,HI96813
99-0305781 501(c)(3) 86,777       KUPUNA COMMUNITY CARE NETWORK II
(40) KUPU
677 ALA MOANA BLVD 1200
HONOLULU,HI96813
51-0652665 501(c)(3) 28,750       HAWAII YOUTH SUSTAINABILITY CHALLENGE
(41) LANAKILA PACIFIC
1809 BACHELOT ST
HONOLULU,HI96817
99-0103922 501(c)(3) 90,000       Project Sponsorship
(42) LEAGUE OF CALIFORNIA CITIES
1400 K ST STE 400
SACRAMENTO,CA95814
94-6000835 501(c)(4) 20,000       2020 Membership and 5 caucus groups event
(43) LOS ANGELES AFRICAN AMERICAN CHAMBER COMM
5120 W GOLDLEAF CR
LOS ANGELES,CA90056
95-4357302 501(c)(6) 11,500       27TH ANNUAL ECONOMIC AWARDS SPONSORSHIP
(44) LOS ANGELES AREA CHAMBER OF COMMERCE
350 BIXEL ST
LOS ANGELES,CA90017
95-0947860 501(c)(6) 10,000       2021 INAUGURAL Event SPONSORSHIP
(45) MAUI FOOD BANK INC
760 KOLU ST
WAILUKU,HI96793
99-0315110 501(c)(3) 50,000       FRESH PRODUCE PURCHASE
(46) MEMORIAL SLOAN KETERING CANCER CENTER
885 SECOND AVE 8TH FL
NEW YORK,NY10017
13-1924236 501(c)(3) 250,000       Drug Pricing Lab
(47) MENTAL HEALTH AMERICA
500 MONTGOMERY ST820
ALEXANDRIA,VA22314
13-1614906 501(c)(3) 200,000       SOLE SPONSORSHIP OF 2020 MHA POLICY INSTITUTE
(48) MENTAL HEALTH ASSOCIATION IN HAWAII INC
1136 UNION MALL 208
HONOLULU,HI96813
99-0076458 501(c)(3) 60,000       YOUTH SUICIDE PREVENTION PROGRAM
(49) NATIONAL ACADEMY OF SCIENCES
500 5TH ST NW
WASHINGTON,DC20001
53-0196932 501(c)(3) 80,000       SUPPORT OF ROUNDTABLE ON GENOMICS AND PRECISION HE
(50) NATIONAL COUNCIL FOR BEHAVIORAL HEALTH
PO BOX 745709
ATLANTA,GA30374
23-7092671 501(c)(3) 25,000       National Council Silver Partnership
(51) NATIONAL HEALTH CARE FOR HOMELESS COUNCIL
604 GALLATIN AVE 106
NASHVILLE,TN37206
62-1475145 501(c)(3) 638,750       COVID-19 Homeless Target Funding
(52) NATIONAL HELTH LAW PROGRAM
3701 WILSHIRE BLVD750
LOS ANGELES,CA90010
95-3080947 501(c)(3) 100,000       SUPPORT for health law research/policy development
(53) NAT'L FDN FOR THE CTRS FOR DISEASE CONTROL
55 PARK PL NE STE 400
ATLANTA,GA30303
58-2106707 501(c)(3) 1,155,000       COVID-19 EMERGENCY RESPONSE FUND
(54) NAT'L GOVERNORS ASSN FOR BEST PRACTICES
444 N CAPITOL ST 267
WASHINGTON,DC20001
23-7391796 501(c)(3) 100,000       2021 ANNUAL PARTNERSHIP - PLATINUM
(55) PASADENA CHAMBER OF COMMERCE
44 N MENTOR AVE
PASADENA,CA91106
95-0616125 501(c)(6) 7,500       2020 BRONZE LEADERSHIP CIRCLE
(56) PROJECT HOPE
7500 OLD GEORGETOWN RD600
BETHESDA,MA20814
53-0242962 501(c)(3) 100,000       Core Support & Health Affairs Strategic Planning
(57) PUBLIC POLICY INSTITUTE OF CA
500 WASHINGTON ST600
SAN FRANCISCO,CA94111
94-3207299 501(c)(3) 10,000       Event Sponsorship
(58) ROCKEFELLER PHILANTHROPY ADVISORS INC
6 W 48TH ST FL 10
NEW YORK,NY10036
13-3615533 501(c)(3) 75,000       COVID COLLABORATIVE
(59) ROSIE THE RIVETER TRUST
PO BOX 71126
RICHMOND CA,CA94807
94-3335350 501(c)(3) 20,000       Event Sponsorship
(60) SAN GABRIEL VALLEY ECONOMIC PARTNERSHIP
4900 RIVERGRADE ROAD
IRWINDALE,CA91706
95-4295520 501(c)(6) 13,500       Event Sponsorship
(61) SEATTLE KING CTY COALITION ON HOMELESSNESS
85 S WASHINGTON ST310
SEATTLE,WA98104
82-1831734 501(c)(3) 100,000       COVID-19 HOMELESS TARGET FUNDING
(62) SILICON VALLEY COMMUNITY FOUNDATION
2440 W EL CAMINO REAL300
MOUNTAIN VIEW,CA94040
20-5205488 501(c)(3) 100,000       COVID-19 HOMELESS TARGET FUNDING
(63) ST MADELEINE SOPHIES CENTER INC
2119 E MADISON AVE
EL CAJON,CA92019
95-1957332 501(c)(3) 8,000       EVENT SPONSORSHIP
(64) SUSAN G KOMEN ORANGE COUNTY
2817 MCGAW AVE
IRVINE,CA92614
33-0487943 501(c)(3) 10,000       EVENT SPONSORSHIP
(65) THINK TOGETHER
2101 E 4TH ST STE 200B
SANTA ANA,CA92705
33-0781751 501(c)(3) 10,000       EVENT SPONSORSHIP
(66) UNIVERSITY OF WASHINGTON
12455 COLLECTIONS DR
CHICAGO,IL60693
91-6001537 Government or P 83,700       KP DISEASE BURDENS
(67) VALLEY INDUSTRY & COMMERCE ASSOCIATION
16600 SHERMAN WAY
VAN NUYS,CA91406
23-7182039 501(c)(4) 12,700       VICA PREMIER PARTNERSHIP
(68) WAIANAE COMPREHENSIVE HEALTHHOSPITAL BRD
86-260 Farrington Hwy
WAIANAE,HI96792
99-0148164 501(c)(3) 99,671       YOUTH ACCESS TO SCHOOL-BASED HEALTHCARE DURING PAN
(69) YOUNG WOMENS CHRISTIAN ASSOCIATION
1040 RICHARDS ST
HONOLULU,HI96813
99-0073534 501(c)(3) 95,000       Project Support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
58
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
11
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2020

Schedule I (Form 990) 2020
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Schedule I, Part I, Line 2 - PROCEDURES FOR MONITORING GRANTS - Grantees are required to submit a final report that describes progress toward goals, impact to date, as well as financial accounting for how funds were used.
Schedule I (Form 990) 2020



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